AANP Exam Version 1 Actual Exam
AANP Exam Version 1 Actual Exam
Newest 2025/2026 Complete All
Questions And Correct Detailed
Answers (Verified Answers) |Already
Graded A+||Brand New Version
You see Theresa, a 55-year-old woman who is traveling extensively for work and
complains about difficulty sleeping. She asks about using melatonin as a sleep aid.
You respond that:
A. There is no credible clinical evidence supporting the use of melatonin as a
sleep aid.
B Melatonin can be used occasionally on nights when you experience difficulty
sleeping.
C. For best results, melatonin should be used regularly in the evening prior to
going to sleep.
D. Melatonin is associated with greater next-day effects compared with
benzodiazepine products.
C. For best results, melatonin should be used regularly in the evening prior to
going to sleep.
A 25-year-old graduate student is given a prescription to treat his depression. He
asks how long he will need to take the medication. You respond that, in general,
pharmacologic intervention in depression should:
A. Be continued indefinitely regardless of whether remission is achieved.
B. Generally be given for about 4-6 months then rapidly withdrawn.
C. Be titrated to a lower dose once symptom relief is achieved, and then
withdrawn 1-2 months later.
D. Continue for at least 6 months after remission is achieved.
TEST BANK A+ 1
, AANP Exam Version 1 Actual Exam
D. Continue for at least 6 months after remission is achieved.
Depression is a chronic disorder and pharmacologic management should proceed
accordingly. Dose is initiated and titrated up to symptom control then maintained;
it should not be rapidly withdrawn, and if the decision is made to stop therapy, it
should be titrated off gradually. Once the therapeutic goal is achieved, treatment
should continue at least 6 months; then it is appropriate to reevaluate the clinical
scenario.
Ms. Tinel is a 72-year-old woman with a newly-diagnosed major depressive
disorder. She also has a history of mitral valve disease and is currently taking
warfarin. The best choice of a selective serotonin reuptake inhibitor for Ms. Tinel
is:
Fluvoxamine.
Citalopram.
Fluoxetine.
Paroxetine.
Citalopram.
Given that the patient is taking warfarin, it is important to select a drug that does
not have a significant impact on the cytochrome P450 (CYP450) enzyme cascade.
Among the four answer choices, fluoxetine, fluvoxamine, paroxetine are
appreciable inhibitors of the CYP450 system, whereas citalopram exhibits minimal
CYP450 inhibition.
Clinical presentation of anorexia nervosa (AN) usually includes all of the following
except:
Lanugo.
Depression.
Tachycardia.
Intense fear of obesity.
Tachycardia.
norexia nervosa is a psychiatric disorder that is often accompanied by other
psychiatric disorders. Depression is a common comorbid condition. Intense fear of
obesity is a phobia that often presents as misperceptions about appearance.
TEST BANK A+ 2
, AANP Exam Version 1 Actual Exam
Lanugo, or growth of fine, soft hair on the face and body, is a protective
mechanism that emerges as a response to loss of body fat. The profound decrease
in metabolic rate and autonomic dysfunction results in significant bradycardia,
with rates 30-40 bpm.
A 27-year-old woman with allergic rhinitis asks when is the best time of the day to
exercise outdoors to avoid pollen. The NP responds:
Mornings tend to have the highest pollen counts.
Pollen counts peak in the late afternoon.
Pollen counts do not change with the time of day.
Outdoor exercise should be avoided.
Mornings tend to have the highest pollen counts.
A patient presents for follow-up after experiencing a corneal abrasion 72 hours
ago. He states he did accidentally scratch his eye with a tree branch while out for
a walk. He reported promptly for care, was seen in the emergency department,
had an eye exam and irrigation, was treated with topical NSAIDs, and was told to
follow-up with his primary care provider within 3 days. On examination he has
light sensitivity and he admits that he still has more pain than he expected. The
nurse practitioner notes a small amount of purulent drainage in the cornea and
correctly determines that:
A. The patient is healing slowly and should be seen again in a few days to ensure
continued improvement.
B. Further evaluation with a slit lamp and visual acuity documentation is
indicated.
