AANPCB FNP Practice V1 Exam Prep 2026/2027 | Questions &
Correct Answers | Graded A+
1. A patient presents with symptoms consistent with bacterial vaginosis. If a wet-
mount examination reveals squamous epithelial cells with stippling
appearance and indistinct borders, what would be the most appropriate next
step in management?
Order additional laboratory tests to confirm a fungal infection
Advise the patient to increase lactobacillus intake through diet
Prescribe antibiotics for a suspected urinary tract infection
Initiate treatment for bacterial vaginosis
2. In a scenario where a patient with cerumen impaction undergoes the Weber
test after cerumen removal, what change in the test result would you expect?
The test would remain inconclusive due to prior cerumen buildup.
The test would lateralize to the left, indicating continued conductive
loss.
The test would likely show no lateralization after cerumen removal,
indicating normal hearing function.
The test would lateralize to the right, indicating sensorineural loss.
3. A patient diagnosed with polymyalgia rheumatica is experiencing severe
symptoms despite being on analgesics. What would be the most appropriate
next step in management?
referring to physical therapy
administering Celebrex
increasing the dose of analgesics
, prescribing prednisone
4. A 20-year-old male presents with acute onset of severe scrotal pain and
nausea. Upon examination, you find a swollen, tender testicle with a high-
riding position. What would be your immediate course of action?
Order an ultrasound to confirm testicular cancer
Surgical intervention to correct testicular torsion
Monitor the patient for 24 hours before taking action
Prescribe antibiotics for epididymitis
5. What is the primary pharmacotherapeutic agent used to treat corneal
abrasions?
Olopatadine (Patanol)
Ofloxacin (Floxin)
Tetracaine (Alcaine)
Cromolyn ophthalmic (Crolom)
6. What is the most common treatment ordered for a sprain during the first 24
hours?
Movement, ice, compression, elevation
Rest, ice, compression, elevation
Rest, heat, compression, elevation
Movement, heat, compression, elevation
7. Which herbal remedy is recognized for its effectiveness in treating migraines?
Ginkgo biloba
, Feverfew
Ephedra
Echinacea
8. Describe the significance of using a macrolide antibiotic in the treatment of
acute bronchitis with thick, foul-smelling sputum.
Macrolide antibiotics are used primarily for viral infections.
Macrolide antibiotics have no effect on respiratory conditions.
Macrolide antibiotics are effective against the bacterial pathogens
that may cause acute bronchitis with severe symptoms.
Macrolide antibiotics are only used for skin infections.
9. What condition is indicated by a new onset of left-sided throbbing headache
and elevated sedimentation rate in an older adult female?
Migraine headache.
Cluster headache.
Giant cell arteritis.
Tension headache.
10. Appropriate treatment for a corneal abrasion would include which of the
following?
Oral antibiotics
Antibiotic eye drops or ointment
Possibly an eye patch to keep lid closed
Topical anesthetics to control the pain
, 11. An 18-month-old child presents with a bulging, immobile tympanic
membrane and a temperature of 103°F (39.4°C). Assessment also reveals a
grade II/VI systolic murmur at the left sternal border. After initiating
treatment for otitis media, what is the most appropriate intervention?
A. Obtain an EKG
D. Refer the patient to a cardiologist
C. Reevaluate the patient in 10 days
B. Obtain an Echocardiogram
12. In a scenario where a child with radial head subluxation does not begin to
use the affected arm after treatment, what would be the most appropriate
next step?
Refer the child to a specialist immediately.
Reassess the arm for possible complications or need for further
intervention.
Instruct the child to rest the arm for a few days.
Administer pain medication and observe for 24 hours.
13. Why is it important to start elderly patients on a lower dose of medication?
Elderly patients are less likely to experience side effects, so standard
doses can be used.
Elderly patients metabolize drugs faster than younger adults,
requiring higher doses.
Elderly patients have a higher tolerance for medications, allowing for
standard dosing.
Elderly patients may have altered pharmacokinetics and increased
sensitivity to medications, necessitating lower initial doses.
