AANP ACTUAL EXAM 2026/2027 VERIFIED
QUESTIONS AND ANSWERS (SOLVED)
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has
not seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medication. Her mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to
staffing Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
I .bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
s
a
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
I . azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan).
rofen advi
The most common sign of cervical cancer is:
I . postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum.
,AANP ACTUAL EXAM 2026/2027
stcoital blee
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the patient complains of mine retention and
dry mouth. The practitioner would:
I . discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. staff methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin).
scontinue amitri line and be ba entin neuronti
A 17-year-old male with rheumatoid althritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas. These
symptoms are most likely:
I . associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis.
socla e e ome razo
WI
The medication of choice for the initial treatment ofjuvenile rheumatoid arthritis is:
I . acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen.
, AANP ACTUAL EXAM 2026/2027
rofe
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and
presents for a follow-up examination after a recent hospitalization. It is most important to
continue monitoring growth, development, and:
l . white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks.
mo obin
leve
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 concemed 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?
I . 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 concems.
O e case o ro er au on
In most cases, the first manifestation of Alzheimer's disease is:
I . impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-tenn memory.