1
AANP FNP Certification 2025 – 200
Actual Exam Questions with Correct
Verified Answers | A Grade
Guaranteed
Primary Care (40 Questions)
1. A 45-year-old male presents with chest pain radiating to the left arm. What is the first
action?
a. Administer aspirin
b. Perform a 12-lead ECG
c. Order a chest X-ray
d. Prescribe nitroglycerin
Rationale: A 12-lead ECG is critical to assess for acute coronary syndrome, per 2025
AANP FNP guidelines.
2. A 30-year-old female reports irregular menses and weight gain. Which condition is most
likely?
a. Hypothyroidism
b. Polycystic ovary syndrome
c. Hyperthyroidism
d. Cushing’s syndrome
Rationale: Irregular menses and weight gain are hallmark symptoms of PCOS, per 2025
AANP guidelines.
3. NGN Select All That Apply: A 50-year-old male with hypertension is starting lifestyle
modifications. Which are appropriate?
a. Reduce sodium intake
b. Increase saturated fat consumption
c. Engage in 150 minutes of aerobic exercise weekly
d. Limit alcohol to one drink per day
Correct Answers: a, c, d
Rationale: Sodium reduction, aerobic exercise, and alcohol limitation are evidence-based
for hypertension management, per 2025 AANP guidelines.
4. A 60-year-old female reports urinary incontinence when coughing. Which type is most
likely?
a. Urge incontinence
b. Stress incontinence
c. Overflow incontinence
d. Functional incontinence
, 2
Rationale: Stress incontinence is associated with increased intra-abdominal pressure, per
2025 AANP guidelines.
5. A 35-year-old male with a BMI of 32 is diagnosed with type 2 diabetes. What is the first-
line medication?
a. Insulin
b. Metformin
c. Sulfonylurea
d. DPP-4 inhibitor
Rationale: Metformin is the first-line treatment for type 2 diabetes, per 2025 AANP
guidelines.
6. A 28-year-old female presents with fatigue and cold intolerance. Which lab test is
priority?
a. Complete blood count
b. TSH
c. Fasting glucose
d. Lipid panel
Rationale: TSH assesses for hypothyroidism, a common cause of fatigue and cold
intolerance, per 2025 AANP guidelines.
7. NGN Case Study: A 55-year-old male presents with sudden-onset right foot pain after a
heavy meal. Synovial fluid shows monosodium urate crystals.
Question: What is the best initial treatment? (Fill-in-the-blank)
Correct Answer: Colchicine
Rationale: Colchicine is the first-line treatment for acute gout, per 2025 AANP
guidelines.
8. A 40-year-old male with a history of smoking reports a chronic cough. What is the most
likely diagnosis?
a. Asthma
b. Chronic obstructive pulmonary disease
c. Pneumonia
d. Lung cancer
Rationale: Chronic cough in a smoker suggests COPD, per 2025 AANP guidelines.
9. A 25-year-old female presents with dysuria and frequency. What is the first-line
treatment for uncomplicated UTI?
a. Ciprofloxacin
b. Nitrofurantoin
c. Amoxicillin
d. Doxycycline
Rationale: Nitrofurantoin is the first-line treatment for uncomplicated UTI, per 2025
AANP guidelines.
10. A 50-year-old female reports heavy menstrual bleeding. Which test is priority?
a. Pelvic ultrasound
b. Complete blood count
c. Thyroid function tests
d. Progesterone levels
Rationale: A CBC assesses for anemia due to heavy bleeding, per 2025 AANP
guidelines.
, 3
11. A 62-year-old male with hypertension has a BP of 160/90 mmHg. What is the next step?
a. Continue current medication
b. Add a thiazide diuretic
c. Order an echocardiogram
d. Reduce salt intake only
Rationale: Adding a thiazide diuretic is recommended for uncontrolled hypertension, per
2025 AANP guidelines.
12. NGN Hot Spot: A nurse practitioner is assessing a client for jugular vein distention.
Where should the nurse observe? (Select the area on a diagram.)
Correct Answer: Neck, above the clavicle
Rationale: JVD is observed in the neck, indicating heart failure, per 2025 AANP
guidelines.
13. A 35-year-old female with migraines reports nausea. Which medication is most
appropriate?
a. Ibuprofen
b. Sumatriptan
c. Propranolol
d. Amitriptyline
Rationale: Sumatriptan treats acute migraines with nausea, per 2025 AANP guidelines.
14. A 42-year-old male presents with epigastric pain relieved by food. What is the most
likely diagnosis?
a. Pancreatitis
b. Peptic ulcer disease
c. GERD
d. Cholecystitis
Rationale: Pain relief with food is characteristic of peptic ulcer disease, per 2025 AANP
guidelines.
15. A 38-year-old female reports bilateral leg swelling. Which condition should be ruled out?
a. Lymphedema
b. Heart failure
c. Cellulitis
d. Peripheral artery disease
Rationale: Bilateral leg swelling suggests heart failure, a priority to rule out, per 2025
AANP guidelines.
