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AANPCB FNP Exam Review V1 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solutions)

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AANPCB FNP Exam Review V1 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solutions) QUESTION A 25-year old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated with movement. The patient reports that he participated in extensive house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. What is the next step that should be taken in order to make a diagnosis? A. Palpate structures around the shoulder B. Obtain an MRI to evaluate the shoulder C. Order an Xray of the shoulder D. Request an EMG Answer: A. Palpate the structures around the shoulder QUESTION A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual development. Her physical exam in completely normal, and her weight is appropriate for her age and height. What is the most likely diagnosis? A. Ovarian dysgenesis B. Dysmenorrhea C. Primary amenorrhea D. Secondary amenorrhea Answer: C. Primary amenorrhea QUESTION An 18-month old child presents with a bulging, immobile tympanic membrane; T-103F(39.4C). Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After initiation of treatment for otitis media, the most appropriate intervention is to: A. Obtain an EKG B. Obtain an Echocardiogram C. Reevaluate the patient in 10 days D. Refer the patient to a cardiologist Answer: C. Reevaluate the patient in 10 days QUESTION Which of the following is NOT an indication of preeclampsia? A. visual disturbances B. Glucosuria C. Edema of the face and hands D. Headaches Answer: B. Glucosuria QUESTION Which of the following pharmacotherapeutics would be most important to administer to a patient who has a corneal abrasion? A. Olopatadine (Patanol) B. Cromolyn opthalmic (Crolom) C. Timolol (Timoptic) D. Gentamycin Opthalmic (Genoptic) Answer: D. Gentamycin Opthalmic (Genoptic) QUESTION An 88 year old patient presents with right-sided weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What is the most likely diagnosis? A. Seizure B. Right-sided Stroke C. Left-sided stroke D. Trans ischemic attack Answer: C. Left-sided Stroke QUESTION A nurse pracitioner is evaluating a 40 year old patient suspected of having a pulmonary embolus. The patient complains of anxiety and cough. A stat chest x-ray is normal. Which of the following tests should the nurse practitioner perform next? A. Spirometry B. MRI C. Contrast venography D. Helical CT pulmonary angiography Answer: D. Helical CT pulmonary angiography QUESTION A routine laboratory assessment of a 12 year old patient with a family history of thalassemia and anemia reveals Tanner II presentation and Hct=355. In addition to a complete blood count (CBC), the nurse practitioner should order which of the following? A. serum folic acid B. Vitamin B12 level C. Hemoglobin Electrophoresis D. 24-hour urine creatinine Answer: C. Hemoglobin electrophoresis QUESTION A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History indicates normal prenatal progress to date, and the patient denies pain, vaginal itching, or discharge. Which of the following is the most appropriate intervention to aid in the diagnosis of this case? A. Nitrazine test B. Non-Stress test C. Ultrasound D. Bimanual cervical exam Answer: C. Ultrasound QUESTION The common bacteria responsible for pneumonia in older adults residing in the community is: A. Staphylococcus aureus B. Streptococcus pneumoniae C. Pseudomonas Aeruginosa D. Moraxelle catarrhalis Answer: B. Strep Pneumo QUESTION A 40 year old male patient presents with a 2 week history of rectal pain and itching. He reports a past history of constipation, and finding spots of bright red blood on toilet paper several times a week. Rectal exam reveals a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. Which of the following actions should the nurse practitioner take? A. Prescribe diphenoxylate/atropine( Lomotil) B. Schedule a colonoscopy to rule out colon cancer C. Repeat the guaiac test three times and obtain complete blood count D. Prescribe bulk forming agents and hydrocortisone suppositories. Answer:

Content preview

AANPCBl FNPl Examl Reviewl V1l (Latestl
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)

Q:l Al 25-yearl oldl presentsl withl thel chiefl complaintl ofl decreasedl mobilityl andl painl ofl
thel rightl shoulderl exacerbatedl withl movement.l Thel patientl reportsl thatl hel participatedl
inl extensivel housel paintingl 24l hoursl priorl tol thel onsetl ofl pain.l Hel deniesl anyl trauma.l
Passivel ROMl isl intact.l Nol rednessl orl ecchymosisl isl present.l Whatl isl thel nextl stepl
thatl shouldl bel takenl inl orderl tol makel al diagnosis?l
A.l Palpatel structuresl aroundl thel shoulder
B.l Obtainl anl MRIl tol evaluatel thel shoulder
C.l Orderl anl Xrayl ofl thel shoulder
D.l Requestl anl EMG


Answer:
A.l Palpatel thel structuresl aroundl thel shoulder




Q:l Al 17l yearl oldl femlael hasl neverl hadl herl menses.l Shel isl atl Tannerl stagel IIIl ofl
sexuall development.l Herl physicall examl inl completelyl normal,l andl herl weightl isl
appropriatel forl herl agel andl height.l Whatl isl thel mostl likelyl diagnosis?l
A.l Ovarianl dysgenesis
B.l Dysmenorrhea
C.l Primaryl amenorrhea
D.l Secondaryl amenorrhea


