AANP Certification Exam 2024 Newest/
Complete 200 Real Exam Questions with Correct
Detailed Answers (Verified Answers) Graded A+
What diagnoses in a late adolescent male necessitates an immediate referral for eval by
a specialist? - Correct Answer - Testicular torsion
A late adolescent who has been taking loratadine for seasonal allergies is diagnosed
with acute bacterial sinusitis. The patient is allergic to penicillin's and sulfa drugs. What
abx should be prescribed? - Correct Answer - Cefdinir (Omnicef)
An adult female presents at 7 weeks of gestation with bleeding and lower abdominal
cramping. The NP suspects imminent spontaneous abortion. The patient is Rh negative.
When should RhoGAM be administered? - Correct Answer - Within 72 hours
Solid foods can be introduced into an infant's diet at what age? - Correct Answer - 6
months
A mother brings her 8-week-old to the clinic who has been inconsolably crying for the
last 3 days. After completing a thorough physical exam with normal findings, what
diagnostic tests should the NP order next? - Correct Answer - Urine culture
What microorganism is most frequently associated with acute bacterial rhino-sinusitis? -
Correct Answer - Streptococcus pneumoniae and H. influenza
A patient on warfarin therapy for 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 SQ Lovenox has
been ordered for DVT prophylaxis until the resumption of the warfarin. The NP knows
that the patient's postoperative warfarin dose should be restarted based on the? -
Correct Answer - Baseline PT and INR values
pg. 1
,What would be the most appropriate to perform in the initial eval of a patient with
symptoms of acute prostatitis? - Correct Answer - Urinalysis and urine culture
Assessment findings that would support a diagnosis of mitral regurgitation include -
Correct Answer - Loud, high-pitched pansystolic murmur
The best lab test to distinguish iron deficiency anemia from other anemia is? - Correct
Answer - Serum ferritin level
Which of the following GI changes is associated with normal aging? - Correct Answer -
Decreased production of gastric acid
What is the leading cause of cancer-related deaths in the majority of women? - Correct
Answer - Lung cancer
During an employment PE of a 21-year-old female, bruising around the areolae on the
breasts is noted. An appropriate health history for these findings should include all of the
following EXCEPT: - Correct Answer - Socioeconomic status
To assess spinal function at the S1 level, which deep tendon reflex should be tested? -
Correct Answer - Achilles
A 70-year-old male presents with paresthesia of the lower extremities. On exam, the
patient appears pale and shows a decreased vibratory sense. Lab tests reveal elevated
indirect bilirubin; Hct = 30%; MCV = 120 (normal = 87-103). The most likely diagnosis
is? - Correct Answer - Pernicious anemia
A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6
months. She reports recent unintentional weight loss. On PE, there is pain on ROM,
with no weakness noted. Labs show a low hemoglobin and an elevated ESR. What is
the most likely diagnosis? - Correct Answer - Polymyalgia rheumatica
pg. 2
, Which of the following criteria differentiates a TIA from a stroke? - Correct Answer -
Absence of residual symptoms
A 2-month-old infant is presented for exam and immunizations. History includes an
uncomplicated full-term delivery and hep B virus immunization shortly after birth. Exam
is unremarkable except for a diffusely erythematous macular rash in the diaper area,
sparing the inguinal folds. No satellite lesions are noted. The infant's diaper rash is most
likely caused by? - Correct Answer - Contact dermatitis
In pulmonary function testing, forced vital capacity represents the? - Correct Answer -
Maximum volume of air that can be forcefully exhaled after maximum inspiration
On physically assessing a newborn's head, you note an enlarged, fluid-filled area that is
subperiosteal and does not cross suture lines. This finding indicates the presence of? -
Correct Answer - Cephalohematoma
The clinical presentation of placenta previa that develops during the third trimester
includes? - Correct Answer - Sudden onset of painless and profuse bleeding
An adult female who recently returned from a business trip to Japan presents for a
recheck appointment. The only remarkable lab result is for TSH, at 0.3 (0.4-6 = normal).
