A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
m m m m m m m m m m m m
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas.
AANP PRACTICE ACTUAL QUESTIONS m
These symptoms are most likely:
m m
m
m m
m m
m
m m m m m m m
& ANSWERS VERIFIED 2025 1. m associated with the omeprazole. m m m
2. m related to the underlying condition.
m m m m
3. m the result of the NSAID.
m m m m
4. m caused by viral gastroenteritis. - ANS-associated with the omeprazole
m m m m m m m m
A 65-year-old woman presents for a follow-up examination after a new patient visit.
m m m m m m m m m m m m
She has not seen a healthcare provider for several years. She is a smoker and her
m m m m m m m m m m m m m m m m The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
m m m m m m m m m m m m
hypertension is now adequately controlled with medication. Her mother died at age
m m m m m m m m m m m m
40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL
m m m m m m m m m m m m m m m 1. m acetaminophen.
= 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the
m m m m m m m m m m m m m m 2. m prednisone.
nurse practitioner should start the patient on:
m m m m m m m 3. m aspirin.
4. m ibuprofen. - ANS-ibuprofen m m
1.bile acid sequestrant.
m m
2. a statin drug.
m m m A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and
m m m m m m m m m m m m m
3. a cholesterol absorption inhibitor.
m m m m presents for a follow-up examination after a recent hospitalization. It is most
m m m m m m m m m m m m
4. low-dose aspirin. - ANS-A statin drug
m m m m m m important to continue monitoring growth, development, and:
m m m m m m m
The most commonly prescribed medication for mild systemic lupus erythematosus
m m m m m m m m m 1. m white blood cell levels.
m m m
(SLE) is:
m m 2. m fecal occult blood test.
m m m
3. m hemoglobin levels. m
1. m azathioprine (AZA). m 4. m urine dipsticks. - ANS-hemoglobin levels
m m m m
2. m belimumab (Benlysta). m
3. m ibuprofen (Advil). m A 90-year-old female is brought to the clinic by her neighbor. She states that
m m m m m m m m m m m m m
4. m cyclophosphamide (Cytoxan). - ANS-ibuprofen (advil) m m m m everything is fine, but the nurse practitioner notes that she has poor hygiene and
m m m m m m m m m m m m m m
bruises on her trunk. The neighbor is concerned that the patient often has no money
m m m m m m m m m m m m m m m
The most common sign of cervical cancer is:
m m m m m m m to buy food, despite income from social security and a coal miner's pension. The
m m m m m m m m m m m m m m
nurse practitioner suspects abuse. Which of the following is the nurse practitioner
m m m m m m m m m m m m
1. m postcoital bleeding. m obligated to do next?
m m m m
2. m strong odor from vaginal discharge.
m m m m 1. Report the case to the proper authorities.
m m m m m m m
3. m itching in the vaginal area. m m m m 2. Tell the neighbor to check on the woman daily and report back.
m m m m m m m m m m m m
4. m molluscum contagiosum. - ANS-postcoital bleeding
m m m m 3. Document the data and report the information to risk management.
m m m m m m m m m m
4. Call the patient's family and inquire about the concerns. - ANS-report the case to
m m m m m m m m m m m m m m
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic
m m m m m m m m m m proper authorities
m m
pain secondary to diabetes mellitus. On follow-up, the patient complains of urine
m m m m m m m m m m m m
retention and dry mouth. The practitioner would:
m m m m m m m In most cases, the first manifestation of Alzheimer's disease is:
m m m m m m m m m
1. discontinue amitriptyline and begin ibuprofen (Motrin).
m m m m m m 1. m impaired judgment. m
2. refer to physical therapy.
m m m m 2. m decrease in short-term memory. m m m
3. start methocarbamol (Robaxin).
m m m 3. m disorientation in time and place. m m m m
4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANS-discontinue
m m m m m m m m 4. m decrease in long-term memory. - ANS-decrease in short-term memory
m m m m m m m m
amitriptyline and begin gabapentin (neurontin)
m m m m m
The optimal treatment for latent tuberculosis is:
m m m m m m
, 1. m rifampin (Rifadin) for 5 months.m m m m 2. MRI
m
2. m isoniazid (Nydrazid) for 9 months. m m m m 3. CT scan
m m
3. m pyrazinamide for 6 months. m m m 4. Pet scan - ANS-CT scan
m m m m m
4. m ethambutol for 6 months. - ANS-osioniazid (nydrazid) for 9 months
m m m m m m m m m
The most important diagnostic factor in evaluating angina pectoris is the patient's:
m m m m m m m m m m m
Unilateral spontaneous serous or serosanguineous discharge from a single duct of a
m m m m m m m m m m m
breast is most often caused by:
m m m m m m 1. m King of Heart's monitor. m m m
2. m physical examination. m
1. m intraductal papilloma. m 3. m history.
