AANP Exam Questions FNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
1. A patient tells the nurse practitioner that she recently started
taking the supplement St John’s wort after reading about its ben-
efits online Which of the following medications, if being actively
consumed, must be immediately stopped?
a. Benadryl
b. Famotidine (Pepcid)
c. Metformnin (Glucophage)
d. Sumatriptan (Imitrex)
Answer: D. Sumatriptan (imitrex) Sumatriptan (Imitrex) (D) is a medication used to
treat migraines and belongs to a drug class known as serotonin agonists When used in
conjunction with St John’s wort, it may increase the risk of serotonin syndrome, a poten-
tially life-threatening condition
2. Which of the following is not a symptom of both major de-
pressive disorder and post-traumatic stress disorder?
a. Difficulty concentrating
b. Hypervigilance
c. Insomnia
d. Irritabilty
Answer: B. Hypervigilance In addition to difficulty concentrating, insomnia, and irri-
tability, major depressive disorder (MDD) may also include symptoms of depressed mood,
anhedonia, weight loss or gain, and low energy However, hypervigilance (B) is not a symp-
tom associated with this diagnosis
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,AANP Exam Questions FNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
3. A patient with type 1 diabetes presents for a follow-up visit
He has been stable on his medication regimen but is worried be-
cause he is between jobs and will be without health insurance
coverage for a few months He asks if there are less expensive in-
sulin options to get him through this time Which of the following
would be good options for this patient, given his circumstance?
Incorrect
a. Insulin aspart 70/30
b. Insulin detemir
c. Insulin isophane
d. Insulin degludec
Answer: Insulin Isophane The least expensive insulin type listed in this question is in-
sulin isophane (C) (neutral protamine Hagedorn insulin There are also often pharmacy-
specific c oupons t hat c an b e u sed o n i nsulin, s o h elping p atients a pply f or a nd navigate
these programs can be instrumental in managing their diabetes Another inexpensive op-
tion is regular insulinInsulin analogs (glargine, detemir, degludec, lispro, and aspart)
are significantly more expensive than human insulin (isophane, regular) Insulins
modified by manufacturers, especially when sold as brand-name medications, tend to be
more expensive due to this modification While analogs offer alternate lengths of action
and convenience, there is no well-documented clinical evidence that patient outcomes
are improved with differing brands Therefore, maintaining a patient’s blood glucose
level through outcome-focused treatment is more valuable than a process-focused plan
based on medication
4. A 40-year-old woman with type 2 diabetes presents to the
clinic with concerns of spiking blood sugar between lunch and
dinner She states she is on a rapid-acting insulin sliding scale
and long-acting insulin Which change should be implemented to
help prevent or curb this glycemic spike?
a. Add a dose of mealtime insulin aspart (Novolog) at lunch
b. Add insulin detemir (Levemir) at night
c. Increase her insulin glargine (Lantus)
d. Prescribe a dose of neutral protamine Hagedorn insulin with dinner
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
,AANP Exam Questions FNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
Answer: A. Add a dose of mealtime insulin aspart (Novolog) at lunch Insulin aspart
(Novolog) (A) is a rapid acting insulin that is commonly dosed with meals and as a sliding
scale regimen based on a patient’s glucose prior to eating (preprandial It is the appropriate
insulin to add as a mealtime dose when patients experience blood glucose spikes between
meals because of its short-acting properties Peak time action of insulin aspart is 2 hours
with initial effect within the first 30 minutes, making it an ideal choice to control expected
postprandial glycemic spikes
5. Which of the following conditions is associated with an in-
creased risk for conductive hearing loss?
a. Acoustic neuroma
b. Ménière disease
c. Otitis media
d. Presbycusis
Answer: C. Otitis media Causes of conductive hearing loss are otitis media (C) , otitis
externa, foreign objects in the ear canal, impacted ear wax, tumors, congenital anomalies,
discontinuity of middle ear bones, cholesteatoma, and tympanic membrane rupture Sound
normally travels down the ear canal to vibrate the eardrum (tympanic membrane The
eardrum is connected to three middle ear bones (malleus, incus, and stapes) ,
which transmit the sound into the inner ear (cochlea). The cochlea is the organ that
changes sound vibrations into a nerve signal that travels to the brain The four types of
hearing loss are conductive, sensorineural, mixed, and retrocochlear Conductive hearing
loss occurs when sound cannot effectively reach the inner ear due to issue in the outer
ear and middle ear
6. A 23-year-old patient who is pregnant at 28 weeks gestation
presents to the clinic for a routine prenatal checkup Which fundal
height measurement would warrant a more conclusive assessment
with an ultrasound?
a. 26 cm
b. 29 cm
c. 30 cm
d. 31 cm
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
, AANP Exam Questions FNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
Answer: D. 31 cm
After 20 weeks gestation, the fundal height should be measured with a measuring tape
in centimeters and should match the gestational age.
