AANP EXAM WITH VERIFIED QUESTIONS AND
ANSWERS LATEST UPDATED
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
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
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.
2. Obtain culture for all household members.
3. Treat with azithromycin (Zithromax) for 10 days.
4. Intramuscular Penicillin. - treat with amoxicillin for 10 days
A 16-year-old female adolescent is brought to the nurse practitioner's office by her
mother, who is concerned about her daughter's recent weight loss. History reveals that
the daughter was consistently in the 50th percentile for weight, but is now in the 10th
percentile. The mother states that she is concerned that her daughter is purging herself
after meals since she often goes to the restroom after eating and remains there for a
long period of time. The daughter denies any self-induced vomiting, starvation or
excessive activity. She does state that she jogs five miles a day and is in good
condition. In addition to a complete blood count with differential, which of the following
laboratory tests will be most helpful for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt - electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
An adult female who is homeless presents for an initial obstetric visit at 34 weeks of
pregnancy. She is diagnosed with Chlamydia trachomatis infection. What complication
will her newborn be most at risk?
1. Conjunctivitis
2. Hearing loss
3. Pneumonitis
4. Meningitis - conjunctivitis
A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of
vomiting and six diarrheal stools. On physical examination today, his vital signs reveal P
= 120 and capillary refill of 3 seconds. The patient's eyes are sunken and his extremities
are mottled and cool to the touch. The treatment plan would include:
ANSWERS LATEST UPDATED
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
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
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.
2. Obtain culture for all household members.
3. Treat with azithromycin (Zithromax) for 10 days.
4. Intramuscular Penicillin. - treat with amoxicillin for 10 days
A 16-year-old female adolescent is brought to the nurse practitioner's office by her
mother, who is concerned about her daughter's recent weight loss. History reveals that
the daughter was consistently in the 50th percentile for weight, but is now in the 10th
percentile. The mother states that she is concerned that her daughter is purging herself
after meals since she often goes to the restroom after eating and remains there for a
long period of time. The daughter denies any self-induced vomiting, starvation or
excessive activity. She does state that she jogs five miles a day and is in good
condition. In addition to a complete blood count with differential, which of the following
laboratory tests will be most helpful for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt - electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
An adult female who is homeless presents for an initial obstetric visit at 34 weeks of
pregnancy. She is diagnosed with Chlamydia trachomatis infection. What complication
will her newborn be most at risk?
1. Conjunctivitis
2. Hearing loss
3. Pneumonitis
4. Meningitis - conjunctivitis
A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of
vomiting and six diarrheal stools. On physical examination today, his vital signs reveal P
= 120 and capillary refill of 3 seconds. The patient's eyes are sunken and his extremities
are mottled and cool to the touch. The treatment plan would include:
