AANP Exam Version 1 Actual Exam
Newest 2025/2026 Complete All
Questions And Correct Detailed
Answers (Verified Answers) |Already
Graded A+||Brand New Version
A 64 year old with HTN and DM presents with productive cough, fever, body aches.
What diagnosis is most likely?
a. Acute bronchitis
b. Chronic bronchitis
c. Pneumonia
d. Pertussis - Answer ✓✓c. Pneumonia
1st clue: 64 year old
2nd clue: multiple comorbidities
3rd clue: cough, fever
what was the stem of the question?
Indications for a chest xray with acute cough - Answer ✓✓abnormal vital signs
(increased RR or HR, temp >38c, 100.4F
rales, consolidation
TEST BANK A+ 1
, AANP Exam Version 1 Actual Exam
> or equal 75 years of age with cough***
***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change in
mental status or behavior
A 75 year old patient wo smokes and has COPD presents with a worsening cough,
weight loss, fatigue, and an enlarged right supraclavicular node. Which finding is
most indicative of a right lung tumor?
1. worsening cough
2. weight loss
3. fatigue
4. supraclavicular node - Answer ✓✓4. supraclavicular node
most important stem clue because this lymph node drains the chest and breast. It's
a BIG deal!
If the stem gives a unilateral finding, look for a unilateral diagnosis
What symptoms most commonly accompany acute bronchitis?
1. Fever, runny nose
2. Cough, fever
3. Cough and URI symptoms
4. Cough, URI, and headache - Answer ✓✓3. Cough and URI symptoms
Remember that bronchitis is an inflammation of the bronchioles, bronchi, and
trachea; usually follows an upper respiratory infection
TEST BANK A+ 2
, AANP Exam Version 1 Actual Exam
Starts above the shoulders and drops down into chest.
A 35 year old patient with acute bronchitis has no underlying lung disease. He
asks, "How long before my cough goes aways?" The NP responds:
1. <1 week
2. about 1 week
3. 1-3 weeks
4. >3 weeks - Answer ✓✓3. 1-3 weeks
The patient with bronchitis will have evidence of upper AND lower airway
symptoms.
COUGH, COUGH, COUGH, usually worse at night!
An 88-year-old presents with right-side weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with hypertension medication regimen. What is the most likely
diagnosis?
Left-sided or right-sided CVA? - Answer ✓✓LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - Answer ✓✓1) pain worse laying down, focal
neurological signs
TEST BANK A+ 3
, AANP Exam Version 1 Actual Exam
Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - Answer ✓✓2) Gentamicin ophthalmic (Genoptic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of
the right shoulder exacerbated by movement. The patient reports that he
participated in extensive house painting 24 hours prior to the onset of pain. He
denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - Answer ✓✓2) palpate structures
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She has not missed any doses and uses no other medication.
Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - Answer ✓✓3) provide reassurance
TEST BANK A+ 4