AANP Certification Exam 2025 With
Correct Answers
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following? -
c c c c c c c c c c c c c c c c c c c c
correct answer You would find mild upper respiratory symptoms with cough. And mild conjunctival injection.
c c c c c c c c c c c c c c c
It is really indistinguishable from the common cold.
c c c c c c c
What would NOT be considered a typical finding in a geriatric patient? - correct answer Low frequency hearing
c c c c c c c c c c c c c c c c c c
loss. A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking voice is high
c c c c c c c c c c c c c c c c c c c c
frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of the hair cells results
c c c c c c c c c c c c c c c c
in sensorineural hearing loss.
c c c
Typical findings in a geriatric patient? - correct answer Thinner epidermis, dermis and subcutaneous layers of
c c c c c c c c c c c c c c c c
skin, bright purple-colored patches on the forearms and hands, opaque white ring at the periphery of the
c c c c c c c c c c c c c c c c c
cornea
Risk factors for age-related macular degeneration - correct answer Tobacco use, aging, sun exposure and
c c c c c c c c c c c c c c c
family history c
Underweight BMI - correct answer <18.5 c c c c c
Normal BMI - correct answer 18.5-24.9 c c c c c
Overweight BMI - correct answer 25-29.9 c c c c c
,Obese BMI - correct answer 30-39.9 c c c c c
Grossly obese BMI - correct answer >40 c c c c c c
Pregnancy Category A Drugs - correct answer Vitamins and levothyroxine
c c c c c c c c c
Pregnancy Category B Drugs - correct answer Acetaminophen, ibuprofen, penicillins, cephalosporins, and
c c c c c c c c c c c c
azithromycin and erythromycin antibiotics. c c c
A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg muscles
c c c c c c c c c c c c c c c c c c
that occurs after walking for 20 minutes. After taking a complete history and performing a physical exam, an
c c c c c c c c c c c c c c c c c c
NP decides that the most likely diagnosis is? - correct answer Intermittent claudication
c c c c c c c c c c c c
What is a common cause of acne? - correct answer Increase in androgens
c c c c c c c c c c c c
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative agent
c c c c c c c c c c c c c c c c
would be suspected? - correct answer Group A beta-hemolytic Streptococcus
c c c c c c c c c
When completing the initial assessment for depression in geriatric adults, the NP should evaluate? - correct
c c c c c c c c c c c c c c c c
answer Mental status exam c c c
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? - correct
c c c c c c c c c c c c c c c c
answer Blood incompatibility with the mother
c c c c c
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? - correct
c c c c c c c c c c c c c c c c c
answer Second c
Which of the following conditions exacerbate urinary incontinence? - correct answer Impacted stool and
c c c c c c c c c c c c c c
atrophic vaginitis c
An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with deep
c c c c c c c c c c c c c c c c c
breaths. The patient reports a nonproductive cough and no fever for several days, and denies trauma,
c c c c c c c c c c c c c c c c
, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals localized chest wall
c c c c c c c c c c c c c c c c c
tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis is? - correct answer
c c c c c c c c c c c c c c c c c
Costchondritis
The most common skin cancer is? - correct answer Basal cell carcinoma
c c c c c c c c c c c
What is true regarding depression in the elderly? - correct answer Depression can be induced by prescribed
c c c c c c c c c c c c c c c c c
and OTC medications
c c
Acute otitis media has what characteristics? - correct answer Loss of ossicular landmarks on the TM
c c c c c c c c c c c c c c c
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? - correct
c c c c c c c c c c c c c c c c
answer Diffuse pain, sleep abnormality, fatigue
c c c c c
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary lifestyle and
c c c c c c c c c c c c c c c c c c c c c c
no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an NP order? - correct
c c c c c c c c c c c c c c c c c c c c
answer Fasting plasma glucose
c c c
An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in
c c c c c c c c c c c c c c
sports, what should be considered? - correct answer Characteristics of the sport
c c c c c c c c c c c
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? - correct
c c c c c c c c c c c c c c c c c
answer Cauda equina syndrome
c c c
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? - correct
c c c c c c c c c c c c c c c c c c c
answer A 40-year old male who is living in a wooded area raising dogs
c c c c c c c c c c c c c
What condition is associated with the development of type 2 DM? - correct answer Delivery of a neonate
c c c c c c c c c c c c c c c c c c
weighing 9 lb or greater c c c c
What condition is a risk factor for development of DVT and PE? - correct answer Visceral malignancy
c c c c c c c c c c c c c c c c
Correct Answers
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following? -
c c c c c c c c c c c c c c c c c c c c
correct answer You would find mild upper respiratory symptoms with cough. And mild conjunctival injection.
