AANP EXAM 2026/2027 | ACTUAL TEST BANK
WITH CURRENTLY TESTING VERSIONS [450+
QUESTIONS] | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS | AANP FNP EXAM
2026/2027 LATEST UPDATE
1. An adult patient who is a farmer presents after being bitten by a pig.
Which antibiotic is best for prophylaxis?
A) Levofloxacin (Levaquin)
B) Ceftriaxone (Rocephin)
C) Clindamycin (Cleocin)
D) Amoxicillin-clavulanate (Augmentin)
Answer D: Amoxicillin-clavulanate (Augmentin)
Rationale: Augmentin is preferred after animal bites due to its broad spectrum
covering Pasteurella, Staphylococcus, and anaerobes .
2. A 34-week pregnant patient presents with sudden onset of abdominal pain
and vaginal bleeding. Which diagnosis is most likely?
A) Ectopic pregnancy
B) Miscarriage
C) Placenta previa
D) Placental abruption
,Answer D: Placental abruption
Rationale: Placental abruption presents with sudden painful bleeding after 20
weeks; an emergency threatening mother and fetus .
3. Which is the most common causative organism of pelvic inflammatory
disease?
A) Trichomonas vaginalis
B) Treponema pallidum
C) Mycoplasma genitalium
D) Neisseria gonorrhoeae
Answer D: Neisseria gonorrhoeae
Rationale: Gonorrhea and chlamydia are the most common causes of PID .
4. In performing a neurological exam, the NP notes fasciculations across the
tongue's surface. Which cranial nerve is affected?
A) CN VI (abducens)
B) CN XI (accessory)
C) CN X (vagus)
D) CN XII (hypoglossal)
Answer D: CN XII (hypoglossal)
Rationale: CN XII controls tongue movement; fasciculations indicate hypoglossal
nerve dysfunction .
,5. An older adult with hypertension, depression, and diabetes is experiencing
intermittent confusion. Medications include sertraline (Zoloft) and
diphenhydramine (Benadryl) PRN for sleep. Which action is best?
A) Increase sertraline
B) Prescribe donepezil (Aricept)
C) Discontinue diphenhydramine (Benadryl)
D) Add another antihypertensive
Answer C: Discontinue diphenhydramine (Benadryl)
Rationale: First-generation antihistamines have potent anticholinergic effects
causing confusion, especially in older adults .
6. Which skin disease is Auspitz sign used to differentiate from other
disorders?
A) Contact dermatitis
B) Tinea corporis
C) Scabies
D) Psoriasis
Answer D: Psoriasis
Rationale: Auspitz sign (pinpoint bleeding after scale removal) is characteristic of
psoriasis .
7. Patients of which ethnicity are at greatest risk for Tay-Sachs disease?
, A) African
B) Asian
C) European
D) Ashkenazi Jewish
Answer D: Ashkenazi Jewish
Rationale: Tay-Sachs carrier screening is routinely offered to individuals of
Ashkenazi Jewish descent .
8. A middle-aged patient presents with new-onset hypertension and
occasional flank pain. Family history positive for kidney disease. Urinalysis
shows 3+ protein. What is the next step?
A) Restrict all protein in diet
B) Repeat urinalysis in 3 months
C) Start ACE inhibitor only
D) Refer for genetic testing
Answer D: Refer for genetic testing
Rationale: Proteinuria plus family history of kidney disease warrants evaluation for
hereditary nephropathies .
9. Nonbullous impetigo is most commonly caused by:
A) Streptococcus pyogenes
B) Pseudomonas aeruginosa
C) Staphylococcus aureus
WITH CURRENTLY TESTING VERSIONS [450+
QUESTIONS] | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS | AANP FNP EXAM
2026/2027 LATEST UPDATE
1. An adult patient who is a farmer presents after being bitten by a pig.
Which antibiotic is best for prophylaxis?
A) Levofloxacin (Levaquin)
B) Ceftriaxone (Rocephin)
C) Clindamycin (Cleocin)
D) Amoxicillin-clavulanate (Augmentin)
Answer D: Amoxicillin-clavulanate (Augmentin)
Rationale: Augmentin is preferred after animal bites due to its broad spectrum
covering Pasteurella, Staphylococcus, and anaerobes .
2. A 34-week pregnant patient presents with sudden onset of abdominal pain
and vaginal bleeding. Which diagnosis is most likely?
A) Ectopic pregnancy
B) Miscarriage
C) Placenta previa
D) Placental abruption
,Answer D: Placental abruption
Rationale: Placental abruption presents with sudden painful bleeding after 20
weeks; an emergency threatening mother and fetus .
3. Which is the most common causative organism of pelvic inflammatory
disease?
A) Trichomonas vaginalis
B) Treponema pallidum
C) Mycoplasma genitalium
D) Neisseria gonorrhoeae
Answer D: Neisseria gonorrhoeae
Rationale: Gonorrhea and chlamydia are the most common causes of PID .
4. In performing a neurological exam, the NP notes fasciculations across the
tongue's surface. Which cranial nerve is affected?
A) CN VI (abducens)
B) CN XI (accessory)
C) CN X (vagus)
D) CN XII (hypoglossal)
Answer D: CN XII (hypoglossal)
Rationale: CN XII controls tongue movement; fasciculations indicate hypoglossal
nerve dysfunction .
,5. An older adult with hypertension, depression, and diabetes is experiencing
intermittent confusion. Medications include sertraline (Zoloft) and
diphenhydramine (Benadryl) PRN for sleep. Which action is best?
A) Increase sertraline
B) Prescribe donepezil (Aricept)
C) Discontinue diphenhydramine (Benadryl)
D) Add another antihypertensive
Answer C: Discontinue diphenhydramine (Benadryl)
Rationale: First-generation antihistamines have potent anticholinergic effects
causing confusion, especially in older adults .
6. Which skin disease is Auspitz sign used to differentiate from other
disorders?
A) Contact dermatitis
B) Tinea corporis
C) Scabies
D) Psoriasis
Answer D: Psoriasis
Rationale: Auspitz sign (pinpoint bleeding after scale removal) is characteristic of
psoriasis .
7. Patients of which ethnicity are at greatest risk for Tay-Sachs disease?
, A) African
B) Asian
C) European
D) Ashkenazi Jewish
Answer D: Ashkenazi Jewish
Rationale: Tay-Sachs carrier screening is routinely offered to individuals of
Ashkenazi Jewish descent .
8. A middle-aged patient presents with new-onset hypertension and
occasional flank pain. Family history positive for kidney disease. Urinalysis
shows 3+ protein. What is the next step?
A) Restrict all protein in diet
B) Repeat urinalysis in 3 months
C) Start ACE inhibitor only
D) Refer for genetic testing
Answer D: Refer for genetic testing
Rationale: Proteinuria plus family history of kidney disease warrants evaluation for
hereditary nephropathies .
9. Nonbullous impetigo is most commonly caused by:
A) Streptococcus pyogenes
B) Pseudomonas aeruginosa
C) Staphylococcus aureus
