AANP FNP CERTIFICATION ACTUAL EXAM 2025/2026 AANP FNP TEST BANK QUESTIONS AND CORRECT ANSWERS RATED A+

AANP FNP CERTIFICATION ACTUAL EXAM 2025/2026 AANP FNP TEST BANK QUESTIONS AND CORRECT ANSWERS RATED A+ If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following? CORRECT ANSYou would find mild upper respiratory symptoms with cough. And mild conjunctival injection. It is really indistinguishable from the common cold. What would NOT be considered a typical finding in a geriatric patient? CORRECT ANS Low frequency hearing loss. A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of the hair cells results in sensorineural hearing loss. Typical findings in a geriatric patient? CORRECT ANSThinner epidermis, dermis and subcutaneous layers of skin, bright purple-colored patches on the forearms and hands, opaque white ring at the periphery of the cornea Risk factors for age-related macular degeneration CORRECT ANSTobacco use, aging, sun exposure and family history Underweight BMI CORRECT ANS18.5 Normal BMI CORRECT ANS18.5-24.9 Overweight BMI CORRECT ANS25-29.9 Obese BMI CORRECT ANS30-39.9 Grossly obese BMI CORRECT ANS40 Pregnancy Category A Drugs CORRECT ANSVitamins and levothyroxine Pregnancy Category B Drugs CORRECT ANSAcetaminophen, ibuprofen, penicillins, cephalosporins, and azithromycin and erythromycin antibiotics. A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg muscles that occurs after walking for 20 minutes. After taking a complete history and performing a physical exam, an NP decides that the most likely diagnosis is? CORRECT ANSIntermittent claudication What is a common cause of acne? CORRECT ANSIncrease in androgens In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative agent would be suspected? CORRECT ANSGroup A beta-hemolytic Streptococcus When completing the initial assessment for depression in geriatric adults, the NP should evaluate? CORRECT ANSMental status exam What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? CORRECT ANSBlood incompatibility with the mother Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? CORRECT ANSSecond Which of the following conditions exacerbate urinary incontinence? CORRECT ANS Impacted stool and atrophic vaginitis An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with deep breaths. The patient reports a nonproductive cough and no fever for several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals localized chest wall tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis is? CORRECT ANS Costochondritis The most common skin cancer is? CORRECT ANSBasal cell carcinoma What is true regarding depression in the elderly? CORRECT ANSDepression can be induced by prescribed and OTC medications Acute otitis media has what characteristics? CORRECT ANSLoss of ossicular landmarks on the TM What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? CORRECT ANSDiffuse pain, sleep abnormality, fatigue An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an NP order? CORRECT ANSFasting plasma glucose An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in sports, what should be considered? CORRECT ANSCharacteristics of the sport Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? CORRECT ANSCauda equina syndrome The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? CORRECT ANSA 40-year old male who is living in a wooded area raising dogs What condition is associated with the development of type 2 DM? CORRECT ANSDelivery of a neonate weighing 9 lb or greater What condition is a risk factor for development of DVT and PE? CORRECT ANSVisceral malignancy Research studies indicate that ED in geriatric patients is a common complication in? CORRECT ANSVascular disease What neuro signs are characteristic of the patient with AD? CORRECT ANSGait disorder and impaired stereognosis A frail elderly male patient complains of difficulty with urination. The International Prostate Symptom Score can assist with decisions regarding the diagnosis of BPH. What symptom is consistent with the items on this scale? CORRECT ANSNocturia The best medication for a patient who complains of IBS with cramping is? CORRECT ANS Dicyclomine (Bentyl) Major causes of CKD include? CORRECT ANSAmyloidosis and SLE A risk factor postmeno osteoporosis is? CORRECT ANSHistory of tobacco use An NP considering referral of a frail elderly patient for hospice care understands that? CORRECT ANSDocumentation of limited life expectancy is a prerequisite The sound intensity of a grade III/VI hear murmur is typically described as? CORRECT ANSMedium intensity What is associated with decreased risk of breast cancer? CORRECT ANSBreast feeding An adult patient present with complaints of nausea, fatigue, and myalgia. The patient reports a history of untreated hep B 30 years ago. What hep B serology testing results would indicate that the patient has chronic hepatitis? CORRECT ANSHBsAG = positive, IgM anti-HBc = negative A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be evaluated for? CORRECT ANSMultiple myeloma An older adult female presents with severe pain. She reports malaise, and periodic itching and burning on her chest wall. PE reveals a small area of hyperesthesia in a linear fashion. The most likely diagnosis is? CORRECT ANSHerpes zoster An adult female presents complaining of an increase in a malodorous vaginal discharge that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5, presence of clue cells on the wet mount, and a positive whiff test. The most appropriate diagnosis is? CORRECT ANSBV An adult patient presents with a painless ulcer in the genital area and enlarged lymph nodes in the groin. The NP suspects? CORRECT ANSSyphilis An elderly retired farmed presents with a dome-shaped, pearly, firm nodule with telangiectasia on the side of his nose. An NP would recognize the nodule as a? CORRECT ANSBasal cell carcinoma A child presents wit a reddened right eye. His mother states that he has been complaining of watering eyes with no purulent drainage. On exam, an enlarged preauricular node is identified. The NP should suspect: CORRECT ANSViral conjunctivitis A late adolescent football player presents to the UC with an acute knee injury. He heard a pop when his knee buckled. The NP notes a positive anterior drawer test. The most likely diagnosis is injury to the? CORRECT ANSACL A geriatric female complains of problems with urination. She reports that whenever she feels the need to urinate, she is unable to "make it to the bathroom in time," and wets herself. Which type of incontinence is most likely? CORRECT ANSUrge An early adolescent patient who plays football presents to clinic after a football practice complaining of limping due to anterior left knee pain. The pain has gradually increased over the past 2 weeks but is relieved with rest. The patient denies any trauma, prior surgeries, or medical history. PE reveals tenderness and swelling of the tibial tubercle and reproduction of pain with resisted knee extension. The H&P exam findings are most consistent with a diagnosis of? CORRECT ANSOsgood-Schlatter disease A late adolescent male presents with complaint that his left breast appears larger than the right one. He has a recent 10-lb weight gain and admits to MJ use. On exam, the area is diffuse and nontender, The primary diagnosis is? CORRECT ANSFatty gynecomastia An adult female patient present to the ED for sudden onset of severe lower abdominal pain. She describes the pain as stabbing. She denies nausea, vomiting, fever, or chills. The pain does not radiate. To confirm the diagnosis of an ectopic pregnancy, the NP should order what imaging study? CORRECT ANS