AANP FNP CERTIFICATION 2026
LATEST EXAM WITH ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
(100% VERIFIED ANSWERS)
Question 1
A 55-year-old male presents for a routine physical exam. He has a 30-
year history of smoking 1 pack per day. Which screening guideline
should the Family Nurse Practitioner (FNP) prioritize for this client?
A) Annual colonoscopy
B) Lung cancer screening with low-dose computed tomography (LDCT)
C) Bone mineral density (BMD) testing
D) Prostate-specific antigen (PSA) testing
E) Annual electrocardiogram (ECG)
Correct Answer: B) Lung cancer screening with low-dose computed
tomography (LDCT)
Rationale: The USPSTF recommends annual lung cancer screening
with LDCT for adults aged 50 to 80 years who have a 20 pack-year
smoking history and currently smoke or have quit within the past 15
years. This client fits the criteria.
Question 2
A 68-year-old female presents with a chief complaint of progressively
worsening memory loss over the past year. Her family reports she
,frequently misplaces items and struggles with managing finances. The
FNP's initial assessment should include screening for:
A) Major depressive disorder
B) Mild cognitive impairment
C) Normal aging
D) Alzheimer's dementia
E) Delirium
Correct Answer: D) Alzheimer's dementia
Rationale: Given the age and progressive nature of memory loss
impacting daily function, Alzheimer's dementia is a primary differential
diagnosis. The initial assessment should screen for the characteristic
features of this condition, though other causes of cognitive decline must
also be considered.
Question 3
A 45-year-old female client complains of fatigue, weight gain,
constipation, and cold intolerance. On physical examination, her thyroid
gland is diffusely enlarged and non-tender. Which diagnostic test should
the FNP order initially?
A) Thyroid-stimulating hormone (TSH)
B) Free T3 and Free T4
C) Thyroid ultrasound
D) Antithyroid antibodies
,E) Radioactive iodine uptake scan
Correct Answer: A) Thyroid-stimulating hormone (TSH)
Rationale: TSH is the most sensitive and specific screening test for
thyroid dysfunction. An elevated TSH would indicate primary
hypothyroidism, which aligns with the client's symptoms.
Question 4
A 32-year-old pregnant client, G2P1, is at 28 weeks gestation. Her 1-
hour glucose tolerance test (GTT) result is 155 mg/dL. What is the
appropriate next step for the FNP?
A) Immediately start insulin therapy
B) Advise strict dietary modifications
C) Order a 3-hour oral glucose tolerance test (OGTT)
D) Reassure the client that the result is normal
E) Refer to an endocrinologist
Correct Answer: C) Order a 3-hour oral glucose tolerance test
(OGTT)
Rationale: A 1-hour GTT result of 140 mg/dL or higher requires a
confirmatory 3-hour OGTT to diagnose gestational diabetes. A value
of 155 mg/dL is abnormal for the 1-hour screen.
, Question 5
A 62-year-old man with hypertension and type 2 diabetes presents for an
annual examination. Which laboratory test should the FNP order
annually to detect early diabetic kidney disease?
A) Urine albumin-to-creatinine ratio (UACR)
B) Serum calcium
C) Serum uric acid
D) Urine ketones
E) Creatine kinase
Correct Answer: A) Urine albumin-to-creatinine ratio (UACR)
Rationale: Annual UACR screening detects early diabetic nephropathy
and should be performed in patients with type 2 diabetes beginning at
diagnosis.
Question 6
A 24-year-old woman presents with dysuria, urinary frequency, and
urgency for 2 days. She has no fever or flank pain. What is the most
likely diagnosis?
A) Acute pyelonephritis
B) Acute uncomplicated cystitis
C) Interstitial cystitis
D) Nephrolithiasis
LATEST EXAM WITH ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
(100% VERIFIED ANSWERS)
Question 1
A 55-year-old male presents for a routine physical exam. He has a 30-
year history of smoking 1 pack per day. Which screening guideline
should the Family Nurse Practitioner (FNP) prioritize for this client?
A) Annual colonoscopy
B) Lung cancer screening with low-dose computed tomography (LDCT)
C) Bone mineral density (BMD) testing
D) Prostate-specific antigen (PSA) testing
E) Annual electrocardiogram (ECG)
Correct Answer: B) Lung cancer screening with low-dose computed
tomography (LDCT)
Rationale: The USPSTF recommends annual lung cancer screening
with LDCT for adults aged 50 to 80 years who have a 20 pack-year
smoking history and currently smoke or have quit within the past 15
years. This client fits the criteria.
Question 2
A 68-year-old female presents with a chief complaint of progressively
worsening memory loss over the past year. Her family reports she
,frequently misplaces items and struggles with managing finances. The
FNP's initial assessment should include screening for:
A) Major depressive disorder
B) Mild cognitive impairment
C) Normal aging
D) Alzheimer's dementia
E) Delirium
Correct Answer: D) Alzheimer's dementia
Rationale: Given the age and progressive nature of memory loss
impacting daily function, Alzheimer's dementia is a primary differential
diagnosis. The initial assessment should screen for the characteristic
features of this condition, though other causes of cognitive decline must
also be considered.
Question 3
A 45-year-old female client complains of fatigue, weight gain,
constipation, and cold intolerance. On physical examination, her thyroid
gland is diffusely enlarged and non-tender. Which diagnostic test should
the FNP order initially?
A) Thyroid-stimulating hormone (TSH)
B) Free T3 and Free T4
C) Thyroid ultrasound
D) Antithyroid antibodies
,E) Radioactive iodine uptake scan
Correct Answer: A) Thyroid-stimulating hormone (TSH)
Rationale: TSH is the most sensitive and specific screening test for
thyroid dysfunction. An elevated TSH would indicate primary
hypothyroidism, which aligns with the client's symptoms.
Question 4
A 32-year-old pregnant client, G2P1, is at 28 weeks gestation. Her 1-
hour glucose tolerance test (GTT) result is 155 mg/dL. What is the
appropriate next step for the FNP?
A) Immediately start insulin therapy
B) Advise strict dietary modifications
C) Order a 3-hour oral glucose tolerance test (OGTT)
D) Reassure the client that the result is normal
E) Refer to an endocrinologist
Correct Answer: C) Order a 3-hour oral glucose tolerance test
(OGTT)
Rationale: A 1-hour GTT result of 140 mg/dL or higher requires a
confirmatory 3-hour OGTT to diagnose gestational diabetes. A value
of 155 mg/dL is abnormal for the 1-hour screen.
, Question 5
A 62-year-old man with hypertension and type 2 diabetes presents for an
annual examination. Which laboratory test should the FNP order
annually to detect early diabetic kidney disease?
A) Urine albumin-to-creatinine ratio (UACR)
B) Serum calcium
C) Serum uric acid
D) Urine ketones
E) Creatine kinase
Correct Answer: A) Urine albumin-to-creatinine ratio (UACR)
Rationale: Annual UACR screening detects early diabetic nephropathy
and should be performed in patients with type 2 diabetes beginning at
diagnosis.
Question 6
A 24-year-old woman presents with dysuria, urinary frequency, and
urgency for 2 days. She has no fever or flank pain. What is the most
likely diagnosis?
A) Acute pyelonephritis
B) Acute uncomplicated cystitis
C) Interstitial cystitis
D) Nephrolithiasis
