AANP EXAM QUESTION BANK
(SARAH MICHELLE’S) | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL
AND AUTHENTIC EXAM | BRAND
NEW!
AmpatientmtellsmthemnursempractitionermthatmshemrecentlymstartedmtakingmthemsupplementmSt.mJoh
n'smwortmaftermreadingmaboutmitsmbenefitsmonline.mWhichmofmthemfollowingmmedications,mifmbeingm
activelymconsumed,mmustmbemimmediatelymstopped?
A.mBenadrylm
B.mFamotidinem(Pepcid)
C.mMetformninm(Glucophage)m
D.mSumatriptanm(Imitrex)m-mCORRECTmANSWERmD.mSumatriptanm(imitrex)
Sumatriptanm(Imitrex)m(D)mismammedicationmusedmtomtreatmmigrainesmandmbelongsmtomamdrugmclass
mknownmasmserotoninmagonists.mWhenmusedminmconjunctionmwithmSt.mJohn'smwort,mitmmaymincreas
emthemriskmofmserotoninmsyndrome,mampotentiallymlife-threateningmcondition.
Whichmofmthemfollowingmismnotmamsymptommofmbothmmajormdepressivemdisordermandmpost-
traumaticmstressmdisorder?
A.mDifficultymconcentratingm
B.mHypervigilance
C.mInsomnia
D.mIrritabiltym-mCORRECTmANSWERmB.mHypervigilance
,Inmadditionmtomdifficultymconcentrating,minsomnia,mandmirritability,mmajormdepressivemdisorderm(M
DD)mmaymalsomincludemsymptomsmofmdepressedmmood,manhedonia,mweightmlossmormgain,mandmlow
menergy.mHowever,mhypervigilancem(B)mismnotmamsymptommassociatedmwithmthismdiagnosis.
Ampatientmwithmtypem1mdiabetesmpresentsmformamfollow-
upmvisit.mHemhasmbeenmstablemonmhismmedicationmregimenmbutmismworriedmbecausemhemismbetwee
nmjobsmandmwillmbemwithoutmhealthminsurancemcoveragemformamfewmmonths.mHemasksmifmtheremarem
lessmexpensiveminsulinmoptionsmtomgetmhimmthroughmthismtime.mWhichmofmthemfollowingmwouldmbe
mgoodmoptionsmformthismpatient,mgivenmhismcircumstance?
Incorrect
A.
Insulinmaspartm70/30
B.
Insulinmdetemir
C.
Insulinmisophane
D.
Insulinmdegludecm-mCORRECTmANSWERmInsulinmIsophane
Themleastmexpensiveminsulinmtypemlistedminmthismquestionmisminsulinmisophanem(C)m(neutralmprotam
inemHagedornminsulin).mTheremaremalsomoftenmpharmacy-
specificmcouponsmthatmcanmbemusedmonminsulin,msomhelpingmpatientsmapplymformandmnavigatemthes
emprogramsmcanmbeminstrumentalminmmanagingmtheirmdiabetes.mAnotherminexpensivemoptionmismre
gularminsulin.Insulinmanalogsm(glargine,mdetemir,mdegludec,mlispro,mandmaspart)maremsignificantlym
moremexpensivemthanmhumanminsulinm(isophane,mregular).mInsulinsmmodifiedmbymmanufacturers,m
especiallymwhenmsoldmasmbrand-
namemmedications,mtendmtombemmoremexpensivemduemtomthismmodification.mWhilemanalogsmofferm
,alternatemlengthsmofmactionmandmconvenience,mtheremismnomwell-
documentedmclinicalmevidencemthatmpatientmoutcomesmaremimprovedmwithmdifferingmbrands.mThe
refore,mmaintainingmampatient'smbloodmglucosemlevelmthroughmoutcome-
focusedmtreatmentmismmoremvaluablemthanmamprocess-focusedmplanmbasedmonmmedication.
Am40-year-
oldmwomanmwithmtypem2mdiabetesmpresentsmtomthemclinicmwithmconcernsmofmspikingmbloodmsugarm
betweenmlunchmandmdinner.mShemstatesmshemismonmamrapid-actingminsulinmslidingmscalemandmlong-
actingminsulin.mWhichmchangemshouldmbemimplementedmtomhelpmpreventmormcurbmthismglycemicms
pike?
A.
Addmamdosemofmmealtimeminsulinmaspartm(Novolog)matmlunch
B.
Addminsulinmdetemirm(Levemir)matmnight
C.
Increasemherminsulinmglarginem(Lantus)
D.
