AANP FNP CERTIFICATION LATEST UPDATE 2024/ COMPLETE 300
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
what condition would make you order Lateral X-ray of the neck. Options include:
Drooling, Unable to do ROM of the neck / stiff neck. - Correct Answer - Croup/Epiglottitis
AV nicking (Arterioles pressing on vein of the eye) - Correct Answer - HTN retinopathy
intraocular pressure (IOP) - Correct Answer - Fluid pressure inside the eye; measured
with tonometry
Rovsing sign - Correct Answer - pain in the RLQ when the LLQ is palpated (indicative of
appendicitis)
Pencil-like stools occur in an obstruction of what - Correct Answer - Sigmoid descending
colon
It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS. Refer
for GI colonoscopy
headache after trauma - Correct Answer - SDH
migraine headache - Correct Answer - -paroxysmal (sudden, periodic) attacks of mostly
unilateral headache, often accompanied by disordered vision, nausea, or vomiting,
lasting hours or days and caused by dilation of arteries.
4-12 hours,
abortive triptans
pg. 1
,prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate
Vitamin B12 - Correct Answer - Folate shares a close relationship with this other B
Vitamin.
Vitamin B12 - Correct Answer - Cognitive deficits, glossitis, pernicious anemia,
Folate shares a close relationship with this other B Vitamin.
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. - Correct Answer - be
changed to NSAID, SED rate is a sign of inflammation
Which medication causes low sperm count for a patient - Correct Answer - SSRI
grandiosity - Correct Answer - Exaggerated belief in or claims about one's importance or
identity.
Bipolar
ADHD - Correct Answer - A behavioral problem characterized by short attention span,
restless movement, and impaired learning capacity.
pt. pap's smear noted with Low Grade Squamous Intraepithelial Lesions and High-
Grade Squamous Epithelia Lesion noted on the report, what should NP do? - Correct
Answer - HPV test if not done. Refer for colposcopy
Chlamydia trachomatis - Correct Answer - Doxycycline (+ ceftriaxone for gonorrhea
coinfection)
Genital warts treatment - Correct Answer - Cryotherapy
pg. 2
,OR
Podophyllotoxin cream -
OR
Imiquimod (Aldara cream)
HIV pt. with antiviral and CD4 count still less than 200. What should NP tell the pt. -
Correct Answer - tell the pt. that he is qualified to be diagnosed with AIDS according to
CDC
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire Steth. EXAM - Correct Answer - III first
time audible, IV first time thrill
Fundal height 12 weeks - Correct Answer - Fundal Height 12 weeks above symphysis
pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk. gestation is normal if more or less order US
3-month-old infant with down syndrome, due to milk intolerance, mom started on goat’s
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order? - Correct Answer - Iron, TIBC
3 months of Synthroid, TSH increased, T4 normal, what do you do? - Correct Answer -
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
Correct Answer - Mini mental exam
4-month-old with strabismus, mom is worried...... - Correct Answer - tell her it is normal.
pg. 3
, 4-month-old won’t keep anything down, what is the main thing you look at? - Correct
Answer - Growth chart
6-month-old closed anterior fontanel. - Correct Answer - XRAY
Abnormal cells on PAP, what do you do next? - Correct Answer - Refer for Colposcopy
CAGE ACRONYM - Correct Answer - Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - Correct Answer - Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - Correct Answer - CN 3,4,6
Definition of metabolic syndrome - Correct Answer - cluster of conditions that increase
risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - Correct Answer - wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? - Correct Answer - Pelvic US
Epistaxis is most common in the area of the nose known as keelbacks triangle, where is
this located? - Correct Answer - Anterior septum
pg. 4
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
what condition would make you order Lateral X-ray of the neck. Options include:
Drooling, Unable to do ROM of the neck / stiff neck. - Correct Answer - Croup/Epiglottitis
AV nicking (Arterioles pressing on vein of the eye) - Correct Answer - HTN retinopathy
intraocular pressure (IOP) - Correct Answer - Fluid pressure inside the eye; measured
with tonometry
Rovsing sign - Correct Answer - pain in the RLQ when the LLQ is palpated (indicative of
appendicitis)
Pencil-like stools occur in an obstruction of what - Correct Answer - Sigmoid descending
colon
It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS. Refer
for GI colonoscopy
headache after trauma - Correct Answer - SDH
migraine headache - Correct Answer - -paroxysmal (sudden, periodic) attacks of mostly
unilateral headache, often accompanied by disordered vision, nausea, or vomiting,
lasting hours or days and caused by dilation of arteries.
4-12 hours,
abortive triptans
pg. 1
,prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate
Vitamin B12 - Correct Answer - Folate shares a close relationship with this other B
Vitamin.
Vitamin B12 - Correct Answer - Cognitive deficits, glossitis, pernicious anemia,
Folate shares a close relationship with this other B Vitamin.
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. - Correct Answer - be
changed to NSAID, SED rate is a sign of inflammation
Which medication causes low sperm count for a patient - Correct Answer - SSRI
grandiosity - Correct Answer - Exaggerated belief in or claims about one's importance or
identity.
Bipolar
ADHD - Correct Answer - A behavioral problem characterized by short attention span,
restless movement, and impaired learning capacity.
pt. pap's smear noted with Low Grade Squamous Intraepithelial Lesions and High-
Grade Squamous Epithelia Lesion noted on the report, what should NP do? - Correct
Answer - HPV test if not done. Refer for colposcopy
Chlamydia trachomatis - Correct Answer - Doxycycline (+ ceftriaxone for gonorrhea
coinfection)
Genital warts treatment - Correct Answer - Cryotherapy
pg. 2
,OR
Podophyllotoxin cream -
OR
Imiquimod (Aldara cream)
HIV pt. with antiviral and CD4 count still less than 200. What should NP tell the pt. -
Correct Answer - tell the pt. that he is qualified to be diagnosed with AIDS according to
CDC
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire Steth. EXAM - Correct Answer - III first
time audible, IV first time thrill
Fundal height 12 weeks - Correct Answer - Fundal Height 12 weeks above symphysis
pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk. gestation is normal if more or less order US
3-month-old infant with down syndrome, due to milk intolerance, mom started on goat’s
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order? - Correct Answer - Iron, TIBC
3 months of Synthroid, TSH increased, T4 normal, what do you do? - Correct Answer -
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
Correct Answer - Mini mental exam
4-month-old with strabismus, mom is worried...... - Correct Answer - tell her it is normal.
pg. 3
, 4-month-old won’t keep anything down, what is the main thing you look at? - Correct
Answer - Growth chart
6-month-old closed anterior fontanel. - Correct Answer - XRAY
Abnormal cells on PAP, what do you do next? - Correct Answer - Refer for Colposcopy
CAGE ACRONYM - Correct Answer - Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - Correct Answer - Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - Correct Answer - CN 3,4,6
Definition of metabolic syndrome - Correct Answer - cluster of conditions that increase
risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - Correct Answer - wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? - Correct Answer - Pelvic US
Epistaxis is most common in the area of the nose known as keelbacks triangle, where is
this located? - Correct Answer - Anterior septum
pg. 4
