AANP FNP certification Exam Questions and
Correct Answers 2025 (A+ Graded) With
Rationale Answer
All diastolic murmurs are pathological. Murmurs Grades I-
barely II-audible III- clearly audible. IV- first time thrill V-
Steth edge VI-entire steth. EXAM - ✔✔ANSWER ✔✔-III
first time audible, IV first time thrill
Fundal height 12 weeks - ✔✔ANSWER ✔✔-Fundal Height
12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more
or less order US
,3 month old infant with down syndrome, due to milk
intolerance, mom started on goats milk; now has pale
conjunctiva but otherwise healthy. Low HCT. What
additional test would you order? - ✔✔ANSWER ✔✔-Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do
you do? - ✔✔ANSWER ✔✔-Increase Medication
3 ways to assess cognitive function in patient with
signs/symptoms of memory loss - ✔✔ANSWER ✔✔-Mini
mental exam
4 month old with strabismus, mom is worried...... -
✔✔ANSWER ✔✔-tell her it is normal.
4 month old wont keep anything down, what is the main
thing you look at? - ✔✔ANSWER ✔✔-Growth chart
,6 month old closed anterior fontanel. - ✔✔ANSWER ✔✔-
XRAY
Abnormal cells on PAP, what do you do next? -
✔✔ANSWER ✔✔-Refer for Colposcopy
CAGE ACRONYM - ✔✔ANSWER ✔✔-Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ✔✔ANSWER ✔✔-Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements
- ✔✔ANSWER ✔✔-CN 3,4,6
, Definition of metabolic syndrome - ✔✔ANSWER ✔✔-
cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - ✔✔ANSWER ✔✔-wet prep
Elderly presents with atrophic vaginitis, small uterus,
palpable 4x5 ovary, what do you do next? - ✔✔ANSWER
✔✔-Pelvic US
Epistaxis is most common in the area of the nose known as
kiesselbachs triangle, where is this located? - ✔✔ANSWER
✔✔-Anterior septum
Definitive diagnosis of acute bacterial prostatitis -
✔✔ANSWER ✔✔-urinalysis and culture
GERD treatment - ✔✔ANSWER ✔✔-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ✔✔ANSWER ✔✔-LEEP
excision
Correct Answers 2025 (A+ Graded) With
Rationale Answer
All diastolic murmurs are pathological. Murmurs Grades I-
barely II-audible III- clearly audible. IV- first time thrill V-
Steth edge VI-entire steth. EXAM - ✔✔ANSWER ✔✔-III
first time audible, IV first time thrill
Fundal height 12 weeks - ✔✔ANSWER ✔✔-Fundal Height
12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more
or less order US
,3 month old infant with down syndrome, due to milk
intolerance, mom started on goats milk; now has pale
conjunctiva but otherwise healthy. Low HCT. What
additional test would you order? - ✔✔ANSWER ✔✔-Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do
you do? - ✔✔ANSWER ✔✔-Increase Medication
3 ways to assess cognitive function in patient with
signs/symptoms of memory loss - ✔✔ANSWER ✔✔-Mini
mental exam
4 month old with strabismus, mom is worried...... -
✔✔ANSWER ✔✔-tell her it is normal.
4 month old wont keep anything down, what is the main
thing you look at? - ✔✔ANSWER ✔✔-Growth chart
,6 month old closed anterior fontanel. - ✔✔ANSWER ✔✔-
XRAY
Abnormal cells on PAP, what do you do next? -
✔✔ANSWER ✔✔-Refer for Colposcopy
CAGE ACRONYM - ✔✔ANSWER ✔✔-Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ✔✔ANSWER ✔✔-Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements
- ✔✔ANSWER ✔✔-CN 3,4,6
, Definition of metabolic syndrome - ✔✔ANSWER ✔✔-
cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - ✔✔ANSWER ✔✔-wet prep
Elderly presents with atrophic vaginitis, small uterus,
palpable 4x5 ovary, what do you do next? - ✔✔ANSWER
✔✔-Pelvic US
Epistaxis is most common in the area of the nose known as
kiesselbachs triangle, where is this located? - ✔✔ANSWER
✔✔-Anterior septum
Definitive diagnosis of acute bacterial prostatitis -
✔✔ANSWER ✔✔-urinalysis and culture
GERD treatment - ✔✔ANSWER ✔✔-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ✔✔ANSWER ✔✔-LEEP
excision