PrescribemamdosemofmneutralmprotaminemHagedornminsulinmwithmdinnerm-
mCORRECTmANSWERmA.mAddmamdosemofmmealtimeminsulinmaspartm(Novolog)matmlunch
Insulinmaspartm(Novolog)m(A)mismamrapidmactingminsulinmthatmismcommonlymdosedmwithmmealsmandm
asmamslidingmscalemregimenmbasedmonmampatient'smglucosempriormtomeatingm(preprandial).mItmismthem
appropriateminsulinmtomaddmasmammealtimemdosemwhenmpatientsmexperiencembloodmglucosemspike
smbetweenmmealsmbecausemofmitsmshort-
actingmproperties.mPeakmtimemactionmofminsulinmaspartmism2mhoursmwithminitialmeffectmwithinmthemfi
rstm30mminutes,mmakingmitmanmidealmchoicemtomcontrolmexpectedmpostprandialmglycemicmspikes
, Whichmofmthemfollowingmconditionsmismassociatedmwithmanmincreasedmriskmformconductivemhearing
mloss?
A.
Acousticmneuroma
B.
Ménièremdisease
C.
Otitismmedia
D.
Presbycusism-mCORRECTmANSWERmC.mOtitismmedia
Causesmofmconductivemhearingmlossmaremotitismmediam(C),motitismexterna,mforeignmobjectsminmtheme
armcanal,mimpactedmearmwax,mtumors,mcongenitalmanomalies,mdiscontinuitymofmmiddlemearmbones,
mcholesteatoma,mandmtympanicmmembranemrupture.mSoundmnormallymtravelsmdownmthemearmcan
almtomvibratemthemeardrumm(tympanicmmembrane).mThemeardrummismconnectedmtomthreemmiddlem
earmbonesm(malleus,mincus,mandmstapes),mwhichmtransmitmthemsoundmintomtheminnermearm(cochlea)
.mThemcochleamismthemorganmthatmchangesmsoundmvibrationsmintomamnervemsignalmthatmtravelsmtomt
hembrain.mThemfourmtypesmofmhearingmlossmaremconductive,msensorineural,mmixed,mandmretrocochl
ear.mConductivemhearingmlossmoccursmwhenmsoundmcannotmeffectivelymreachmtheminnermearmduemt
omissueminmthemoutermearmandmmiddlemear.
Am23-year-
oldmpatientmwhomismpregnantmatm28mweeksmgestationmpresentsmtomthemclinicmformamroutinemprenat
almcheckup.mWhichmfundalmheightmmeasurementmwouldmwarrantmammoremconclusivemassessmentm
withmanmultrasound?
(SARAH MICHELLE’S) | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL
AND AUTHENTIC EXAM | BRAND
NEW!
AmpatientmtellsmthemnursempractitionermthatmshemrecentlymstartedmtakingmthemsupplementmSt.mJoh
n'smwortmaftermreadingmaboutmitsmbenefitsmonline.mWhichmofmthemfollowingmmedications,mifmbeingm
activelymconsumed,mmustmbemimmediatelymstopped?
A.mBenadrylm
B.mFamotidinem(Pepcid)
C.mMetformninm(Glucophage)m
D.mSumatriptanm(Imitrex)m-mCORRECTmANSWERmD.mSumatriptanm(imitrex)
Sumatriptanm(Imitrex)m(D)mismammedicationmusedmtomtreatmmigrainesmandmbelongsmtomamdrugmclass
mknownmasmserotoninmagonists.mWhenmusedminmconjunctionmwithmSt.mJohn'smwort,mitmmaymincreas
emthemriskmofmserotoninmsyndrome,mampotentiallymlife-threateningmcondition.
Whichmofmthemfollowingmismnotmamsymptommofmbothmmajormdepressivemdisordermandmpost-
traumaticmstressmdisorder?
A.mDifficultymconcentratingm
B.mHypervigilance
C.mInsomnia
D.mIrritabiltym-mCORRECTmANSWERmB.mHypervigilance
,Inmadditionmtomdifficultymconcentrating,minsomnia,mandmirritability,mmajormdepressivemdisorderm(M
DD)mmaymalsomincludemsymptomsmofmdepressedmmood,manhedonia,mweightmlossmormgain,mandmlow
menergy.mHowever,mhypervigilancem(B)mismnotmamsymptommassociatedmwithmthismdiagnosis.
Ampatientmwithmtypem1mdiabetesmpresentsmformamfollow-
upmvisit.mHemhasmbeenmstablemonmhismmedicationmregimenmbutmismworriedmbecausemhemismbetwee
nmjobsmandmwillmbemwithoutmhealthminsurancemcoveragemformamfewmmonths.mHemasksmifmtheremarem
lessmexpensiveminsulinmoptionsmtomgetmhimmthroughmthismtime.mWhichmofmthemfollowingmwouldmbe
mgoodmoptionsmformthismpatient,mgivenmhismcircumstance?
Incorrect
A.
