AANP Clinical Scenarios Exam Prep 2026/2027 | Questions
& Correct Answers | Graded A+
1. The nurse suspects that an older patient who purchased a new car for a
neighbor to help with transportation is experiencing financial abuse. Which
action should the nurse take?
Suggest that the patient stop relying on the neighbor.
Report the suspected abuse to the protective agency.
Recommend the patient to move to a skilled nursing facility
Ask for the neighbor's name.
2. What is the primary side effect associated with oral ribavirin treatment for
hepatitis C?
depression
hypothyroidism
hemolytic anemia
weight loss
3. Describe the key characteristics of contact dermatitis as they relate to the
symptoms presented by the patient in the vignette.
Contact dermatitis involves systemic symptoms affecting the entire
body.
Contact dermatitis is characterized by an itchy, scaly rash that
appears in areas of skin that have been in contact with an irritant or
allergen.
Contact dermatitis is a chronic condition that does not respond to
topical treatments.
, Contact dermatitis is primarily a fungal infection requiring antifungal
treatment.
4. A 2-year-old child was brought in by her mother on account of a 2-day
history of profuse watery diarrhea, vomiting, anorexia, and lethargy. On
examination, the child appears lethargic with very sunken eyes, dry buccal
mucosa, decreased skin turgor, drinks water poorly when given, capillary
refill: 3s, pulse rate: 152/min. What is the first step you would take in the
management of this patient?
Intravenous rehydration
Stool culture
Empirical antibiotics
Oral rehydration
5. What does T-wave inversion on a 12-lead EKG typically indicate?
atrial hypertrophy
right ventricular hypertrophy
acute coronary ischemia
hyperkalemia
6. Type 2 diabetes mellitus is characterized by:
Glucose intolerance occurring only during pregnancy
Inadequate endogenous insulin and the body's inability to properly
use insulin
An autoimmune process
The absence of endogenous insulin
,7. What is the primary therapeutic effect of anticholinergic agents like
ipratropium and tiotropium in the treatment of COPD?
expand the lung fields
induce bronchodilation
treat hypoxemia
decrease airway inflammation
8. What is the most common presentation of cervical cancer?
Most-menopausal bleeding
Post-coital bleeding
Foul smelling discharge
Periumbilical pain
9. An adult male presents as first patient of the day after awaking about 5:00 AM
with indigestion and chest pressure. On checking his pulse, he found no
change from previous measurements. He states that, while waiting for the
nurse practitioner to arrive, he began to feel a little clammy. A 12-lead EKG
records the following patterns. On the basis of these EKG readings, the
diagnosis is:
anterior-septal acute myocardial infarction.
anterior acute myocardial infarction.
lateral acute myocardial infarction.
inferior acute myocardial infarction.
10. A patient presents with postcoital bleeding and is concerned about cervical
cancer. What should be the next step in her management?
, Suggest over-the-counter treatments for vaginal itching.
Advise her to monitor symptoms for a few months before seeking
help.
Refer for a Pap smear and further gynecological evaluation.
Prescribe antibiotics for a potential infection.
11. If a nursing assessment identifies a high-level athlete showing signs of
anorexia nervosa, what should be the immediate nursing intervention?
Suggest they consult a coach for performance advice.
Conduct a comprehensive nutritional assessment and develop a
care plan.
Encourage the athlete to increase their training intensity.
Advise them to eat more carbohydrates without further assessment.
12. Discuss the potential side effects of methylphenidate (Ritalin) in children and
explain why a slight increase in growth velocity is not considered a side
effect.
Increased heart rate is not a side effect of Ritalin.
A slight increase in growth velocity is not considered a side effect
because it is often a normal variation in growth patterns, while
other side effects like increased heart rate and irritability are more
directly linked to the medication.
Ritalin only causes positive effects without any side effects.
All side effects of Ritalin are harmful and should be avoided.
13. What laboratory tests are suggested for further assessment in the case of
the adolescent with significant weight loss?
