AANPCB FNP Practice Test 1 2026 | Most Tested Questions
& Verified Answers | Latest Update | Graded A+
1. A middle-aged hypertensive male presents to a public health clinic with
complaints of acute onset of fever, chills, and cough that is productive of
rusty-colored sputum. The patient reports episodes of sharp pains on the left
side of his back and chest whenever he is coughing. His temperature is 102.2
degrees Fahrenheit, the pulse is 100/min, and the blood pressure is 130/80.
The urinalysis does not show leukocytes, nitrates, or blood. This finding is
most consistent with:
Bacterial pneumonia
An upper urinary tract infection
Acute pyelonephritis
Atypical pneumonia
2. What is the primary hematopoietic disorder associated with lead poisoning?
Anemia
Thrombocytopenia
Polycythemia
Leukemia
3. If a pregnant woman with Fitz-Hugh-Curtis syndrome presents with severe
symptoms, what immediate action should the NP take before referring her to
the ED?
Administer oral antibiotics and schedule a follow-up appointment.
Perform a surgical intervention to address the swollen joints.
Stabilize the patient and ensure she is hydrated while preparing for
transfer.
, Prescribe over-the-counter pain relief and advise rest.
4. An elderly retired farmer presents with a dome shaped, pearly, firm nodule
with telangiectasia on the nose. In making a diagnosis, the nurse practitioner
recognizes this to be:
Bullous pemphigoid
Melanoma
Compound nevus
Basal cell carcinoma
5. The mother of the child is questioning why the child is recommended to
receive the MMR and Varicella vaccines again at his 1 year old well-child visit
whenever he received them already at 6 months old. Which of the following
is an appropriate response?
The MMR and Varicella vaccines have recently changed because the
old vaccines were not working.
The MMR and Varicella vaccines are not supposed to be given
before 12 months of age because the child still has mother's
immunity and the vaccine was most likely neutralized.
The MMR and Varicella vaccines are given at 6 months and again at 12-
15 months.
Apologize for the mistake because the mother is right; these vaccines
are not indicated at this time.
6. What is the primary risk associated with a 74-year-old male presenting with
acute unilateral headache and a reddened temple?
Jaw claudication
Elevated C-reactive protein
, Elevated erythrocyte sedimentation
Amaurosis fugax
7. A 36-year old G3P2 female presents to the office with pelvis and back pain,
as well as painful intercourse and burning with urination. Your exam reveals
tenderness in the LLQ and RLQ of the abdomen, cervical motion tenderness
and exquisite pain on palpation of the uterus and right adnexa. Her urine
dipstick is positive for leukocytes and ketones and negative for blood and
nitrites. Based on these findings, you diagnose and treat her with which of the
following?
UTI: Nitrofurantoin 100mg PO BID X 5 days
Endometriosis: combined oral contraceptives.
PID: Ceftriaxone 250mg IM X1 and doxycycline 100my PO BID X 14
days
Trichomoniasis: Tinidazole 2g PO X1
8. The NP is discussing tetracycline with a young sexually active female patient
being treated for a bacterial sinus infection. The NP will advise the patient:
not take tetracycline and BCP at the same time
employ an additional method of contraception while on the abx and
for one pill cycle after treatment is complete
practice abstinence while on abx and then resume BCP
not take birth control pills while on tetracycline
9. Secondary polycythemia is caused by:
a tumor-like condition of the bone marrow
prolonged tissue hypoxia
, alcoholism
severe dehydration/reduction in plasma volume
10. A patient comes in with a high fever, complaining of right-sided abdominal
pain. Blood is drawn and a CBC shows an elevated WBC count of 17,000 with
80% neutrophils. Most likely, this poor fellow is suffering from
appendicitis
diarrhea
diverticulitis
severe constipation
colitis
11. Describe how B12 deficiency anemia can affect neurological function.
B12 deficiency anemia causes hair loss and skin rashes.
B12 deficiency anemia primarily affects the digestive system.
B12 deficiency anemia does not affect neurological function.
B12 deficiency anemia can lead to neurological symptoms such as
tingling and numbness due to its role in nerve health.
