AANP ACTUAL EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2025
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine,
but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The
neighbor is concerned that the patient often has no money to buy food, despite income from
social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the
following is the nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. - ANSWER report the case to proper
authorities
In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. - ANSWER decrease in short-term memory
The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
3. pyrazinamide for 6 months.
4. ethambutol for 6 months. - ANSWER osioniazid (nydrazid) for 9 months
Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is
most often caused by
1. intraductal papilloma.
2. mucinous breast lesions.
,3. Paget's disease.
4. ductal carcinoma in situ. - ANSWER intraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. Which of the following conditions would be the most
likely cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis - ANSWER gastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission
through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing:
1. post amniocentesis.
2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000. - ANSWER after 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia. - ANSWER acute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very
irritable and does not feed well. During physical examination, the child's head drops back and
the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries
, uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the following
diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
4. Pet scan - ANSWER CT scan
The most important diagnostic factor in evaluating angina pectoris is the patient's:
1. King of Heart's monitor.
2. physical examination.
3. history.
4. echocardiogram. - ANSWER history
There are three reasons for latex allergies. Which of the following does NOT cause the
problem?
1. Immediate hypersensitivity
2. Irritant contact of dermatitis
3. Cytotoxic hypersensitivity
4. Immune complex reaction - ANSWER cytotoxic hypersensitivity
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is about to
have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to
the surgery and subcutaneous Lovenox has been ordered for DVT prophylaxis until the
resumption of the warfarin. The nurse practitioner knows that the patient's postoperative
warfarin dose should be restarted based on the:
1. value of her morning Prothrombin time.
2. loading dose of 10 mg, plus the previous warfarin dose.
3. baseline PT and INR values.
4. target INR of 2. - ANSWER caseline PT and INR values
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine,
but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The
neighbor is concerned that the patient often has no money to buy food, despite income from
social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the
following is the nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. - ANSWER report the case to proper
authorities
In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. - ANSWER decrease in short-term memory
The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
3. pyrazinamide for 6 months.
4. ethambutol for 6 months. - ANSWER osioniazid (nydrazid) for 9 months
Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is
most often caused by
1. intraductal papilloma.
2. mucinous breast lesions.
,3. Paget's disease.
4. ductal carcinoma in situ. - ANSWER intraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. Which of the following conditions would be the most
likely cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis - ANSWER gastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission
through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing:
1. post amniocentesis.
2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000. - ANSWER after 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia. - ANSWER acute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very
irritable and does not feed well. During physical examination, the child's head drops back and
the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries
, uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the following
diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
4. Pet scan - ANSWER CT scan
The most important diagnostic factor in evaluating angina pectoris is the patient's:
1. King of Heart's monitor.
2. physical examination.
3. history.
4. echocardiogram. - ANSWER history
There are three reasons for latex allergies. Which of the following does NOT cause the
problem?
1. Immediate hypersensitivity
2. Irritant contact of dermatitis
3. Cytotoxic hypersensitivity
4. Immune complex reaction - ANSWER cytotoxic hypersensitivity
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is about to
have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to
the surgery and subcutaneous Lovenox has been ordered for DVT prophylaxis until the
resumption of the warfarin. The nurse practitioner knows that the patient's postoperative
warfarin dose should be restarted based on the:
1. value of her morning Prothrombin time.
2. loading dose of 10 mg, plus the previous warfarin dose.
3. baseline PT and INR values.
4. target INR of 2. - ANSWER caseline PT and INR values
