1
AANP FNP CERTIFICATION ACTUAL EXAM
2026-27 AANP FNP STUUDY GUIDE TEST
QUESTIONS AND CORRECT ANSWERS
A 70-year-old patient presents to the clinic complaining of dyspnea,
palpitations, and fatigue. The patient reports a 2-week history of
blackened stools. Assessment reveals BP = 110/60, P = 100, R = 24, Hgb
= 4.5, Hct = 16%. What is the most appropriate intervention? -
ANSWERS-Send to ER
During a well-child exam of an 18-month-old, premature tooth decay
and inflamed gums, particularly of the maxillary incisors, are noted.
The approach to this problem includes? - ANSWERS-Referring the child
to a dentist, assessing for bottle feeding and fluoride in local water.
A 3-year-old female has been diagnosed with bacterial meningitis. She
attends preschool daily at a local church day care program. The day
before her diagnosis, she ate lunch with her mother at a local
restaurant. For which contact would chemoprophylaxis with rifampin
be recommended? - ANSWERS-Preschool contacts in the past 7 days
A 19-year-old patient who has used OCPs for 3 years plans to
discontinue the pill at the end of her current cycle to become pregnant.
What daily supplement would receive the highest priority? - ANSWERS-
Folic acid
The most commonly prescribed medication for mild systemic lupus
erythematosus is? - ANSWERS-Ibuprofen
A child is being treated with Ritalin for ADD. What is not a side
,2
effect of Ritalin? - ANSWERS-Slight increase in growth velocity
A mother has just noticed that her 15-month-old, 15 kg child has just
recently ingested an unknown quantity of iron tablets. The mother has
ipecac syrup and activated charcoal on hand. The mother should be
advised to? - ANSWERS-Take the child to the ER
What is not used for therapy of an acute attack of gout? - ANSWERS-
Allopurinol
In a 6-year-old, what is the preferred drug for stage 1 Lyme
disease? - ANSWERS-Cefuroxime (Ceftin)
The optimal treatment for latent TB is? - ANSWERS-Isoniazid (Nydrazid) for
9 months
A 46-year-old female found a lump in her breast this morning. History
includes: no prior breast disease; G2P2; maternal aunt diagnosed with
breast cancer at age 72; LMP 2.5 weeks ago. On exam, an NP palpates
a 2-cm round, soft, mobile, tender lesion in the upper outer quadrant
of the right breast. Mammogram is negative. What action is most
appropriate? - ANSWERS-Schedule a right-breast US
The medication of choice for initial treatment of juvenile RA is? -
ANSWERS-Ibuprofen
,3
A 3-year-old presents with a 2-day history of acute diarrhea with a
total of 8 watery stools without blood or mucus, and 2 episodes of
vomiting in the past 48 hours.
Assessment reveals no current abx therapy, dehydration <5%, soft
abdomen with hyperactive bowel sounds, no masses or organomegaly;
other physical findings are normal. What is the appropriate
management plan? - ANSWERS-No lab workup; instruct parents on
signs and symptoms of dehydration; diet of clear liquids, advancing to
bananas, rice cereal, Jell-O, and soup
An NP places a 76-year-old patient on nifedipine (Procardia) 10 mg TID for
angina. The patient is unable to remember to take the medication at the
scheduled times. The practitioner should? - ANSWERS-Change the dose to
extended release 30 mg daily
The most common side effect of the oral ribavirin used in the
treatment of hep C is? - ANSWERS-Hemolytic anemia
A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On PE today, his vital
signs reveal P = 120 and capillary refill 3 seconds. The patient's eyes are
sunken and his extremities are mottled and cool to touch. The
treatment plan would include? - ANSWERS-Hospitalization for IV fluid
replacement
A young child with asthma presents for follow-up eval. After numerous
changes in medications and doses, the parents report that the child
continues to have difficulty with coughing, especially during the night.
What condition would be the most likely cause of the continued
asthma symptoms? - ANSWERS-GERD
The NP prescribes amitriptyline (Elavil) for a patient with neuropathic
pain secondary to DM. On follow-up, the patient complains of urine
retention and dry mouth. The practitioner would? - ANSWERS-
Discontinue amitriptyline and begin Gabapentin
, 4
The management of COPD in the elderly is best guided by? -
ANSWERS-Symptomatology
A 65-year-old woman presents for a follow-up exam after a new
patient visit. She has not seen a healthcare provider for several years.
