AANP Family Nurse Practitioner Exam
Questions with Verified Rationalized Answers 2025\2026
update
1. A 34-week pregnant patient presents to the emergency room with sudden onset of
abdominal pain and vaginal bleeding.
Which condition is most likely?
a) placental abruption
b) ectopic pregnancy
c) Miscarriage
d) Placenta previa
- answer Placental abruption
- Placental abruption is the early separation of the placenta from the lining of the uterus.
It is a rare but serious complication of the second half of pregnancy.
Placental abruption is an emergency situation that places the well-being of the mother and
fetus at risk.
2. Which is a common causative organism of pelvic inflammatory disease?
a) Neisseria gonorrhoeae
b) Trichomonas vaginalis
c) Treponema pallidum
d) Mycoplasma genitalium
- answer Neisseria gonorrhoeae
,- Gonorrhea and chlamydia are the most common organisms causing pelvic inflam- matory
disease.
3. A middle-aged patient presents to the clinic for evaluation of new-onset
hypertension and occasional flank pain.
There is a family history of a maternal grandmother deceased with "some kind of kidney
problem", and an in-office urinalysis is positive for 3 plus protein.
In addition to addressing hypertension, which is the next appropriate step in the
management of this patient?
a) refer for genetic testing
b) restrict all protein in diet
c) repeat urinalysis in 3 months
d) order a renal US
- answer Order a renal ultrasound
- This patient has a positive family history of renal disease, flank pain, and pro- teinuria, all
of which are indicators of polycystic kidney disease. The hypertension should be treated and
a renal ultrasound ordered. An ultrasound of the kidneys is the preferred diagnostic test.
4. A young adult patient presents to the clinic with concerns about a skin
infection. The patient reports no tenderness or drainage and states the rash started
after participating in a wrestling tournament.
Upon examination, the nurse practitioner finds plaques with crusting on the right lower
leg.
A culture is done and shows a Staphylococcus aureus infection. Which
bacterial skin infection does the nurse practitioner suspect?
,a) impetigo
b) folliculitis
c) Herpes gladiatorum
d) Hidradenitis suppurativa
- answer Impetigo
- Nonbullous impetigo, an S. aureus infection, occurs in a localized area that initially begins as
papules and progresses to vesicles, pustules, and then honey-colored plaques.
5. In performing a neurological exam and assessing the patient's cranial nerves, the
nurse practitioner notes fasciculations across the tongue's sur- face.
Which nerve is affected?
a) CN VI (abducens)
b) CN XII (hypoglossal)
c) CN XI (accessory)
d) CN X (vagus)
- answer Cranial nerve XII (hypoglossal)
- Cranial nerve XII is the hypoglossal nerve and allows motor movement of the tongue
muscles. This nerve is tested by asking the patient to stick out the tongue and observing for
atrophy, fasciculations, and tongue deviation to one side.
6. An older adult patient with hypertension, depression, and diabetes mellitus type 2 is
experiencing periods of intermittent confusion. A cognitive assess- ment does not
demonstrate impairment.
Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor), metformin
(Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as needed for sleep and
, acetaminophen (Tylenol) as needed for pain.
Which is the best action?
a) discontinue sertraline (zoloft)
b) Increase sertraline
c) prescribe donepezil (aricept)
Questions with Verified Rationalized Answers 2025\2026
update
1. A 34-week pregnant patient presents to the emergency room with sudden onset of
abdominal pain and vaginal bleeding.
Which condition is most likely?
a) placental abruption
b) ectopic pregnancy
c) Miscarriage
d) Placenta previa
- answer Placental abruption
- Placental abruption is the early separation of the placenta from the lining of the uterus.
It is a rare but serious complication of the second half of pregnancy.
Placental abruption is an emergency situation that places the well-being of the mother and
fetus at risk.
2. Which is a common causative organism of pelvic inflammatory disease?
a) Neisseria gonorrhoeae
b) Trichomonas vaginalis
c) Treponema pallidum
d) Mycoplasma genitalium
- answer Neisseria gonorrhoeae
,- Gonorrhea and chlamydia are the most common organisms causing pelvic inflam- matory
disease.
3. A middle-aged patient presents to the clinic for evaluation of new-onset
hypertension and occasional flank pain.
There is a family history of a maternal grandmother deceased with "some kind of kidney
problem", and an in-office urinalysis is positive for 3 plus protein.
In addition to addressing hypertension, which is the next appropriate step in the
management of this patient?
a) refer for genetic testing
b) restrict all protein in diet
c) repeat urinalysis in 3 months
d) order a renal US
- answer Order a renal ultrasound
- This patient has a positive family history of renal disease, flank pain, and pro- teinuria, all
of which are indicators of polycystic kidney disease. The hypertension should be treated and
a renal ultrasound ordered. An ultrasound of the kidneys is the preferred diagnostic test.
4. A young adult patient presents to the clinic with concerns about a skin
infection. The patient reports no tenderness or drainage and states the rash started
after participating in a wrestling tournament.
Upon examination, the nurse practitioner finds plaques with crusting on the right lower
leg.
A culture is done and shows a Staphylococcus aureus infection. Which
bacterial skin infection does the nurse practitioner suspect?
,a) impetigo
b) folliculitis
c) Herpes gladiatorum
d) Hidradenitis suppurativa
- answer Impetigo
- Nonbullous impetigo, an S. aureus infection, occurs in a localized area that initially begins as
papules and progresses to vesicles, pustules, and then honey-colored plaques.
5. In performing a neurological exam and assessing the patient's cranial nerves, the
nurse practitioner notes fasciculations across the tongue's sur- face.
Which nerve is affected?
a) CN VI (abducens)
b) CN XII (hypoglossal)
c) CN XI (accessory)
d) CN X (vagus)
- answer Cranial nerve XII (hypoglossal)
- Cranial nerve XII is the hypoglossal nerve and allows motor movement of the tongue
muscles. This nerve is tested by asking the patient to stick out the tongue and observing for
atrophy, fasciculations, and tongue deviation to one side.
6. An older adult patient with hypertension, depression, and diabetes mellitus type 2 is
experiencing periods of intermittent confusion. A cognitive assess- ment does not
demonstrate impairment.
Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor), metformin
(Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as needed for sleep and
, acetaminophen (Tylenol) as needed for pain.
Which is the best action?
a) discontinue sertraline (zoloft)
b) Increase sertraline
c) prescribe donepezil (aricept)
