AANP PRACTICE QUESTIONS |FNP
CERTIFICATION EXAM REVIEW & STUDY
GUIDE WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
The symptoms of benign prostatic hypertrophy are often overlooked because the older
male:
1. understands that surgery is the only cure for this condition.
2. considers urinary problems to be a normal part of aging.
3. is fearful of the side effects of additional medication.
4. is concerned that he will no longer be able to obtain an erection.
considers urinary problems to be normal part of aging
Upon admission to a nursing home, an 85-year-old patient receives a negative result on
the purified protein derivative (PPD) test. To determine TB status in the frail elderly, a
second PPD should be performed in:
1. 72 hours.
2. 1 week.
3. 3 months.
4. 6 months.
1 week
Which of the following is NOT used for therapy of an acute attack of gout?
1. Colchicine (Colcrys)
2. Indomethacin (Indocin)
3. Methylprednisolone (Solumedrol)
4. Allopurinol (Zyloprim)
allopurinol (zyloprim)
1|Page
,A 26-year-old female presents with abdominal distention, bloating, and intermittent
crampy abdominal pain relieved by defecation. She has four to six loose stools a day
when stressed. Between bouts of diarrhea, she often has constipation. Physical
examination results are normal. The CBC was normal. The most likely diagnosis is:
1. diverticulitis.
2. viral gastroenteritis.
3. inflammatory bowel disease.
4. irritable bowel syndrome
irritable bowel syndrome
A mother has just noticed that her 15-month-old, 15-kg child has recently ingested an
unknown quantity of iron tablets. The mother has ipecac syrup and activated charcoal
on hand. The mother should be advised to:
1. take the child to the primary care provider.
2. give ipecac per recommendation on the bottle label.
3. take the child to the emergency room.
4. give the child 30 g of activated charcoal diluted with water
take child to emergency room
A 13-year-old is concerned because she has not yet begun to menstruate. Physical
examination indicates that the patient is at Tanner stage IV and is of average height and
weight. Which of the following would be the most appropriate response to this patient?
1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
4. "Your development is exactly as expected for your age; you'll probably begin to have
periods within a year."
"Your development is exactly as expected for your age; you'll probably begin to have
periods within a year."
The most common bacterial cause of cellulitis in patients with diabetes mellitus is:
1. Pseudomonas aeruginosa.
2. group B beta-hemolytic Streptococcus.
3. Staphylococcus aureus.
4. Staphylococcus saprophyticus.
Staphylococcus aureus
2|Page
, A 46-year-old female found a lump in her breast this morning. History includes: no prior
breast disease; G2P2 (first birth, age 22); maternal aunt diagnosed with breast cancer at
age 72; last menstrual period was 2.5 weeks ago. On examination, a nurse practitioner
palpates a 2-cm round, soft, mobile, tender lesion in the upper outer quadrant of the
right breast. Mammogram is negative. Which of the following actions is most
appropriate?
1. Reassure the patient that no further action is necessary.
2. Repeat unilateral right mammogram in 3 months.
3. Schedule a right-breast ultrasound.
4. Refer for genetic testing if the lump increases in size.
schedule a right breast ultrasound
Risk factors for genital herpes include:
1. multiple sexual partners and years of sexual activity.
2. genetic transmission.
3. infection with other sexually transmitted diseases before the age of 12.
4. multiple sexual partners and frequent use of public spas.
multiple sexual partners and years of sexual activity
On physically assessing a newborn's head, you note an enlarged, fluid-filled area that is
subperiosteal and does not cross suture lines. This finding indicates the presence of:
1. macrocephaly.
2. subgaleal hemorrhage.
3. congenital hypothyroidism.
4. cephalohematoma.
cephalohematoma
A 65-year-old patient being treated with digoxin (Lanoxin) for chronic heart failure (HF)
presents with complaints of palpitations. Three days ago, the patient was placed on
clarithromycin (Biaxin) by another provider for community-acquired pneumonia. The
appropriate course of action at this point would be to:
1. increase the digoxin dosage by 25%.
2. obtain a digoxin level and change the antibiotic to azithromycin (Zithromax).
3. obtain a chest X-ray.
