FAMILY NURSE PRACTITIONER (FNP)
AANP FNP EXAM 2025-2026 FNP (AANPCB)Study
Guide Questions and Correct Answers. Complete
Accurate 2025 Certification Board Exam.
Microcytic Anemias CORRECT ANS>>IDA, Thalassemia, Lead Toxicity
Macrocytic Anemias CORRECT ANS>>B12 Deficiency and Folate deficiency
I
DA CORRECT ANS>>Microcytic, hypochromic
Patient Presentation with microcytic anemia CORRECT ANS>>Weakness, headache, irritability,
fatigue, and exercise intolerance. Worsening of angina or dementia
TIBC CORRECT ANS>>Elevated with IDA
Average lifespan of RBCs CORRECT ANS>>100-120 days
RDW <15% CORRECT ANS>>Longstanding anemia in that all cells are small
RDW > 15% CORRECT ANS>>New onset anemia; There is a mixture of normal and small RBCs
Iron Rich foods CORRECT ANS>>Organ meats, red meats, dried peas and beans, whole grains,
and dark, green, leafy vegetables
Iron Replacement CORRECT ANS>>150-200 mg/d Elemental Iron x4-6 months
Beta Thalassemia CORRECT ANS>>Avoid excessive iron consumption and will need genetic
counseling
Alpha Thalassemia CORRECT ANS>>Asians, Mediterranean origin, avoid inappropriate
exposure to iron, no therapy needed in minima and minor
Liver CORRECT ANS>>Where excess iron is stored
Thalassemia Lab Results CORRECT ANS>>Decrease hct, hgb, MCV, and MCH Normal RDW,
serum iron, serum ferritin, and TIBC
IDA Lab Results CORRECT ANS>>Decrease in hgb, hct, MCV, MCH, serum iron, and serum
ferritin
Elevated RDW & TIBC
,AMERICAN ACADEMY OF NURSING PRACTITIONERS(AANP)
FAMILY NURSE PRACTITIONER (FNP)
RBC lifespan in chronic disease CORRECT ANS>>60-90 days
, AMERICAN ACADEMY OF NURSING PRACTITIONERS(AANP)
FAMILY NURSE PRACTITIONER (FNP)
Macrocytosis Etiologies CORRECT ANS>>ETOH abuse, substance abuse, celiac disease, IBS,
pregnancy, lactation, certain medications, and myelodysplastic syndromes
Which macrocytic anemia is characterized by neuro changes? CORRECT ANS>>Vit B12 (Folate
does not usually present with neuro changes)
Thrombocytopenia CORRECT ANS>>Platelet count less than 150,000
Thrombocytopenia Etiology CORRECT ANS>>Drug induced, SLE, recent infection, idiopathic,
antiphospholipid syndrome, or leukemia
Agranular WBCs CORRECT ANS>>Lymphocytes 20-25% Monocytes 3-8%
Granular WBCs CORRECT ANS>>Basophils 0.5-1% Neutrophils 60-70%
Eosinophils 2-4%
Eosinophils will increase with... CORRECT ANS>>Allergic reactions and parasitic infections
On a CBC think a viral infection when... CORRECT ANS>>Poly's and Lumphs are numerically
close
On a CBC think bacterial infection when... CORRECT ANS>>Poly's and Lymphs are numerically
distant
On a CBC, what will increase first with an infection? CORRECT ANS>>Poly's and Lymphs
Mono's on a CBC react within what amount of time in an infection? CORRECT ANS>>24 hours
What are bands? CORRECT ANS>>Immature WBCs and when present represents a bad
infection
Common medications that can cause anemia CORRECT ANS>>Metformin and PPIs
Hgb to Hct ratio CORRECT ANS>>1:3
Only time you will see the Hgb : Hct ratio differ? CORRECT ANS>>Severe dehydration will
decrease the Hct because it is volume dependent
As MCV decreases, the RDW ? CORRECT ANS>>Increases