AANPCBl FNPl Examl Reviewl V2l (Latestl
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
Q:l Anl adultl femalel presentsl atl 7l weeksl ofl gestationl withl bleedingl andl lowerl
abdominall cramping.l Thel nursel practitionerl suspectsl imminentl spontaneousl abortion.l Thel
patientl isl Rhl negative.l Whenl shouldl RhoGAMl bel administered?
1.Withinl 6l hours
2.Withinl 72l hours
3.Afterl thel abortion
4.Onlyl whenl needed
Answer:
2.l Withinl 72l hoursl
Rational:l 6l hoursl tool short,l afterl abortionl isl notl effective,l andl alwaysl givel ifl patientl isl
Rhl negative.
Q:l Al pregnantl adultl patientl isl diagnosedl withl al chlamydiall infectionl atl 20l weeksl ofl
gestation.l Whichl ofl thel followingl isl thel mostl accuratel methodl forl confirmingl thisl
diagnosis?
1.Enzyme-linkedl immunosorbentl assayl (ELISA)
2.Serologyl forl antibodyl titers
3.Nucleicl acidl amplificationl testl (NAAT)l ofl urine
4.Gram-stainingl ofl cervicall secretions
Answer:
3.l Nucleicl acidl amplificationl testl (NAAT)l ofl urine
,Rational:l ELISAl isl tol testl forl HIVl andl Lymel disease.l Antibodyl titersl wouldl notl bel
beneficiall tol test.l NAATl isl thel goldl standardl forl confiningl chlamydial.
Q:l Thel bestl medicationl forl al patientl whol complainsl ofl irritablel bowell syndromel withl
crampingl is:
1.lactulosel (Kristalose).
2.dicyclominel (Bentyl).
3.bismuthl subsalicylatel (Pepto-Bismol).
4.aluminum/magnesiuml hydroxidel (Maalox).
Answer:
2.l dicyclominel (Bentyl).
Rantional:l Crampingl isl mostl likelyl duel tol gas.l Bentyll isl thel onlyl medicationl listedl tol
helpl withl gas.
Q:l Al geriatricl patientl withl anemia,l backl pain,l osteoporosis,l andl elevatedl erythrocytel
sedimentationl ratel shouldl bel evaluatedl for:
1.caudal equinal syndrome.
2.Paget'sl disease.
3.multiplel myeloma.
4.renall dystrophy.
Answer:
1.l Multiplel myelomal
Rational:l Keyl words,l geriatric,l anemia,l backl pain,l elevatedl ESR.l caudal equinal
syndromel wouldl notl havel elevatedl ESRl orl anemia.
,Q:l Al motherl bringsl herl 8-week-oldl tol thel clinicl whol hasl beenl inconsolablyl cryingl
forl thel lastl 3l days.l Afterl completingl al thoroughl physicall examl withl normall findings,l
whichl ofl thel followingl diagnosticl testsl shouldl thel nursel practitionerl orderl NEXT?
1.MRI
2.Urinel culture
3.CTl ofl head
4.Bloodl cultures
Answer:
2.l Urinel Culturel
Rational:l ALWAYSl checkl forl UTIl inl infantsl ifl physicall examl isl normal
Q:l Al latel adolescentl malel goesl tol al clinicl withl al puncturel woundl afterl beingl bittenl
byl al neighbor'sl cat.l Afterl irrigatingl thel wound,l thel nursel practitionerl should:
1.instructl thel patientl tol returnl forl suturel removall inl 2l weeks.
2.referl thel patientl tol al surgeon.
3.administerl rabiesl vaccine.
4.prescribel amoxicillin-clavulanicl acidl (Augmentin).
Answer:
4.l prescribel amoxicillin-clavulanicl acidl (Augmentin).
Rational:l Catl bitesl arel atl highl riskl forl infection.l Higherl riskl thanl dogl bites.
Q:l Whichl ofl thel followingl statementsl regardingl depressionl inl thel elderlyl isl correct?
1.Depressionl canl bel inducedl byl prescribedl andl over-the-counterl medications.
2.Depressionl inl thel elderlyl requiresl increasedl dosingl ofl antidepressantl medication.