16. NGN Ordered Response: A 50-year-old male presents with chest pain. Arrange the
interventions in order.
a. Administer aspirin
b. Obtain a 12-lead ECG
c. Monitor vital signs
d. Notify the cardiologist
Correct Answer: b, a, c, d
Rationale: ECG first, then aspirin, vitals, and notification, per 2025 AANP guidelines.
17. A 55-year-old male with type 2 diabetes has an A1C of 8.5%. What is the next step?
a. Continue current therapy
b. Add a second oral agent
c. Stop metformin
, 4
d. Order a fasting glucose
Rationale: An A1C >7% requires treatment escalation, per 2025 AANP guidelines.
18. A 30-year-old male reports a rash after hiking. Which condition is most likely?
a. Psoriasis
b. Contact dermatitis
c. Eczema
d. Scabies
Rationale: A rash post-hiking suggests contact dermatitis, per 2025 AANP guidelines.
19. A 45-year-old female with asthma reports wheezing. Which medication is most
appropriate?
a. Montelukast
b. Albuterol
c. Fluticasone
d. Prednisone
Rationale: Albuterol is the first-line rescue medication for asthma, per 2025 AANP
guidelines.
20. A 60-year-old male with atrial fibrillation is prescribed warfarin. Which lab should be
monitored?
a. aPTT
b. INR
c. Platelet count
d. Hemoglobin
Rationale: INR monitors warfarin therapy, per 2025 AANP guidelines.
21. A 32-year-old female reports painful intercourse. What is the most likely diagnosis?
a. Endometriosis
b. Vulvodynia
c. Pelvic inflammatory disease
d. Ovarian cyst
Rationale: Vulvodynia is a common cause of dyspareunia, per 2025 AANP guidelines.
22. A 50-year-old male presents with a sore throat and fever. What is the first diagnostic
step?
a. Prescribe antibiotics
b. Perform a rapid strep test
c. Order a throat culture
d. Administer steroids
Rationale: A rapid strep test confirms streptococcal pharyngitis, per 2025 AANP
guidelines.
23. NGN Select All That Apply: A 40-year-old female with GERD is advised on lifestyle
changes. Which are appropriate?
a. Avoid lying down after meals
b. Increase caffeine intake
c. Eat smaller, frequent meals
d. Avoid spicy foods
Correct Answers: a, c, d
Rationale: These measures reduce GERD symptoms, per 2025 AANP guidelines.
AANP FNP Certification 2025 – 200
Actual Exam Questions with Correct
Verified Answers | A Grade
Guaranteed
Primary Care (40 Questions)
1. A 45-year-old male presents with chest pain radiating to the left arm. What is the first
action?
a. Administer aspirin
b. Perform a 12-lead ECG
c. Order a chest X-ray
d. Prescribe nitroglycerin
Rationale: A 12-lead ECG is critical to assess for acute coronary syndrome, per 2025
AANP FNP guidelines.
2. A 30-year-old female reports irregular menses and weight gain. Which condition is most
likely?
a. Hypothyroidism
b. Polycystic ovary syndrome
c. Hyperthyroidism
d. Cushing’s syndrome
Rationale: Irregular menses and weight gain are hallmark symptoms of PCOS, per 2025
AANP guidelines.
3. NGN Select All That Apply: A 50-year-old male with hypertension is starting lifestyle
modifications. Which are appropriate?
a. Reduce sodium intake
b. Increase saturated fat consumption
c. Engage in 150 minutes of aerobic exercise weekly
d. Limit alcohol to one drink per day
Correct Answers: a, c, d
Rationale: Sodium reduction, aerobic exercise, and alcohol limitation are evidence-based
for hypertension management, per 2025 AANP guidelines.
4. A 60-year-old female reports urinary incontinence when coughing. Which type is most
likely?
a. Urge incontinence
b. Stress incontinence
c. Overflow incontinence
d. Functional incontinence
, 2
Rationale: Stress incontinence is associated with increased intra-abdominal pressure, per
2025 AANP guidelines.
5. A 35-year-old male with a BMI of 32 is diagnosed with type 2 diabetes. What is the first-
line medication?
a. Insulin
b. Metformin
c. Sulfonylurea
d. DPP-4 inhibitor
Rationale: Metformin is the first-line treatment for type 2 diabetes, per 2025 AANP
guidelines.
6. A 28-year-old female presents with fatigue and cold intolerance. Which lab test is
priority?
a. Complete blood count
b. TSH
c. Fasting glucose
d. Lipid panel
Rationale: TSH assesses for hypothyroidism, a common cause of fatigue and cold
intolerance, per 2025 AANP guidelines.
7. NGN Case Study: A 55-year-old male presents with sudden-onset right foot pain after a
heavy meal. Synovial fluid shows monosodium urate crystals.
