AANP FAMILY NURSE PRACTITIONER REAL EXAM 2024/2025
VERIFIED WITH ACTUAL SOLUTION GRADED A+
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. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
Ibuprofen (advil)
The most common sign of cervical cancer is:
Postictal bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary
to diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The
practitioner would:
Discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole
(Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are most
likely:
Associated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
Ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a
follow-up examination after a recent hospitalization. It is most important to continue monitoring
growth, development, and:
Hemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but
the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is
, AANP FAMILY NURSE PRACTITIONER REAL EXAM 2024/2025
VERIFIED WITH ACTUAL SOLUTION GRADED A+
concerned that the patient often has no money to buy food, despite income from social security and a
coal miner's pension. The nurse practitioner suspects abuse. Which of the following is the nurse
practitioner obligated to do next?
Report the case to proper authorities
In most cases, the first manifestation of Alzheimer's disease is:
decrease in short-term memory
The optimal treatment for latent tuberculosis is:
isoniazid (nydrazid) for 9 months
Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is most
often caused by:
intraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous changes in medications
and doses, the parents report that the child continues to have difficulty with coughing, especially
during the night. Which of the following conditions would be the most likely cause of the continued
asthma symptoms?
Gastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission through
zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start daily dosing:
After 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
Acute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very irritable
and does not feed well. During physical examination, the child's head drops back and the child
exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably.
Funduscopic examination reveals retinal hemorrhages. Which of the following diagnostic tests should
be ordered?
VERIFIED WITH ACTUAL SOLUTION GRADED A+
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. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
Ibuprofen (advil)
The most common sign of cervical cancer is:
Postictal bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary
to diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The
practitioner would:
Discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole
(Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are most
likely:
Associated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
Ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a
follow-up examination after a recent hospitalization. It is most important to continue monitoring
growth, development, and:
Hemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but
the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is
, AANP FAMILY NURSE PRACTITIONER REAL EXAM 2024/2025
VERIFIED WITH ACTUAL SOLUTION GRADED A+
concerned that the patient often has no money to buy food, despite income from social security and a
coal miner's pension. The nurse practitioner suspects abuse. Which of the following is the nurse
practitioner obligated to do next?
Report the case to proper authorities
In most cases, the first manifestation of Alzheimer's disease is:
decrease in short-term memory
The optimal treatment for latent tuberculosis is:
isoniazid (nydrazid) for 9 months
Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is most
often caused by:
intraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous changes in medications
and doses, the parents report that the child continues to have difficulty with coughing, especially
during the night. Which of the following conditions would be the most likely cause of the continued
asthma symptoms?
Gastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission through
zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start daily dosing:
After 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
Acute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very irritable
and does not feed well. During physical examination, the child's head drops back and the child
exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably.
Funduscopic examination reveals retinal hemorrhages. Which of the following diagnostic tests should
be ordered?
