AANP FNP CERTIFICATION EXAM 2025 |150 QUESTIONS
WITH ACCURATE SOLUTIONS
1. Describe the significance of AV nicking in the context of hypertensive
retinopathy.
AV nicking indicates changes in the blood vessels due to
hypertension, suggesting mild retinopathy.
AV nicking is a sign of retinal detachment and requires immediate
intervention.
AV nicking is a normal finding in healthy individuals.
AV nicking is unrelated to hypertension and indicates diabetic
retinopathy.
2. Describe the role of urinalysis in diagnosing acute bacterial prostatitis.
Urinalysis assesses hormone levels.
Urinalysis measures kidney function.
Urinalysis helps identify the presence of bacteria
and inflammatory cells in the urine, indicating
infection.
Urinalysis detects cancer markers.
3. A patient with knee osteoarthritis is experiencing significant pain during
weight-bearing activities. Based on the provided information, which
exercise regimen would be most appropriate for them?
Non-weight bearing exercises such as swimming or using a
stationary bike.
, High-intensity interval training with weights.
Long-distance running to build
endurance.
, Heavy weight lifting to strengthen the knee.
4. What type of murmur is associated with mitral valve prolapse (MVP)?
Continuous murmur
Holosystolic murmur
Diastolic murmur
Systolic murmur
5. Osteoarthritis is characterized by____________.
joint laxity and instability
joint swelling and
redness
joint pain that improves over time
joint stiffness in the morning and after immobility
6. In a clinical scenario, if a patient presents with knee pain and a positive
McMurray's sign, what would be the most appropriate next step in
management?
Prescribing anti-inflammatory medication only.
Further imaging studies, such as an MRI, to confirm the diagnosis.
Referral to physical therapy without further evaluation.
Immediate surgical intervention without imaging.
7. Which of the following is a contraindication to an ACEi?
gout
sulfa allergy
, pregnancy
GFR > 60 mL/min
8. Select the criterion below that is used to help diagnose a patient with AIDS:
CD4 count > 1500 cells/mm3
Absence of opportunistic
infection Presence of
opportunistic infection WBC 9500
CD4 count <200 cells/mm3
9. What is the purpose of the heterophile antibody test in the context of
mono?
To evaluate blood glucose
levels To assess kidney health
To diagnose infectious mononucleosis
To measure liver function
10. If a child presents with sudden loud crying and a sausage-like mass in the
abdomen, what condition should be suspected and what immediate action
should be taken?
Constipation; suggest dietary changes.
Intussusception; immediate medical evaluation and intervention
are required.
Gastroenteritis; recommend hydration and rest.
Appendicitis; schedule for a routine check-
up.
WITH ACCURATE SOLUTIONS
1. Describe the significance of AV nicking in the context of hypertensive
retinopathy.
AV nicking indicates changes in the blood vessels due to
hypertension, suggesting mild retinopathy.
AV nicking is a sign of retinal detachment and requires immediate
intervention.
AV nicking is a normal finding in healthy individuals.
AV nicking is unrelated to hypertension and indicates diabetic
retinopathy.
2. Describe the role of urinalysis in diagnosing acute bacterial prostatitis.
Urinalysis assesses hormone levels.
Urinalysis measures kidney function.
Urinalysis helps identify the presence of bacteria
and inflammatory cells in the urine, indicating
infection.
Urinalysis detects cancer markers.
3. A patient with knee osteoarthritis is experiencing significant pain during
weight-bearing activities. Based on the provided information, which
exercise regimen would be most appropriate for them?
Non-weight bearing exercises such as swimming or using a
stationary bike.
, High-intensity interval training with weights.
Long-distance running to build
endurance.
, Heavy weight lifting to strengthen the knee.
4. What type of murmur is associated with mitral valve prolapse (MVP)?
Continuous murmur
Holosystolic murmur
Diastolic murmur
Systolic murmur
5. Osteoarthritis is characterized by____________.
joint laxity and instability
joint swelling and
redness
joint pain that improves over time
joint stiffness in the morning and after immobility
6. In a clinical scenario, if a patient presents with knee pain and a positive
McMurray's sign, what would be the most appropriate next step in
management?
Prescribing anti-inflammatory medication only.
Further imaging studies, such as an MRI, to confirm the diagnosis.
Referral to physical therapy without further evaluation.
Immediate surgical intervention without imaging.
7. Which of the following is a contraindication to an ACEi?
gout
sulfa allergy
, pregnancy
GFR > 60 mL/min
8. Select the criterion below that is used to help diagnose a patient with AIDS:
CD4 count > 1500 cells/mm3
Absence of opportunistic
infection Presence of
opportunistic infection WBC 9500
CD4 count <200 cells/mm3
9. What is the purpose of the heterophile antibody test in the context of
mono?
To evaluate blood glucose
levels To assess kidney health
To diagnose infectious mononucleosis
To measure liver function
10. If a child presents with sudden loud crying and a sausage-like mass in the
abdomen, what condition should be suspected and what immediate action
should be taken?
Constipation; suggest dietary changes.
Intussusception; immediate medical evaluation and intervention
are required.
Gastroenteritis; recommend hydration and rest.
Appendicitis; schedule for a routine check-
up.