Question: What is the best initial treatment? (Fill-in-the-blank)
Correct Answer: Colchicine
Rationale: Colchicine is the first-line treatment for acute gout, per 2025 AANP
guidelines.
8. A 40-year-old male with a history of smoking reports a chronic cough. What is the most
likely diagnosis?
a. Asthma
b. Chronic obstructive pulmonary disease
c. Pneumonia
d. Lung cancer
Rationale: Chronic cough in a smoker suggests COPD, per 2025 AANP guidelines.
9. A 25-year-old female presents with dysuria and frequency. What is the first-line
treatment for uncomplicated UTI?
a. Ciprofloxacin
b. Nitrofurantoin
c. Amoxicillin
d. Doxycycline
Rationale: Nitrofurantoin is the first-line treatment for uncomplicated UTI, per 2025
AANP guidelines.
10. A 50-year-old female reports heavy menstrual bleeding. Which test is priority?
a. Pelvic ultrasound
b. Complete blood count
c. Thyroid function tests
d. Progesterone levels
Rationale: A CBC assesses for anemia due to heavy bleeding, per 2025 AANP
guidelines.
, 3
11. A 62-year-old male with hypertension has a BP of 160/90 mmHg. What is the next step?
a. Continue current medication
b. Add a thiazide diuretic
c. Order an echocardiogram
d. Reduce salt intake only
Rationale: Adding a thiazide diuretic is recommended for uncontrolled hypertension, per
2025 AANP guidelines.
12. NGN Hot Spot: A nurse practitioner is assessing a client for jugular vein distention.
Where should the nurse observe? (Select the area on a diagram.)
Correct Answer: Neck, above the clavicle
Rationale: JVD is observed in the neck, indicating heart failure, per 2025 AANP
guidelines.
13. A 35-year-old female with migraines reports nausea. Which medication is most
appropriate?
a. Ibuprofen
b. Sumatriptan
c. Propranolol
d. Amitriptyline
Rationale: Sumatriptan treats acute migraines with nausea, per 2025 AANP guidelines.
14. A 42-year-old male presents with epigastric pain relieved by food. What is the most
likely diagnosis?
a. Pancreatitis
b. Peptic ulcer disease
c. GERD
d. Cholecystitis
Rationale: Pain relief with food is characteristic of peptic ulcer disease, per 2025 AANP
guidelines.
15. A 38-year-old female reports bilateral leg swelling. Which condition should be ruled out?
a. Lymphedema
b. Heart failure
c. Cellulitis
d. Peripheral artery disease
Rationale: Bilateral leg swelling suggests heart failure, a priority to rule out, per 2025
AANP guidelines.
16. NGN Ordered Response: A 50-year-old male presents with chest pain. Arrange the
interventions in order.
a. Administer aspirin
b. Obtain a 12-lead ECG
c. Monitor vital signs
d. Notify the cardiologist
Correct Answer: b, a, c, d
Rationale: ECG first, then aspirin, vitals, and notification, per 2025 AANP guidelines.
17. A 55-year-old male with type 2 diabetes has an A1C of 8.5%. What is the next step?
a. Continue current therapy
b. Add a second oral agent
c. Stop metformin
, 4
d. Order a fasting glucose
Rationale: An A1C >7% requires treatment escalation, per 2025 AANP guidelines.
18. A 30-year-old male reports a rash after hiking. Which condition is most likely?
a. Psoriasis
b. Contact dermatitis
c. Eczema
d. Scabies
Rationale: A rash post-hiking suggests contact dermatitis, per 2025 AANP guidelines.
19. A 45-year-old female with asthma reports wheezing. Which medication is most
appropriate?
a. Montelukast
b. Albuterol
c. Fluticasone
d. Prednisone
Rationale: Albuterol is the first-line rescue medication for asthma, per 2025 AANP
guidelines.
20. A 60-year-old male with atrial fibrillation is prescribed warfarin. Which lab should be
monitored?
a. aPTT
b. INR
c. Platelet count
d. Hemoglobin
Rationale: INR monitors warfarin therapy, per 2025 AANP guidelines.
21. A 32-year-old female reports painful intercourse. What is the most likely diagnosis?
a. Endometriosis
b. Vulvodynia
c. Pelvic inflammatory disease
d. Ovarian cyst
Rationale: Vulvodynia is a common cause of dyspareunia, per 2025 AANP guidelines.
22. A 50-year-old male presents with a sore throat and fever. What is the first diagnostic
step?
a. Prescribe antibiotics
b. Perform a rapid strep test
c. Order a throat culture
d. Administer steroids
Rationale: A rapid strep test confirms streptococcal pharyngitis, per 2025 AANP
guidelines.
23. NGN Select All That Apply: A 40-year-old female with GERD is advised on lifestyle
changes. Which are appropriate?
a. Avoid lying down after meals
b. Increase caffeine intake
c. Eat smaller, frequent meals
d. Avoid spicy foods
Correct Answers: a, c, d
Rationale: These measures reduce GERD symptoms, per 2025 AANP guidelines.
