AANP Board Exam 2025 | American Association of Nurse Practitioners
Board Exam | Advanced Clinical Assessment, Diagnostics, Treatment
Planning, and Evidence-Based Practice for Nurse Practitioner
Certification
A 68-year-old woman has been admitted to the hospital suffering from peripheral
vascular disease (PVD). You check her medical records for predisposing factors.
You recognize that all of the following are predisposing factors EXCEPT:
arteriosclerosis
advanced age
a history of renal problems
valvular incompetence ---------CORRECT ANSWER-----------------Correct answer:
a history of renal problems
A predisposing factor for PVD is a history of deep vein thrombosis (DVT). All of
the other choices are valid predisposing factors.
Which of the following is NOT an indication of impaired skin integrity?
A mole with irregular borders.
Bruises in various stages of healing.
Cuts in various stages of healing.
A navel piercing more than a year old. ---------CORRECT ANSWER-----------------
Correct Answer:
,A navel piercing more than a year old.
Unless the piercing is marked by scabbing or other evidence of trauma, it is not
evidence of impaired skin integrity. Tattoos and other body modifications
should be noted in the patient's assessment, but they are not in themselves
cause for concern.
You are determining the peak expiratory flow (PEF) for a 67-year-old female
patient who suffers from asthma. Which of the following is NOT a factor in
determining peak expiratory flow (PEF) for this patient?
age
height
weight
gender ---------CORRECT ANSWER-----------------Correct Answer:
weight
Weight is not a factor in determining PEF. The PEF is based on height (H), age,
(A), and gender (G) - HAG.
Upon examination of a patient with a heart murmur, you hear a grade 1-3/6 late
systolic crescendo murmur with a honking quality. This is most likely indicative of
which of the following?
,pulmonary hypertension
mitral regurgitation
mitral valve prolapse
aortic sclerosis ---------CORRECT ANSWER-----------------Correct Answer:
mitral valve prolapse
In a patient with mitral valve prolapse, you would hear a grade 1-3/6 late
systolic crescendo murmur with a honking quality. This is best heard at the apex
of the heart. The murmur follows a mid-systolic click.
Mrs. Layden is a 56-year-old female patient who is complaining of facial pain that
she says begins on the side of her mouth and then shoots up toward her ear. You
suspect which of the following?
cluster headaches
facial migraine
herpes zoster
trigeminal neuralgia ---------CORRECT ANSWER-----------------Correct Answer:
trigeminal neuralgia
, Trigeminal neuralgia is a recurrent unilateral facial pain syndrome. It most often
affects the maxillary division of the trigeminal nerve. Patients complain of pain
on one side of the face and may have a small degree of numbness.
What is the recommended level for LDL for healthy adults?
<100 mg/dL.
<130 mg/dL.
>40 mg/dL.
<200 mg/dL. ---------CORRECT ANSWER-----------------Correct answer:
<100 mg/dL
Expert panels have established several limits for lipid levels. For low density
lipoprotein (LDL), the level is <100 mg/dL for adults. More that this amount
places the individual at risk for cardiovascular disease.
Your patient complains of constipation. Your examination reveals no flatus,
abdominal distention, and an absence of bowel sounds. Which of the following is
the most likely cause?
bowel ischemia
volvulus
diverticular disease
bowel obstruction ---------CORRECT ANSWER-----------------Correct Answer:
Board Exam | Advanced Clinical Assessment, Diagnostics, Treatment
Planning, and Evidence-Based Practice for Nurse Practitioner
Certification
A 68-year-old woman has been admitted to the hospital suffering from peripheral
vascular disease (PVD). You check her medical records for predisposing factors.
You recognize that all of the following are predisposing factors EXCEPT:
arteriosclerosis
advanced age
a history of renal problems
valvular incompetence ---------CORRECT ANSWER-----------------Correct answer:
a history of renal problems
A predisposing factor for PVD is a history of deep vein thrombosis (DVT). All of
the other choices are valid predisposing factors.
Which of the following is NOT an indication of impaired skin integrity?
A mole with irregular borders.
Bruises in various stages of healing.
Cuts in various stages of healing.
A navel piercing more than a year old. ---------CORRECT ANSWER-----------------
Correct Answer:
,A navel piercing more than a year old.
Unless the piercing is marked by scabbing or other evidence of trauma, it is not
evidence of impaired skin integrity. Tattoos and other body modifications
should be noted in the patient's assessment, but they are not in themselves
cause for concern.
You are determining the peak expiratory flow (PEF) for a 67-year-old female
patient who suffers from asthma. Which of the following is NOT a factor in
determining peak expiratory flow (PEF) for this patient?
age
height
weight
gender ---------CORRECT ANSWER-----------------Correct Answer:
weight
Weight is not a factor in determining PEF. The PEF is based on height (H), age,
(A), and gender (G) - HAG.
Upon examination of a patient with a heart murmur, you hear a grade 1-3/6 late
systolic crescendo murmur with a honking quality. This is most likely indicative of
which of the following?
,pulmonary hypertension
mitral regurgitation
mitral valve prolapse
aortic sclerosis ---------CORRECT ANSWER-----------------Correct Answer:
mitral valve prolapse
In a patient with mitral valve prolapse, you would hear a grade 1-3/6 late
systolic crescendo murmur with a honking quality. This is best heard at the apex
of the heart. The murmur follows a mid-systolic click.
Mrs. Layden is a 56-year-old female patient who is complaining of facial pain that
she says begins on the side of her mouth and then shoots up toward her ear. You
suspect which of the following?
cluster headaches
facial migraine
herpes zoster
trigeminal neuralgia ---------CORRECT ANSWER-----------------Correct Answer:
trigeminal neuralgia
, Trigeminal neuralgia is a recurrent unilateral facial pain syndrome. It most often
affects the maxillary division of the trigeminal nerve. Patients complain of pain
on one side of the face and may have a small degree of numbness.
What is the recommended level for LDL for healthy adults?
<100 mg/dL.
<130 mg/dL.
>40 mg/dL.
<200 mg/dL. ---------CORRECT ANSWER-----------------Correct answer:
<100 mg/dL
Expert panels have established several limits for lipid levels. For low density
lipoprotein (LDL), the level is <100 mg/dL for adults. More that this amount
places the individual at risk for cardiovascular disease.
Your patient complains of constipation. Your examination reveals no flatus,
abdominal distention, and an absence of bowel sounds. Which of the following is
the most likely cause?
bowel ischemia
volvulus
diverticular disease
bowel obstruction ---------CORRECT ANSWER-----------------Correct Answer:
