AANP FNP V4 Questions & Answers 2026 | High-Yield
Review | Graded A+
1. If the child develops a secondary bacterial infection due to scratching the
rash, which treatment option would be most appropriate?
Oral antihistamines
Systemic corticosteroids
Topical antibiotics
Moisturizing creams
2. In a scenario where a patient is experiencing severe pain from a terminal
illness, what would be the most appropriate intervention in palliative care?
Discussing potential clinical trials for the patient
Scheduling surgery to remove the tumor
Initiating aggressive chemotherapy treatment
Administering pain relief medications to alleviate discomfort
3. What hormonal change is most commonly associated with the development
of acne?
Increase in cortisol
Decrease in estrogen
Decrease in testosterone
Increase in androgens
4. A 65-year-old patient presents with a history of recurrent right upper
quadrant pain associated with intermittent nausea and vomiting. Laboratory
tests reveal isolated elevations of serum alkaline phosphatase and normal
, amylase levels. Physical examination results are within normal limits. The
tentative diagnosis is:
biliary obstruction
hepatic dysfunction
peptic ulcer
chronic pancreatitis
5. At what age is it considered normal for infants to appear cross-eyed?
6 months of age
3 months of age
1 year of age
9 months of age
6. Your patient is seen for her 32-week visit and her fundal height is only 28 cm.
She has been compliant with the dietary changes and her blood sugars are
usually 80s fasting and 120s 2-hour postprandial. She has gained 20 lb so far
in the pregnancy. You send her for an ultrasound, which reveals an infant
measuring only 28 3/7 weeks of gestation, weighing 1,168 g (<10th percentile).
Amniotic fluid volume and umbilical artery Dopplers are normal.
Appropriate follow-up includes:
Repeating the ultrasound for growth in 1 week
Repeating the ultrasound for growth in 4 weeks
Scheduling an induction
Changing the estimated due date
,7. Which pathogen is frequently associated with acute otitis media in pediatric
patients?
Staphylococcus aureus
Haemophilus influenza
Moraxella catarrhalis
Klebsiella pneumoniae
8. Describe the significance of nocturnal orthopnea in the context of heart
failure diagnosis.
Nocturnal orthopnea is unrelated to heart failure and can occur in
asthma.
Nocturnal orthopnea indicates fluid redistribution in heart failure,
leading to difficulty breathing when lying down.
Nocturnal orthopnea suggests a respiratory infection rather than heart
failure.
Nocturnal orthopnea is a common symptom of COPD.
9. Describe the significance of finding epithelial cells covered with bacteria in
the diagnosis of bacterial vaginosis.
Epithelial cells covered with bacteria are a normal finding in healthy
individuals.
Epithelial cells covered with bacteria indicate a viral infection.
Epithelial cells covered with bacteria suggest a fungal infection.
The presence of epithelial cells covered with bacteria indicates a
disruption in the normal vaginal flora, characteristic of bacterial
vaginosis.
, 10. Discuss the potential side effects of Risperidone that may lead to breast
discharge in patients.
Risperidone primarily affects serotonin levels, causing mood
changes.
Risperidone is used solely for anxiety management without hormonal
effects.
Risperidone has no known side effects related to breast discharge.
Risperidone can increase prolactin levels, leading to galactorrhea.
11. In a scenario where a patient presents with symptoms of inhalational anthrax,
what would be the immediate course of action regarding antibiotic
administration?
Prescribe chloramphenicol as the first-line treatment.
Administer doxycycline as prophylaxis while awaiting further
diagnostic confirmation.
Start treatment with amoxicillin immediately without further testing.
Wait for laboratory results before administering any antibiotics.
12. What is the drug of choice for prophylaxis in a casualty situation with
presumed anthrax exposure?
amoxicillin (Amoxil)
chloramphenicol (Chloromycetin)
doxycycline (Vibramycin)
tetracycline (Achromycin)
13. A patient presents with similar symptoms of nausea, increased thirst, and
fatigue. If the Hemoglobin A1c test result is elevated, what would be the
Review | Graded A+
1. If the child develops a secondary bacterial infection due to scratching the
rash, which treatment option would be most appropriate?
