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AANP Family Nurse Practitioner (FNP) Certification Exam 2025/2026 – Complete Study Guide with 200+ Practice Questions & Verified Rationales | FNP-C Board Review | A+ Graded

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This comprehensive study guide is designed for Nurse Practitioner students and graduates preparing for the AANP Family Nurse Practitioner (FNP-C) Certification Examination . Updated for the 2025/2026 testing cycle, this A+ graded resource features 200+ exam-style questions with verified correct answers and detailed rationales, covering all four domains of the AANP exam blueprint. The official AANP FNP exam consists of 150 total questions (135 scored, 15 pretest) with a 3-hour time limit . Content is distributed across four domains: Assess (32%), Diagnose (26.5%), Plan (26.5%), and Evaluate (15%) . Patient age distribution emphasizes older adults (30%), middle adults (26%), and young adults (22%), with prenatal care included in the adult categories . This resource covers the full spectrum of FNP practice, including cardiovascular disorders, respiratory conditions, endocrinology, women's health, pediatrics, geriatrics, neurology, and musculoskeletal disorders . It is ideal for AANP FNP-C exam preparation, ANCC FNP-BC review, and clinical practice readiness.

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AANP Family Nurse Practitioner

Certification Exam Review
Questions and Verified Answers,100% Guarantee Pass




1. 3 month old infant with down syndrome, due to milk intolerance, mom

started on goats milk; now has pale conjunctiva but otherwise healthy. Low

HCT. What additional test would you order

Answer> Iron, TIBC



2. 3 months of synthroid, TSH increased, T4 normal, what do you do

Answer> increase medication



3. 3 ways to assess cognitive function in patient with signs/symptoms of

memory loss:


Answer> MMSE






4. 4 month old with strabismus, mom is worried

Answer>: tell her it is normal



5. 4 month old wont keep anything down, what is the main thing you look

at

Answer> growth chart

,6. 6 month old closed anterior fontanel:

Answer> XRAY




7. 88/yr. old patient in for follow up secondary. She's been treated with Tylenol

for Joint arthritis. Her SED rate was checked after 6 weeks of treatment and it

was 28. Normal range is from something to 25. How would you treat the

pt: Answer> change to NSAID, SED rate is a sign of inflammation



8. a pregnant female at slightly above symphysis pubic and Fundal height is

32cm (above the umbilical). What should be done:

Answer> order Ultrasound



9. If A1C > 9 on two oral meds what do you order

: Answer> If you are already on TWO oral drugs for diabetes and A1c is 9 or

higher, start BASAL insulin.


If you cannot tolerate metformin and your A1c is 9 or higher start BASAL insulin.

ON EXAM





Intermediate-acting- NPH (Humulin N, Novolin

N) Long-acting-Levimir/Basalgar/Lantus

Ultra-long-acting-Degludec (Tresiba) and glargine u-300 (Toujeo)



10. Abnormal cells on PAP, what do you do next

, Answer> refer for Colposcopy




11. ACE/ARB contraindications: pregnancy

Renal failure

Renal Stenosis



12. Condition when ACE is contraindicated: pregnancy



13. Acne Rosacea: chronic small acne like papules/pustules around nose mouth

chin


TREATMENT- Metrogel, Azelex. Low dose tetracycline. Clindamycin. EXAM



14. Acne Vulgaris: common acne

TREATMENT-Retin-A, acne worsens 4-6 weeks if no improvement in 8-12 weeks

increase dose or add erythromycin, benzoyl peroxide.



15. actinic keratoses: Precursor to squamous cell carcinoma. "numerous dry round

and pink to red lesions" with a rough and scaly texture. Does not heal. Slow growing

in sun exposed areas.



Diagnosis: BIOPSY Golden Standard.


Treatment: Small area- liquid nitrogen or (cryotherapy), Large area (5-FU cream)-

which causes skin to ooze, crust, scab, redness EXAM



16. Acute Angle Closure Glaucoma: acute/severe halos, cupping optic nerve,

, cloudy cornea, mid-dilated oval pupil.


ER STAT. EXAM



17. Acute Bacterial Pneumonia CXR: middle lobe. ON EXAM



18. Acute Closed Angle Glaucoma Vs Open Angle: Acute-Sudden pain, halos,

cupping, dilated, cloudy , intraocular pressure, HA, refer ED




19. Open Angle Glaucoma (primary): CN 2, gradual loss peripheral vision first


TX-laser trabeculoplasty

Eye drops (prostaglandin analogues)-latanoprost , bimatoprost ,travoprost



20. Treatment of Initial Genital Herpes: Acyclovir 200mg 5 x day

21. Addison's disease: Addison's- deficient in cortisol (pt have low sodium, blood

sugar, but Increased K.)


You must give cortisol.


(Diagnosis Plasma Cortisol <5 mcg/dl @ 0800.) EXAM




22. ADHD: A behavioral problem characterized by short attention span,

restless movement, and impaired learning capacity.



23. Which murmurs are pathological: all diastolic murmurs

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