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AANP Family Nurse Practitioner (FNP) Exam – 150 Clinical Q&A with Rationales for 2025 Certification Prep

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This comprehensive AANP FNP exam study guide features 150 scenario-based clinical questions with verified, rationalized answers. It covers a full range of topics including pregnancy, geriatrics, cardiology, infectious diseases, respiratory disorders, dermatology, endocrine, renal, and musculoskeletal conditions. Designed to reflect current AANP exam content and structured for quick review, this resource is ideal for nurse practitioner students preparing to meet the 700-point pass threshold.

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AANP Family Nurse Practitioner Exam
Questions with Verified Rationalized Answers
100% Guarantee Pass score of 700 points


Consist of 150 Questions with Answers



1. A 34-week pregnant patient presents to the emergency room
with sudden onset of abdominal pain and vaginal bleeding.
Which condition is most likely?


a) placental abruption
b) ectopic pregnancy
c) Miscarriage
d) Placenta previa
Answer> Placental abruption


- Placental abruption is the early separation of the placenta from the
lining of the uterus.
It is a rare but serious complication of the second half of pregnancy.

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,Placental abruption is an emergency situation that places the well-
being of the mother and fetus at risk.


2. Which is a common causative organism of pelvic inflammatory
disease?


a) Neisseria gonorrhoeae
b) Trichomonas vaginalis
c) Treponema pallidum
d) Mycoplasma genitalium
Answer> Neisseria gonorrhoeae


- Gonorrhea and chlamydia are the most common organisms causing
pelvic inflam- matory disease.


3. A middle-aged patient presents to the clinic for evaluation
of new-onset hypertension and occasional flank pain.
There is a family history of a maternal grandmother deceased
with "some kind of kidney problem", and an in-office urinalysis
is positive for 3 plus protein.
In addition to addressing hypertension, which is the next
appropriate step in the management of this patient?


a) refer for genetic testing
b) restrict all protein in diet
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,c) repeat urinalysis in 3 months
d) order a renal US
Answer> Order a renal ultrasound


- This patient has a positive family history of renal disease, flank pain,
and pro- teinuria, all of which are indicators of polycystic kidney
disease. The hypertension should be treated and a renal ultrasound
ordered. An ultrasound of the kidneys is the preferred diagnostic test.


4. A young adult patient presents to the clinic with concerns
about a skin
infection. The patient reports no tenderness or drainage and
states the rash started after participating in a wrestling
tournament.
Upon examination, the nurse practitioner finds plaques with
crusting on the right lower leg.
A culture is done and shows a Staphylococcus aureus
infection. Which bacterial skin infection does the nurse
practitioner suspect?


a) impetigo
b) folliculitis
c) Herpes gladiatorum
d) Hidradenitis suppurativa
Answer> Impetigo
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, - Nonbullous impetigo, an S. aureus infection, occurs in a localized area
that initially begins as papules and progresses to vesicles, pustules,
and then honey-colored plaques.


5. In performing a neurological exam and assessing the
patient's cranial nerves, the nurse practitioner notes
fasciculations across the tongue's sur- face.
Which nerve is affected?


a) CN VI (abducens)
b) CN XII (hypoglossal)
c) CN XI (accessory)
d) CN X (vagus)
Answer> Cranial nerve XII (hypoglossal)


- Cranial nerve XII is the hypoglossal nerve and allows motor
movement of the tongue muscles. This nerve is tested by asking the
patient to stick out the tongue and observing for atrophy,
fasciculations, and tongue deviation to one side.




6. An older adult patient with hypertension, depression, and
diabetes mellitus type 2 is experiencing periods of intermittent
confusion. A cognitive assess- ment does not demonstrate
impairment.
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