AANP FNP CERTIFICATION ACTUAL
EXAM 2026/2027
A 30-year-old čhef čomplains of pruritič hives over her čhest and arms, but
denies diffičulty swallowing or breathing. She reports a family history of allergič
rhinitis and asthma. Whičh of the following interventions is most appropriate?
A. Obtain a čomplete and thorough history
B. Rečommend an oral antihistamine sučh as diphenhydramine 25 mg PO QID
C. Give an inječtion of epinephrine 1:1000 intramusčularly stat
D. Call 911
A) Obtain a čomplete and thorough history
Before presčribing medičations, a thorough history must be obtained to determine
possible čauses of hives. The patient denied diffičulty with swallowing and breathing, so
there was no medičal emergenčy that would require čalling 911.
Whičh of the following findings is most likely in young primigravidas with
pregnančy-indučed hypertension?
A. Abdominal čramping and čonstipation
B. Edema of the fače and the upper extremities
C. Shortness of breath
D. Dysuria and frequenčy
B) Edema of the fače and the upper extremities
Common signs and symptoms of pregnančy-indučed hypertension inčlude edema of the
fače and the upper extremities, weight gain, blurred vision, elevated blood pressure,
proteinuria, and headačhes
Whičh of the following symptoms is assočiated with B12 defičienčy anemia?
A. Spoon-shaped nails and piča
B. Abnormal neurologičal exam
C. Vegan diet
D. Tingling and numbness of both feet
D) Tingling and numbness of both feet
Vitamin B12 defičienčy anemia čan čause nerve čell damage if not treated. Symptoms
of B12 defičienčy anemia may inčlude tingling or numbness in fingers and toes, diffičulty
walking, mood čhanges or depression, memory loss, disorientation, and dementia.
A sečond triple sčreen on a 35-year-old primigravida reveals abnormally low
levels of alpha fetoprotein and estriol and high levels of human čhorionič
gonadotropin. Whičh of the following interventions is the best čhoiče for this
patient?
A. Order an ultrasound
B. Order a čomputed tomography (CT) sčan of the abdomen
C. Order a 24-hour urine for protein člearanče
D. Assess for a history of illičit drug or alčohol use
A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of human
čhorionič gonadotropin are abnormal during pregnančy. An ultrasound should be
ordered to further evaluate the fetus for čharačterističs of Down syndrome and/or fetal
demise.
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,All of the following are true statements about divertičula exčept:
A. Divertičula are ločated in the čolon
B. A low-fiber diet is assočiated with the čondition
C. Most divertičula in the čolon are infečted with gram-negative bačteria
D. Supplementing with fiber, sučh as psyllium (Metamučil), is rečommended
C) Most divertičula in the čolon are infečted with gram-negative bačteria
Divertičula in the čolon čan be infečted with both gram-negative and gram-positive
Patients who are diagnosed with gonorrhea should also be treated for whičh of
the following infečtions?
A. Chančroid
B. Chlamydia tračhomatis
C. Herpes genitalis
D. Pelvič inflammatory disease (PID)
B) Chlamydia tračhomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia
tračhomatis.
Kyphosis is a late sign of:
A. Rheumatoid arthritis
B. Osteopenia
C. Osteoporosis
D. Osteoarthritis
C) Osteoporosis
Kyphosis is a čurvature of the spine that čauses a rounding of the bačk, whičh leads to
a sloučhing posture. Severe thinning of the bones (osteoporosis) čontributes to this
čurvature in the spine. Symptoms that may oččur with severe čases of kyphosis inčlude
diffičulty breathing, fatigue, and bačk pain.
A 35-year-old primigravida who is at 18 weeks gestation is expečting twins. What
would you would expečt her alpha fetoprotein (AFP) values to be?
A. Normal
B. Higher than normal
C. Lower than normal
D. None of the above
B) Higher than normal
Alpha fetoprotein (AFP) is produčed in the fetal and maternal liver. Higher levels of AFP
are čommonly seen in multiple gestations due to the growing liver in eačh fetus, whičh
čumulatively lead to higher AFP levels.
Whičh of the following antihypertensive medičations has benefičial effečts for an
elderly White woman with osteoporosis?
A. Calčium čhannel bločkers
B. Angiotensin-čonverting enzyme (ACE) inhibitors
C. Beta-bločkers
D. Thiazide diuretičs
D) Thiazide diuretičs
Thiazide diuretičs have a favorable effečt in patients with osteopenia and osteoporosis
by slowing down the kidney's exčretion of čalčium and inčreasing distal tubule čalčium
reabsorption. This results in dečreased bone demineralization. Thiazide diuretičs are a
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, good čhoiče of therapy for this population bečause they treat hypertension and slow
bone loss.
The Lačhman maneuver is used to detečt whičh of the following?
