2020 AANP/ANCC Exam Questions & Answers (100% VERIFIED)
Question 1:
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever 102.8, R.
pleuretic pain, and green sputum. which of the following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus c)bilateral wheezing
d)normal percussion
Answer:
A). Right lower lobe crackles
Question 2:
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best
indicator of successful procedure is:
swelling decreases immediately
pulses return
the child quickly begins using arm to pick up toy
a click is felt while the child is attempting to pick up toy
Answer:
c) The child quickly begins using arm to pick up toy
Question 3:
a 11mo old presents with a rash, runny clear nose, and cough. During assessment you note tiny white
papules with erythema on the buccal mucousa. What is this suggestive of?
Scarletina b)Rubella
hand, foot, mouth
Answer:
Measles
Question 4:
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal drainage. what is an
appropriate initial pharmacological intervention?
Augmentin b)Ceftriaxone(rocephin) c)Levaquin d)Erythromycin
Answer:
Augmentin
Question 5:
Leading cause of cancer-related death in women? a)cervical
ovarian c)breast d)lung
Answer:
d)Lung
,Question 6:
a 27yo male uncomplicated chlamydia infection may exhibit:
urticaria
no obvious signs or symptoms
green mucoid penile drainage
penile shaft ulcer
Answer:
b) No obvious signs/symptoms
Question 7:
common practice rule to follow with initiating medications in the elderly is:
prescribe meds to take in am
start lower dose then taper up
obtain creatinine clearance for baseline data for those over 70
give meds with a full glass of water
Answer:
b)start lower dose then taper up
Question 8:
12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies fever. The NP
should advise that a fever may:
make seizure medication less effective
lower the seizure threshold
increase the seizure threshold
have no effect on the seizure threshold
Answer:
lower the seizure threshold
Question 9:
According to the American Thoracic Society/Infectious Disease Society of American (ATS/IDSA) Consensus
guidelines on the Management of Community-Acquired Pneumonia in Adults, which of the following is
the most appropriate antimicrobial for tx of CAP in a:
Answer:
c. doxycyline
Question 10:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
clarithromycin
amoxicillin
doxycyline
Answer:
, fosfomycin
Question 11:
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on the inner left thigh.
Chief complaints of headache, fatigue,and generalized muscle pain for several days. What should NP
prescribe?
bactrim b)azithromycin
doxycycline
metronidazole
Answer:
Doxycycline
Question 12:
During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP needs to be
concerned with?
renal insufficiency b)osteoporosis c)dementia d)anemia
Answer:
b. osteoporosis
Question 13:
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting. Denies missing
doses and is currently not on any other medications. Which is appropriate?
modify usage
double her dose x 2 days
change to a different medication
provide reassurance
Answer:
d)provide reassurance
Question 14:
d)prednisone
Answer:
Polymyalgia Rheumatica (PMR) should be managed by: a)whirlpool tub
celebrex
analgesic d)prednisone
Question 15:
54yo male c/o malaise as well as delayed ejaculation. Current medications: atenolol, paxil, hctz, claritin.
Which med is most likely to cause ED?
HCTZ
Answer:
c) Paxil (paroxetine)
Question 1:
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever 102.8, R.
pleuretic pain, and green sputum. which of the following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus c)bilateral wheezing
d)normal percussion
Answer:
A). Right lower lobe crackles
Question 2:
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best
indicator of successful procedure is:
swelling decreases immediately
pulses return
the child quickly begins using arm to pick up toy
a click is felt while the child is attempting to pick up toy
Answer:
c) The child quickly begins using arm to pick up toy
Question 3:
a 11mo old presents with a rash, runny clear nose, and cough. During assessment you note tiny white
papules with erythema on the buccal mucousa. What is this suggestive of?
Scarletina b)Rubella
hand, foot, mouth
Answer:
Measles
Question 4:
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal drainage. what is an
appropriate initial pharmacological intervention?
Augmentin b)Ceftriaxone(rocephin) c)Levaquin d)Erythromycin
Answer:
Augmentin
Question 5:
Leading cause of cancer-related death in women? a)cervical
ovarian c)breast d)lung
Answer:
d)Lung
,Question 6:
a 27yo male uncomplicated chlamydia infection may exhibit:
urticaria
no obvious signs or symptoms
green mucoid penile drainage
penile shaft ulcer
Answer:
b) No obvious signs/symptoms
Question 7:
common practice rule to follow with initiating medications in the elderly is:
prescribe meds to take in am
start lower dose then taper up
obtain creatinine clearance for baseline data for those over 70
give meds with a full glass of water
Answer:
b)start lower dose then taper up
Question 8:
12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies fever. The NP
should advise that a fever may:
make seizure medication less effective
lower the seizure threshold
increase the seizure threshold
have no effect on the seizure threshold
Answer:
lower the seizure threshold
Question 9:
According to the American Thoracic Society/Infectious Disease Society of American (ATS/IDSA) Consensus
guidelines on the Management of Community-Acquired Pneumonia in Adults, which of the following is
the most appropriate antimicrobial for tx of CAP in a:
Answer:
c. doxycyline
Question 10:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
clarithromycin
amoxicillin
doxycyline
Answer:
, fosfomycin
Question 11:
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on the inner left thigh.
Chief complaints of headache, fatigue,and generalized muscle pain for several days. What should NP
prescribe?
bactrim b)azithromycin
doxycycline
metronidazole
Answer:
Doxycycline
Question 12:
During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP needs to be
concerned with?
renal insufficiency b)osteoporosis c)dementia d)anemia
Answer:
b. osteoporosis
Question 13:
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting. Denies missing
doses and is currently not on any other medications. Which is appropriate?
modify usage
double her dose x 2 days
change to a different medication
provide reassurance
Answer:
d)provide reassurance
Question 14:
d)prednisone
Answer:
Polymyalgia Rheumatica (PMR) should be managed by: a)whirlpool tub
celebrex
analgesic d)prednisone
Question 15:
54yo male c/o malaise as well as delayed ejaculation. Current medications: atenolol, paxil, hctz, claritin.
Which med is most likely to cause ED?
HCTZ
Answer:
c) Paxil (paroxetine)
