AANPCBl FNPl Examl Prepl 1l (NEWl
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Anl olderl adultl male,l whol isl al 30-packsl al yearl smoker,l presentsl withl wheezingl andl
dyspnea.l Hisl chestl X-rayl showsl al flattenedl diaphragml andl anl increasedl retrosternall
chestl space.l Therel arel decreasedl vascularl markings.l Thel mostl likelyl diagnosisl is:
Selectl onlyl onel option.
A.l chronicl obstructivel pulmonaryl disease.
B.l asthma.
C.l exacerbationl ofl heartl failure.
D.l pneumonia.
Answer:
A.l
QUESTION
Al 4-year-oldl girll withl al historyl ofl recurrentl urinaryl tractl infectionsl returnsl forl follow-
upl afterl diagnosisl ofl thel mostl recentl infection.l Duringl thel physicall examination,l thel 4-
year-oldl tellsl thel nursel practitionerl thatl herl brother,l agel 9,l liesl onl topl ofl herl andl rubsl
hisl penisl nearl herl pubicl area.l Afterl completingl thel physicall examination,l thel nursel
practitionerl must:
Selectl onlyl onel option.
A.l referl thel childl tol thel EDl forl evaluation.
B.l reportl suspicionsl tol childl protectivel services.
C.l referl thel casel tol al pediatrician.
D.l suggestl psychologicall counseling.
Answer:
B.l
,QUESTION
Al patientl isl takingl warfarin,l 4l mgl dailyl forl atriall fibrillation.l Thel patient'sl currentl
Internationall Normalizedl Ratiol (INR)l isl 5.5l mg/dL.l Thel nursel practitionerl would:
Selectl onlyl onel option.
A.l holdl thel warfarinl forl 4l daysl andl thenl recheckl thel INR.
B.l increasel thel warfarinl tol 5l mgl daily.
C.l decreasel thel warfarinl tol 3l mgl daily.
D.l holdl thel warfarinl forl 1l dayl andl thenl recheckl inl twol days.
Answer:
D.l
QUESTION
Accordingl tol thel Americanl Diabetesl Association,l thel standardl forl determiningl thel
presencel ofl typel 2l diabetesl mellitusl basedl onl fastingl bloodl glucosel onl twol occasionsl
isl al valuel equall tol orl greaterl than:
Selectl onlyl onel option.
A.l 100l mg/dL.
B.l 126l mg/dL.
C.l 140l mg/dL.
D.l 180l mg/dL
Answer:
B.l
QUESTION
Al childl presentsl withl al bulging,l immobilel tympanicl membrane;l Tl =l 103°Fl (39.4°C).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:
Selectl onlyl onel option.
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
, QUESTION
Anl adultl patientl withl typel 2l diabetesl mellitusl returnsl atl thel nursel practitioner'sl requestl
tol discussl medicationl management.l Currentl medicationsl includel metforminl (Glucophage),l
1000l mgl twicel daily,l sitagliptinl (Januvia),l 10l mgl daily,l andl insulinl detemirl (Levemir),l
60l Ul daily.l Labl valuesl are:l A1cl =l 10.4%l [normall =l lessl thanl 7.0%],l fastingl bloodl
glucosel =l 180-190l mg/dLl rangel [normall =l lessl thanl 99l mg/dL].l Whichl ofl thel
followingl regimensl shouldl thel nursel practitionerl recommend?
Selectl onlyl onel option.
A.l Basall insulinl only,l continuingl orall medications
B.l Basall andl rapid-actingl insulin
C.l Switchingl tol glarginel (Lantus)
D.l Rapid-actingl insulinl only,l continuingl orall medications
Answer:
B.l
QUESTION
Whichl ofl thel followingl criterial differentiatesl al TIAl froml al stroke?
Selectl onlyl onel option.
A.l Focall symptoms
B.l Amnesial ofl incident
C.l Slownessl ofl onset
D.l Absencel ofl residuall symptoms
Answer:
D.l
QUESTION
Al commonl rulel tol followl whenl prescribingl manyl medicationsl forl thel elderlyl isl to:
Selectl onlyl onel option.
A.l givel mostl medicationsl inl thel morningl tol allowl slowedl bodyl functionsl tol havel timel
tol adjustl tol thel drug.
B.l startl atl al lowerl dosel thanl whatl isl commonlyl prescribedl forl adultsl andl increasel thel
dosel slowly.
C.l performl al creatininel clearancel testl forl baselinel datal onl alll personsl overl agel 70l
beforel startingl onl newl medications.
