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FNP Exam Review for AANP Boards | Comprehensive
Family Nurse Practitioner Certification Practice Exam
| Complete 150-Question Practice Examination with
Verified Answers and Detailed Rationales 2026–2027 |
Graded A+ | 100% Pass Guaranteed
Description: This comprehensive 150-question practice examination is
designed for Family Nurse Practitioner students and graduates preparing
for the AANP certification exam. The guide covers all content areas of
the AANP FNP exam blueprint including assessment and diagnosis,
clinical management, and professional role across the lifespan.
Questions reflect current evidence-based clinical guidelines and board-
style scenarios.
---
SECTION 1: QUESTIONS 1-50
Question 1
A 65-year-old woman presents for a follow-up examination after a new
patient visit. She has not seen a healthcare provider for several years.
She is a smoker and her hypertension is now adequately controlled with
medication. Her mother died at age 40 from a heart attack. The fasting
lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200.
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In addition to starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
A) Bile acid sequestrant
B) A statin drug
C) A cholesterol absorption inhibitor
D) Low-dose aspirin
Answer: B
Rationale: This patient meets the criteria for high-risk primary
prevention. Her LDL is 200 mg/dL (very high), she has a family history
of premature coronary heart disease (mother died at age 40), and she is a
smoker. Statins are the first-line pharmacologic therapy for LDL
reduction in high-risk patients. According to the ACC/AHA guidelines,
patients with LDL >= 190 mg/dL should be started on high-intensity
statin therapy. The other options are adjunctive therapies or not
appropriate as first-line treatment.
---
Question 2
A 55-year-old male with a 30-pack-year smoking history presents with a
new cough, hemoptysis, and weight loss. What is the most appropriate
initial diagnostic test?
,3 | Page
A) Chest X-ray
B) CT pulmonary angiography
C) Sputum culture
D) Bronchoscopy
Answer: A
Rationale: A chest X-ray is the most appropriate initial diagnostic test for
a patient with a new cough, hemoptysis, and weight loss, especially with
significant smoking history. It can identify masses, nodules, or other
abnormalities. CT pulmonary angiography is used for suspected
pulmonary embolism. Sputum culture is for infectious causes.
Bronchoscopy is a more invasive procedure typically reserved for
further evaluation after abnormal imaging.
---
Question 3
A 32-year-old pregnant woman at 28 weeks gestation presents with a
blood pressure of 155/95 mm Hg and proteinuria (300 mg/24 hr). She
has no history of hypertension. What is the diagnosis?
A) Chronic hypertension
B) Gestational hypertension
C) Preeclampsia
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D) HELLP syndrome
Answer: C
Rationale: Preeclampsia is defined as new-onset hypertension
(>=140/90) after 20 weeks of gestation with proteinuria or end-organ
dysfunction. This patient meets criteria with elevated BP and proteinuria.
Chronic hypertension would have been present before pregnancy.
Gestational hypertension is hypertension without proteinuria. HELLP
syndrome includes hemolysis, elevated liver enzymes, and low platelets,
which are not described here.
---
Question 4
A 5-year-old child presents with a fever of 102°F for 2 days,
nonproductive cough, and coryza. On exam, Koplik spots are noted on
the buccal mucosa. What is the most likely diagnosis?
A) Rubella
B) Rubeola (measles)
C) Roseola
D) Fifth disease
Answer: B
FNP Exam Review for AANP Boards | Comprehensive
Family Nurse Practitioner Certification Practice Exam
| Complete 150-Question Practice Examination with
Verified Answers and Detailed Rationales 2026–2027 |
Graded A+ | 100% Pass Guaranteed
Description: This comprehensive 150-question practice examination is
designed for Family Nurse Practitioner students and graduates preparing
for the AANP certification exam. The guide covers all content areas of
the AANP FNP exam blueprint including assessment and diagnosis,
clinical management, and professional role across the lifespan.
Questions reflect current evidence-based clinical guidelines and board-
style scenarios.
---
SECTION 1: QUESTIONS 1-50
Question 1
A 65-year-old woman presents for a follow-up examination after a new
patient visit. She has not seen a healthcare provider for several years.
She is a smoker and her hypertension is now adequately controlled with
medication. Her mother died at age 40 from a heart attack. The fasting
lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200.
,2 | Page
In addition to starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
A) Bile acid sequestrant
B) A statin drug
C) A cholesterol absorption inhibitor
D) Low-dose aspirin
Answer: B
Rationale: This patient meets the criteria for high-risk primary
prevention. Her LDL is 200 mg/dL (very high), she has a family history
of premature coronary heart disease (mother died at age 40), and she is a
smoker. Statins are the first-line pharmacologic therapy for LDL
reduction in high-risk patients. According to the ACC/AHA guidelines,
patients with LDL >= 190 mg/dL should be started on high-intensity
statin therapy. The other options are adjunctive therapies or not
appropriate as first-line treatment.
---
Question 2
A 55-year-old male with a 30-pack-year smoking history presents with a
new cough, hemoptysis, and weight loss. What is the most appropriate
initial diagnostic test?
,3 | Page
A) Chest X-ray
B) CT pulmonary angiography
C) Sputum culture
D) Bronchoscopy
Answer: A
Rationale: A chest X-ray is the most appropriate initial diagnostic test for
a patient with a new cough, hemoptysis, and weight loss, especially with
significant smoking history. It can identify masses, nodules, or other
abnormalities. CT pulmonary angiography is used for suspected
pulmonary embolism. Sputum culture is for infectious causes.
Bronchoscopy is a more invasive procedure typically reserved for
further evaluation after abnormal imaging.
---
Question 3
A 32-year-old pregnant woman at 28 weeks gestation presents with a
blood pressure of 155/95 mm Hg and proteinuria (300 mg/24 hr). She
has no history of hypertension. What is the diagnosis?
A) Chronic hypertension
B) Gestational hypertension
C) Preeclampsia
, 4 | Page
D) HELLP syndrome
Answer: C
Rationale: Preeclampsia is defined as new-onset hypertension
(>=140/90) after 20 weeks of gestation with proteinuria or end-organ
dysfunction. This patient meets criteria with elevated BP and proteinuria.
Chronic hypertension would have been present before pregnancy.
Gestational hypertension is hypertension without proteinuria. HELLP
syndrome includes hemolysis, elevated liver enzymes, and low platelets,
which are not described here.
---
Question 4
A 5-year-old child presents with a fever of 102°F for 2 days,
nonproductive cough, and coryza. On exam, Koplik spots are noted on
the buccal mucosa. What is the most likely diagnosis?
A) Rubella
B) Rubeola (measles)
C) Roseola
D) Fifth disease
Answer: B
