Answers – Adult Nurse Practitioner Certification Exam
Preparation – Latest Update – Practice Questions with Answers
Introduction:
This document contains comprehensive AANP board-style practice
questions with verified detailed answers covering adult and
geriatric primary care topics. It includes cardiovascular,
respiratory, endocrine, musculoskeletal, gastrointestinal,
dermatologic, neurologic, psychiatric, pharmacologic, and geriatric
nursing concepts commonly tested on certification exams. The
material is designed to reinforce clinical decision-making,
differential diagnosis, pharmacology, and patient management
strategies for nurse practitioner board preparation. The document
also provides explanations for correct answers to support exam
review and concept mastery.
Exams Questions and Answers
A 68-year-old woman has been admitted to the hospital suffering
from peripheral vascular disease (PVD). You check her medical
records for predisposing factors. You recognize that all of the
following are predisposing factors EXCEPT:
arteriosclerosis
advanced age
a history of renal problems
valvular incompetence --- correct precise answer ---Correct
answer:
,a history of renal problems
A predisposing factor for PVD is a history of deep vein thrombosis
(DVT). All of the other choices are valid predisposing factors.
Which of the following is NOT an indication of impaired skin
integrity?
A mole with irregular borders.
Bruises in various stages of healing.
Cuts in various stages of healing.
A navel piercing more than a year old. --- correct precise answer --
-Correct Answer:
A navel piercing more than a year old.
Unless the piercing is marked by scabbing or other evidence of
trauma, it is not evidence of impaired skin integrity. Tattoos and
other body modifications should be noted in the patient's
assessment, but they are not in themselves cause for concern.
You are determining the peak expiratory flow (PEF) for a 67-year-
old female patient who suffers from asthma. Which of the following
,is NOT a factor in determining peak expiratory flow (PEF) for this
patient?
age
height
weight
gender --- correct precise answer ---Correct Answer:
weight
Weight is not a factor in determining PEF. The PEF is based on
height (H), age, (A), and gender (G) - HAG.
Upon examination of a patient with a heart murmur, you hear a
grade 1-3/6 late systolic crescendo murmur with a honking quality.
This is most likely indicative of which of the following?
pulmonary hypertension
mitral regurgitation
mitral valve prolapse
aortic sclerosis --- correct precise answer ---Correct Answer:
mitral valve prolapse
, In a patient with mitral valve prolapse, you would hear a grade 1-
3/6 late systolic crescendo murmur with a honking quality. This is
best heard at the apex of the heart. The murmur follows a mid-
systolic click.
All but which of the following conditions in the patient's past
medical history is likely to be associated with congestive heart
failure (CHF)?
diabetes
COPD
cancer
CAD --- correct precise answer ---Correct Answer:
cancer
Cancer is not normally associated with CHF. A past medical history
of any of the following may be associated with CHF: CAD, COPD,
renal disease, diabetes, hypertension, previous MI, valvular
disease, severe anemia, and more.