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Anl olderl adultl male,l whol isl al 30-packsl al yearl smoker,l presentsl withl wheezingl andl
dyspnea.l Hisl chestl X-rayl showsl al flattenedl diaphragml andl anl increasedl retrosternall
chestl space.l Therel arel decreasedl vascularl markings.l Thel mostl likelyl diagnosisl is:
Selectl onlyl onel option.
A.l chronicl obstructivel pulmonaryl disease.
B.l asthma.
C.l exacerbationl ofl heartl failure.
D.l pneumonia.
Answer:
A.l
QUESTION
Al 4-year-oldl girll withl al historyl ofl recurrentl urinaryl tractl infectionsl returnsl forl follow-
upl afterl diagnosisl ofl thel mostl recentl infection.l Duringl thel physicall examination,l thel 4-
year-oldl tellsl thel nursel practitionerl thatl herl brother,l agel 9,l liesl onl topl ofl herl andl rubsl
hisl penisl nearl herl pubicl area.l Afterl completingl thel physicall examination,l thel nursel
practitionerl must:
Selectl onlyl onel option.
A.l referl thel childl tol thel EDl forl evaluation.
B.l reportl suspicionsl tol childl protectivel services.
C.l referl thel casel tol al pediatrician.
D.l suggestl psychologicall counseling.
Answer:
B.l
,QUESTION
Al patientl isl takingl warfarin,l 4l mgl dailyl forl atriall fibrillation.l Thel patient'sl currentl
Internationall Normalizedl Ratiol (INR)l isl 5.5l mg/dL.l Thel nursel practitionerl would:
Selectl onlyl onel option.
A.l holdl thel warfarinl forl 4l daysl andl thenl recheckl thel INR.
B.l increasel thel warfarinl tol 5l mgl daily.
C.l decreasel thel warfarinl tol 3l mgl daily.
D.l holdl thel warfarinl forl 1l dayl andl thenl recheckl inl twol days.
Answer:
D.l
QUESTION
Accordingl tol thel Americanl Diabetesl Association,l thel standardl forl determiningl thel
presencel ofl typel 2l diabetesl mellitusl basedl onl fastingl bloodl glucosel onl twol occasionsl
isl al valuel equall tol orl greaterl than:
Selectl onlyl onel option.
A.l 100l mg/dL.
B.l 126l mg/dL.
C.l 140l mg/dL.
D.l 180l mg/dL
Answer:
B.l
QUESTION
Al childl presentsl withl al bulging,l immobilel tympanicl membrane;l Tl =l 103°Fl (39.4°C).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:
Selectl onlyl onel option.
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
, QUESTION
Anl adultl patientl withl typel 2l diabetesl mellitusl returnsl atl thel nursel practitioner'sl requestl
tol discussl medicationl management.l Currentl medicationsl includel metforminl (Glucophage),l
1000l mgl twicel daily,l sitagliptinl (Januvia),l 10l mgl daily,l andl insulinl detemirl (Levemir),l
60l Ul daily.l Labl valuesl are:l A1cl =l 10.4%l [normall =l lessl thanl 7.0%],l fastingl bloodl
glucosel =l 180-190l mg/dLl rangel [normall =l lessl thanl 99l mg/dL].l Whichl ofl thel
followingl regimensl shouldl thel nursel practitionerl recommend?
Selectl onlyl onel option.
A.l Basall insulinl only,l continuingl orall medications
B.l Basall andl rapid-actingl insulin
C.l Switchingl tol glarginel (Lantus)
D.l Rapid-actingl insulinl only,l continuingl orall medications
Answer:
B.l
QUESTION
Whichl ofl thel followingl criterial differentiatesl al TIAl froml al stroke?
Selectl onlyl onel option.
A.l Focall symptoms
B.l Amnesial ofl incident
C.l Slownessl ofl onset
D.l Absencel ofl residuall symptoms
Answer:
D.l
QUESTION
Al commonl rulel tol followl whenl prescribingl manyl medicationsl forl thel elderlyl isl to:
Selectl onlyl onel option.
A.l givel mostl medicationsl inl thel morningl tol allowl slowedl bodyl functionsl tol havel timel
tol adjustl tol thel drug.
B.l startl atl al lowerl dosel thanl whatl isl commonlyl prescribedl forl adultsl andl increasel thel
dosel slowly.
C.l performl al creatininel clearancel testl forl baselinel datal onl alll personsl overl agel 70l
beforel startingl onl newl medications.