Oral antihistamines
Systemic corticosteroids
Topical antibiotics
Moisturizing creams
2. In a scenario where a patient is experiencing severe pain from a terminal
illness, what would be the most appropriate intervention in palliative care?
Discussing potential clinical trials for the patient
Scheduling surgery to remove the tumor
Initiating aggressive chemotherapy treatment
Administering pain relief medications to alleviate discomfort
3. What hormonal change is most commonly associated with the development
of acne?
Increase in cortisol
Decrease in estrogen
Decrease in testosterone
Increase in androgens
4. A 65-year-old patient presents with a history of recurrent right upper
quadrant pain associated with intermittent nausea and vomiting. Laboratory
tests reveal isolated elevations of serum alkaline phosphatase and normal
, amylase levels. Physical examination results are within normal limits. The
tentative diagnosis is:
biliary obstruction
hepatic dysfunction
peptic ulcer
chronic pancreatitis
5. At what age is it considered normal for infants to appear cross-eyed?
6 months of age
3 months of age
1 year of age
9 months of age
6. Your patient is seen for her 32-week visit and her fundal height is only 28 cm.
She has been compliant with the dietary changes and her blood sugars are
usually 80s fasting and 120s 2-hour postprandial. She has gained 20 lb so far
in the pregnancy. You send her for an ultrasound, which reveals an infant
measuring only 28 3/7 weeks of gestation, weighing 1,168 g (<10th percentile).
Amniotic fluid volume and umbilical artery Dopplers are normal.
Appropriate follow-up includes:
Repeating the ultrasound for growth in 1 week
Repeating the ultrasound for growth in 4 weeks
Scheduling an induction
Changing the estimated due date
,7. Which pathogen is frequently associated with acute otitis media in pediatric
patients?
Staphylococcus aureus
Haemophilus influenza
Moraxella catarrhalis
Klebsiella pneumoniae
8. Describe the significance of nocturnal orthopnea in the context of heart
failure diagnosis.
Nocturnal orthopnea is unrelated to heart failure and can occur in
asthma.
Nocturnal orthopnea indicates fluid redistribution in heart failure,
leading to difficulty breathing when lying down.
Nocturnal orthopnea suggests a respiratory infection rather than heart
failure.
Nocturnal orthopnea is a common symptom of COPD.
9. Describe the significance of finding epithelial cells covered with bacteria in
the diagnosis of bacterial vaginosis.
Epithelial cells covered with bacteria are a normal finding in healthy
individuals.
Epithelial cells covered with bacteria indicate a viral infection.
Epithelial cells covered with bacteria suggest a fungal infection.
The presence of epithelial cells covered with bacteria indicates a
disruption in the normal vaginal flora, characteristic of bacterial
vaginosis.
, 10. Discuss the potential side effects of Risperidone that may lead to breast
discharge in patients.
Risperidone primarily affects serotonin levels, causing mood
changes.
Risperidone is used solely for anxiety management without hormonal
effects.
Risperidone has no known side effects related to breast discharge.
Risperidone can increase prolactin levels, leading to galactorrhea.
11. In a scenario where a patient presents with symptoms of inhalational anthrax,
what would be the immediate course of action regarding antibiotic
administration?
Prescribe chloramphenicol as the first-line treatment.
Administer doxycycline as prophylaxis while awaiting further
diagnostic confirmation.
Start treatment with amoxicillin immediately without further testing.
Wait for laboratory results before administering any antibiotics.
12. What is the drug of choice for prophylaxis in a casualty situation with
presumed anthrax exposure?
amoxicillin (Amoxil)
chloramphenicol (Chloromycetin)
doxycycline (Vibramycin)
tetracycline (Achromycin)
13. A patient presents with similar symptoms of nausea, increased thirst, and
fatigue. If the Hemoglobin A1c test result is elevated, what would be the
