1|P a g e
AANP BOARD PRACTICE EXAM 2026 |
ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES | ALREADY A GRADED |
NEW AND REVISED
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
,2|P a g e
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
,3|P a g e
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
An 87-year-old patient presents with round, pruritic plaques and small
vesicles on the lower legs. The most likely diagnosis is:
1. allergic contact dermatitis.
2. plaque psoriasis.
3. cutaneous T-cell lymphoma.
4. nummular eczema - ANSWER- nummular eczema
, 4|P a g e
A 3-year-old presents with a 2-day history of acute diarrhea with a total
of 8 watery stools without blood or mucus, and 2 episodes of vomiting
in the past 48 hours. Assessment reveals no current antibiotic therapy,
dehydration <5%, soft abdomen with hyperactive bowel sounds, no
masses or organomegaly; other physical findings are normal. Which of
the following is the most appropriate management plan?
1. Stool culture; Immodium AD liquid.
2. No laboratory workup; instruct parents on signs and symptoms of
dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-
O, and soup.
3. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O,
and soup over next 72 hours; Imodium AD liquid, 1 mg/sml
4. Stool for ova and parasites; advise parents of likely sources of
Giardia; prescribe furazolidone (Furoxone) - ANSWER- No laboratory
workup; instruct parents on signs and symptoms of dehydration; diet of
clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.
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 nurse
practitioner should:
1. evaluate for hearing loss.
2. refer to speech therapy.
3. re-evaluate in 3 months.
AANP BOARD PRACTICE EXAM 2026 |
ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES | ALREADY A GRADED |
NEW AND REVISED
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
,2|P a g e
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
,3|P a g e
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
An 87-year-old patient presents with round, pruritic plaques and small
vesicles on the lower legs. The most likely diagnosis is:
1. allergic contact dermatitis.
2. plaque psoriasis.
3. cutaneous T-cell lymphoma.
4. nummular eczema - ANSWER- nummular eczema
, 4|P a g e
A 3-year-old presents with a 2-day history of acute diarrhea with a total
of 8 watery stools without blood or mucus, and 2 episodes of vomiting
in the past 48 hours. Assessment reveals no current antibiotic therapy,
dehydration <5%, soft abdomen with hyperactive bowel sounds, no
masses or organomegaly; other physical findings are normal. Which of
the following is the most appropriate management plan?
1. Stool culture; Immodium AD liquid.
2. No laboratory workup; instruct parents on signs and symptoms of
dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-
O, and soup.
3. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O,
and soup over next 72 hours; Imodium AD liquid, 1 mg/sml
4. Stool for ova and parasites; advise parents of likely sources of
Giardia; prescribe furazolidone (Furoxone) - ANSWER- No laboratory
workup; instruct parents on signs and symptoms of dehydration; diet of
clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.
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 nurse
practitioner should:
1. evaluate for hearing loss.
2. refer to speech therapy.
3. re-evaluate in 3 months.
