AANP FNP certification Exam Questions And Well Elaborated Solutions Graded A (latest updates 2024/2025)

AANP FNP certification Exam Questions And Well Elaborated Solutions Graded A (latest updates 2024/2025) All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - answers III first time audible, IV first time thrill Fundal height 12 weeks - answers Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? - answers Iron, TIBC 3 months of synthroid, TSH increased, T4 normal, what do you do? - answers Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - answers Mini mental exam 4 month old with strabismus, mom is worried...... - answers tell her it is normal. 4 month old wont keep anything down, what is the main thing you look at? - answers Growth chart 6 month old closed anterior fontanel. - answers XRAY Abnormal cells on PAP, what do you do next? - answers Refer for Colposcopy CAGE ACRONYM - answers Cut down Annoyed by criticism Guilty about drinking Eye opener drink Causes of tachycardia - answers Fever Anemia Hypotension Cranial nerves responsible for extraocular eye movements - answers CN 3,4,6 Definition of metabolic syndrome - answers cluster of conditions that increase risk of heart disease, stroke, diabetes. diagnose trichomoniasis - answers wet prep Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? - answers Pelvic US Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? - answers Anterior septum Definitive diagnosis of acute bacterial prostatitis - answers urinalysis and culture GERD treatment - answers H2 is first line, give hs Grade 3 cells on Pap, treatment? - answers LEEP excision Fingernail hematoma treatment? - answers drill hole and drain blood? Increased risk of ectopic pregnancy - answers Salpingitis, or history of abortion, PID, Koplick spots - answers Measles (rubeola). Grains of salt lesions inside mouth in Measles Koplick spots - answers Measles (rubeola). Grains of salt lesions inside mouth in Measles Legg-Calve-Perthes Disease - answers Avascular necrosis of the proximal femoral head Lipid level of 1500, increased risk for? - answers Pancreatitis Low HGB, Low HCT, High MCV indicates what? - answers Macrocytic anemia, B12 Def Man with BPH, prostate feels on digital exam? - answers Enlarged, symmetrical, smooth Man with HTN, CAD, present femoral pulses but absent pedal - answers Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress - answers Meniscus tears Lachman's Test - answers pivot shift test (ACL tear) Newborn with foot turned in, what do you do? - answers refer to orthopedist Osgood-Schlatter disease - answers Knee pain. inflammation or irritation of the tibia at its point of attachment with the patellar tendon Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? - answers Alzheimer's Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? - answers Refer to oncologist Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? - answers Tinea Corporis Pt presents with "bag of worms:, indicates? - answers Varicocele Pt with atopic dermatitis, look for what other diseases? - answers Asthma Pt with bleeding after menopause - answers endometrial biopsy, need to screen for cancer Pt with hx of PID, increased rick for? - answers Infertility Pt with HIV took high potency anti viral treatments and CD4 is 400, what does this indicate? - answers This is good. Want higher than 350 Pt with hx of htn and stroke, now having memory loss. What does this indicate? - answers Vascular dementia Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus? - answers slap cheek, PVB19, rash hands / feet Fetal death and birth defects Quick assessment of patients fall risk? Timed Get up and Go - answers Timed Get up and Go Red beefy tongue? - answers pernicious anemia Rotator cuff injury presentation - answers disturbs sleep, arm weakness, dull ache Shingles near eye - answers immediate referral to ophthalmology