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SARAH MICHELLE’S AANP BOARD REVIEW V2
NEWEST 2026 ACTUAL EXAM TEST BANK| NP
CERTIFICATION EXAM PREP WITH COMPLETE 300
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
A 23-year-old patient who is pregnant at 28 weeks gestation presents to
the clinic for a routine prenatal checkup. Which fundal height
measurement would warrant a more conclusive assessment with an
ultrasound?
A. 26 cm
B. 29 cm
C. 30 cm
D. 31 cm - Correct Answer - D. 31 cm
After 20 weeks gestation, the fundal height should be measured with a
measuring tape in centimeters and should match the gestational age. It
can be > or < 2 centimeters and still be within normal limits. A fundal
height of 26-30 cm is a normal finding in a patient who is 28 weeks
gestation. A result of 31 cm (D) is larger than expected and should be
further evaluated with an ultrasound.
A parent brings in their 6-year-old son with concerns about a pertussis
exposure in the child's classroom. If the patient is not up to date on
vaccinations, which vaccine should the nurse practitioner administer at
today's visit?
A. DTaP
B. Td
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C. Tdap
D. Vaccination is not necessary since he has already been exposed -
Correct Answer - A. DTaP
The patient should receive the DTaP (A) vaccination at today's visit.
Five doses of pertussis-containing vaccine are recommended before a
child enters school. While the DTaP vaccination is not guaranteed to
prevent pertussis, it should help lessen the severity of symptoms.
Postexposure prophylaxis of azithromycin is recommended in children
who are in close contact with an infected person or at high risk for
severe pertussis.
A 6-year-old patient presents to the clinic accompanied by his mother,
who reports concerns regarding her child's progressive urinary issues.
The patient's mother states that she and the child's father recently
divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary
incontinence and holds his stomach as if he is in pain. He frequently
asks to use the bathroom but is scared of urination once he is there.
Which of the following is the most likely diagnosis?
A. Adjustment disorder
B. Constipation
C. Regression
D. Urinary tract infection - Correct Answer - D. Urinary tract infection
The most likely diagnosis is a urinary tract infection (D). His clinical
presentation includes abdominal pain, urinary frequency, and dysuria,
which are signs of cystitis in children, which is considered a lower
urinary tract infection (UTI). Pyelonephritis is a complicated form of
UTI that may present with persistent fever, flank pain, or vomiting.
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A 72-year-old woman presents to the clinic with jaw pain when eating
for 1 day. She reports feeling tired and having some blurry vision, a new
nagging headache near her left eye, and a fever. Which of the following
is the best next step?
A. Order inflammatory markers
B. Prescribe the patient sumatriptan (Imitrex)
C. Refer to an ophthalmologist for a biopsy
D. Refer to the ED to rule out a potential brain bleed - Correct Answer -
C. Refer to an ophthalmologist for a biopsy
Jaw claudication, or pain in the jaw with chewing, headache, fever, and
blurry vision, is suspicious for temporal arteritis. Referral to an
ophthalmologist for a biopsy (C) will confirm this diagnosis.
A 6-year-old patient presents to the clinic with his parent, who reports
several blister-like lesions on his child's abdomen. The child reports the
lesions are pruritic and intermittently painful. Physical exam reveals
large blisters filled with clear-yellow fluid. Which of the following is the
most likely diagnosis?
A. Bullous impetigo
B. Herpes zoster
C. Nonbullous impetigo
D. Varicella - Correct Answer - A. Bullous impetigo
This patient's clinical presentation is consistent with bullous impetigo
(A), which is a superficial skin infection that most commonly affects
children. Bullous impetigo is characterized by large fluid-filled blisters
(bullae) with clear-yellow fluid that most commonly develop on the
trunk.
, 4|Page
The nurse practitioner is seeing an 18-year-old patient in the office who
was recently diagnosed with polycystic ovary syndrome. Her parents are
extremely worried about this diagnosis and ask if their daughter is at
higher risk for other problems given this new diagnosis. Which of the
following comorbidities is associated with polycystic ovary syndrome?
A. Hyperthyroidism
B. Nonalcoholic fatty liver disease
C. Skin cancer
D. Type 1 diabetes - Correct Answer - B. Nonalcoholic fatty liver
disease
Nonalcoholic fatty liver disease (B) occurs when there is an excess
buildup of fatty tissue in the liver. It is common in those diagnosed with
polycystic ovary syndrome (PCOS) due to the associated symptoms of
obesity and hyperandrogenism.
A 39-year-old woman presents to the clinic with increasing left foot
pain. She reports no injury to the area but states the pain has been
worsening over time. Upon physical exam, the first metatarsophalangeal
joint is observed to deviate inward, causing a clear deformity of the foot.
Which of the following angles observed on X-ray is regarded as the
cutoff for a diagnosis of hallux valgus?
