ADVANCED PRACTICE NURSING BOARD { AANP/ANCC} REVIEW
–HEALTH, INFECTIOUS DISEASES, AND UROLOGICAL
DISORDERS – MULTIPLE CHOICE QUESTIONS WITH ANSWERS
(USA, 2025)
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever
102.8, R. pleuretic pain, and green sputum. which of the following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion - CORRECT ANSWER-A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best
indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy - CORRECT ANSWER-c) The child
quickly begins using arm to pick up toy
An adolescent female patient calls the clinic because she forgot to take her birth control pill
yesterday. She is on the last 4 pills of the pack. Which is the best next step for her to take?
a) discard pack and start new one
b)take double dose today and back to 1 tomorrow
c)skip a week and start on monday
d)continue taking as prescribed - CORRECT ANSWER-d)continue taking as precribed
Which risk factor should be considered a contraindication when prescribing an oral contraceptive?
a) under the age of 18
b) hypertension dx
c)smokes 2 ppd
d)one month postpartum - CORRECT ANSWER-c) smokes 2 ppd
,What would you suspect in a young adult patient who has strawberry patches on her cervix, with
yellowish-green vaginal discharge and dyspareunia?
a) bacterial vaginosis
b) trichomoniasis
c)chlamydia
d)candiasis - CORRECT ANSWER-b)trichomoniasis
Which is incorrect regarding the use of a vaginal diaphragm?
a)increased risk of UTI
b)condoms must be worn to prevent STDs
c) must be refitted if weight gain
d)must be left in place for 6 hours after intercourse - CORRECT ANSWER-c) must be refitted if
weight gain
A healthy adolescent female patient asks the nurse practitioner about when she needs her first pap
smear
a)within 3 years after onset sexual activity, but no later than 21 years of age
b) when menses begins
c)21 years of age
d)whenever becomes sexually active - CORRECT ANSWER-c) 21 years of age
What of the following is not considered a risk factor for placental abruption?
a)HTN
b)age
c)smoking
d)obesity - CORRECT ANSWER-d)obesity
The nurse practitioner sees a 32-year-old woman in the clinic with a history of an abnormal
Papanicolaou (Pap) test. She is human papillomavirus (HPV) positive. The patient had a follow-up
colposcopy which was negative for cervical intraepithelial neoplasia (CIN). When is the next
recommended Pap test due?
a)3 mo
, b)6mo
c)3 years
d)12 months - CORRECT ANSWER-d)12 months
A 16-year-old gymnast has stopped menstruating this year after having normal cycles from age 12 to
15. Which is the likely diagnosis?
a)primary amenorrhea
b) secondary amenorrhea
c)anorexia
d)hypothyroidism - CORRECT ANSWER-b) secondary amenorrhea
Which of the following medications and dosing is included in a treatment option for gonorrhea?
a)ceftriaxone
b)azithromycin
c)rocephin
d)doxycycline - CORRECT ANSWER-a)ceftriaxone
The nurse practitioner recognizes that the most common cause of epididymitis in a young man is:
a) ecoli
b)proteus
c)mycoplasma
d)chlamydia - CORRECT ANSWER-d)chlamydia
What are the expected microscopic and pH findings in an adult female patient with white, clumpy,
cottage cheese-like vaginal discharge?
a)hyphae and PH >4.5
b)clue cells and PH <4.5
c)hyphae and PH <4.5
d)clue cells and PH >4.5 - CORRECT ANSWER-c)hyphae and PH <4.5
–HEALTH, INFECTIOUS DISEASES, AND UROLOGICAL
DISORDERS – MULTIPLE CHOICE QUESTIONS WITH ANSWERS
(USA, 2025)
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever
102.8, R. pleuretic pain, and green sputum. which of the following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion - CORRECT ANSWER-A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best
indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy - CORRECT ANSWER-c) The child
quickly begins using arm to pick up toy
An adolescent female patient calls the clinic because she forgot to take her birth control pill
yesterday. She is on the last 4 pills of the pack. Which is the best next step for her to take?
a) discard pack and start new one
b)take double dose today and back to 1 tomorrow
c)skip a week and start on monday
d)continue taking as prescribed - CORRECT ANSWER-d)continue taking as precribed
Which risk factor should be considered a contraindication when prescribing an oral contraceptive?
a) under the age of 18
b) hypertension dx
c)smokes 2 ppd
d)one month postpartum - CORRECT ANSWER-c) smokes 2 ppd
,What would you suspect in a young adult patient who has strawberry patches on her cervix, with
yellowish-green vaginal discharge and dyspareunia?
a) bacterial vaginosis
b) trichomoniasis
c)chlamydia
d)candiasis - CORRECT ANSWER-b)trichomoniasis
Which is incorrect regarding the use of a vaginal diaphragm?
a)increased risk of UTI
b)condoms must be worn to prevent STDs
c) must be refitted if weight gain
d)must be left in place for 6 hours after intercourse - CORRECT ANSWER-c) must be refitted if
weight gain
A healthy adolescent female patient asks the nurse practitioner about when she needs her first pap
smear
a)within 3 years after onset sexual activity, but no later than 21 years of age
b) when menses begins
c)21 years of age
d)whenever becomes sexually active - CORRECT ANSWER-c) 21 years of age
What of the following is not considered a risk factor for placental abruption?
a)HTN
b)age
c)smoking
d)obesity - CORRECT ANSWER-d)obesity
The nurse practitioner sees a 32-year-old woman in the clinic with a history of an abnormal
Papanicolaou (Pap) test. She is human papillomavirus (HPV) positive. The patient had a follow-up
colposcopy which was negative for cervical intraepithelial neoplasia (CIN). When is the next
recommended Pap test due?
a)3 mo
, b)6mo
c)3 years
d)12 months - CORRECT ANSWER-d)12 months
A 16-year-old gymnast has stopped menstruating this year after having normal cycles from age 12 to
15. Which is the likely diagnosis?
a)primary amenorrhea
b) secondary amenorrhea
c)anorexia
d)hypothyroidism - CORRECT ANSWER-b) secondary amenorrhea
Which of the following medications and dosing is included in a treatment option for gonorrhea?
a)ceftriaxone
b)azithromycin
c)rocephin
d)doxycycline - CORRECT ANSWER-a)ceftriaxone
The nurse practitioner recognizes that the most common cause of epididymitis in a young man is:
a) ecoli
b)proteus
c)mycoplasma
d)chlamydia - CORRECT ANSWER-d)chlamydia
What are the expected microscopic and pH findings in an adult female patient with white, clumpy,
cottage cheese-like vaginal discharge?
a)hyphae and PH >4.5
b)clue cells and PH <4.5
c)hyphae and PH <4.5
d)clue cells and PH >4.5 - CORRECT ANSWER-c)hyphae and PH <4.5