Correct Answers | Graded A+
1. A patient presents with symptoms consistent with bacterial vaginosis. If a wet-
mount examination reveals squamous epithelial cells with stippling
appearance and indistinct borders, what would be the most appropriate next
step in management?
Order additional laboratory tests to confirm a fungal infection
Advise the patient to increase lactobacillus intake through diet
Prescribe antibiotics for a suspected urinary tract infection
Initiate treatment for bacterial vaginosis
2. In a scenario where a patient with cerumen impaction undergoes the Weber
test after cerumen removal, what change in the test result would you expect?
The test would remain inconclusive due to prior cerumen buildup.
The test would lateralize to the left, indicating continued conductive
loss.
The test would likely show no lateralization after cerumen removal,
indicating normal hearing function.
The test would lateralize to the right, indicating sensorineural loss.
3. A patient diagnosed with polymyalgia rheumatica is experiencing severe
symptoms despite being on analgesics. What would be the most appropriate
next step in management?
referring to physical therapy
administering Celebrex
increasing the dose of analgesics
, prescribing prednisone
4. A 20-year-old male presents with acute onset of severe scrotal pain and
nausea. Upon examination, you find a swollen, tender testicle with a high-
riding position. What would be your immediate course of action?
Order an ultrasound to confirm testicular cancer
Surgical intervention to correct testicular torsion
Monitor the patient for 24 hours before taking action
Prescribe antibiotics for epididymitis
5. What is the primary pharmacotherapeutic agent used to treat corneal
abrasions?
Olopatadine (Patanol)
Ofloxacin (Floxin)
Tetracaine (Alcaine)
Cromolyn ophthalmic (Crolom)
6. What is the most common treatment ordered for a sprain during the first 24
hours?
Movement, ice, compression, elevation
Rest, ice, compression, elevation
Rest, heat, compression, elevation
Movement, heat, compression, elevation
7. Which herbal remedy is recognized for its effectiveness in treating migraines?
Ginkgo biloba
, Feverfew
Ephedra
Echinacea
8. Describe the significance of using a macrolide antibiotic in the treatment of
acute bronchitis with thick, foul-smelling sputum.
Macrolide antibiotics are used primarily for viral infections.
Macrolide antibiotics have no effect on respiratory conditions.
Macrolide antibiotics are effective against the bacterial pathogens
that may cause acute bronchitis with severe symptoms.
Macrolide antibiotics are only used for skin infections.
9. What condition is indicated by a new onset of left-sided throbbing headache
and elevated sedimentation rate in an older adult female?
Migraine headache.
Cluster headache.
Giant cell arteritis.
Tension headache.
10. Appropriate treatment for a corneal abrasion would include which of the
following?
Oral antibiotics
Antibiotic eye drops or ointment
Possibly an eye patch to keep lid closed
Topical anesthetics to control the pain
, 11. An 18-month-old child presents with a bulging, immobile tympanic
membrane and a temperature of 103°F (39.4°C). Assessment also reveals a
grade II/VI systolic murmur at the left sternal border. After initiating
treatment for otitis media, what is the most appropriate intervention?
A. Obtain an EKG
D. Refer the patient to a cardiologist
C. Reevaluate the patient in 10 days
B. Obtain an Echocardiogram
12. In a scenario where a child with radial head subluxation does not begin to
use the affected arm after treatment, what would be the most appropriate
next step?
Refer the child to a specialist immediately.
Reassess the arm for possible complications or need for further
intervention.
Instruct the child to rest the arm for a few days.
Administer pain medication and observe for 24 hours.
13. Why is it important to start elderly patients on a lower dose of medication?
Elderly patients are less likely to experience side effects, so standard
doses can be used.
Elderly patients metabolize drugs faster than younger adults,
requiring higher doses.
Elderly patients have a higher tolerance for medications, allowing for
standard dosing.
Elderly patients may have altered pharmacokinetics and increased
sensitivity to medications, necessitating lower initial doses.