Answer:
C.l Primaryl amenorrhea




Q:l Anl 18-monthl oldl childl presentsl withl al bulging,l immobilel tympanicl membrane;l T-
103F(39.4C).l Assessmentl alsol revealsl al gradel II/VIl systolicl murmurl atl thel leftl sternall

,border.l Afterl initiationl ofl treatmentl forl otitisl media,l thel mostl appropriatel interventionl isl
to:l
A.l Obtainl anl EKG
B.l Obtainl anl Echocardiogram
C.l Reevaluatel thel patientl inl 10l days
D.l Referl thel patientl tol al cardiologist


Answer:
C.l Reevaluatel thel patientl inl 10l days




Q:l Whichl ofl thel followingl isl NOTl anl indicationl ofl preeclampsia?
A.l visuall disturbances
B.l Glucosuria
C.l Edemal ofl thel facel andl hands
D.l Headaches


Answer:
B.l Glucosuria




Q:l Whichl ofl thel followingl pharmacotherapeuticsl wouldl bel mostl importantl tol
administerl tol al patientl whol hasl al corneall abrasion?l
A.l Olopatadinel (Patanol)
B.l Cromolynl opthalmicl (Crolom)
C.l Timololl (Timoptic)
D.l Gentamycinl Opthalmicl (Genoptic)


Answer:
D.l Gentamycinl Opthalmicl (Genoptic)




Q:l Anl 88l yearl oldl patientl presentsl withl right-sidedl weaknessl afterl beingl unablel tol
risel unassistedl followingl al falll tol thel bathrooml floor.l Historyl includesl aphasial andl
noncompliancel withl hypertensionl medicationl regimen.l Whatl isl thel mostl likelyl
diagnosis?l

,A.l Seizure
B.l Right-sidedl Stroke
C.l Left-sidedl stroke
D.l Transl ischemicl attack


Answer:
C.l Left-sidedl Stroke




Q:l Al nursel pracitionerl isl evaluatingl al 40l yearl oldl patientl suspectedl ofl havingl al
pulmonaryl embolus.l Thel patientl complainsl ofl anxietyl andl cough.l Al statl chestl x-rayl isl
normal.l Whichl ofl thel followingl testsl shouldl thel nursel practitionerl performl next?l
A.l Spirometry
B.l MRI
C.l Contrastl venography
D.l Helicall CTl pulmonaryl angiography


Answer:
D.l Helicall CTl pulmonaryl angiography




Q:l Al routinel laboratoryl assessmentl ofl al 12l yearl oldl patientl withl al familyl historyl ofl
thalassemial andl anemial revealsl Tannerl IIl presentationl andl Hct=355.l Inl additionl tol al
completel bloodl countl (CBC),l thel nursel practitionerl shouldl orderl whichl ofl thel
following?l
A.l seruml folicl acid
B.l Vitaminl B12l level
C.l Hemoglobinl Electrophoresis
D.l 24-hourl urinel creatinine


Answer:
C.l Hemoglobinl electrophoresis




Q:l Al patientl whol isl 28l weeksl pregnantl reportsl al singlel episodel ofl vaginall bleeding.l
Historyl indicatesl normall prenatall progressl tol date,l andl thel patientl deniesl pain,l vaginall

, itching,l orl discharge.l Whichl ofl thel followingl isl thel mostl appropriatel interventionl tol aidl
inl thel diagnosisl ofl thisl case?l
A.l Nitrazinel test
B.l Non-Stressl test
C.l Ultrasound
D.l Bimanuall cervicall exam


Answer:
C.l Ultrasound




Q:l Thel commonl bacterial responsiblel forl pneumonial inl olderl adultsl residingl inl thel
communityl is:l
A.l Staphylococcusl aureus
B.l Streptococcusl pneumoniae
C.l Pseudomonasl Aeruginosa
D.l Moraxellel catarrhalis


Answer:
B.l Strepl Pneumo




Q:l Al 40l yearl oldl malel patientl presentsl withl al 2l weekl historyl ofl rectall painl andl
itching.l Hel reportsl al pastl historyl ofl constipation,l andl findingl spotsl ofl brightl redl bloodl
onl toiletl paperl severall timesl al week.l Rectall examl revealsl al tender,l swollen,l bluish,l
ovoidl mass.l Thel stooll guaiacl testl isl negative.l Whichl ofl thel followingl actionsl shouldl
thel nursel practitionerl take?l
A.l Prescribel diphenoxylate/atropine(l Lomotil)
B.l Schedulel al colonoscopyl tol rulel outl colonl cancer
C.l Repeatl thel guaiacl testl threel timesl andl obtainl completel bloodl count
D.l Prescribel bulkl formingl agentsl andl hydrocortisonel suppositories.


Answer:
D.l Prescribel bulkl formingl agentsl andl hydrocortisonel suppositories.

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