AANP FNP 2026 2026-06-10
AANP FNP Certification Exam 2026 Study Guide/Exam
(latest verified version for accuracy) fully solved & updated
2026/2027 | Verified Questions + Answers.
1. Diastolic murmurs
All diastolic murmurs are pathological.
2. Murmur Grades
Grades I-barely, II-audible, III-clearly audible, IV-first time thrill, V-Steth edge, VI-entire
steth.
3. Fundal height at 12 weeks
Fundal Height 12 weeks above symphysis pubis.
4. Fundus at 16 weeks
Fundus 16 weeks between symphysis pubis and umbilicus.
5. Fundus at 20 weeks
Fundus at 20 weeks is at umbilicus.
6. Normal fundal height variation
2 cm more or less from number of weeks gestation is normal if more or less order US.
7. 3 month old infant with down syndrome
Pale conjunctiva but otherwise healthy. Low HCT. Additional test: Iron, TIBC.
8. TSH and T4 levels after 3 months of synthroid
TSH increased, T4 normal, increase medication.
9. Assessing cognitive function
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,AANP FNP 2026 2026-06-10
3 ways to assess cognitive function in patient with signs/symptoms of memory loss: Mini
mental exam.
10. 4 month old with strabismus
Tell her it is normal.
11. 4 month old won't keep anything down
Look at the growth chart.
12. 6 month old closed anterior fontanel
X-ray.
13. Abnormal cells on PAP
Refer for Colposcopy.
14. CAGE acronym
Cut down, Annoyed by criticism, Guilty about drinking, Eye opener drink.
15. Causes of tachycardia
Fever, Anemia, Hypotension.
16. Cranial nerves for extraocular movements
CN 3, 4, 6.
17. Definition of metabolic syndrome
Cluster of conditions that increase risk of heart disease, stroke, diabetes.
18. Diagnosing trichomoniasis
Wet prep.
19. Elderly with atrophic vaginitis
Pelvic US.
20. Epistaxis location
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, AANP FNP 2026 2026-06-10
Kiesselbach's triangle, located in the anterior septum.
21. Diagnosis of acute bacterial prostatitis
Urinalysis and culture.
22. GERD treatment
H2 is first line, give hs.
23. Grade 3 cells on Pap treatment
LEEP excision.
24. Fingernail hematoma treatment
Drill hole and drain blood.
25. Increased risk of ectopic pregnancy
Salpingitis, or history of abortion, PID.
26. Koplick spots
Measles (rubeola). Grains of salt lesions inside mouth in Measles.
27. Legg-Calve-Perthes Disease
Avascular necrosis of the proximal femoral head.
28. Lipid level of 1500
Increased risk for pancreatitis.
29. Low HGB, Low HCT, High MCV
Indicates macrocytic anemia, B12 deficiency.
30. BPH digital exam findings
Prostate feels enlarged, symmetrical, smooth.
31. HTN, CAD, absent pedal pulses
Indicates arterial insufficiency.
3|Page
AANP FNP Certification Exam 2026 Study Guide/Exam
(latest verified version for accuracy) fully solved & updated
2026/2027 | Verified Questions + Answers.
1. Diastolic murmurs
All diastolic murmurs are pathological.
2. Murmur Grades
Grades I-barely, II-audible, III-clearly audible, IV-first time thrill, V-Steth edge, VI-entire
steth.
3. Fundal height at 12 weeks
Fundal Height 12 weeks above symphysis pubis.
4. Fundus at 16 weeks
Fundus 16 weeks between symphysis pubis and umbilicus.
5. Fundus at 20 weeks
Fundus at 20 weeks is at umbilicus.
6. Normal fundal height variation
2 cm more or less from number of weeks gestation is normal if more or less order US.
7. 3 month old infant with down syndrome
Pale conjunctiva but otherwise healthy. Low HCT. Additional test: Iron, TIBC.
8. TSH and T4 levels after 3 months of synthroid
TSH increased, T4 normal, increase medication.
9. Assessing cognitive function
1|Page
,AANP FNP 2026 2026-06-10
3 ways to assess cognitive function in patient with signs/symptoms of memory loss: Mini
mental exam.
10. 4 month old with strabismus
Tell her it is normal.
11. 4 month old won't keep anything down
Look at the growth chart.
12. 6 month old closed anterior fontanel
X-ray.
13. Abnormal cells on PAP
Refer for Colposcopy.
14. CAGE acronym
Cut down, Annoyed by criticism, Guilty about drinking, Eye opener drink.
15. Causes of tachycardia
Fever, Anemia, Hypotension.
16. Cranial nerves for extraocular movements
CN 3, 4, 6.
17. Definition of metabolic syndrome
Cluster of conditions that increase risk of heart disease, stroke, diabetes.
18. Diagnosing trichomoniasis
Wet prep.
19. Elderly with atrophic vaginitis
Pelvic US.
20. Epistaxis location
2|Page
, AANP FNP 2026 2026-06-10
Kiesselbach's triangle, located in the anterior septum.
21. Diagnosis of acute bacterial prostatitis
Urinalysis and culture.
22. GERD treatment
H2 is first line, give hs.
23. Grade 3 cells on Pap treatment
LEEP excision.
24. Fingernail hematoma treatment
Drill hole and drain blood.
25. Increased risk of ectopic pregnancy
Salpingitis, or history of abortion, PID.
26. Koplick spots
Measles (rubeola). Grains of salt lesions inside mouth in Measles.
27. Legg-Calve-Perthes Disease
Avascular necrosis of the proximal femoral head.
28. Lipid level of 1500
Increased risk for pancreatitis.
29. Low HGB, Low HCT, High MCV
Indicates macrocytic anemia, B12 deficiency.
30. BPH digital exam findings
Prostate feels enlarged, symmetrical, smooth.
31. HTN, CAD, absent pedal pulses
Indicates arterial insufficiency.
3|Page