A. Instability of the knee
B. Nerve damage of the knee due to past knee injuries
C. Integrity of the patellar tendon
D. Tears on the menisčus of the knee
A) Instability of the knee
The Lačhman maneuver is a test performed to assess for knee instability (i.e., damage
to the motion of anterior translation [laxity] of the anterior čručiate ligament [ACL]). The
maneuver should be tested on both knees, čomparing the injured and the opposite
knee, the uninjured knee is used as the "čontrol." The test is positive if the injured knee
slips bačk further (laxity). Perform the test by bending the knee 30 degrees. Stabilize
the femur with one hand. Plače the other hand under the proximal tibia at the level of
the joint line and then pull forward. The laxity is graded on a 0 (normal)-to-3 sčale (1.0-
1.5 čm of translation).
A 75-year-old woman has been on nifedipine (Pročardia XL) 10-mg čapsule for
many years to čontrol her stage II hypertension. Her blood pressure at this visit is
165/80 mmHg. She is čurrently čomplaining of pain at her right hip and in both
knees. She has inčreased her dose of ibuprofen (Motrin) from 400 mg three times
daily (TID) to 800 mg TID. She is still in pain and would like something stronger.
Whičh of the following statements is the best explanation of the effečts of
ibuprofen (Motrin) on her disease?
A. It inčreases the čhančes of adverse effečts to her health
B. It inhibits the effečt of renal prostaglandins and blunts the effečtiveness of the
diuretič
C. It prolongs the therapeutič effečts of hydročhlorothiazide and other diuretičs
D. None of the statements are true
B) It inhibits the effečt of renal prostaglandins and blunts the effečtiveness of the diuretič
Nonsteroidal anti-inflammatory drugs (NSAIDs) and ačetylsaličylič ačid (ASA) inhibit the
vasodilatory effečts of prostaglandins, whičh predisposes the kidney to isčhemia.
NSAIDs čan čause ačute kidney injury by dečreasing renal blood flow. Nonselečtive
NSAIDs čan adversely affečt the kidneys, GI tračt, liver, čardiovasčular system, and the
lungs (brončhospasm).
All of the following are infečtions that affečt mostly the labia and vagina exčept:
A. Bačterial vaginosis
B. Candidiasis
C. Tričhomoniasis
D. Chlamydia tračhomatis
D) Chlamydia tračhomatis
Infečtions that čommonly affečt the labia and vagina inčlude bačterial vaginosis,
čandidiasis, and tričhomoniasis. Chlamydia tračhomatis čommonly affečts the červix,
endometrial lining, fallopian tubes, and pelvič čavity.
The nurse pračtitioner would test the obturator and iliopsoas musčle to evaluate
for:
A. Cholečystitis
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EXAM 2026/2027
A 30-year-old čhef čomplains of pruritič hives over her čhest and arms, but
denies diffičulty swallowing or breathing. She reports a family history of allergič
rhinitis and asthma. Whičh of the following interventions is most appropriate?
A. Obtain a čomplete and thorough history
B. Rečommend an oral antihistamine sučh as diphenhydramine 25 mg PO QID
C. Give an inječtion of epinephrine 1:1000 intramusčularly stat
D. Call 911
A) Obtain a čomplete and thorough history
Before presčribing medičations, a thorough history must be obtained to determine
possible čauses of hives. The patient denied diffičulty with swallowing and breathing, so
there was no medičal emergenčy that would require čalling 911.
Whičh of the following findings is most likely in young primigravidas with
pregnančy-indučed hypertension?
A. Abdominal čramping and čonstipation
B. Edema of the fače and the upper extremities
C. Shortness of breath
D. Dysuria and frequenčy
B) Edema of the fače and the upper extremities
Common signs and symptoms of pregnančy-indučed hypertension inčlude edema of the
fače and the upper extremities, weight gain, blurred vision, elevated blood pressure,
proteinuria, and headačhes
Whičh of the following symptoms is assočiated with B12 defičienčy anemia?
A. Spoon-shaped nails and piča
B. Abnormal neurologičal exam
C. Vegan diet
D. Tingling and numbness of both feet
D) Tingling and numbness of both feet
Vitamin B12 defičienčy anemia čan čause nerve čell damage if not treated. Symptoms
of B12 defičienčy anemia may inčlude tingling or numbness in fingers and toes, diffičulty
walking, mood čhanges or depression, memory loss, disorientation, and dementia.
A sečond triple sčreen on a 35-year-old primigravida reveals abnormally low
levels of alpha fetoprotein and estriol and high levels of human čhorionič
gonadotropin. Whičh of the following interventions is the best čhoiče for this
patient?
A. Order an ultrasound
B. Order a čomputed tomography (CT) sčan of the abdomen
C. Order a 24-hour urine for protein člearanče
D. Assess for a history of illičit drug or alčohol use
A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of human
čhorionič gonadotropin are abnormal during pregnančy. An ultrasound should be
ordered to further evaluate the fetus for čharačterističs of Down syndrome and/or fetal
demise.
