2026 AANP FNP Certification Exam Predictor
Test Bank 50 Complete Questions with
Detailed Answers and Rationales
SECTION 1: PEDIATRICS AND PEDIATRIC INFECTIOUS DISEASE
Question 1
A 3-year-old female has been diagnosed with bacterial meningitis. She attends
preschool daily at a local church daycare program. The day before her
diagnosis, she ate lunch with her mother at a local restaurant. For which
contact would chemoprophylaxis with rifampin be recommended?
A. Diners at the restaurant during lunch the day the patient ate there
B. The checkout employee at the grocery store yesterday
C. Preschool contacts in the past 7 days
D. A friend of the patient's sister who visited after school yesterday
Answer: C
Rationale: Chemoprophylaxis with rifampin is recommended for close
contacts of patients with bacterial meningitis, particularly those in household
or daycare settings. Preschool contacts in the past 7 days are considered close
contacts and should receive prophylaxis. Casual contacts such as restaurant
diners, grocery store employees, or brief visitors are not at significant risk and
do not require prophylaxis.
,Question 2
Congenital dysplasia of the hip:
A. Typically self-corrects by 12 weeks of age
B. Is correctable at any age
C. Occurs more commonly in females
D. More commonly affects both hips
Answer: C
Rationale: Congenital dysplasia of the hip occurs more commonly in females,
with a female-to-male ratio of approximately 6 to 1. It is more common in
first-born infants and those with a family history. It typically affects the left
hip more than the right and does not self-correct without intervention.
Question 3
A 7-year-old child presents with group A streptococcal infection confirmed by
throat culture. Past history includes treatment for positive streptococcal
infection with erythromycin 3 weeks ago. What is the most appropriate next
intervention?
A. Intramuscular Penicillin
B. Obtain culture for all household members
C. Treat with azithromycin for 10 days
D. Treat with amoxicillin for 10 days
, Answer: D
Rationale: The most appropriate next intervention is to treat with amoxicillin
for 10 days. Since the patient was recently treated with erythromycin, which
may not have eradicated the infection, a full course of amoxicillin is
appropriate. Penicillin is the drug of choice for strep pharyngitis.
Question 4
A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On physical examination today,
his vital signs reveal pulse 120 and capillary refill of 3 seconds. The patient's
eyes are sunken and his extremities are mottled and cool to the touch. The
treatment plan would include:
A. Catheterizing the child to obtain accurate urine output
B. Giving the child loperamide for each diarrheal stool
C. Hospitalization for IV fluid replacement
D. Starting oral electrolyte mixture every hour
Answer: C
Rationale: The child is showing signs of severe dehydration including
tachycardia, delayed capillary refill, sunken eyes, and mottled extremities.
Hospitalization for IV fluid replacement is indicated for severe dehydration.
Oral rehydration may not be sufficient in this case.
Test Bank 50 Complete Questions with
Detailed Answers and Rationales
SECTION 1: PEDIATRICS AND PEDIATRIC INFECTIOUS DISEASE
Question 1
A 3-year-old female has been diagnosed with bacterial meningitis. She attends
preschool daily at a local church daycare program. The day before her
diagnosis, she ate lunch with her mother at a local restaurant. For which
contact would chemoprophylaxis with rifampin be recommended?
A. Diners at the restaurant during lunch the day the patient ate there
B. The checkout employee at the grocery store yesterday
C. Preschool contacts in the past 7 days
D. A friend of the patient's sister who visited after school yesterday
Answer: C
Rationale: Chemoprophylaxis with rifampin is recommended for close
contacts of patients with bacterial meningitis, particularly those in household
or daycare settings. Preschool contacts in the past 7 days are considered close
contacts and should receive prophylaxis. Casual contacts such as restaurant
diners, grocery store employees, or brief visitors are not at significant risk and
do not require prophylaxis.
,Question 2
Congenital dysplasia of the hip:
A. Typically self-corrects by 12 weeks of age
B. Is correctable at any age
C. Occurs more commonly in females
D. More commonly affects both hips
Answer: C
Rationale: Congenital dysplasia of the hip occurs more commonly in females,
with a female-to-male ratio of approximately 6 to 1. It is more common in
first-born infants and those with a family history. It typically affects the left
hip more than the right and does not self-correct without intervention.
Question 3
A 7-year-old child presents with group A streptococcal infection confirmed by
throat culture. Past history includes treatment for positive streptococcal
infection with erythromycin 3 weeks ago. What is the most appropriate next
intervention?
A. Intramuscular Penicillin
B. Obtain culture for all household members
C. Treat with azithromycin for 10 days
D. Treat with amoxicillin for 10 days
, Answer: D
Rationale: The most appropriate next intervention is to treat with amoxicillin
for 10 days. Since the patient was recently treated with erythromycin, which
may not have eradicated the infection, a full course of amoxicillin is
appropriate. Penicillin is the drug of choice for strep pharyngitis.
Question 4
A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On physical examination today,
his vital signs reveal pulse 120 and capillary refill of 3 seconds. The patient's
eyes are sunken and his extremities are mottled and cool to the touch. The
treatment plan would include:
A. Catheterizing the child to obtain accurate urine output
B. Giving the child loperamide for each diarrheal stool
C. Hospitalization for IV fluid replacement
D. Starting oral electrolyte mixture every hour
Answer: C
Rationale: The child is showing signs of severe dehydration including
tachycardia, delayed capillary refill, sunken eyes, and mottled extremities.
Hospitalization for IV fluid replacement is indicated for severe dehydration.
Oral rehydration may not be sufficient in this case.
