AANPCB FNP Practice V1 Exam Questions
and Correct Answers
Question 1
~ A middle adult male presents with malaise. Further questioning reveals that his
primary concern is premature ejaculation. He is currently taking the following
medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily;
loratadine (Claritin-D), 1 tablet daily; and hydrochlorothiazide (HCTZ), 25 mg daily.
The most likely cause of the patient's concern is:
Select only one option.
A
loratadine (Claritin).
B
hydrochlorothiazide (HCTZ).
C
lisinopril (Zestril).
D
paroxetine (Paxil).
Correct Answer
D
Question 2
~ To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient:
Select only one option.
A
the meaning of a common proverb.
B
what action the patient would take if there was a fire in the house.
C
to count backward from 100 by 7s.
D
to spell a word backward.
Correct Answer
A
Page 1 of 38
,Question 3
~ A child presents with a bulging, immobile tympanic membrane; T = 103°F (39.4°C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After
initiation of treatment for otitis media, the most appropriate intervention is to:
Select only one option.
A
obtain an EKG.
B
obtain an echocardiogram.
C
reevaluate the patient in 10 days.
D
refer the patient to a cardiologist.
Correct Answer
C
Question 4
~ An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's
request to discuss medication management. Current medications include metformin
(Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin
detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than 7.0%],
fasting blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL]. Which
of the following regimens should the nurse practitioner recommend?
Select only one option.
A
Basal insulin only, continuing oral medications
B
Basal and rapid-acting insulin
C
Switching to glargine (Lantus)
D
Rapid-acting insulin only, continuing oral medications
Correct Answer
B
Page 2 of 38
,Question 5
~ An older adult patient presents with an unremarkable medical history except for
occasional headaches. The patient has a family history of strokes and nervous
breakdowns. Since her husband died a year ago, the patient has been waking every
morning at 3:00 A.M. and feels a continual urge to sleep. She cannot discuss her late
husband without crying. Differential diagnoses would include:
Select only one option.
A
stroke, depression, and hyperthyroidism.
B
depression, unresolved grief, and hypothyroidism.
C
migraine, anxiety disorder, and hypertension.
D
dementia, delirium, and pneumonia.
Correct Answer
B
Question 6
~ An older adult male presents with increasing fatigue, dyspnea on exertion, and
ankle edema during the day. He has a history of mild hypertension and was advised
to reduce salt intake. Examination reveals tachycardia, positive for jugular venous
distention, and positive for S3, with a systolic murmur. Chest X-ray reveals
cardiomegaly with vascular redistribution. The nurse practitioner's diagnosis is:
Select only one option.
A
myocardial infarction.
B
pneumonia.
C
heart failure.
D
pleural effusion.
Correct Answer
C
Page 3 of 38
, Question 7
~ The management of choice for polymyalgia rheumatica includes:
Select only one option.
A
whirlpool.
B
prednisone.
C
analgesics.
D
Celebrex.
Correct Answer
B
Question 8
~ A late adolescent female has never had her menses. She is at Tanner stage III of
sexual development. Her physical examination is completely normal, and her weight is
appropriate for her age and height. Which of the following is the most likely
diagnosis?
Select only one option.
A
Ovarian dysgenesis
B
Dysmenorrhea
C
Primary amenorrhea
D
Secondary amenorrhea
Correct Answer
C
Page 4 of 38
and Correct Answers
Question 1
~ A middle adult male presents with malaise. Further questioning reveals that his
primary concern is premature ejaculation. He is currently taking the following
medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily;
loratadine (Claritin-D), 1 tablet daily; and hydrochlorothiazide (HCTZ), 25 mg daily.
The most likely cause of the patient's concern is:
Select only one option.
A
loratadine (Claritin).
B
hydrochlorothiazide (HCTZ).
C
lisinopril (Zestril).
D
paroxetine (Paxil).
Correct Answer
D
Question 2
~ To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient:
Select only one option.
A
the meaning of a common proverb.
B
what action the patient would take if there was a fire in the house.
C
to count backward from 100 by 7s.
D
to spell a word backward.
Correct Answer
A
Page 1 of 38
,Question 3
~ A child presents with a bulging, immobile tympanic membrane; T = 103°F (39.4°C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After
initiation of treatment for otitis media, the most appropriate intervention is to:
Select only one option.
A
obtain an EKG.
B
obtain an echocardiogram.
C
reevaluate the patient in 10 days.
D
refer the patient to a cardiologist.
Correct Answer
C
Question 4
~ An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's
request to discuss medication management. Current medications include metformin
(Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin
detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than 7.0%],
fasting blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL]. Which
of the following regimens should the nurse practitioner recommend?
Select only one option.
A
Basal insulin only, continuing oral medications
B
Basal and rapid-acting insulin
C
Switching to glargine (Lantus)
D
Rapid-acting insulin only, continuing oral medications
Correct Answer
B
Page 2 of 38
,Question 5
~ An older adult patient presents with an unremarkable medical history except for
occasional headaches. The patient has a family history of strokes and nervous
breakdowns. Since her husband died a year ago, the patient has been waking every
morning at 3:00 A.M. and feels a continual urge to sleep. She cannot discuss her late
husband without crying. Differential diagnoses would include:
Select only one option.
A
stroke, depression, and hyperthyroidism.
B
depression, unresolved grief, and hypothyroidism.
C
migraine, anxiety disorder, and hypertension.
D
dementia, delirium, and pneumonia.
Correct Answer
B
Question 6
~ An older adult male presents with increasing fatigue, dyspnea on exertion, and
ankle edema during the day. He has a history of mild hypertension and was advised
to reduce salt intake. Examination reveals tachycardia, positive for jugular venous
distention, and positive for S3, with a systolic murmur. Chest X-ray reveals
cardiomegaly with vascular redistribution. The nurse practitioner's diagnosis is:
Select only one option.
A
myocardial infarction.
B
pneumonia.
C
heart failure.
D
pleural effusion.
Correct Answer
C
Page 3 of 38
, Question 7
~ The management of choice for polymyalgia rheumatica includes:
Select only one option.
A
whirlpool.
B
prednisone.
C
analgesics.
D
Celebrex.
Correct Answer
B
Question 8
~ A late adolescent female has never had her menses. She is at Tanner stage III of
sexual development. Her physical examination is completely normal, and her weight is
appropriate for her age and height. Which of the following is the most likely
diagnosis?
Select only one option.
A
Ovarian dysgenesis
B
Dysmenorrhea
C
Primary amenorrhea
D
Secondary amenorrhea
Correct Answer
C
Page 4 of 38