The patient reports that her neck hurts; exam reveals thyroid tenderness. What lab tests
should the NP order now? - Correct Answer - T3 and free T4
In most cases, the first manifestation of AD is? - Correct Answer - Decrease in short-
term memory
A mother presents her 12-month-old child with concern because the child does not yet
say "mama" or "dada." The mother reports that in the first months of life, the child loved
listening to music and being talked to. The past medical history is negative for ear
infections. The NP should? - Correct Answer - Evaluate for hearing loss
An otherwise healthy adult female presents complaining of vaginal burning and itching
during urination. She has a social history of two sexual partners. She denies fever or
pg. 3
Complete 200 Real Exam Questions with Correct
Detailed Answers (Verified Answers) Graded A+
What diagnoses in a late adolescent male necessitates an immediate referral for eval by
a specialist? - Correct Answer - Testicular torsion
A late adolescent who has been taking loratadine for seasonal allergies is diagnosed
with acute bacterial sinusitis. The patient is allergic to penicillin's and sulfa drugs. What
abx should be prescribed? - Correct Answer - Cefdinir (Omnicef)
An adult female presents at 7 weeks of gestation with bleeding and lower abdominal
cramping. The NP suspects imminent spontaneous abortion. The patient is Rh negative.
When should RhoGAM be administered? - Correct Answer - Within 72 hours
Solid foods can be introduced into an infant's diet at what age? - Correct Answer - 6
months
A mother brings her 8-week-old to the clinic who has been inconsolably crying for the
last 3 days. After completing a thorough physical exam with normal findings, what
diagnostic tests should the NP order next? - Correct Answer - Urine culture
What microorganism is most frequently associated with acute bacterial rhino-sinusitis? -
Correct Answer - Streptococcus pneumoniae and H. influenza
A patient on warfarin therapy for 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 SQ Lovenox has
been ordered for DVT prophylaxis until the resumption of the warfarin. The NP knows
that the patient's postoperative warfarin dose should be restarted based on the? -
Correct Answer - Baseline PT and INR values
pg. 1
,What would be the most appropriate to perform in the initial eval of a patient with
symptoms of acute prostatitis? - Correct Answer - Urinalysis and urine culture
Assessment findings that would support a diagnosis of mitral regurgitation include -
Correct Answer - Loud, high-pitched pansystolic murmur
The best lab test to distinguish iron deficiency anemia from other anemia is? - Correct
Answer - Serum ferritin level
Which of the following GI changes is associated with normal aging? - Correct Answer -
Decreased production of gastric acid
What is the leading cause of cancer-related deaths in the majority of women? - Correct
Answer - Lung cancer
During an employment PE of a 21-year-old female, bruising around the areolae on the
breasts is noted. An appropriate health history for these findings should include all of the
following EXCEPT: - Correct Answer - Socioeconomic status
To assess spinal function at the S1 level, which deep tendon reflex should be tested? -
Correct Answer - Achilles
A 70-year-old male presents with paresthesia of the lower extremities. On exam, the
patient appears pale and shows a decreased vibratory sense. Lab tests reveal elevated
indirect bilirubin; Hct = 30%; MCV = 120 (normal = 87-103). The most likely diagnosis
is? - Correct Answer - Pernicious anemia
A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6
months. She reports recent unintentional weight loss. On PE, there is pain on ROM,
with no weakness noted. Labs show a low hemoglobin and an elevated ESR. What is
the most likely diagnosis? - Correct Answer - Polymyalgia rheumatica
pg. 2
, Which of the following criteria differentiates a TIA from a stroke? - Correct Answer -
Absence of residual symptoms
A 2-month-old infant is presented for exam and immunizations. History includes an
uncomplicated full-term delivery and hep B virus immunization shortly after birth. Exam
is unremarkable except for a diffusely erythematous macular rash in the diaper area,
sparing the inguinal folds. No satellite lesions are noted. The infant's diaper rash is most
likely caused by? - Correct Answer - Contact dermatitis
In pulmonary function testing, forced vital capacity represents the? - Correct Answer -
Maximum volume of air that can be forcefully exhaled after maximum inspiration
On physically assessing a newborn's head, you note an enlarged, fluid-filled area that is
subperiosteal and does not cross suture lines. This finding indicates the presence of? -
Correct Answer - Cephalohematoma
The clinical presentation of placenta previa that develops during the third trimester
includes? - Correct Answer - Sudden onset of painless and profuse bleeding
An adult female who recently returned from a business trip to Japan presents for a
recheck appointment. The only remarkable lab result is for TSH, at 0.3 (0.4-6 = normal).
The patient reports that her neck hurts; exam reveals thyroid tenderness. What lab tests
should the NP order now? - Correct Answer - T3 and free T4
In most cases, the first manifestation of AD is? - Correct Answer - Decrease in short-
term memory
A mother presents her 12-month-old child with concern because the child does not yet
say "mama" or "dada." The mother reports that in the first months of life, the child loved
listening to music and being talked to. The past medical history is negative for ear
infections. The NP should? - Correct Answer - Evaluate for hearing loss
An otherwise healthy adult female presents complaining of vaginal burning and itching
during urination. She has a social history of two sexual partners. She denies fever or
pg. 3