C. The abrasion is not resolving as expected and he should be referred
immediately to ophthalmology.
D. An ophthalmic antibiotic should be started along with a 72-hour eye patch.
C. The abrasion is not resolving as expected and he should be referred
immediately to ophthalmology.
Corneal abrasions are extremely painful, but typically have a rapid healing
trajectory. Pain usually develops quickly and intensely within hours of injury, but
in the majority of cases, the pain has begun to lessen significantly within 24
hours. Within 48 hours, the pain should be almost completely resolved.
TEST BANK A+ 3
, AANP Exam Version 1 Actual Exam
A 28-year-old man presents for a follow-up visit for persistent allergic rhinitis. He
asks about allergen immunotherapy. The NP advises all of the following except:
A. Immunotherapy can be considered when there is an inadequate response with
optimal use of medications.
B Immunotherapy can be an option when there is a desire to decrease the use of
allergy medications.
C. Immunotherapy can be effective for patients with IgE-mediated allergic
sensitization.
D. Immunotherapy should only be considered when there is coexisting allergic
rhinitis and asthma.
D. Immunotherapy should only be considered when there is coexisting allergic
rhinitis and asthma.
Immunotherapy should only be considered when there is coexisting allergic
rhinitis and asthma. Allergen immunotherapy can be helpful in managing
persistent allergic rhinitis and conjunctivitis and should be considered in
patients with multi-organ symptoms of IgE-mediated allergic sensitization (e.g.,
asthma). This method can be highly effective in select patients and should be
considered when other treatments fail or if the patient desires to reduce the use
of allergy medications. T
Which of the following is recommended for intervention in persistent allergic
conjunctivitis in an otherwise healthy 22-year-old man?
A. Ocular mast cell stabilizer with an ocular antihistamine
B. Ophthalmic ciprofloxacin solution
C. Ocular corticosteroids
D. Oral NSAIDs
A. Ocular mast cell stabilizer with an ocular antihistamine
Which of the following medications has the least anticholinergic effect?
Chlorpheniramine
Loratadine
TEST BANK A+ 4
AANP Exam Version 1 Actual Exam
Newest 2025/2026 Complete All
Questions And Correct Detailed
Answers (Verified Answers) |Already
Graded A+||Brand New Version
You see Theresa, a 55-year-old woman who is traveling extensively for work and
complains about difficulty sleeping. She asks about using melatonin as a sleep aid.
You respond that:
A. There is no credible clinical evidence supporting the use of melatonin as a
sleep aid.
B Melatonin can be used occasionally on nights when you experience difficulty
sleeping.
C. For best results, melatonin should be used regularly in the evening prior to
going to sleep.
D. Melatonin is associated with greater next-day effects compared with
benzodiazepine products.
C. For best results, melatonin should be used regularly in the evening prior to
going to sleep.
A 25-year-old graduate student is given a prescription to treat his depression. He
asks how long he will need to take the medication. You respond that, in general,
pharmacologic intervention in depression should:
A. Be continued indefinitely regardless of whether remission is achieved.
B. Generally be given for about 4-6 months then rapidly withdrawn.
C. Be titrated to a lower dose once symptom relief is achieved, and then
withdrawn 1-2 months later.
D. Continue for at least 6 months after remission is achieved.
TEST BANK A+ 1
, AANP Exam Version 1 Actual Exam
D. Continue for at least 6 months after remission is achieved.
Depression is a chronic disorder and pharmacologic management should proceed
accordingly. Dose is initiated and titrated up to symptom control then maintained;
it should not be rapidly withdrawn, and if the decision is made to stop therapy, it
should be titrated off gradually. Once the therapeutic goal is achieved, treatment
should continue at least 6 months; then it is appropriate to reevaluate the clinical
scenario.
Ms. Tinel is a 72-year-old woman with a newly-diagnosed major depressive
disorder. She also has a history of mitral valve disease and is currently taking
warfarin. The best choice of a selective serotonin reuptake inhibitor for Ms. Tinel
is:
Fluvoxamine.
Citalopram.
Fluoxetine.
Paroxetine.
Citalopram.
