AANP FNP PRACTICE EXAM 2024/ACTUAL EXAM
WITH 100 QUESTIONS AND CORRECT DETAILED
ANSWERS/LATEST UPDATE 2024-2025
An 86-year-old hospital client is experiencing radiculopathy-associated lower back
painthat has not improved over the past 4 weeks. The medical history includes a
lumbar discectomy. The best type of imaging study for evaluating this hospital
client would be a/an:
1. MRI.
2. spinal X-ray.
3. myelography.
4. nuclear bone scan. - CORRECT ANS:->MRI
A 30-month-old with a history of frequent ear infections was seen in September
after a symptom-free summer. Examination revealed bilateral bulging eardrums.
After two separate courses of antibiotics, fluid is noted in both ears. The parent
reports speech difficulties. The most likely diagnosis is:
1. otitis media with effusion.
2. myringitis.
3. recurrent acute otitis.
4. Esutachian tube dysfunction. - CORRECT ANS:->otiti media with effusion
,A 19-year-old hospital client who has used oral contraceptives for 3 years plans to
discontinue the pill at the end of her current cycle to become pregnant. Which ofthe
following daily supplements would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin - CORRECT ANS:->folic acid
A frail elderly widow presents to the senior clinic with a 3- to 4-day history of
confusion that became worse the evening before but currently seems a little better,
although her speech is rambling and difficult to follow. During the examination,
the hospital client is anxious and agitated. She is on cardiac medications,
anantidepressant, and insulin. The most likely diagnosis is:
1. mild stroke.
2. polypharmacy.
3. electrolyte imbalance.
4. agitated depression. - CORRECT ANS:->polypharmacy
A 46-year-old female client presents with a complaint of amenorrhea for 3
months. The first-line diagnostic workup is:
1. urine pregnancy test.
2. progesterone challenge.
3. serum prolactin level.
,4. thyroid-stimulating hormone (TSH). - CORRECT ANS:->urine pregnancy test
A 65-year-old woman presents for a follow-up examination after a new hospital
client 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 diedatage 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 nursing attendant should start the hospital
client on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - CORRECT ANS:->A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - CORRECT ANS:->ibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
, 2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - CORRECT ANS:->postcoital bleeding
The nursing attendant prescribes amitriptyline (Elavil) for a hospital client with
neuropathic pain secondary to diabetes mellitus. On follow-up, the hospital client
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). -
CORRECT ANS:->discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The hospital client complains of headache, abdominal
pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - CORRECT ANS:->associated
with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
WITH 100 QUESTIONS AND CORRECT DETAILED
ANSWERS/LATEST UPDATE 2024-2025
An 86-year-old hospital client is experiencing radiculopathy-associated lower back
painthat has not improved over the past 4 weeks. The medical history includes a
lumbar discectomy. The best type of imaging study for evaluating this hospital
client would be a/an:
1. MRI.
2. spinal X-ray.
3. myelography.
4. nuclear bone scan. - CORRECT ANS:->MRI
A 30-month-old with a history of frequent ear infections was seen in September
after a symptom-free summer. Examination revealed bilateral bulging eardrums.
After two separate courses of antibiotics, fluid is noted in both ears. The parent
reports speech difficulties. The most likely diagnosis is:
1. otitis media with effusion.
2. myringitis.
3. recurrent acute otitis.
4. Esutachian tube dysfunction. - CORRECT ANS:->otiti media with effusion
,A 19-year-old hospital client who has used oral contraceptives for 3 years plans to
discontinue the pill at the end of her current cycle to become pregnant. Which ofthe
following daily supplements would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin - CORRECT ANS:->folic acid
A frail elderly widow presents to the senior clinic with a 3- to 4-day history of
confusion that became worse the evening before but currently seems a little better,
although her speech is rambling and difficult to follow. During the examination,
the hospital client is anxious and agitated. She is on cardiac medications,
anantidepressant, and insulin. The most likely diagnosis is:
1. mild stroke.
2. polypharmacy.
3. electrolyte imbalance.
4. agitated depression. - CORRECT ANS:->polypharmacy
A 46-year-old female client presents with a complaint of amenorrhea for 3
months. The first-line diagnostic workup is:
1. urine pregnancy test.
2. progesterone challenge.
3. serum prolactin level.
,4. thyroid-stimulating hormone (TSH). - CORRECT ANS:->urine pregnancy test
A 65-year-old woman presents for a follow-up examination after a new hospital
client 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 diedatage 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 nursing attendant should start the hospital
client on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - CORRECT ANS:->A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - CORRECT ANS:->ibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
, 2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - CORRECT ANS:->postcoital bleeding
The nursing attendant prescribes amitriptyline (Elavil) for a hospital client with
neuropathic pain secondary to diabetes mellitus. On follow-up, the hospital client
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). -
CORRECT ANS:->discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The hospital client complains of headache, abdominal
pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - CORRECT ANS:->associated
with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