& Correct Answers | Graded A+
1. The nurse suspects that an older patient who purchased a new car for a
neighbor to help with transportation is experiencing financial abuse. Which
action should the nurse take?
Suggest that the patient stop relying on the neighbor.
Report the suspected abuse to the protective agency.
Recommend the patient to move to a skilled nursing facility
Ask for the neighbor's name.
2. What is the primary side effect associated with oral ribavirin treatment for
hepatitis C?
depression
hypothyroidism
hemolytic anemia
weight loss
3. Describe the key characteristics of contact dermatitis as they relate to the
symptoms presented by the patient in the vignette.
Contact dermatitis involves systemic symptoms affecting the entire
body.
Contact dermatitis is characterized by an itchy, scaly rash that
appears in areas of skin that have been in contact with an irritant or
allergen.
Contact dermatitis is a chronic condition that does not respond to
topical treatments.
, Contact dermatitis is primarily a fungal infection requiring antifungal
treatment.
4. A 2-year-old child was brought in by her mother on account of a 2-day
history of profuse watery diarrhea, vomiting, anorexia, and lethargy. On
examination, the child appears lethargic with very sunken eyes, dry buccal
mucosa, decreased skin turgor, drinks water poorly when given, capillary
refill: 3s, pulse rate: 152/min. What is the first step you would take in the
management of this patient?
Intravenous rehydration
Stool culture
Empirical antibiotics
Oral rehydration
5. What does T-wave inversion on a 12-lead EKG typically indicate?
atrial hypertrophy
right ventricular hypertrophy
acute coronary ischemia
hyperkalemia
6. Type 2 diabetes mellitus is characterized by:
Glucose intolerance occurring only during pregnancy
Inadequate endogenous insulin and the body's inability to properly
use insulin
An autoimmune process
The absence of endogenous insulin
,7. What is the primary therapeutic effect of anticholinergic agents like
ipratropium and tiotropium in the treatment of COPD?
expand the lung fields
induce bronchodilation
treat hypoxemia
decrease airway inflammation
8. What is the most common presentation of cervical cancer?
Most-menopausal bleeding
Post-coital bleeding
Foul smelling discharge
Periumbilical pain
9. An adult male presents as first patient of the day after awaking about 5:00 AM
with indigestion and chest pressure. On checking his pulse, he found no
change from previous measurements. He states that, while waiting for the
nurse practitioner to arrive, he began to feel a little clammy. A 12-lead EKG
records the following patterns. On the basis of these EKG readings, the
diagnosis is:
anterior-septal acute myocardial infarction.
anterior acute myocardial infarction.
lateral acute myocardial infarction.
inferior acute myocardial infarction.
10. A patient presents with postcoital bleeding and is concerned about cervical
cancer. What should be the next step in her management?
, Suggest over-the-counter treatments for vaginal itching.
Advise her to monitor symptoms for a few months before seeking
help.
Refer for a Pap smear and further gynecological evaluation.
Prescribe antibiotics for a potential infection.
11. If a nursing assessment identifies a high-level athlete showing signs of
anorexia nervosa, what should be the immediate nursing intervention?
Suggest they consult a coach for performance advice.
Conduct a comprehensive nutritional assessment and develop a
care plan.
Encourage the athlete to increase their training intensity.
Advise them to eat more carbohydrates without further assessment.
12. Discuss the potential side effects of methylphenidate (Ritalin) in children and
explain why a slight increase in growth velocity is not considered a side
effect.
Increased heart rate is not a side effect of Ritalin.
A slight increase in growth velocity is not considered a side effect
because it is often a normal variation in growth patterns, while
other side effects like increased heart rate and irritability are more
directly linked to the medication.
Ritalin only causes positive effects without any side effects.
All side effects of Ritalin are harmful and should be avoided.
13. What laboratory tests are suggested for further assessment in the case of
the adolescent with significant weight loss?