Insulinmaspartm70/30
B.
Insulinmdetemir
C.
Insulinmisophane
D.
Insulinmdegludecm-mCORRECTmANSWERmInsulinmIsophane
Themleastmexpensiveminsulinmtypemlistedminmthismquestionmisminsulinmisophanem(C)m(neutralmprotam
inemHagedornminsulin).mTheremaremalsomoftenmpharmacy-
specificmcouponsmthatmcanmbemusedmonminsulin,msomhelpingmpatientsmapplymformandmnavigatemthes
emprogramsmcanmbeminstrumentalminmmanagingmtheirmdiabetes.mAnotherminexpensivemoptionmismre
gularminsulin.Insulinmanalogsm(glargine,mdetemir,mdegludec,mlispro,mandmaspart)maremsignificantlym
moremexpensivemthanmhumanminsulinm(isophane,mregular).mInsulinsmmodifiedmbymmanufacturers,m
especiallymwhenmsoldmasmbrand-
namemmedications,mtendmtombemmoremexpensivemduemtomthismmodification.mWhilemanalogsmofferm
,alternatemlengthsmofmactionmandmconvenience,mtheremismnomwell-
documentedmclinicalmevidencemthatmpatientmoutcomesmaremimprovedmwithmdifferingmbrands.mThe
refore,mmaintainingmampatient'smbloodmglucosemlevelmthroughmoutcome-
focusedmtreatmentmismmoremvaluablemthanmamprocess-focusedmplanmbasedmonmmedication.
Am40-year-
oldmwomanmwithmtypem2mdiabetesmpresentsmtomthemclinicmwithmconcernsmofmspikingmbloodmsugarm
betweenmlunchmandmdinner.mShemstatesmshemismonmamrapid-actingminsulinmslidingmscalemandmlong-
actingminsulin.mWhichmchangemshouldmbemimplementedmtomhelpmpreventmormcurbmthismglycemicms
pike?
A.
Addmamdosemofmmealtimeminsulinmaspartm(Novolog)matmlunch
B.
Addminsulinmdetemirm(Levemir)matmnight
C.
Increasemherminsulinmglarginem(Lantus)
D.
PrescribemamdosemofmneutralmprotaminemHagedornminsulinmwithmdinnerm-
mCORRECTmANSWERmA.mAddmamdosemofmmealtimeminsulinmaspartm(Novolog)matmlunch
Insulinmaspartm(Novolog)m(A)mismamrapidmactingminsulinmthatmismcommonlymdosedmwithmmealsmandm
asmamslidingmscalemregimenmbasedmonmampatient'smglucosempriormtomeatingm(preprandial).mItmismthem
appropriateminsulinmtomaddmasmammealtimemdosemwhenmpatientsmexperiencembloodmglucosemspike
smbetweenmmealsmbecausemofmitsmshort-
actingmproperties.mPeakmtimemactionmofminsulinmaspartmism2mhoursmwithminitialmeffectmwithinmthemfi
rstm30mminutes,mmakingmitmanmidealmchoicemtomcontrolmexpectedmpostprandialmglycemicmspikes
, Whichmofmthemfollowingmconditionsmismassociatedmwithmanmincreasedmriskmformconductivemhearing
mloss?
A.
Acousticmneuroma
B.
Ménièremdisease
C.
Otitismmedia
D.
Presbycusism-mCORRECTmANSWERmC.mOtitismmedia
Causesmofmconductivemhearingmlossmaremotitismmediam(C),motitismexterna,mforeignmobjectsminmtheme
armcanal,mimpactedmearmwax,mtumors,mcongenitalmanomalies,mdiscontinuitymofmmiddlemearmbones,
mcholesteatoma,mandmtympanicmmembranemrupture.mSoundmnormallymtravelsmdownmthemearmcan
almtomvibratemthemeardrumm(tympanicmmembrane).mThemeardrummismconnectedmtomthreemmiddlem
earmbonesm(malleus,mincus,mandmstapes),mwhichmtransmitmthemsoundmintomtheminnermearm(cochlea)
.mThemcochleamismthemorganmthatmchangesmsoundmvibrationsmintomamnervemsignalmthatmtravelsmtomt
hembrain.mThemfourmtypesmofmhearingmlossmaremconductive,msensorineural,mmixed,mandmretrocochl
ear.mConductivemhearingmlossmoccursmwhenmsoundmcannotmeffectivelymreachmtheminnermearmduemt
omissueminmthemoutermearmandmmiddlemear.
Am23-year-
oldmpatientmwhomismpregnantmatm28mweeksmgestationmpresentsmtomthemclinicmformamroutinemprenat
almcheckup.mWhichmfundalmheightmmeasurementmwouldmwarrantmammoremconclusivemassessmentm
withmanmultrasound?