2. m mucinous breast lesions. m m 4. m echocardiogram. - ANS-history m m
3. m Paget's disease. m
4. m ductal carcinoma in situ. - ANS-intraductal papilloma
m m m m m m There are three reasons for latex allergies. Which of the following does NOT cause
m m m m m m m m m m m m m
the problem?
m m
A young child with asthma presents for follow-up evaluation. After numerous changes
m m m m m m m m m m m
in medications and doses, the parents report that the child continues to have
m m m m m m m m m m m m m 1. m Immediate hypersensitivity m
difficulty with coughing, especially during the night. Which of the following conditions
m m m m m m m m m m m m 2. m Irritant contact of dermatitis m m m
would be the most likely cause of the continued asthma symptoms?
m m m m m m m m m m m 3. m Cytotoxic hypersensitivity m
4. m Immune complex reaction - ANS-cytotoxic hypersensitivity
m m m m m
1. m Vocal cord dysfunction
m m
2. m Cystic fibrosis m A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is
m m m m m m m m m m m m
3. m Gastroesophageal reflux m about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold
m m m m m m m m m m m m m m
4. m Allergic rhinitis - ANS-gastroesophageal reflux
m m m m starting 5 days prior to the surgery and subcutaneous Lovenox has been ordered for
m m m m m m m m m m m m m m
DVT prophylaxis until the resumption of the warfarin. The nurse practitioner knows
m m m m m m m m m m m m
A pregnant woman with known HIV infection can reduce the risk of perinatal
m m m m m m m m m m m m that the patient's postoperative warfarin dose should be restarted based on the:
m m m m m m m m m m m m
transmission through zidovudine (Retrovir) therapy. Based on current research,
m m m m m m m m m
optimal therapy is to start daily dosing:
m m m m m m m 1. m value of her morning Prothrombin time.
m m m m m
2. m loading dose of 10 mg, plus the previous warfarin dose.
m m m m m m m m m
1. m post amniocentesis.
m 3. m baseline PT and INR values. m m m m
2. m after 14 weeks of gestation.
m m m m 4. m target INR of 2. - ANS-caseline PT and INR values
m m m m m m m m m
3. m if premature rupture of membranes occurs.
m m m m m
4. m if maternal viral loads are greater than 10,000. - ANS-after 14 weeks gestation
m m m m m m m m m m m m An 87-year-old patient presents with round, pruritic plaques and small vesicles on the
m m m m m m m m m m m m
lower legs. The most likely diagnosis is:
m m m m m m m
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
m m m m m m m m m m m m
1. m allergic contact dermatitis. m m
1. m acute coronary ischemia.
m m 2. m plaque psoriasis. m
2. m right ventricular hypertrophy.
m m 3. m cutaneous T-cell lymphoma. m m
3. m atrial hypertrophy.
m 4. m nummular eczema - ANS-nummular eczema m m m m
4. m hyperkalemia. - ANS-acute coronary ischemia m m m m
A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery
m m m m m m m m m m m m m m m
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child
m m m m m m m m m m m m stools without blood or mucus, and 2 episodes of vomiting in the past 48 hours.
m m m m m m m m m m m m m m m
is very irritable and does not feed well. During physical examination, the child's head
m m m m m m m m m m m m m m Assessment reveals no current antibiotic therapy, dehydration <5%, soft abdomen
m m m m m m m m m m
drops back and the child exhibits sudden flexing of the extremities. As the flexing
m m m m m m m m m m m m m m with hyperactive bowel sounds, no masses or organomegaly; other physical findings
m m m m m m m m m m m
stops, the child cries uncontrollably. Funduscopic examination reveals retinal
m m m m m m m m m are normal. Which of the following is the most appropriate management plan?
m m m m m m m m m m m m
hemorrhages. Which of the following diagnostic tests should be ordered?
m m m m m m m m m m
1. Stool culture; Immodium AD liquid.
m m m m m
1. Skull X-rays
m m
m m m m m m m m m m m m
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas.
AANP PRACTICE ACTUAL QUESTIONS m
These symptoms are most likely:
m m
m
m m
m m
m
m m m m m m m
& ANSWERS VERIFIED 2025 1. m associated with the omeprazole. m m m
2. m related to the underlying condition.
m m m m
3. m the result of the NSAID.
m m m m
4. m caused by viral gastroenteritis. - ANS-associated with the omeprazole
m m m m m m m m
A 65-year-old woman presents for a follow-up examination after a new patient visit.
m m m m m m m m m m m m
She has not seen a healthcare provider for several years. She is a smoker and her
m m m m m m m m m m m m m m m m The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
m m m m m m m m m m m m
hypertension is now adequately controlled with medication. Her mother died at age
m m m m m m m m m m m m
40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL
m m m m m m m m m m m m m m m 1. m acetaminophen.
= 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the
m m m m m m m m m m m m m m 2. m prednisone.
nurse practitioner should start the patient on:
m m m m m m m 3. m aspirin.
4. m ibuprofen. - ANS-ibuprofen m m
1.bile acid sequestrant.
m m
2. a statin drug.
m m m A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and
m m m m m m m m m m m m m
3. a cholesterol absorption inhibitor.
m m m m presents for a follow-up examination after a recent hospitalization. It is most
m m m m m m m m m m m m
4. low-dose aspirin. - ANS-A statin drug
m m m m m m important to continue monitoring growth, development, and:
m m m m m m m
The most commonly prescribed medication for mild systemic lupus erythematosus
m m m m m m m m m 1. m white blood cell levels.
m m m
(SLE) is:
m m 2. m fecal occult blood test.
m m m
3. m hemoglobin levels. m
1. m azathioprine (AZA). m 4. m urine dipsticks. - ANS-hemoglobin levels
m m m m
2. m belimumab (Benlysta). m
3. m ibuprofen (Advil). m A 90-year-old female is brought to the clinic by her neighbor. She states that
m m m m m m m m m m m m m
4. m cyclophosphamide (Cytoxan). - ANS-ibuprofen (advil) m m m m everything is fine, but the nurse practitioner notes that she has poor hygiene and
m m m m m m m m m m m m m m
bruises on her trunk. The neighbor is concerned that the patient often has no money
m m m m m m m m m m m m m m m
The most common sign of cervical cancer is:
m m m m m m m to buy food, despite income from social security and a coal miner's pension. The
m m m m m m m m m m m m m m
nurse practitioner suspects abuse. Which of the following is the nurse practitioner
m m m m m m m m m m m m
1. m postcoital bleeding. m obligated to do next?
m m m m
2. m strong odor from vaginal discharge.
m m m m 1. Report the case to the proper authorities.
m m m m m m m
3. m itching in the vaginal area. m m m m 2. Tell the neighbor to check on the woman daily and report back.
m m m m m m m m m m m m
4. m molluscum contagiosum. - ANS-postcoital bleeding
m m m m 3. Document the data and report the information to risk management.
m m m m m m m m m m
4. Call the patient's family and inquire about the concerns. - ANS-report the case to
m m m m m m m m m m m m m m
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic
m m m m m m m m m m proper authorities
m m
pain secondary to diabetes mellitus. On follow-up, the patient complains of urine
m m m m m m m m m m m m
retention and dry mouth. The practitioner would:
m m m m m m m In most cases, the first manifestation of Alzheimer's disease is:
m m m m m m m m m
1. discontinue amitriptyline and begin ibuprofen (Motrin).
m m m m m m 1. m impaired judgment. m
2. refer to physical therapy.
m m m m 2. m decrease in short-term memory. m m m
3. start methocarbamol (Robaxin).
m m m 3. m disorientation in time and place. m m m m
4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANS-discontinue
m m m m m m m m 4. m decrease in long-term memory. - ANS-decrease in short-term memory
m m m m m m m m
amitriptyline and begin gabapentin (neurontin)
m m m m m
The optimal treatment for latent tuberculosis is:
m m m m m m
, 1. m rifampin (Rifadin) for 5 months.m m m m 2. MRI
m
2. m isoniazid (Nydrazid) for 9 months. m m m m 3. CT scan
m m
3. m pyrazinamide for 6 months. m m m 4. Pet scan - ANS-CT scan
m m m m m
4. m ethambutol for 6 months. - ANS-osioniazid (nydrazid) for 9 months
m m m m m m m m m
The most important diagnostic factor in evaluating angina pectoris is the patient's:
m m m m m m m m m m m
Unilateral spontaneous serous or serosanguineous discharge from a single duct of a
m m m m m m m m m m m
breast is most often caused by:
m m m m m m 1. m King of Heart's monitor. m m m
2. m physical examination. m
1. m intraductal papilloma. m 3. m history.
2. m mucinous breast lesions. m m 4. m echocardiogram. - ANS-history m m
3. m Paget's disease. m
4. m ductal carcinoma in situ. - ANS-intraductal papilloma
m m m m m m There are three reasons for latex allergies. Which of the following does NOT cause
m m m m m m m m m m m m m
the problem?
m m
A young child with asthma presents for follow-up evaluation. After numerous changes
m m m m m m m m m m m
in medications and doses, the parents report that the child continues to have
m m m m m m m m m m m m m 1. m Immediate hypersensitivity m
difficulty with coughing, especially during the night. Which of the following conditions
m m m m m m m m m m m m 2. m Irritant contact of dermatitis m m m
would be the most likely cause of the continued asthma symptoms?
m m m m m m m m m m m 3. m Cytotoxic hypersensitivity m
4. m Immune complex reaction - ANS-cytotoxic hypersensitivity
m m m m m
1. m Vocal cord dysfunction
m m
2. m Cystic fibrosis m A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is
m m m m m m m m m m m m
3. m Gastroesophageal reflux m about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold
m m m m m m m m m m m m m m
4. m Allergic rhinitis - ANS-gastroesophageal reflux
m m m m starting 5 days prior to the surgery and subcutaneous Lovenox has been ordered for
m m m m m m m m m m m m m m
DVT prophylaxis until the resumption of the warfarin. The nurse practitioner knows
m m m m m m m m m m m m
A pregnant woman with known HIV infection can reduce the risk of perinatal
m m m m m m m m m m m m that the patient's postoperative warfarin dose should be restarted based on the:
m m m m m m m m m m m m
transmission through zidovudine (Retrovir) therapy. Based on current research,
m m m m m m m m m
optimal therapy is to start daily dosing:
m m m m m m m 1. m value of her morning Prothrombin time.
m m m m m
2. m loading dose of 10 mg, plus the previous warfarin dose.
m m m m m m m m m
1. m post amniocentesis.
m 3. m baseline PT and INR values. m m m m
2. m after 14 weeks of gestation.
m m m m 4. m target INR of 2. - ANS-caseline PT and INR values
m m m m m m m m m
3. m if premature rupture of membranes occurs.
m m m m m
4. m if maternal viral loads are greater than 10,000. - ANS-after 14 weeks gestation
m m m m m m m m m m m m An 87-year-old patient presents with round, pruritic plaques and small vesicles on the
m m m m m m m m m m m m
lower legs. The most likely diagnosis is:
m m m m m m m
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
m m m m m m m m m m m m
1. m allergic contact dermatitis. m m
1. m acute coronary ischemia.
m m 2. m plaque psoriasis. m
2. m right ventricular hypertrophy.
m m 3. m cutaneous T-cell lymphoma. m m
3. m atrial hypertrophy.
m 4. m nummular eczema - ANS-nummular eczema m m m m
4. m hyperkalemia. - ANS-acute coronary ischemia m m m m
A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery
m m m m m m m m m m m m m m m
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child
m m m m m m m m m m m m stools without blood or mucus, and 2 episodes of vomiting in the past 48 hours.
m m m m m m m m m m m m m m m
is very irritable and does not feed well. During physical examination, the child's head
m m m m m m m m m m m m m m Assessment reveals no current antibiotic therapy, dehydration <5%, soft abdomen
m m m m m m m m m m
drops back and the child exhibits sudden flexing of the extremities. As the flexing
m m m m m m m m m m m m m m with hyperactive bowel sounds, no masses or organomegaly; other physical findings
m m m m m m m m m m m
stops, the child cries uncontrollably. Funduscopic examination reveals retinal
m m m m m m m m m are normal. Which of the following is the most appropriate management plan?
m m m m m m m m m m m m
hemorrhages. Which of the following diagnostic tests should be ordered?
m m m m m m m m m m
1. Stool culture; Immodium AD liquid.
m m m m m
1. Skull X-rays
m m
