AANP/ANCC exam
AANP/ANCC 2025 ACTUAL EXAM
QUESTIONS WITH COMPLETE
(SOLUTION)
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He
returns with fever 102.8, R. pleuretic pain, and green sputum. which of the
following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion -Correct Answer ✔A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed
manipulation the best indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy -Correct Answer ✔c)
The child quickly begins using arm to pick up toy
a 11mo old presents with a rash, runny clear nose, and cough. During assessment
you note tiny white papules with erythema on the buccal mucousa. What is this
suggestive of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles -Correct Answer ✔D)Measles
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow
nasal drainage. what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
AANP/ANCC exam
,AANP/ANCC exam
d)Erythromycin -Correct Answer ✔A)Augmentin
Leading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung -Correct Answer ✔d)Lung
a 27yo male uncomplicated chlamydia infection may exhibit:
a)urticaria
b)no obvious signs or symptoms
c) green mucoid penile drainage
d)penile shaft ulcer -Correct Answer ✔b) No obvious signs/symptoms
common practice rule to follow with initiating medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water -Correct Answer ✔b)start lower dose then
taper up
12 yo with PMI of seizure is reported by mother that cold symptoms are present.
Denies fever. The NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold -Correct Answer ✔b) lower the seizure
threshold
According to the American Thoracic Society/Infectious Disease Society of
American (ATS/IDSA) Consensus guidelines on the Management of Community-
Acquired Pneumonia in Adults, which of the following is the most appropriate
antimicrobial for tx of CAP in a:
AANP/ANCC exam
, AANP/ANCC exam
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide
intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin -Correct Answer ✔c. doxycyline
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing
on the inner left thigh. Chief complaints of headache, fatigue,and generalized
muscle pain for several days. What should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole -Correct Answer ✔c) Doxycycline
During development of a treatment plan for a 78 yo with dx hypothyroidism, the
NP needs to be concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia -Correct Answer ✔b. osteoporosis
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle
spotting. Denies missing doses and is currently not on any other medications.
Which is appropriate?
a)modify usage
b)double her dose x 2 days
c) change to a different medication
d) provide reassurance -Correct Answer ✔d)provide reassurance
Polymyalgia Rheumatica (PMR) should be managed by:
a)whirlpool tub
b)celebrex
c) analgesic
AANP/ANCC exam
AANP/ANCC 2025 ACTUAL EXAM
QUESTIONS WITH COMPLETE
(SOLUTION)
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He
returns with fever 102.8, R. pleuretic pain, and green sputum. which of the
following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion -Correct Answer ✔A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed
manipulation the best indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy -Correct Answer ✔c)
The child quickly begins using arm to pick up toy
a 11mo old presents with a rash, runny clear nose, and cough. During assessment
you note tiny white papules with erythema on the buccal mucousa. What is this
suggestive of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles -Correct Answer ✔D)Measles
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow
nasal drainage. what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
AANP/ANCC exam
,AANP/ANCC exam
d)Erythromycin -Correct Answer ✔A)Augmentin
Leading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung -Correct Answer ✔d)Lung
a 27yo male uncomplicated chlamydia infection may exhibit:
a)urticaria
b)no obvious signs or symptoms
c) green mucoid penile drainage
d)penile shaft ulcer -Correct Answer ✔b) No obvious signs/symptoms
common practice rule to follow with initiating medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water -Correct Answer ✔b)start lower dose then
taper up
12 yo with PMI of seizure is reported by mother that cold symptoms are present.
Denies fever. The NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold -Correct Answer ✔b) lower the seizure
threshold
According to the American Thoracic Society/Infectious Disease Society of
American (ATS/IDSA) Consensus guidelines on the Management of Community-
Acquired Pneumonia in Adults, which of the following is the most appropriate
antimicrobial for tx of CAP in a:
AANP/ANCC exam
, AANP/ANCC exam
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide
intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin -Correct Answer ✔c. doxycyline
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing
on the inner left thigh. Chief complaints of headache, fatigue,and generalized
muscle pain for several days. What should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole -Correct Answer ✔c) Doxycycline
During development of a treatment plan for a 78 yo with dx hypothyroidism, the
NP needs to be concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia -Correct Answer ✔b. osteoporosis
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle
spotting. Denies missing doses and is currently not on any other medications.
Which is appropriate?
a)modify usage
b)double her dose x 2 days
c) change to a different medication
d) provide reassurance -Correct Answer ✔d)provide reassurance
Polymyalgia Rheumatica (PMR) should be managed by:
a)whirlpool tub
b)celebrex
c) analgesic
AANP/ANCC exam