It can be > or < 2 centimeters and still be within normal limits A fundal height of
26-30 cm is a normal finding in a patient who is 28 weeks gestation A result of 31 cm (D)
is larger than expected and should be further evaluated with an ultrasound
7. A 4-year-old boy presents with ear pain and an erythematous,
bulging tympanic membrane on examination The nurse practi-
tioner diagnoses him with acute otitis media Which of the follow-
ing are the three most common bacterial pathogens associated
with acute otitis media in children?
a. Moraxella catarrhalis, Staphylococcus aureus, Streptococcus pneumoniae
b. Nontypeable Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus
c. Nontypeable Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneu-
moniae
d. Nontypeable Haemophilus influenzae, Staphylococcus aureus, Streptococcus pneu-
moniae
Answer: C. Nontypeable Haemophilus influenzae, M oraxella c atarrhalis, Streptococcus
pneumoniae Acute otitis media is commonly encountered by primary care nurse practi-
tioners Typically, children present with otalgia and have a bulging tympanic membrane
on examination Many times, children also have a preceding viral upper respiratory in-
fection, resulting in the colonization of bacteria in the middle ear and leading to a bac-
terial infection Ear infections can be caused by bacterial and viral pathogens The most
common bacterial pathogens isolated from middle ear fluid are nontypeable
Haemophilus influenzae, Moraxella catarrhalis, and Streptococcus pneumoniae (C). The
most common viral pathogens include respiratory syncytial virus, coronaviruses,
influenza viruses, and adenoviruses Treatment for acute otitis media should be targeted
to combat the most com-mon bacterial causes, including amoxicillin (penicillin) ,
amoxicillin-clavulanate (peni-cillin and combination beta-lactam and beta-lactamase
inhibitor) , and an oral second-generation cephalosporin (E.G., cefuroxime) in the case
of a child with a penicillin allergy
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
1. A patient tells the nurse practitioner that she recently started
taking the supplement St John’s wort after reading about its ben-
efits online Which of the following medications, if being actively
consumed, must be immediately stopped?
a. Benadryl
b. Famotidine (Pepcid)
c. Metformnin (Glucophage)
d. Sumatriptan (Imitrex)
Answer: D. Sumatriptan (imitrex) Sumatriptan (Imitrex) (D) is a medication used to
treat migraines and belongs to a drug class known as serotonin agonists When used in
conjunction with St John’s wort, it may increase the risk of serotonin syndrome, a poten-
tially life-threatening condition
2. Which of the following is not a symptom of both major de-
pressive disorder and post-traumatic stress disorder?
a. Difficulty concentrating
b. Hypervigilance
c. Insomnia
d. Irritabilty
Answer: B. Hypervigilance In addition to difficulty concentrating, insomnia, and irri-
tability, major depressive disorder (MDD) may also include symptoms of depressed mood,
anhedonia, weight loss or gain, and low energy However, hypervigilance (B) is not a symp-
tom associated with this diagnosis
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
,AANP Exam Questions FNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
3. A patient with type 1 diabetes presents for a follow-up visit
He has been stable on his medication regimen but is worried be-
cause he is between jobs and will be without health insurance
coverage for a few months He asks if there are less expensive in-
sulin options to get him through this time Which of the following
would be good options for this patient, given his circumstance?
Incorrect
a. Insulin aspart 70/30
b. Insulin detemir
c. Insulin isophane
d. Insulin degludec
Answer: Insulin Isophane The least expensive insulin type listed in this question is in-
sulin isophane (C) (neutral protamine Hagedorn insulin There are also often pharmacy-
specific c oupons t hat c an b e u sed o n i nsulin, s o h elping p atients a pply f or a nd navigate
these programs can be instrumental in managing their diabetes Another inexpensive op-
tion is regular insulinInsulin analogs (glargine, detemir, degludec, lispro, and aspart)
are significantly more expensive than human insulin (isophane, regular) Insulins
modified by manufacturers, especially when sold as brand-name medications, tend to be
more expensive due to this modification While analogs offer alternate lengths of action
and convenience, there is no well-documented clinical evidence that patient outcomes
are improved with differing brands Therefore, maintaining a patient’s blood glucose
level through outcome-focused treatment is more valuable than a process-focused plan
based on medication
4. A 40-year-old woman with type 2 diabetes presents to the
clinic with concerns of spiking blood sugar between lunch and
dinner She states she is on a rapid-acting insulin sliding scale
and long-acting insulin Which change should be implemented to
help prevent or curb this glycemic spike?
