AANP FNP Certification Exam Package with Solutions {PDF} Complete
Family Nurse Practitioner Study Guide & Practice Questions | Verified
Answers with Rationales | Primary Care, Diagnosis & Clinical Management
Review | Graded A+ FNP Board Exam Prep
During the past 24 hours, a 62-year-old has experienced abdominal pain that radiates
to the back. The patient also reports several episodes of nausea and vomiting, a low-
grade temperature, and a history of excessive drinking. Physical examination reveals
a distended abdomen. Laboratory serum values indicate elevated alkaline
phosphatase, amylase, and serum lipase. The most likely diagnosis is:
1. alcoholic liver disease.
2. acute mesenteric ischemia.
3. viral hepatitis.
4. acute pancreatitis.
acute pancreatitis
An otherwise healthy adult female presents complaining of vaginal burning and
itching during urination. She has a social history of two sexual partners. She denies
fever or vaginal discharge, but has noted a lesion on one labium. The nurse
practitioner should order all of the following EXCEPT:
1. wet mount and potassium hydroxide.
2. dark-field microscopy of fluid from the lesion.
3. nucleic acid amplification testing for gonorrhea.
4. serology for Haemophilus ducreyi.
,dark-field microscopy of fluid from lesion
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(s) would
chemoprophylaxis with rifampin be recommended?
1. Preschool contacts in the past 7 days
2. A friend of the patient's sister who visited after school yesterday
3. The checkout employee at the grocery store yesterday
4. Diners at the restaurant during lunch the day the patient ate there
preschool contacts in past 7 days
Congenital dysplasia of the hip:
1. more commonly affects both hips.
2. occurs more commonly in females.
3. is correctable at any age.
4. typically self-corrects by 12 weeks of age.
more commonly affects both hips
Anticholinergic agents such as ipratropium (Atrovent) and tiotropium (Spiriva) are
used in COPD primarily to:
1. induce bronchodilation.
2. decrease airway inflammation.
3. expand the lung fields.
4. treat hypoxemia.
,induce bronchodilation
The clinical presentation of placenta previa that develops during the third trimester
includes:
1. intermittent dark-red spotting.
2. occult bleeding with abdominal or back pain.
3. sudden onset of painless and profuse bleeding.
4. painless occult bleeding that becomes visible upon onset of labor.
sudden onset of painless and profuse bleeding
A 27-year-old male patient, who works as a janitor, presents with a 6-month history of
an intermittent rash on his hands. History reveals itching and occasional burning.
Examination reveals irregularly-distributed scaly maculopapular erythematous
patches extending from the dorsum of the hand several inches up the forearms, and
dry palms with no nail involvement. The most likely diagnosis is:
1. contact dermatitis.
2. scabies infestation.
3. psoriasis.
4. eczema.
contact dermatitis
Anorexia nervosa occurs most commonly in which of the following?
1. Painters
2. Only children
3. High-level athletes
4. Individuals from large families
, high level athletes
A frail elderly patient presents with constipation. Which of the following normal
physiologic changes seen with aging is the most likely cause?
1. Decreased bowel muscle tone
2. Increased bile secretion
3. Increased absorption of calcium
4. Decreased pancreatic secretions
decreased bowel muscle tone
A patient reports to your office, having been struck on the right cheek with a baseball
bat. On examination, you notice tenderness and swelling over the cheek. The patient
is unable to gaze laterally with his left eye, and he complains of double vision when
he attempts to do so. This is most likely associated with:
1. retinal hemorrhage.
2. orbital rim fracture.
3. subarachnoid hemorrhage.
4. periorbital cellulitis.
orbital rim fractures
A 7-year-old child presents with group A streptococcal infection confirmed by throat
culture. Past history includes treatment for positive streptococcal infection with
erythromycin (EryPed oral suspension) 3 weeks ago. What is the most appropriate
next intervention?
1. Treat with amoxicillin for 10 days.
Family Nurse Practitioner Study Guide & Practice Questions | Verified
Answers with Rationales | Primary Care, Diagnosis & Clinical Management
Review | Graded A+ FNP Board Exam Prep
During the past 24 hours, a 62-year-old has experienced abdominal pain that radiates
to the back. The patient also reports several episodes of nausea and vomiting, a low-
grade temperature, and a history of excessive drinking. Physical examination reveals
a distended abdomen. Laboratory serum values indicate elevated alkaline
phosphatase, amylase, and serum lipase. The most likely diagnosis is:
1. alcoholic liver disease.
2. acute mesenteric ischemia.
3. viral hepatitis.
4. acute pancreatitis.
acute pancreatitis
An otherwise healthy adult female presents complaining of vaginal burning and
itching during urination. She has a social history of two sexual partners. She denies
fever or vaginal discharge, but has noted a lesion on one labium. The nurse
practitioner should order all of the following EXCEPT:
1. wet mount and potassium hydroxide.
2. dark-field microscopy of fluid from the lesion.
3. nucleic acid amplification testing for gonorrhea.
4. serology for Haemophilus ducreyi.
,dark-field microscopy of fluid from lesion
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(s) would
chemoprophylaxis with rifampin be recommended?
1. Preschool contacts in the past 7 days
2. A friend of the patient's sister who visited after school yesterday
3. The checkout employee at the grocery store yesterday
4. Diners at the restaurant during lunch the day the patient ate there
preschool contacts in past 7 days
Congenital dysplasia of the hip:
1. more commonly affects both hips.
2. occurs more commonly in females.
3. is correctable at any age.
4. typically self-corrects by 12 weeks of age.
more commonly affects both hips
Anticholinergic agents such as ipratropium (Atrovent) and tiotropium (Spiriva) are
used in COPD primarily to:
1. induce bronchodilation.
2. decrease airway inflammation.
3. expand the lung fields.
4. treat hypoxemia.
,induce bronchodilation
The clinical presentation of placenta previa that develops during the third trimester
includes:
1. intermittent dark-red spotting.
2. occult bleeding with abdominal or back pain.
3. sudden onset of painless and profuse bleeding.
4. painless occult bleeding that becomes visible upon onset of labor.
sudden onset of painless and profuse bleeding
A 27-year-old male patient, who works as a janitor, presents with a 6-month history of
an intermittent rash on his hands. History reveals itching and occasional burning.
Examination reveals irregularly-distributed scaly maculopapular erythematous
patches extending from the dorsum of the hand several inches up the forearms, and
dry palms with no nail involvement. The most likely diagnosis is:
1. contact dermatitis.
2. scabies infestation.
3. psoriasis.
4. eczema.
contact dermatitis
Anorexia nervosa occurs most commonly in which of the following?
1. Painters
2. Only children
3. High-level athletes
4. Individuals from large families
, high level athletes
A frail elderly patient presents with constipation. Which of the following normal
physiologic changes seen with aging is the most likely cause?
1. Decreased bowel muscle tone
2. Increased bile secretion
3. Increased absorption of calcium
4. Decreased pancreatic secretions
decreased bowel muscle tone
A patient reports to your office, having been struck on the right cheek with a baseball
bat. On examination, you notice tenderness and swelling over the cheek. The patient
is unable to gaze laterally with his left eye, and he complains of double vision when
he attempts to do so. This is most likely associated with:
1. retinal hemorrhage.
2. orbital rim fracture.
3. subarachnoid hemorrhage.
4. periorbital cellulitis.
orbital rim fractures
A 7-year-old child presents with group A streptococcal infection confirmed by throat
culture. Past history includes treatment for positive streptococcal infection with
erythromycin (EryPed oral suspension) 3 weeks ago. What is the most appropriate
next intervention?
1. Treat with amoxicillin for 10 days.
