1|Page
AANP EXAM/ AANP STUDY GUIDE || 2025
ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker and
her hypertension is now adequately controlled with medication. Her mother died at
age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. ANSWER- A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). ANSWER- ibuprofen (advil)
,2|Page
A mother complains that her 3 mth old infant becomes constipated easily. Using
suppositories makes her fussy and have diarrhea stools. What is your
recommendation? ANSWER- Encourage adding 1-2 tsp Karo syrup to bottle BID.
Corn syrup will act as osmotic agent to increase water concentration of fecal
material, stimulating peristalsis which causes a BM.
Page 2 of 32
A father brings his AA to the NP because he has an umbilical hernia and wants to
know if that is normal at 3 y/o. The hernia is easily reducible and has not increased
in size. How do you respond? ANSWER- This is a normal finding in your child
and will probably resolve by 5 y/o. In the AA population it may remain until age 7.
UH is common is most populations up to 2 y/o.
Functions of aging ANSWER- Iron, folic acid, and Vit B-12 decreased absorption
/p 80 y/o. Loss of muscle mass in both genders but more common in men. Increase
of adipose tissue. Total body water decreases (increased risk for dehydration) and
metabolism and O2 consumption decreases (decreased O2 demand).
Benefits of hormone replacement therapy: ANSWER- Decreases LDL; raises
HDL. Unknown if it helps to prevent CAD.
,3|Page
Exercise advice for 42 y/o newly diagnosed DM. ANSWER- Snack prior to
exercise; Exercise most days of the week, but not if BS >300 mg/dl (may worsen
hyperglycemia due to insufficient insulin availability); improves CV fitness and
increases insulin secretion and glucose utilization.
Increases risk for hearing loss in child include: ANSWER- intrauterine infection
; LBW <1500 grams; family history of hearing loss; use of ototoxic drugs; head
trauma; viral meningitis; and hyperbilirubinemia.
Cri du chat ANSWER- AKA 5p- (5p minus) syndrome, is a chromosomal
condition that results when a piece of chromosome 5 is missing.
Symptoms:
Cry that is high-pitched and sounds like a cat Downward slant to the eyes
Page 3 of 32
Low birth weight and slow growth Low-set or abnormally shaped ears
Mental retardation (intellectual disability) Partial webbing or fusing of fingers or
toes Single line in the palm of the hand
Skin tags just in front of the ear
Slow or incomplete development of motor skills Small head (microcephaly)
Small jaw (micrognathia) Wide-set eyes
Physical exam reveals for Cri-Du-Chat Syndrome: ANSWER- PE may show:
Inguinal hernia
Diastasis recti (separatation of the muscles in the belly area) Low muscle tone
, 4|Page
Epicanthal folds, an extra fold of skin over the inner corner of the eye Problems
with the folding of the outer ears
Genetic tests can show a missing part of chromosome 5. Skull x-ray may reveal
any problems with the shape of the base of the skull.
Hypothyroidism in infants: ANSWER- Symptoms
Most affected infants have few or no symptoms. This is because their thyroid
hormone level is only slightly low. Infants with severe hypothyroidism often have
a unique appearance, including:
Dull look
Page 4 of 32
Puffy face
Thick tongue that sticks out
This appearance usually develops as the disease gets worse. Choking episodes
Constipation Dry, brittle hair Jaundice
Lack of muscle tone (floppy infant) Low hairline
Poor feeding Short height Sleepiness Sluggishness
Exams and test for infant hypothyroidism: ANSWER- A physical exam may
show:
Decreased muscle tone Failure to grow
Hoarse-sounding cry or voice Short arms and legs
Very large soft spots on the skull (fontanelles) Wide hands with short fingers
AANP EXAM/ AANP STUDY GUIDE || 2025
ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker and
her hypertension is now adequately controlled with medication. Her mother died at
age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. ANSWER- A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). ANSWER- ibuprofen (advil)
,2|Page
A mother complains that her 3 mth old infant becomes constipated easily. Using
suppositories makes her fussy and have diarrhea stools. What is your
recommendation? ANSWER- Encourage adding 1-2 tsp Karo syrup to bottle BID.
Corn syrup will act as osmotic agent to increase water concentration of fecal
material, stimulating peristalsis which causes a BM.
Page 2 of 32
A father brings his AA to the NP because he has an umbilical hernia and wants to
know if that is normal at 3 y/o. The hernia is easily reducible and has not increased
in size. How do you respond? ANSWER- This is a normal finding in your child
and will probably resolve by 5 y/o. In the AA population it may remain until age 7.
UH is common is most populations up to 2 y/o.
Functions of aging ANSWER- Iron, folic acid, and Vit B-12 decreased absorption
/p 80 y/o. Loss of muscle mass in both genders but more common in men. Increase
of adipose tissue. Total body water decreases (increased risk for dehydration) and
metabolism and O2 consumption decreases (decreased O2 demand).
Benefits of hormone replacement therapy: ANSWER- Decreases LDL; raises
HDL. Unknown if it helps to prevent CAD.
,3|Page
Exercise advice for 42 y/o newly diagnosed DM. ANSWER- Snack prior to
exercise; Exercise most days of the week, but not if BS >300 mg/dl (may worsen
hyperglycemia due to insufficient insulin availability); improves CV fitness and
increases insulin secretion and glucose utilization.
Increases risk for hearing loss in child include: ANSWER- intrauterine infection
; LBW <1500 grams; family history of hearing loss; use of ototoxic drugs; head
trauma; viral meningitis; and hyperbilirubinemia.
Cri du chat ANSWER- AKA 5p- (5p minus) syndrome, is a chromosomal
condition that results when a piece of chromosome 5 is missing.
Symptoms:
Cry that is high-pitched and sounds like a cat Downward slant to the eyes
Page 3 of 32
Low birth weight and slow growth Low-set or abnormally shaped ears
Mental retardation (intellectual disability) Partial webbing or fusing of fingers or
toes Single line in the palm of the hand
Skin tags just in front of the ear
Slow or incomplete development of motor skills Small head (microcephaly)
Small jaw (micrognathia) Wide-set eyes
Physical exam reveals for Cri-Du-Chat Syndrome: ANSWER- PE may show:
Inguinal hernia
Diastasis recti (separatation of the muscles in the belly area) Low muscle tone
, 4|Page
Epicanthal folds, an extra fold of skin over the inner corner of the eye Problems
with the folding of the outer ears
Genetic tests can show a missing part of chromosome 5. Skull x-ray may reveal
any problems with the shape of the base of the skull.
Hypothyroidism in infants: ANSWER- Symptoms
Most affected infants have few or no symptoms. This is because their thyroid
hormone level is only slightly low. Infants with severe hypothyroidism often have
a unique appearance, including:
Dull look
Page 4 of 32
Puffy face
Thick tongue that sticks out
This appearance usually develops as the disease gets worse. Choking episodes
Constipation Dry, brittle hair Jaundice
Lack of muscle tone (floppy infant) Low hairline
Poor feeding Short height Sleepiness Sluggishness
Exams and test for infant hypothyroidism: ANSWER- A physical exam may
show:
Decreased muscle tone Failure to grow
Hoarse-sounding cry or voice Short arms and legs
Very large soft spots on the skull (fontanelles) Wide hands with short fingers
