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AANPCB FNP EXAM 1 QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)
(2026/ 2027 UPDATE)
1. A young adult patient experiences a sudden onset of acute abdominal pain
radiating to the groin. The patient denies trauma or previous groin injuries.
Examination reveals diffuse swelling of the left testicle and absence of the
cremasteric reflex. The most likely diagnosis is:
A. Testicular cancer
B. Testicular torsion
C. Appendicitis
D. Epididymitis
CORRECT ANSWER: B. Testicular torsion
Rationale: Testicular torsion presents with sudden, severe scrotal pain that may
radiate to the groin or abdomen. Physical findings include a swollen, tender
testicle and absence of the cremasteric reflex (ipsilateral). This is a surgical
emergency requiring immediate urologic consultation.
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2. An older adult patient presents with right-sided weakness after being unable to
rise unassisted following a fall in the bathroom. History includes noncompliance
with hypertension medication. Which of the following is the most likely
diagnosis?
A. Seizure
B. Right-sided stroke
C. Left-sided stroke
D. Transient ischemic attack
CORRECT ANSWER: C. Left-sided stroke
Rationale: A left-sided stroke (cerebrovascular accident affecting the left
hemisphere) typically causes right-sided hemiparesis or weakness. The patient's
history of uncontrolled hypertension is a major risk factor for stroke. The inability
to rise after a fall suggests acute onset of motor deficit.
3. Which of the following herbal remedies is most commonly used to relieve
migraines and menstrual cramps?
A. Ephedra
B. Echinacea
C. Feverfew
D. Ginkgo biloba
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CORRECT ANSWER: C. Feverfew
Rationale: Feverfew (Tanacetum parthenium) is an herbal remedy commonly
used for migraine headache prevention and relief of menstrual cramps. It
contains parthenolide, which may inhibit prostaglandin synthesis and platelet
aggregation. Evidence for efficacy is limited but it remains a popular
complementary therapy.
4. Research findings have shown that, to improve the longevity of a patient with
COPD, the treatment of choice is:
A. Oxygen
B. Anticholinergics
C. Systemic steroids
D. Bronchodilators
CORRECT ANSWER: A. Oxygen
Rationale: Long-term oxygen therapy (>15 hours/day) in hypoxemic COPD
patients has been shown to improve survival. The landmark Nocturnal Oxygen
Therapy Trial and British Medical Research Council studies demonstrated reduced
mortality with continuous oxygen use in patients with resting hypoxemia (PaO2
≤55 mmHg).
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5. A middle-aged adult with cardiovascular disease is on pravastatin (Pravachol) 80
mg daily, and their LDL is 200 mg/dL. The nurse practitioner should add:
A. Fenofibrate (Tricor) 120 mg daily
B. Colesevelam (Welchol) 3,750 mg daily
C. Ezetimibe (Zetia) 10 mg daily
D. Fish liver oil 600 mg daily
CORRECT ANSWER: C. Ezetimibe (Zetia) 10 mg daily
Rationale: With maximally tolerated statin therapy and persistently elevated LDL
(>190 mg/dL or above goal), adding ezetimibe is recommended for additional LDL
reduction. Ezetimibe inhibits intestinal cholesterol absorption and lowers LDL by
approximately 15-20%.
6. A patient with type 2 diabetes, hypertension, and coronary artery disease is on
insulin and a beta-blocker. Which symptom is most indicative of hypoglycemia
in this patient?
A. Edema
B. Bradycardia
C. Palpitations
D. Blurred vision
CORRECT ANSWER: D. Blurred vision
AANPCB FNP EXAM 1 QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)
(2026/ 2027 UPDATE)
1. A young adult patient experiences a sudden onset of acute abdominal pain
radiating to the groin. The patient denies trauma or previous groin injuries.
Examination reveals diffuse swelling of the left testicle and absence of the
cremasteric reflex. The most likely diagnosis is:
A. Testicular cancer
B. Testicular torsion
C. Appendicitis
D. Epididymitis
CORRECT ANSWER: B. Testicular torsion
Rationale: Testicular torsion presents with sudden, severe scrotal pain that may
radiate to the groin or abdomen. Physical findings include a swollen, tender
testicle and absence of the cremasteric reflex (ipsilateral). This is a surgical
emergency requiring immediate urologic consultation.
,2|Page
2. An older adult patient presents with right-sided weakness after being unable to
rise unassisted following a fall in the bathroom. History includes noncompliance
with hypertension medication. Which of the following is the most likely
diagnosis?
A. Seizure
B. Right-sided stroke
C. Left-sided stroke
D. Transient ischemic attack
CORRECT ANSWER: C. Left-sided stroke
Rationale: A left-sided stroke (cerebrovascular accident affecting the left
hemisphere) typically causes right-sided hemiparesis or weakness. The patient's
history of uncontrolled hypertension is a major risk factor for stroke. The inability
to rise after a fall suggests acute onset of motor deficit.
3. Which of the following herbal remedies is most commonly used to relieve
migraines and menstrual cramps?
A. Ephedra
B. Echinacea
C. Feverfew
D. Ginkgo biloba
,3|Page
CORRECT ANSWER: C. Feverfew
Rationale: Feverfew (Tanacetum parthenium) is an herbal remedy commonly
used for migraine headache prevention and relief of menstrual cramps. It
contains parthenolide, which may inhibit prostaglandin synthesis and platelet
aggregation. Evidence for efficacy is limited but it remains a popular
complementary therapy.
4. Research findings have shown that, to improve the longevity of a patient with
COPD, the treatment of choice is:
A. Oxygen
B. Anticholinergics
C. Systemic steroids
D. Bronchodilators
CORRECT ANSWER: A. Oxygen
Rationale: Long-term oxygen therapy (>15 hours/day) in hypoxemic COPD
patients has been shown to improve survival. The landmark Nocturnal Oxygen
Therapy Trial and British Medical Research Council studies demonstrated reduced
mortality with continuous oxygen use in patients with resting hypoxemia (PaO2
≤55 mmHg).
, 4|Page
5. A middle-aged adult with cardiovascular disease is on pravastatin (Pravachol) 80
mg daily, and their LDL is 200 mg/dL. The nurse practitioner should add:
A. Fenofibrate (Tricor) 120 mg daily
B. Colesevelam (Welchol) 3,750 mg daily
C. Ezetimibe (Zetia) 10 mg daily
D. Fish liver oil 600 mg daily
CORRECT ANSWER: C. Ezetimibe (Zetia) 10 mg daily
Rationale: With maximally tolerated statin therapy and persistently elevated LDL
(>190 mg/dL or above goal), adding ezetimibe is recommended for additional LDL
reduction. Ezetimibe inhibits intestinal cholesterol absorption and lowers LDL by
approximately 15-20%.
6. A patient with type 2 diabetes, hypertension, and coronary artery disease is on
insulin and a beta-blocker. Which symptom is most indicative of hypoglycemia
in this patient?
A. Edema
B. Bradycardia
C. Palpitations
D. Blurred vision
CORRECT ANSWER: D. Blurred vision