A. >15° angle
B. 1° angle
C. >20° angle
D. 5° angle - Correct Answer - C. >20° angle
The hallux abductus angle is the angle found between the hallux and the
first metatarsal. Angles > 20° (C) measured on X-ray are abnormal and
indicative of hallux valgus. Hallux valgus (also known as a bunion) is a
common cause of foot deformities. It can be caused by arthritis,
SARAH MICHELLE’S AANP BOARD REVIEW V2
NEWEST 2026 ACTUAL EXAM TEST BANK| NP
CERTIFICATION EXAM PREP WITH COMPLETE 300
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
A 23-year-old patient who is pregnant at 28 weeks gestation presents to
the clinic for a routine prenatal checkup. Which fundal height
measurement would warrant a more conclusive assessment with an
ultrasound?
A. 26 cm
B. 29 cm
C. 30 cm
D. 31 cm - Correct Answer - D. 31 cm
After 20 weeks gestation, the fundal height should be measured with a
measuring tape in centimeters and should match the gestational age. It
can be > or < 2 centimeters and still be within normal limits. A fundal
height of 26-30 cm is a normal finding in a patient who is 28 weeks
gestation. A result of 31 cm (D) is larger than expected and should be
further evaluated with an ultrasound.
A parent brings in their 6-year-old son with concerns about a pertussis
exposure in the child's classroom. If the patient is not up to date on
vaccinations, which vaccine should the nurse practitioner administer at
today's visit?
A. DTaP
B. Td
,2|Page
C. Tdap
D. Vaccination is not necessary since he has already been exposed -
Correct Answer - A. DTaP
The patient should receive the DTaP (A) vaccination at today's visit.
Five doses of pertussis-containing vaccine are recommended before a
child enters school. While the DTaP vaccination is not guaranteed to
prevent pertussis, it should help lessen the severity of symptoms.
Postexposure prophylaxis of azithromycin is recommended in children
who are in close contact with an infected person or at high risk for
severe pertussis.
A 6-year-old patient presents to the clinic accompanied by his mother,
who reports concerns regarding her child's progressive urinary issues.
The patient's mother states that she and the child's father recently
divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary
incontinence and holds his stomach as if he is in pain. He frequently
asks to use the bathroom but is scared of urination once he is there.
Which of the following is the most likely diagnosis?
A. Adjustment disorder
B. Constipation
C. Regression
D. Urinary tract infection - Correct Answer - D. Urinary tract infection
The most likely diagnosis is a urinary tract infection (D). His clinical
presentation includes abdominal pain, urinary frequency, and dysuria,
which are signs of cystitis in children, which is considered a lower
urinary tract infection (UTI). Pyelonephritis is a complicated form of
UTI that may present with persistent fever, flank pain, or vomiting.
,3|Page
A 72-year-old woman presents to the clinic with jaw pain when eating
for 1 day. She reports feeling tired and having some blurry vision, a new
nagging headache near her left eye, and a fever. Which of the following
is the best next step?
A. Order inflammatory markers
B. Prescribe the patient sumatriptan (Imitrex)
C. Refer to an ophthalmologist for a biopsy
D. Refer to the ED to rule out a potential brain bleed - Correct Answer -
C. Refer to an ophthalmologist for a biopsy
Jaw claudication, or pain in the jaw with chewing, headache, fever, and
blurry vision, is suspicious for temporal arteritis. Referral to an
ophthalmologist for a biopsy (C) will confirm this diagnosis.
A 6-year-old patient presents to the clinic with his parent, who reports
several blister-like lesions on his child's abdomen. The child reports the
lesions are pruritic and intermittently painful. Physical exam reveals
large blisters filled with clear-yellow fluid. Which of the following is the
most likely diagnosis?
A. Bullous impetigo
B. Herpes zoster
C. Nonbullous impetigo
D. Varicella - Correct Answer - A. Bullous impetigo
This patient's clinical presentation is consistent with bullous impetigo
(A), which is a superficial skin infection that most commonly affects
children. Bullous impetigo is characterized by large fluid-filled blisters
(bullae) with clear-yellow fluid that most commonly develop on the
trunk.
, 4|Page
The nurse practitioner is seeing an 18-year-old patient in the office who
was recently diagnosed with polycystic ovary syndrome. Her parents are
extremely worried about this diagnosis and ask if their daughter is at
higher risk for other problems given this new diagnosis. Which of the
following comorbidities is associated with polycystic ovary syndrome?
A. Hyperthyroidism
B. Nonalcoholic fatty liver disease
C. Skin cancer
D. Type 1 diabetes - Correct Answer - B. Nonalcoholic fatty liver
disease
Nonalcoholic fatty liver disease (B) occurs when there is an excess
buildup of fatty tissue in the liver. It is common in those diagnosed with
polycystic ovary syndrome (PCOS) due to the associated symptoms of
obesity and hyperandrogenism.
A 39-year-old woman presents to the clinic with increasing left foot
pain. She reports no injury to the area but states the pain has been
worsening over time. Upon physical exam, the first metatarsophalangeal
joint is observed to deviate inward, causing a clear deformity of the foot.
Which of the following angles observed on X-ray is regarded as the
cutoff for a diagnosis of hallux valgus?
A. >15° angle
B. 1° angle
C. >20° angle
D. 5° angle - Correct Answer - C. >20° angle
The hallux abductus angle is the angle found between the hallux and the
first metatarsal. Angles > 20° (C) measured on X-ray are abnormal and
indicative of hallux valgus. Hallux valgus (also known as a bunion) is a
common cause of foot deformities. It can be caused by arthritis,
