AANP FNP CERTIFICATION EXAM 2025|140 QUESTIONS WITH
ACCURATE SOLUTIONS
1. At what anatomical landmark is the fundus located at 20 weeks of
gestation?
Pelvic brim
Pubic symphysis
Umbilicus
Xiphoid process
2. Which of the following are considered contraindications of ARB's?
Bilateral renal artery stenosis (renal
disease) Previous angioedema while on
ARB
Pregnancy
All the above
3. If a patient with knee osteoarthritis is advised to avoid weight-bearing
activities, which of the following exercises would be most appropriate
for them?
Weightlifting
Swimming
Jumping rope
Running
,4. If the additional tests for iron and TIBC show low iron levels and high TIBC
in this infant, what would be the most likely diagnosis?
, Sickle cell anemia
Iron deficiency anemia
Aplastic anemia
Thalassemia
5. Which of the following is a potential long-term complication of
untreated Pelvic Inflammatory Disease (PID):
Amenorrhea
Infertility
Renal failure
Mittelschmerz
6. When counseling on male fertility tests, which of the following should the
pharmacists tell the patient may decrease sperm count?
Hormones
Stress
Exercise
High fever
All of the above
7. If a patient presents with lateralization to the right ear during the Weber test
and a Rinne test shows BC > AC in the right ear, what is the most likely
diagnosis?
Sensorineural hearing loss in the right ear
Mixed hearing loss in the left ear
, Normal hearing in both ears
Conductive hearing loss in the right ear
8. If a 6-month-old infant presents with a closed anterior fontanel and
developmental delays, what would be the most appropriate next step in
management?
Observation without intervention.
Further diagnostic imaging and evaluation.
Prescribing developmental therapy without further assessment.
Immediate referral to a pediatric surgeon.
9. For unilateral hearing loss. May have history of chronic ear infections. On
exam, cauliflower-like growth with foul-smelling ear discharge, no TM
visible. Mass is not cancerous but can erode into bones of face & damage
facial nerve (CN VII). Which condition most likely?
Bell's palsy
Otitis externa
Cholesteatoma
Trigeminal Neuralgia
10. In a patient presenting with stridor and difficulty breathing, how would you
utilize a lateral X-ray of the neck in your diagnostic approach?
I would order a lateral X-ray of the neck to evaluate for
potential airway obstruction due to croup or epiglottitis.
I would prescribe antibiotics without imaging.
I would perform a blood test to check for infections.
ACCURATE SOLUTIONS
1. At what anatomical landmark is the fundus located at 20 weeks of
gestation?
Pelvic brim
Pubic symphysis
Umbilicus
Xiphoid process
2. Which of the following are considered contraindications of ARB's?
Bilateral renal artery stenosis (renal
disease) Previous angioedema while on
ARB
Pregnancy
All the above
3. If a patient with knee osteoarthritis is advised to avoid weight-bearing
activities, which of the following exercises would be most appropriate
for them?
Weightlifting
Swimming
Jumping rope
Running
,4. If the additional tests for iron and TIBC show low iron levels and high TIBC
in this infant, what would be the most likely diagnosis?
, Sickle cell anemia
Iron deficiency anemia
Aplastic anemia
Thalassemia
5. Which of the following is a potential long-term complication of
untreated Pelvic Inflammatory Disease (PID):
Amenorrhea
Infertility
Renal failure
Mittelschmerz
6. When counseling on male fertility tests, which of the following should the
pharmacists tell the patient may decrease sperm count?
Hormones
Stress
Exercise
High fever
All of the above
7. If a patient presents with lateralization to the right ear during the Weber test
and a Rinne test shows BC > AC in the right ear, what is the most likely
diagnosis?
Sensorineural hearing loss in the right ear
Mixed hearing loss in the left ear
, Normal hearing in both ears
Conductive hearing loss in the right ear
8. If a 6-month-old infant presents with a closed anterior fontanel and
developmental delays, what would be the most appropriate next step in
management?
Observation without intervention.
Further diagnostic imaging and evaluation.
Prescribing developmental therapy without further assessment.
Immediate referral to a pediatric surgeon.
9. For unilateral hearing loss. May have history of chronic ear infections. On
exam, cauliflower-like growth with foul-smelling ear discharge, no TM
visible. Mass is not cancerous but can erode into bones of face & damage
facial nerve (CN VII). Which condition most likely?
Bell's palsy
Otitis externa
Cholesteatoma
Trigeminal Neuralgia
10. In a patient presenting with stridor and difficulty breathing, how would you
utilize a lateral X-ray of the neck in your diagnostic approach?
I would order a lateral X-ray of the neck to evaluate for
potential airway obstruction due to croup or epiglottitis.
I would prescribe antibiotics without imaging.
I would perform a blood test to check for infections.