She is a smoker and her HTN is now adequately controlled with
medication. Her mother died at age 40 from a hear attack. The fasting
lipid profile shows cholesterol = 240, HDL = 30, and LDL = 200. In
addition to starting Therapeutic Lifestyle Changes, the NP should start
the patient on? - ANSWERS-A statin drug
A 12-year-old with sickle cell anemia has recently experienced a sickle
cell crisis and presents for a follow-up exam after a recent
hospitalization. It is most important to continue monitoring growth,
development, and? - ANSWERS-Hemoglobin levels
AANP FNP CERTIFICATION ACTUAL EXAM
2026-27 AANP FNP STUUDY GUIDE TEST
QUESTIONS AND CORRECT ANSWERS
A 70-year-old patient presents to the clinic complaining of dyspnea,
palpitations, and fatigue. The patient reports a 2-week history of
blackened stools. Assessment reveals BP = 110/60, P = 100, R = 24, Hgb
= 4.5, Hct = 16%. What is the most appropriate intervention? -
ANSWERS-Send to ER
During a well-child exam of an 18-month-old, premature tooth decay
and inflamed gums, particularly of the maxillary incisors, are noted.
The approach to this problem includes? - ANSWERS-Referring the child
to a dentist, assessing for bottle feeding and fluoride in local water.
A 3-year-old female has been diagnosed with bacterial meningitis. She
attends preschool daily at a local church day care program. The day
before her diagnosis, she ate lunch with her mother at a local
restaurant. For which contact would chemoprophylaxis with rifampin
be recommended? - ANSWERS-Preschool contacts in the past 7 days
A 19-year-old patient who has used OCPs for 3 years plans to
discontinue the pill at the end of her current cycle to become pregnant.
What daily supplement would receive the highest priority? - ANSWERS-
Folic acid
The most commonly prescribed medication for mild systemic lupus
erythematosus is? - ANSWERS-Ibuprofen
A child is being treated with Ritalin for ADD. What is not a side
,2
effect of Ritalin? - ANSWERS-Slight increase in growth velocity
A mother has just noticed that her 15-month-old, 15 kg child has just
recently ingested an unknown quantity of iron tablets. The mother has
ipecac syrup and activated charcoal on hand. The mother should be
advised to? - ANSWERS-Take the child to the ER
What is not used for therapy of an acute attack of gout? - ANSWERS-
Allopurinol
In a 6-year-old, what is the preferred drug for stage 1 Lyme
disease? - ANSWERS-Cefuroxime (Ceftin)
The optimal treatment for latent TB is? - ANSWERS-Isoniazid (Nydrazid) for
9 months
A 46-year-old female found a lump in her breast this morning. History
includes: no prior breast disease; G2P2; maternal aunt diagnosed with
breast cancer at age 72; LMP 2.5 weeks ago. On exam, an NP palpates
a 2-cm round, soft, mobile, tender lesion in the upper outer quadrant
of the right breast. Mammogram is negative. What action is most
appropriate? - ANSWERS-Schedule a right-breast US
The medication of choice for initial treatment of juvenile RA is? -
ANSWERS-Ibuprofen
,3
A 3-year-old presents with a 2-day history of acute diarrhea with a
total of 8 watery stools without blood or mucus, and 2 episodes of
vomiting in the past 48 hours.
Assessment reveals no current abx therapy, dehydration <5%, soft
abdomen with hyperactive bowel sounds, no masses or organomegaly;
other physical findings are normal. What is the appropriate
management plan? - ANSWERS-No lab workup; instruct parents on
signs and symptoms of dehydration; diet of clear liquids, advancing to
bananas, rice cereal, Jell-O, and soup
An NP places a 76-year-old patient on nifedipine (Procardia) 10 mg TID for
angina. The patient is unable to remember to take the medication at the
scheduled times. The practitioner should? - ANSWERS-Change the dose to
extended release 30 mg daily
The most common side effect of the oral ribavirin used in the
treatment of hep C is? - ANSWERS-Hemolytic anemia
A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On PE today, his vital
signs reveal P = 120 and capillary refill 3 seconds. The patient's eyes are
sunken and his extremities are mottled and cool to touch. The
treatment plan would include? - ANSWERS-Hospitalization for IV fluid
replacement
A young child with asthma presents for follow-up eval. After numerous
changes in medications and doses, the parents report that the child
continues to have difficulty with coughing, especially during the night.
What condition would be the most likely cause of the continued
asthma symptoms? - ANSWERS-GERD
The NP prescribes amitriptyline (Elavil) for a patient with neuropathic
pain secondary to DM. On follow-up, the patient complains of urine
retention and dry mouth. The practitioner would? - ANSWERS-
Discontinue amitriptyline and begin Gabapentin
, 4
The management of COPD in the elderly is best guided by? -
ANSWERS-Symptomatology
A 65-year-old woman presents for a follow-up exam after a new
patient visit. She has not seen a healthcare provider for several years.
She is a smoker and her HTN is now adequately controlled with
medication. Her mother died at age 40 from a hear attack. The fasting
lipid profile shows cholesterol = 240, HDL = 30, and LDL = 200. In
addition to starting Therapeutic Lifestyle Changes, the NP should start
the patient on? - ANSWERS-A statin drug
A 12-year-old with sickle cell anemia has recently experienced a sickle
cell crisis and presents for a follow-up exam after a recent
hospitalization. It is most important to continue monitoring growth,
development, and? - ANSWERS-Hemoglobin levels