a. Add a dose of mealtime insulin aspart (Novolog) at lunch
b. Add insulin detemir (Levemir) at night
c. Increase her insulin glargine (Lantus)
d. Prescribe a dose of neutral protamine Hagedorn insulin with dinner
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
,AANP Exam Questions FNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
Answer: A. Add a dose of mealtime insulin aspart (Novolog) at lunch Insulin aspart
(Novolog) (A) is a rapid acting insulin that is commonly dosed with meals and as a sliding
scale regimen based on a patient’s glucose prior to eating (preprandial It is the appropriate
insulin to add as a mealtime dose when patients experience blood glucose spikes between
meals because of its short-acting properties Peak time action of insulin aspart is 2 hours
with initial effect within the first 30 minutes, making it an ideal choice to control expected
postprandial glycemic spikes
5. Which of the following conditions is associated with an in-
creased risk for conductive hearing loss?
a. Acoustic neuroma
b. Ménière disease
c. Otitis media
d. Presbycusis
Answer: C. Otitis media Causes of conductive hearing loss are otitis media (C) , otitis
externa, foreign objects in the ear canal, impacted ear wax, tumors, congenital anomalies,
discontinuity of middle ear bones, cholesteatoma, and tympanic membrane rupture Sound
normally travels down the ear canal to vibrate the eardrum (tympanic membrane The
eardrum is connected to three middle ear bones (malleus, incus, and stapes) ,
which transmit the sound into the inner ear (cochlea). The cochlea is the organ that
changes sound vibrations into a nerve signal that travels to the brain The four types of
hearing loss are conductive, sensorineural, mixed, and retrocochlear Conductive hearing
loss occurs when sound cannot effectively reach the inner ear due to issue in the outer
ear and middle ear
6. A 23-year-old patient who is pregnant at 28 weeks gestation
presents to the clinic for a routine prenatal checkup Which fundal
height measurement would warrant a more conclusive assessment
with an ultrasound?
a. 26 cm
b. 29 cm
c. 30 cm
d. 31 cm
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
, AANP Exam Questions FNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
Answer: D. 31 cm
After 20 weeks gestation, the fundal height should be measured with a measuring tape
in centimeters and should match the gestational age.
It can be > or < 2 centimeters and still be within normal limits A fundal height of
26-30 cm is a normal finding in a patient who is 28 weeks gestation A result of 31 cm (D)
is larger than expected and should be further evaluated with an ultrasound
7. A 4-year-old boy presents with ear pain and an erythematous,
bulging tympanic membrane on examination The nurse practi-
tioner diagnoses him with acute otitis media Which of the follow-
ing are the three most common bacterial pathogens associated
with acute otitis media in children?
a. Moraxella catarrhalis, Staphylococcus aureus, Streptococcus pneumoniae
b. Nontypeable Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus
c. Nontypeable Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneu-
moniae
d. Nontypeable Haemophilus influenzae, Staphylococcus aureus, Streptococcus pneu-
moniae
Answer: C. Nontypeable Haemophilus influenzae, M oraxella c atarrhalis, Streptococcus
pneumoniae Acute otitis media is commonly encountered by primary care nurse practi-
tioners Typically, children present with otalgia and have a bulging tympanic membrane
on examination Many times, children also have a preceding viral upper respiratory in-
fection, resulting in the colonization of bacteria in the middle ear and leading to a bac-
terial infection Ear infections can be caused by bacterial and viral pathogens The most
common bacterial pathogens isolated from middle ear fluid are nontypeable
Haemophilus influenzae, Moraxella catarrhalis, and Streptococcus pneumoniae (C). The
most common viral pathogens include respiratory syncytial virus, coronaviruses,
influenza viruses, and adenoviruses Treatment for acute otitis media should be targeted
to combat the most com-mon bacterial causes, including amoxicillin (penicillin) ,
amoxicillin-clavulanate (peni-cillin and combination beta-lactam and beta-lactamase
inhibitor) , and an oral second-generation cephalosporin (E.G., cefuroxime) in the case
of a child with a penicillin allergy
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