Given that the patient is taking warfarin, it is important to select a drug that does
not have a significant impact on the cytochrome P450 (CYP450) enzyme cascade.
Among the four answer choices, fluoxetine, fluvoxamine, paroxetine are
appreciable inhibitors of the CYP450 system, whereas citalopram exhibits minimal
CYP450 inhibition.
Clinical presentation of anorexia nervosa (AN) usually includes all of the following
except:
Lanugo.
Depression.
Tachycardia.
Intense fear of obesity.
Tachycardia.
norexia nervosa is a psychiatric disorder that is often accompanied by other
psychiatric disorders. Depression is a common comorbid condition. Intense fear of
obesity is a phobia that often presents as misperceptions about appearance.
TEST BANK A+ 2
, AANP Exam Version 1 Actual Exam
Lanugo, or growth of fine, soft hair on the face and body, is a protective
mechanism that emerges as a response to loss of body fat. The profound decrease
in metabolic rate and autonomic dysfunction results in significant bradycardia,
with rates 30-40 bpm.
A 27-year-old woman with allergic rhinitis asks when is the best time of the day to
exercise outdoors to avoid pollen. The NP responds:
Mornings tend to have the highest pollen counts.
Pollen counts peak in the late afternoon.
Pollen counts do not change with the time of day.
Outdoor exercise should be avoided.
Mornings tend to have the highest pollen counts.
A patient presents for follow-up after experiencing a corneal abrasion 72 hours
ago. He states he did accidentally scratch his eye with a tree branch while out for
a walk. He reported promptly for care, was seen in the emergency department,
had an eye exam and irrigation, was treated with topical NSAIDs, and was told to
follow-up with his primary care provider within 3 days. On examination he has
light sensitivity and he admits that he still has more pain than he expected. The
nurse practitioner notes a small amount of purulent drainage in the cornea and
correctly determines that:
A. The patient is healing slowly and should be seen again in a few days to ensure
continued improvement.
B. Further evaluation with a slit lamp and visual acuity documentation is
indicated.
C. The abrasion is not resolving as expected and he should be referred
immediately to ophthalmology.
D. An ophthalmic antibiotic should be started along with a 72-hour eye patch.
C. The abrasion is not resolving as expected and he should be referred
immediately to ophthalmology.
Corneal abrasions are extremely painful, but typically have a rapid healing
trajectory. Pain usually develops quickly and intensely within hours of injury, but
in the majority of cases, the pain has begun to lessen significantly within 24
hours. Within 48 hours, the pain should be almost completely resolved.
TEST BANK A+ 3
, AANP Exam Version 1 Actual Exam
A 28-year-old man presents for a follow-up visit for persistent allergic rhinitis. He
asks about allergen immunotherapy. The NP advises all of the following except:
A. Immunotherapy can be considered when there is an inadequate response with
optimal use of medications.
B Immunotherapy can be an option when there is a desire to decrease the use of
allergy medications.
C. Immunotherapy can be effective for patients with IgE-mediated allergic
sensitization.
D. Immunotherapy should only be considered when there is coexisting allergic
rhinitis and asthma.
D. Immunotherapy should only be considered when there is coexisting allergic
rhinitis and asthma.
Immunotherapy should only be considered when there is coexisting allergic
rhinitis and asthma. Allergen immunotherapy can be helpful in managing
persistent allergic rhinitis and conjunctivitis and should be considered in
patients with multi-organ symptoms of IgE-mediated allergic sensitization (e.g.,
asthma). This method can be highly effective in select patients and should be
considered when other treatments fail or if the patient desires to reduce the use
of allergy medications. T
Which of the following is recommended for intervention in persistent allergic
conjunctivitis in an otherwise healthy 22-year-old man?
A. Ocular mast cell stabilizer with an ocular antihistamine
B. Ophthalmic ciprofloxacin solution
C. Ocular corticosteroids
D. Oral NSAIDs
A. Ocular mast cell stabilizer with an ocular antihistamine
Which of the following medications has the least anticholinergic effect?
Chlorpheniramine
Loratadine
TEST BANK A+ 4