3.Suicidel ratesl arel lowestl inl elderlyl depressedl malel patients.
4.Olderl patientsl arel mostl likelyl tol seekl treatmentl forl depression.
Answer:
, 1.l Depressionl canl bel inducedl byl prescribedl andl over-the-counterl medications.
Rational:l Manyl geriatricl havel polypharmacyl includingl OTC.l Geriatricsl usuallyl requirel
lowerl dosagel ofl medications.l Suicidel ratesl increasel inl thel elderly.l Theyl tendl tol notl
seekl treatmentl andl considerl itl al normall partl ofl aging.
Q:l Al pediatricl patientl presentsl withl al painful,l enlargedl parotidl gland.l Thel mostl likelyl
diagnosisl is:
1.torticollis.
2.cervicall adenitis.
3.dentall abscess.
4.mumps.
Answer:
4.l Mumps
Rational:l Keyl workl enlargedl parotidl gland.l Nonel ofl thel otherl answersl wouldl havel
enlargedl parotidl gland.
Q:l Al geriatricl femalel wasl diagnosedl withl hypothyroidisml andl startedl onl
levothyroxinel (Synthroid),l 25l μgl 1l weekl ago.l Shel feelsl tiredl andl wishesl tol havel herl
medicinel increased.l Whichl ofl thel followingl isl thel BESTl response?
1."Youl mayl requirel antidepressantl medication,l asl depressionl isl al commonl coexistingl
illnessl withl hypothyroidism."
2."Youl willl needl tol havel bloodl drawnl tol assessl yourl thyroid-stimulatingl hormonel levell
beforel yourl medicationl canl bel increased."
3."Yourl dosel isl tool low,l andl youl willl receivel al newl prescriptionl forl levothyroxinel 50l
μg."
4."Yourl bloodl levelsl shouldl bel checkedl everyl 6l weeks,l asl itl takesl thel bodyl severall
weeksl tol adjustl tol thel medication."
Answer:
4."Yourl bloodl levelsl shouldl bel checkedl everyl 6l weeks,l asl itl takesl thel bodyl severall
weeksl tol adjustl tol thel medication."
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
Q:l Anl adultl femalel presentsl atl 7l weeksl ofl gestationl withl bleedingl andl lowerl
abdominall cramping.l Thel nursel practitionerl suspectsl imminentl spontaneousl abortion.l Thel
patientl isl Rhl negative.l Whenl shouldl RhoGAMl bel administered?
1.Withinl 6l hours
2.Withinl 72l hours
3.Afterl thel abortion
4.Onlyl whenl needed
Answer:
2.l Withinl 72l hoursl
Rational:l 6l hoursl tool short,l afterl abortionl isl notl effective,l andl alwaysl givel ifl patientl isl
Rhl negative.
Q:l Al pregnantl adultl patientl isl diagnosedl withl al chlamydiall infectionl atl 20l weeksl ofl
gestation.l Whichl ofl thel followingl isl thel mostl accuratel methodl forl confirmingl thisl
diagnosis?
1.Enzyme-linkedl immunosorbentl assayl (ELISA)
2.Serologyl forl antibodyl titers
3.Nucleicl acidl amplificationl testl (NAAT)l ofl urine
4.Gram-stainingl ofl cervicall secretions
Answer:
3.l Nucleicl acidl amplificationl testl (NAAT)l ofl urine
,Rational:l ELISAl isl tol testl forl HIVl andl Lymel disease.l Antibodyl titersl wouldl notl bel
beneficiall tol test.l NAATl isl thel goldl standardl forl confiningl chlamydial.
Q:l Thel bestl medicationl forl al patientl whol complainsl ofl irritablel bowell syndromel withl
crampingl is:
1.lactulosel (Kristalose).
2.dicyclominel (Bentyl).
3.bismuthl subsalicylatel (Pepto-Bismol).
4.aluminum/magnesiuml hydroxidel (Maalox).
Answer:
2.l dicyclominel (Bentyl).
Rantional:l Crampingl isl mostl likelyl duel tol gas.l Bentyll isl thel onlyl medicationl listedl tol
helpl withl gas.
Q:l Al geriatricl patientl withl anemia,l backl pain,l osteoporosis,l andl elevatedl erythrocytel
sedimentationl ratel shouldl bel evaluatedl for:
1.caudal equinal syndrome.
2.Paget'sl disease.
3.multiplel myeloma.
4.renall dystrophy.
Answer:
1.l Multiplel myelomal
Rational:l Keyl words,l geriatric,l anemia,l backl pain,l elevatedl ESR.l caudal equinal
syndromel wouldl notl havel elevatedl ESRl orl anemia.
,Q:l Al motherl bringsl herl 8-week-oldl tol thel clinicl whol hasl beenl inconsolablyl cryingl
forl thel lastl 3l days.l Afterl completingl al thoroughl physicall examl withl normall findings,l
whichl ofl thel followingl diagnosticl testsl shouldl thel nursel practitionerl orderl NEXT?
1.MRI
2.Urinel culture
3.CTl ofl head
4.Bloodl cultures
Answer:
2.l Urinel Culturel
Rational:l ALWAYSl checkl forl UTIl inl infantsl ifl physicall examl isl normal
Q:l Al latel adolescentl malel goesl tol al clinicl withl al puncturel woundl afterl beingl bittenl
byl al neighbor'sl cat.l Afterl irrigatingl thel wound,l thel nursel practitionerl should:
1.instructl thel patientl tol returnl forl suturel removall inl 2l weeks.
2.referl thel patientl tol al surgeon.
3.administerl rabiesl vaccine.
4.prescribel amoxicillin-clavulanicl acidl (Augmentin).
Answer:
4.l prescribel amoxicillin-clavulanicl acidl (Augmentin).
Rational:l Catl bitesl arel atl highl riskl forl infection.l Higherl riskl thanl dogl bites.
Q:l Whichl ofl thel followingl statementsl regardingl depressionl inl thel elderlyl isl correct?
1.Depressionl canl bel inducedl byl prescribedl andl over-the-counterl medications.
2.Depressionl inl thel elderlyl requiresl increasedl dosingl ofl antidepressantl medication.
3.Suicidel ratesl arel lowestl inl elderlyl depressedl malel patients.
4.Olderl patientsl arel mostl likelyl tol seekl treatmentl forl depression.
Answer:
, 1.l Depressionl canl bel inducedl byl prescribedl andl over-the-counterl medications.
Rational:l Manyl geriatricl havel polypharmacyl includingl OTC.l Geriatricsl usuallyl requirel
lowerl dosagel ofl medications.l Suicidel ratesl increasel inl thel elderly.l Theyl tendl tol notl
seekl treatmentl andl considerl itl al normall partl ofl aging.
Q:l Al pediatricl patientl presentsl withl al painful,l enlargedl parotidl gland.l Thel mostl likelyl
diagnosisl is:
1.torticollis.
2.cervicall adenitis.
3.dentall abscess.
4.mumps.
Answer:
4.l Mumps
Rational:l Keyl workl enlargedl parotidl gland.l Nonel ofl thel otherl answersl wouldl havel
enlargedl parotidl gland.
Q:l Al geriatricl femalel wasl diagnosedl withl hypothyroidisml andl startedl onl
levothyroxinel (Synthroid),l 25l μgl 1l weekl ago.l Shel feelsl tiredl andl wishesl tol havel herl
medicinel increased.l Whichl ofl thel followingl isl thel BESTl response?
1."Youl mayl requirel antidepressantl medication,l asl depressionl isl al commonl coexistingl
illnessl withl hypothyroidism."
2."Youl willl needl tol havel bloodl drawnl tol assessl yourl thyroid-stimulatingl hormonel levell
beforel yourl medicationl canl bel increased."
3."Yourl dosel isl tool low,l andl youl willl receivel al newl prescriptionl forl levothyroxinel 50l
μg."
4."Yourl bloodl levelsl shouldl bel checkedl everyl 6l weeks,l asl itl takesl thel bodyl severall
weeksl tol adjustl tol thel medication."
Answer:
4."Yourl bloodl levelsl shouldl bel checkedl everyl 6l weeks,l asl itl takesl thel bodyl severall
weeksl tol adjustl tol thel medication."
