AANP Test 2 for Boards questions and
answers wit rationales 2025\2026 update
1.You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP
has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI -
ANS
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents
that will require multiple doses for results. With daily continued use of benzodiazepines, the anti-anxie
effect may become diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes. Th
ANP knows that which of the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake." - ANS
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling
hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not he
to prevent cardiovascular disease.
You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse Practitioner
knows that if she orders a hemogram on this patient, which of the following results would be seen if th
patient was anemic?
,normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of chron
disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss
Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of
deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race - ANS
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk facto
include: substance abuse, living alone, and less education.
The healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice. - ANS
Standard of care
Standard of care is another term associated with negligence. Standard of care is a healthcare provider
required level of expected conduct as established by custom, law, or professional organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing is one component o
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment. - ANS
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms h
or she has experienced in various body systems. It is important that these be in a patient's own words
perform the most complete and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come with aging EXCEPT:
, atrophy of salivary glands - ANS
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not increased absorptio
Other gastrointestinal changes include: less efficient cholesterol stabilization and absorption, atrophy
taste buds, and slowing in esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves
disease. The ANP is counseling her and understands that the mechanism of action of this treatment
therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH - ANS
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid
ablation to destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls. - ANS
Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip fractures. Falls are one of the most
common adverse events that threaten the quality of life of older adults. Falls among older adults are no
a normal consequence of aging.
Normal age-related changes of the skin may be confused with which of the following clinical
abnormalities?
dehydration
vitiligo
scabies
shingles - ANS
dehydration
answers wit rationales 2025\2026 update
1.You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP
has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI -
ANS
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents
that will require multiple doses for results. With daily continued use of benzodiazepines, the anti-anxie
effect may become diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes. Th
ANP knows that which of the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake." - ANS
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling
hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not he
to prevent cardiovascular disease.
You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse Practitioner
knows that if she orders a hemogram on this patient, which of the following results would be seen if th
patient was anemic?
,normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of chron
disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss
Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of
deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race - ANS
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk facto
include: substance abuse, living alone, and less education.
The healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice. - ANS
Standard of care
Standard of care is another term associated with negligence. Standard of care is a healthcare provider
required level of expected conduct as established by custom, law, or professional organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing is one component o
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment. - ANS
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms h
or she has experienced in various body systems. It is important that these be in a patient's own words
perform the most complete and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come with aging EXCEPT:
, atrophy of salivary glands - ANS
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not increased absorptio
Other gastrointestinal changes include: less efficient cholesterol stabilization and absorption, atrophy
taste buds, and slowing in esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves
disease. The ANP is counseling her and understands that the mechanism of action of this treatment
therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH - ANS
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid
ablation to destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls. - ANS
Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip fractures. Falls are one of the most
common adverse events that threaten the quality of life of older adults. Falls among older adults are no
a normal consequence of aging.
Normal age-related changes of the skin may be confused with which of the following clinical
abnormalities?
dehydration
vitiligo
scabies
shingles - ANS
dehydration
