AANP FNP CERTIFICATION EXAM 2026/2027 COMPLETE WITH CORRECT ANSWERS AND EXPLANATION

AANP FNP CERTIFICATION EXAM 2026/2027
COMPLETE WITH CORRECT ANSWERS
AND EXPLANATION

1. All diastolic murmurs are considered:
A. Benign
B. Pathological
C. Functional
D. Innocent
Correct Answer: B
Explanation: The study guide states all diastolic murmurs are pathological.

2. A Grade III murmur is first:
A. Barely audible
B. Audible
C. Clearly audible
D. Associated with a thrill
Correct Answer: C
Explanation: Grade I = barely; II = audible; III = clearly audible; IV = first thrill.

3. Fundal height at 12 weeks is:
A. At the umbilicus
B. Between symphysis and umbilicus
C. Above the symphysis pubis
D. At the xiphoid
Correct Answer: C
Explanation: Fundal height 12 weeks is above the symphysis pubis.

4. Fundus at 20 weeks is located:
A. Above the symphysis
B. Between symphysis and umbilicus
C. At the umbilicus
D. At the xiphoid
Correct Answer: C
Explanation: Fundus at 20 weeks is at the umbilicus.

5. A 3-month-old with Down syndrome on goat’s milk has pale conjunctiva and low HCT. Next
test?
A. Lead level
B. Iron and TIBC
C. B12 and folate
D. Reticulocyte count

,Correct Answer: B
Explanation: Guide recommends Iron, TIBC for this presentation.

6. After 3 months of Synthroid, TSH is increased and T4 is normal. Action?
A. Decrease dose
B. Increase medication
C. Discontinue
D. Add T3
Correct Answer: B
Explanation: Increase the medication dose.

7. Three ways to assess cognitive function in memory-loss patients include:
A. Only clock-drawing
B. Mini-Mental exam (and related tools)
C. Only CT scan
D. Only EEG
Correct Answer: B
Explanation: Mini-Mental exam is listed as a key assessment method.

8. A 4-month-old with strabismus; mother is worried. Advice?
A. Immediate referral
B. It is normal
C. Patch the eye
D. Start glasses
Correct Answer: B
Explanation: Tell her it is normal at this age.

9. Main thing to evaluate in a 4-month-old who won’t keep anything down:
A. Stool culture
B. Growth chart
C. Abdominal X-ray
D. Allergy panel
Correct Answer: B
Explanation: Look primarily at the growth chart.

10. Closed anterior fontanel at 6 months warrants:
A. Reassurance
B. X-ray
C. MRI
D. No action
Correct Answer: B
Explanation: X-ray is indicated.

11. Abnormal cells on Pap smear; next step?
A. Repeat in 1 year
B. Refer for colposcopy

, C. Start antibiotics
D. HPV vaccine only
Correct Answer: B
Explanation: Refer for colposcopy.

12. CAGE acronym stands for:
A. Cut down, Annoyed, Guilty, Eye-opener
B. Control, Anger, Guilt, Excess
C. Craving, Avoidance, Guilt, Excess
D. Cut, Avoid, Guilty, Evening
Correct Answer: A
Explanation: Cut down, Annoyed by criticism, Guilty about drinking, Eye-opener drink.

13. Causes of tachycardia include all except:
A. Fever
B. Anemia
C. Hypotension
D. Hypothyroidism
Correct Answer: D
Explanation: Listed causes are fever, anemia, hypotension.

14. Cranial nerves responsible for extraocular movements:
A. CN 2, 3, 4
B. CN 3, 4, 6
C. CN 5, 7, 9
D. CN 8, 9, 10
Correct Answer: B
Explanation: CN 3, 4, 6.

15. Metabolic syndrome is defined as a cluster of conditions that increase risk of:
A. Only diabetes
B. Heart disease, stroke, diabetes
C. Only hypertension
D. Only obesity
Correct Answer: B
Explanation: Cluster increasing risk of heart disease, stroke, diabetes.

16. Definitive diagnosis of trichomoniasis is by:
A. Culture only
B. Wet prep
C. Blood test
D. Pap smear
Correct Answer: B
Explanation: Wet prep.