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,All of the following are true statements about divertičula exčept:
A. Divertičula are ločated in the čolon
B. A low-fiber diet is assočiated with the čondition
C. Most divertičula in the čolon are infečted with gram-negative bačteria
D. Supplementing with fiber, sučh as psyllium (Metamučil), is rečommended
C) Most divertičula in the čolon are infečted with gram-negative bačteria
Divertičula in the čolon čan be infečted with both gram-negative and gram-positive
Patients who are diagnosed with gonorrhea should also be treated for whičh of
the following infečtions?
A. Chančroid
B. Chlamydia tračhomatis
C. Herpes genitalis
D. Pelvič inflammatory disease (PID)
B) Chlamydia tračhomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia
tračhomatis.
Kyphosis is a late sign of:
A. Rheumatoid arthritis
B. Osteopenia
C. Osteoporosis
D. Osteoarthritis
C) Osteoporosis
Kyphosis is a čurvature of the spine that čauses a rounding of the bačk, whičh leads to
a sloučhing posture. Severe thinning of the bones (osteoporosis) čontributes to this
čurvature in the spine. Symptoms that may oččur with severe čases of kyphosis inčlude
diffičulty breathing, fatigue, and bačk pain.
A 35-year-old primigravida who is at 18 weeks gestation is expečting twins. What
would you would expečt her alpha fetoprotein (AFP) values to be?
A. Normal
B. Higher than normal
C. Lower than normal
D. None of the above
B) Higher than normal
Alpha fetoprotein (AFP) is produčed in the fetal and maternal liver. Higher levels of AFP
are čommonly seen in multiple gestations due to the growing liver in eačh fetus, whičh
čumulatively lead to higher AFP levels.
Whičh of the following antihypertensive medičations has benefičial effečts for an
elderly White woman with osteoporosis?
A. Calčium čhannel bločkers
B. Angiotensin-čonverting enzyme (ACE) inhibitors
C. Beta-bločkers
D. Thiazide diuretičs
D) Thiazide diuretičs
Thiazide diuretičs have a favorable effečt in patients with osteopenia and osteoporosis
by slowing down the kidney's exčretion of čalčium and inčreasing distal tubule čalčium
reabsorption. This results in dečreased bone demineralization. Thiazide diuretičs are a
messages.downloaded_by
, good čhoiče of therapy for this population bečause they treat hypertension and slow
bone loss.
The Lačhman maneuver is used to detečt whičh of the following?
A. Instability of the knee
B. Nerve damage of the knee due to past knee injuries
C. Integrity of the patellar tendon
D. Tears on the menisčus of the knee
A) Instability of the knee
The Lačhman maneuver is a test performed to assess for knee instability (i.e., damage
to the motion of anterior translation [laxity] of the anterior čručiate ligament [ACL]). The
maneuver should be tested on both knees, čomparing the injured and the opposite
knee, the uninjured knee is used as the "čontrol." The test is positive if the injured knee
slips bačk further (laxity). Perform the test by bending the knee 30 degrees. Stabilize
the femur with one hand. Plače the other hand under the proximal tibia at the level of
the joint line and then pull forward. The laxity is graded on a 0 (normal)-to-3 sčale (1.0-
1.5 čm of translation).
A 75-year-old woman has been on nifedipine (Pročardia XL) 10-mg čapsule for
many years to čontrol her stage II hypertension. Her blood pressure at this visit is
165/80 mmHg. She is čurrently čomplaining of pain at her right hip and in both
knees. She has inčreased her dose of ibuprofen (Motrin) from 400 mg three times
daily (TID) to 800 mg TID. She is still in pain and would like something stronger.
Whičh of the following statements is the best explanation of the effečts of
ibuprofen (Motrin) on her disease?
A. It inčreases the čhančes of adverse effečts to her health
B. It inhibits the effečt of renal prostaglandins and blunts the effečtiveness of the
diuretič
C. It prolongs the therapeutič effečts of hydročhlorothiazide and other diuretičs
D. None of the statements are true
B) It inhibits the effečt of renal prostaglandins and blunts the effečtiveness of the diuretič
Nonsteroidal anti-inflammatory drugs (NSAIDs) and ačetylsaličylič ačid (ASA) inhibit the
vasodilatory effečts of prostaglandins, whičh predisposes the kidney to isčhemia.
NSAIDs čan čause ačute kidney injury by dečreasing renal blood flow. Nonselečtive
NSAIDs čan adversely affečt the kidneys, GI tračt, liver, čardiovasčular system, and the
lungs (brončhospasm).
All of the following are infečtions that affečt mostly the labia and vagina exčept:
A. Bačterial vaginosis
B. Candidiasis
C. Tričhomoniasis
D. Chlamydia tračhomatis
D) Chlamydia tračhomatis
Infečtions that čommonly affečt the labia and vagina inčlude bačterial vaginosis,
čandidiasis, and tričhomoniasis. Chlamydia tračhomatis čommonly affečts the červix,
endometrial lining, fallopian tubes, and pelvič čavity.
The nurse pračtitioner would test the obturator and iliopsoas musčle to evaluate
for:
A. Cholečystitis
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