AANPCBl FNPl Examl Prepl 6l (NEWl
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Al 70-year-oldl malel presentsl withl paresthesial ofl thel lowerl extremities.l Onl examination,l
thel patientl appearsl palel andl showsl al decreasedl vibratoryl sense.l Laboratoryl testsl reveall
elevatedl indirectl bilirubin;l Hctl =l 30%;l meanl corpuscularl volumel (MCV)l =l 120l µm3l
[normall =l 87-103l µm3].l Thel mostl likelyl diagnosisl is:
Answer:
perniciousl anemia
QUESTION
Al 14-year-oldl patientl whol felll onl anl outstretchedl handl complainsl ofl proximall forearml
pain.l X-rayl revealsl al positivel fatl padl sign,l andl thel patientl isl unablel tol fullyl extendl
thel elbow.l Nol definitivel bonyl changesl arel seenl onl X-ray.l Thel mostl likelyl workingl
diagnosisl is:
Answer:
radiall headl fracture
QUESTION
Al 72-year-oldl femalel presentsl withl al medicall historyl unremarkablel exceptl forl thel
occasionall headache.l Shel enjoyedl emotionall healthl throughoutl marriagel andl childrearing,l
althoughl herl familyl historyl isl significantl forl strokesl andl nervousl breakdowns.l Sincel herl
husbandl diedl al yearl ago,l however,l shel hasl beenl wakingl everyl morningl atl 3:00l A.M.,l
isl reluctantl tol gol outl althoughl shel hasl familyl membersl livingl nearby,l andl feelsl al
continuall urgel tol sleep.l Shel cannotl discussl herl latel husbandl withoutl crying.l Differentiall
diagnosesl wouldl include:
,Answer:
depression,l unresolvedl grief,l andl hypothyroidism.
QUESTION
Al 66-year-oldl patientl presentsl withl bilaterall otitisl medial withl effusionl andl whitel
patchesl inl thel mouthl thatl dol notl rubl offl whenl wipedl withl al 4l ×l 4.l Thel patientl
shouldl bel evaluatedl for:
Answer:
HIVl infection
QUESTION
Al 17-year-oldl femalel hasl neverl hadl herl menses.l Shel isl atl Tannerl stagel IIIl ofl sexuall
development.l Herl physicall examinationl isl completelyl normal,l andl herl weightl isl
appropriatel forl herl agel andl height.l Whatl isl thel mostl likelyl diagnosis?
Answer:
Primaryl amenorrhea
QUESTION
Accordingl tol thel Americanl Diabetesl Association,l thel newestl standardl forl determiningl
thel presencel ofl diabetesl mellitusl basedl onl fastingl plasmal sugarl levell isl al valuel equall
tol orl greaterl than:
Answer:
126l mg/dL.
QUESTION
, Al 38-year-oldl malel experiencesl al suddenl onsetl ofl acutel abdominall painl radiatingl tol hisl
groin.l Hel isl havingl difficultyl walkingl andl isl nauseated.l Hel deniesl anyl traumal orl
previousl groinl injuries.l Examinationl revealsl diffusel swellingl ofl thel leftl testiclel andl
negativel cremastericl reflex.l Thel mostl likelyl diagnosisl is:
Answer:
testicularl torsion.
QUESTION
Al 10-month-oldl presentsl withl al rash,l runnyl nose,l andl cough.l Examinationl revealsl al
clusterl ofl tinyl whitel papulesl withl anl erythematousl basel onl thel buccall mucosa.l Whatl
doesl thisl suggest?
Answer:
Measles
QUESTION
Thel parentl ofl al 13-year-oldl diagnosedl withl seizurel disorderl callsl tol reportl thatl thel
childl isl exhibitingl symptomsl ofl al cold,l butl hasl nol fever.l Thel nursel practitionerl shouldl
advisel thel parentl thatl thel developmentl ofl feverl may:
Answer:
lowerl thel seizurel threshold.
QUESTION
Afterl al 3-weekl campingl trip,l anl 11-year-oldl isl seenl forl al targetl lesionl withl centrall
clearing,l locatedl inl thel inguinall area.l Thel patientl hasl hadl al severel headache,l malaise,l
fatigue,l andl generalizedl musculoskeletall painl forl severall days.l Pharmacologicl
managementl ofl thisl conditionl includes:
Answer:
doxycyclinel (Doryx).
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Al 70-year-oldl malel presentsl withl paresthesial ofl thel lowerl extremities.l Onl examination,l
thel patientl appearsl palel andl showsl al decreasedl vibratoryl sense.l Laboratoryl testsl reveall
elevatedl indirectl bilirubin;l Hctl =l 30%;l meanl corpuscularl volumel (MCV)l =l 120l µm3l
[normall =l 87-103l µm3].l Thel mostl likelyl diagnosisl is:
Answer:
perniciousl anemia
QUESTION
Al 14-year-oldl patientl whol felll onl anl outstretchedl handl complainsl ofl proximall forearml
pain.l X-rayl revealsl al positivel fatl padl sign,l andl thel patientl isl unablel tol fullyl extendl
thel elbow.l Nol definitivel bonyl changesl arel seenl onl X-ray.l Thel mostl likelyl workingl
diagnosisl is:
Answer:
radiall headl fracture
QUESTION
Al 72-year-oldl femalel presentsl withl al medicall historyl unremarkablel exceptl forl thel
occasionall headache.l Shel enjoyedl emotionall healthl throughoutl marriagel andl childrearing,l
althoughl herl familyl historyl isl significantl forl strokesl andl nervousl breakdowns.l Sincel herl
husbandl diedl al yearl ago,l however,l shel hasl beenl wakingl everyl morningl atl 3:00l A.M.,l
isl reluctantl tol gol outl althoughl shel hasl familyl membersl livingl nearby,l andl feelsl al
continuall urgel tol sleep.l Shel cannotl discussl herl latel husbandl withoutl crying.l Differentiall
diagnosesl wouldl include:
,Answer:
depression,l unresolvedl grief,l andl hypothyroidism.
QUESTION
Al 66-year-oldl patientl presentsl withl bilaterall otitisl medial withl effusionl andl whitel
patchesl inl thel mouthl thatl dol notl rubl offl whenl wipedl withl al 4l ×l 4.l Thel patientl
shouldl bel evaluatedl for:
Answer:
HIVl infection
QUESTION
Al 17-year-oldl femalel hasl neverl hadl herl menses.l Shel isl atl Tannerl stagel IIIl ofl sexuall
development.l Herl physicall examinationl isl completelyl normal,l andl herl weightl isl
appropriatel forl herl agel andl height.l Whatl isl thel mostl likelyl diagnosis?
Answer:
Primaryl amenorrhea
QUESTION
Accordingl tol thel Americanl Diabetesl Association,l thel newestl standardl forl determiningl
thel presencel ofl diabetesl mellitusl basedl onl fastingl plasmal sugarl levell isl al valuel equall
tol orl greaterl than:
Answer:
126l mg/dL.
QUESTION
, Al 38-year-oldl malel experiencesl al suddenl onsetl ofl acutel abdominall painl radiatingl tol hisl
groin.l Hel isl havingl difficultyl walkingl andl isl nauseated.l Hel deniesl anyl traumal orl
previousl groinl injuries.l Examinationl revealsl diffusel swellingl ofl thel leftl testiclel andl
negativel cremastericl reflex.l Thel mostl likelyl diagnosisl is:
Answer:
testicularl torsion.
QUESTION
Al 10-month-oldl presentsl withl al rash,l runnyl nose,l andl cough.l Examinationl revealsl al
clusterl ofl tinyl whitel papulesl withl anl erythematousl basel onl thel buccall mucosa.l Whatl
doesl thisl suggest?
Answer:
Measles
QUESTION
Thel parentl ofl al 13-year-oldl diagnosedl withl seizurel disorderl callsl tol reportl thatl thel
childl isl exhibitingl symptomsl ofl al cold,l butl hasl nol fever.l Thel nursel practitionerl shouldl
advisel thel parentl thatl thel developmentl ofl feverl may:
Answer:
lowerl thel seizurel threshold.
QUESTION
Afterl al 3-weekl campingl trip,l anl 11-year-oldl isl seenl forl al targetl lesionl withl centrall
clearing,l locatedl inl thel inguinall area.l Thel patientl hasl hadl al severel headache,l malaise,l
fatigue,l andl generalizedl musculoskeletall painl forl severall days.l Pharmacologicl
managementl ofl thisl conditionl includes:
Answer:
doxycyclinel (Doryx).
