AANP FNP CERTIFICATION FINAL EXAM /ACTUAL 315 EXAM QUESTIONS WITH VERIFIED ANSWERS/A+ GRADE

AANP FNP CERTIFICATION FINAL EXAM 2024-
2024/ACTUAL 315 EXAM QUESTIONS WITH
VERIFIED ANSWERS/A+ GRADE


3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy.
Low HCT. What additional test would you order?
- ANS:->>>- Iron, TIBC

3 months of synthroid, TSH increased, T4 normal, what do you do?
-ANS:->>>- Increase Medication

3 ways to assess cognitive function in hospital client with
signs/symptoms ofmemory loss
- ANS:->>>- Mini mental exam

4 month old with strabismus, mom is worried......
- ANS:->>>- tell her itis normal.

4 month old wont keep anything down, what is the main thing you look
at?
- ANS:->>>- Growth chart

6 month old closed anterior fontanel.
- ANS:->>>- XRAY

Abnormal cells on PAP, what do you do next?
- ANS:->>>- Refer forColposcopy

CAGE ACRONYM
- ANS:->>>- Cut
downAnnoyed by
criticism Guilty about
drinking

,Eye opener drink

Causes of tachycardia
- ANS:->>>- Fever
Anemia
Hypotension

Cranial nerves responsible for extraocular eye movements
- ANS:->>>-CN 3,4,6

Definition of metabolic syndrome
- ANS:->>>- cluster of conditions thatincrease risk of heart disease,
stroke, diabetes.

diagnose trichomoniasis
- ANS:->>>- wet prep

Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next?
- ANS:->>>- Pelvic US

Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located?
- ANS:->>>- Anterior septum

Definitive diagnosis of acute bacterial prostatitis
- ANS:->>>- urinalysisand culture

GERD treatment
- ANS:->>>- H2 is first line, give hs

Grade 3 cells on Pap, treatment?
- ANS:->>>- LEEPexcision

Fingernail hematoma treatment?

,- ANS:->>>- drill hole and drain blood?

Increased risk of ectopic pregnancy
- ANS:->>>- Salpingitis, or historyof abortion, PID,

Koplick spots
- ANS:->>>- Measles (rubeola). Grains of salt lesionsinside mouth
in Measles
Koplick spots - ANS:->>>- Measles (rubeola). Grains of salt lesions
inside mouth in Measles

Legg-Calve-Perthes Disease
- ANS:->>>- Avascular necrosis of theproximal femoral head

Lipid level of 1500, increased risk for?
- ANS:->>>- Pancreatitis

Low HGB, Low HCT, High MCV indicates what?
- ANS:->>>-Macrocytic anemia, B12 Def

Man with BPH, prostate feels on digital exam?
- ANS:->>>- Enlarged,symmetrical, smooth

Man with HTN, CAD, present femoral pulses but absent pedal -
ANS:->>>- Arterial Insufficiency

McMurray's Sign
(+) palpable or audible click while extending with varus stress -
ANS:->>>- Meniscus tears

Lachman's Test
- ANS:->>>- pivot shift test (ACL tear)

Newborn with foot turned in, what do you do?
- ANS:->>>- refer toorthopedist

, Osgood-Schlatter disease
- ANS:->>>- Knee pain.
inflammation or irritation of the tibia at its point of attachment with the
patellar tendon

Hospital client forgot to start Thanksgiving dinner and husband states
she has trouble remembering tasks and trouble with organization.
What is thisindicative of?
- ANS:->>>- Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was
treating condition. Pt at FNP office wanting refill prescriptions. What do
you do?
- ANS:->>>- Refer to oncologist

Pt presents with rash on shoulder, erythematous maculopapular rash
with center clearing and scaling?
- ANS:->>>- Tinea Corporis

Pt presents with "bag of worms:, indicates?
- ANS:->>>- Varicocele

Pt with atopic dermatitis, look for what other diseases?
- ANS:->>>-Asthma

Pt with bleeding after menopause - ANS:->>>- endometrial biopsy, need
to screen for cancer

Pt with hx of PID, increased rick for?
- ANS:->>>- Infertility

Pt with HIV took high potency anti viral treatments and CD4 is >400,
what does this indicate?
- ANS:->>>- This is good. Want higher than 350

Pt with hx of htn and stroke, now having memory loss. What does this
indicate?