4. obtain a serum potassium level and perform a 12-lead EKG.
obtain a digoxin level and change the antibiotic to azithromycin (zithromax)
3|Page
CERTIFICATION EXAM REVIEW & STUDY
GUIDE WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
The symptoms of benign prostatic hypertrophy are often overlooked because the older
male:
1. understands that surgery is the only cure for this condition.
2. considers urinary problems to be a normal part of aging.
3. is fearful of the side effects of additional medication.
4. is concerned that he will no longer be able to obtain an erection.
considers urinary problems to be normal part of aging
Upon admission to a nursing home, an 85-year-old patient receives a negative result on
the purified protein derivative (PPD) test. To determine TB status in the frail elderly, a
second PPD should be performed in:
1. 72 hours.
2. 1 week.
3. 3 months.
4. 6 months.
1 week
Which of the following is NOT used for therapy of an acute attack of gout?
1. Colchicine (Colcrys)
2. Indomethacin (Indocin)
3. Methylprednisolone (Solumedrol)
4. Allopurinol (Zyloprim)
allopurinol (zyloprim)
1|Page
,A 26-year-old female presents with abdominal distention, bloating, and intermittent
crampy abdominal pain relieved by defecation. She has four to six loose stools a day
when stressed. Between bouts of diarrhea, she often has constipation. Physical
examination results are normal. The CBC was normal. The most likely diagnosis is:
1. diverticulitis.
2. viral gastroenteritis.
3. inflammatory bowel disease.
4. irritable bowel syndrome
irritable bowel syndrome
A mother has just noticed that her 15-month-old, 15-kg child has recently ingested an
unknown quantity of iron tablets. The mother has ipecac syrup and activated charcoal
on hand. The mother should be advised to:
1. take the child to the primary care provider.
2. give ipecac per recommendation on the bottle label.
3. take the child to the emergency room.
4. give the child 30 g of activated charcoal diluted with water
take child to emergency room
A 13-year-old is concerned because she has not yet begun to menstruate. Physical
examination indicates that the patient is at Tanner stage IV and is of average height and
weight. Which of the following would be the most appropriate response to this patient?
1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
4. "Your development is exactly as expected for your age; you'll probably begin to have
periods within a year."
"Your development is exactly as expected for your age; you'll probably begin to have
periods within a year."
The most common bacterial cause of cellulitis in patients with diabetes mellitus is:
1. Pseudomonas aeruginosa.
2. group B beta-hemolytic Streptococcus.
3. Staphylococcus aureus.
4. Staphylococcus saprophyticus.
Staphylococcus aureus
2|Page
, A 46-year-old female found a lump in her breast this morning. History includes: no prior
breast disease; G2P2 (first birth, age 22); maternal aunt diagnosed with breast cancer at
age 72; last menstrual period was 2.5 weeks ago. On examination, a nurse practitioner
palpates a 2-cm round, soft, mobile, tender lesion in the upper outer quadrant of the
right breast. Mammogram is negative. Which of the following actions is most
appropriate?
1. Reassure the patient that no further action is necessary.
2. Repeat unilateral right mammogram in 3 months.
3. Schedule a right-breast ultrasound.
4. Refer for genetic testing if the lump increases in size.
schedule a right breast ultrasound
Risk factors for genital herpes include:
1. multiple sexual partners and years of sexual activity.
2. genetic transmission.
3. infection with other sexually transmitted diseases before the age of 12.
4. multiple sexual partners and frequent use of public spas.
multiple sexual partners and years of sexual activity
On physically assessing a newborn's head, you note an enlarged, fluid-filled area that is
subperiosteal and does not cross suture lines. This finding indicates the presence of:
1. macrocephaly.
2. subgaleal hemorrhage.
3. congenital hypothyroidism.
4. cephalohematoma.
cephalohematoma
A 65-year-old patient being treated with digoxin (Lanoxin) for chronic heart failure (HF)
presents with complaints of palpitations. Three days ago, the patient was placed on
clarithromycin (Biaxin) by another provider for community-acquired pneumonia. The
appropriate course of action at this point would be to:
1. increase the digoxin dosage by 25%.
2. obtain a digoxin level and change the antibiotic to azithromycin (Zithromax).
3. obtain a chest X-ray.
4. obtain a serum potassium level and perform a 12-lead EKG.
obtain a digoxin level and change the antibiotic to azithromycin (zithromax)
3|Page