c c c c c c c c c c c c c c c
It is really indistinguishable from the common cold.
c c c c c c c
What would NOT be considered a typical finding in a geriatric patient? - correct answer Low frequency hearing
c c c c c c c c c c c c c c c c c c
loss. A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking voice is high
c c c c c c c c c c c c c c c c c c c c
frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of the hair cells results
c c c c c c c c c c c c c c c c
in sensorineural hearing loss.
c c c
Typical findings in a geriatric patient? - correct answer Thinner epidermis, dermis and subcutaneous layers of
c c c c c c c c c c c c c c c c
skin, bright purple-colored patches on the forearms and hands, opaque white ring at the periphery of the
c c c c c c c c c c c c c c c c c
cornea
Risk factors for age-related macular degeneration - correct answer Tobacco use, aging, sun exposure and
c c c c c c c c c c c c c c c
family history c
Underweight BMI - correct answer <18.5 c c c c c
Normal BMI - correct answer 18.5-24.9 c c c c c
Overweight BMI - correct answer 25-29.9 c c c c c
,Obese BMI - correct answer 30-39.9 c c c c c
Grossly obese BMI - correct answer >40 c c c c c c
Pregnancy Category A Drugs - correct answer Vitamins and levothyroxine
c c c c c c c c c
Pregnancy Category B Drugs - correct answer Acetaminophen, ibuprofen, penicillins, cephalosporins, and
c c c c c c c c c c c c
azithromycin and erythromycin antibiotics. c c c
A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg muscles
c c c c c c c c c c c c c c c c c c
that occurs after walking for 20 minutes. After taking a complete history and performing a physical exam, an
c c c c c c c c c c c c c c c c c c
NP decides that the most likely diagnosis is? - correct answer Intermittent claudication
c c c c c c c c c c c c
What is a common cause of acne? - correct answer Increase in androgens
c c c c c c c c c c c c
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative agent
c c c c c c c c c c c c c c c c
would be suspected? - correct answer Group A beta-hemolytic Streptococcus
c c c c c c c c c
When completing the initial assessment for depression in geriatric adults, the NP should evaluate? - correct
c c c c c c c c c c c c c c c c
answer Mental status exam c c c
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? - correct
c c c c c c c c c c c c c c c c
answer Blood incompatibility with the mother
c c c c c
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? - correct
c c c c c c c c c c c c c c c c c
answer Second c
Which of the following conditions exacerbate urinary incontinence? - correct answer Impacted stool and
c c c c c c c c c c c c c c
atrophic vaginitis c
An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with deep
c c c c c c c c c c c c c c c c c
breaths. The patient reports a nonproductive cough and no fever for several days, and denies trauma,
c c c c c c c c c c c c c c c c
, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals localized chest wall
c c c c c c c c c c c c c c c c c
tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis is? - correct answer
c c c c c c c c c c c c c c c c c
Costchondritis
The most common skin cancer is? - correct answer Basal cell carcinoma
c c c c c c c c c c c
What is true regarding depression in the elderly? - correct answer Depression can be induced by prescribed
c c c c c c c c c c c c c c c c c
and OTC medications
c c
Acute otitis media has what characteristics? - correct answer Loss of ossicular landmarks on the TM
c c c c c c c c c c c c c c c
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? - correct
c c c c c c c c c c c c c c c c
answer Diffuse pain, sleep abnormality, fatigue
c c c c c
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary lifestyle and
c c c c c c c c c c c c c c c c c c c c c c
no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an NP order? - correct
c c c c c c c c c c c c c c c c c c c c
answer Fasting plasma glucose
c c c
An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in
c c c c c c c c c c c c c c
sports, what should be considered? - correct answer Characteristics of the sport
c c c c c c c c c c c
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? - correct
c c c c c c c c c c c c c c c c c
answer Cauda equina syndrome
c c c
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? - correct
c c c c c c c c c c c c c c c c c c c
answer A 40-year old male who is living in a wooded area raising dogs
c c c c c c c c c c c c c
What condition is associated with the development of type 2 DM? - correct answer Delivery of a neonate
c c c c c c c c c c c c c c c c c c
weighing 9 lb or greater c c c c
What condition is a risk factor for development of DVT and PE? - correct answer Visceral malignancy
c c c c c c c c c c c c c c c c