12. Your patient is taking tetracycline and oral contraceptives
she should use additional forms of birth control for the duration of
the tetracycline therapy
she should be told that antibiotic therapy needs to be prolonged due
to drug interactions with the oral contraceptive
she should be told to watch for probable chest pain
& Verified Answers | Latest Update | Graded A+
1. A middle-aged hypertensive male presents to a public health clinic with
complaints of acute onset of fever, chills, and cough that is productive of
rusty-colored sputum. The patient reports episodes of sharp pains on the left
side of his back and chest whenever he is coughing. His temperature is 102.2
degrees Fahrenheit, the pulse is 100/min, and the blood pressure is 130/80.
The urinalysis does not show leukocytes, nitrates, or blood. This finding is
most consistent with:
Bacterial pneumonia
An upper urinary tract infection
Acute pyelonephritis
Atypical pneumonia
2. What is the primary hematopoietic disorder associated with lead poisoning?
Anemia
Thrombocytopenia
Polycythemia
Leukemia
3. If a pregnant woman with Fitz-Hugh-Curtis syndrome presents with severe
symptoms, what immediate action should the NP take before referring her to
the ED?
Administer oral antibiotics and schedule a follow-up appointment.
Perform a surgical intervention to address the swollen joints.
Stabilize the patient and ensure she is hydrated while preparing for
transfer.
, Prescribe over-the-counter pain relief and advise rest.
4. An elderly retired farmer presents with a dome shaped, pearly, firm nodule
with telangiectasia on the nose. In making a diagnosis, the nurse practitioner
recognizes this to be:
Bullous pemphigoid
Melanoma
Compound nevus
Basal cell carcinoma
5. The mother of the child is questioning why the child is recommended to
receive the MMR and Varicella vaccines again at his 1 year old well-child visit
whenever he received them already at 6 months old. Which of the following
is an appropriate response?
The MMR and Varicella vaccines have recently changed because the
old vaccines were not working.
The MMR and Varicella vaccines are not supposed to be given
before 12 months of age because the child still has mother's
immunity and the vaccine was most likely neutralized.
The MMR and Varicella vaccines are given at 6 months and again at 12-
15 months.
Apologize for the mistake because the mother is right; these vaccines
are not indicated at this time.
6. What is the primary risk associated with a 74-year-old male presenting with
acute unilateral headache and a reddened temple?
Jaw claudication
Elevated C-reactive protein
, Elevated erythrocyte sedimentation
Amaurosis fugax
7. A 36-year old G3P2 female presents to the office with pelvis and back pain,
as well as painful intercourse and burning with urination. Your exam reveals
tenderness in the LLQ and RLQ of the abdomen, cervical motion tenderness
and exquisite pain on palpation of the uterus and right adnexa. Her urine
dipstick is positive for leukocytes and ketones and negative for blood and
nitrites. Based on these findings, you diagnose and treat her with which of the
following?
UTI: Nitrofurantoin 100mg PO BID X 5 days
Endometriosis: combined oral contraceptives.
PID: Ceftriaxone 250mg IM X1 and doxycycline 100my PO BID X 14
days
Trichomoniasis: Tinidazole 2g PO X1
8. The NP is discussing tetracycline with a young sexually active female patient
being treated for a bacterial sinus infection. The NP will advise the patient:
not take tetracycline and BCP at the same time
employ an additional method of contraception while on the abx and
for one pill cycle after treatment is complete
practice abstinence while on abx and then resume BCP
not take birth control pills while on tetracycline
9. Secondary polycythemia is caused by:
a tumor-like condition of the bone marrow
prolonged tissue hypoxia
, alcoholism
severe dehydration/reduction in plasma volume
10. A patient comes in with a high fever, complaining of right-sided abdominal
pain. Blood is drawn and a CBC shows an elevated WBC count of 17,000 with
80% neutrophils. Most likely, this poor fellow is suffering from
appendicitis
diarrhea
diverticulitis
severe constipation
colitis
11. Describe how B12 deficiency anemia can affect neurological function.
B12 deficiency anemia causes hair loss and skin rashes.
B12 deficiency anemia primarily affects the digestive system.
B12 deficiency anemia does not affect neurological function.
B12 deficiency anemia can lead to neurological symptoms such as
tingling and numbness due to its role in nerve health.
12. Your patient is taking tetracycline and oral contraceptives
she should use additional forms of birth control for the duration of
the tetracycline therapy
she should be told that antibiotic therapy needs to be prolonged due
to drug interactions with the oral contraceptive
she should be told to watch for probable chest pain
