AANP FNP Certification Exam 2026 –
Questions & Verified Answers (Graded
A+)
All diastolic murmurs are pathological. Murmurs Grades I-barely II-
audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire
steth. EXAM --CORRECT>>III first time audible, IV first time thrill
Fundal height 12 weeks --CORRECT>>Fundal Height 12 weeks above
symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20
weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less
order US
3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy.
Low HCT. What additional test would you order? --CORRECT>>Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? --
CORRECT>>Increase Medication
3 ways to assess cognitive function in patient (CLIENT) with
signs/symptoms of memory loss --CORRECT>>Mini mental exam
4 month old with strabismus, mom is worried .. --CORRECT>>tell
her it is
normal.
4 month old wont keep anything down, what is the main thing you look at?
--CORRECT>>Growth chart
6 month old closed anterior fontanel. --CORRECT>>XRAY
,Abnormal cells on PAP, what do you do next? --CORRECT>>Refer for
,Colposcopy
CAGE ACRONYM --CORRECT>>Cut down
Annoyed by criticism Guilty about drinking Eye opener drink
Causes of tachycardia --CORRECT>>Fever Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER:
CN 3,4,6
Definition of metabolic syndrome --CORRECT>>cluster of conditions
that increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis --CORRECT>>wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary,
what do you do next? --CORRECT>>Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? --CORRECT>>Anterior septum
Definitive diagnosis of acute bacterial prostatitis --CORRECT>>urinalysis
and culture
GERD treatment --CORRECT>>H2 is first line, give hs
Grade 3 cells on Pap, treatment? --CORRECT>>LEEP excision
Fingernail hematoma treatment? --CORRECT>>drill hole and drain blood?
Increased risk of ectopic pregnancy --CORRECT>>Salpingitis, or history
of abortion, PID,
Koplick spots --CORRECT>>Measles (rubeola). Grains of salt lesions
inside mouth in Measles
, Koplick spots --CORRECT>>Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Legg-Calve-Perthes Disease --CORRECT>>Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? --CORRECT>>Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWER:
Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? --CORRECT>>Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal -
ANSWER: Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress -
ANSWER: Meniscus tears
Lachman's Test --CORRECT>>pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? --CORRECT>>refer to
orthopedist
Osgood-Schlatter disease --CORRECT>>Knee pain.
inflammation or irritation of the tibia at its point of attachment with the
patellar tendon
Patient (CLIENT) forgot to start Thanksgiving dinner and husband
states she has trouble remembering tasks and trouble with organization.
What is this indicative of? --CORRECT>>Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? -
ANSWER: Refer to oncologist
Questions & Verified Answers (Graded
A+)
All diastolic murmurs are pathological. Murmurs Grades I-barely II-
audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire
steth. EXAM --CORRECT>>III first time audible, IV first time thrill
Fundal height 12 weeks --CORRECT>>Fundal Height 12 weeks above
symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20
weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less
order US
3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy.
Low HCT. What additional test would you order? --CORRECT>>Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? --
CORRECT>>Increase Medication
3 ways to assess cognitive function in patient (CLIENT) with
signs/symptoms of memory loss --CORRECT>>Mini mental exam
4 month old with strabismus, mom is worried .. --CORRECT>>tell
her it is
normal.
4 month old wont keep anything down, what is the main thing you look at?
--CORRECT>>Growth chart
6 month old closed anterior fontanel. --CORRECT>>XRAY
,Abnormal cells on PAP, what do you do next? --CORRECT>>Refer for
,Colposcopy
CAGE ACRONYM --CORRECT>>Cut down
Annoyed by criticism Guilty about drinking Eye opener drink
Causes of tachycardia --CORRECT>>Fever Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER:
CN 3,4,6
Definition of metabolic syndrome --CORRECT>>cluster of conditions
that increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis --CORRECT>>wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary,
what do you do next? --CORRECT>>Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? --CORRECT>>Anterior septum
Definitive diagnosis of acute bacterial prostatitis --CORRECT>>urinalysis
and culture
GERD treatment --CORRECT>>H2 is first line, give hs
Grade 3 cells on Pap, treatment? --CORRECT>>LEEP excision
Fingernail hematoma treatment? --CORRECT>>drill hole and drain blood?
Increased risk of ectopic pregnancy --CORRECT>>Salpingitis, or history
of abortion, PID,
Koplick spots --CORRECT>>Measles (rubeola). Grains of salt lesions
inside mouth in Measles
, Koplick spots --CORRECT>>Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Legg-Calve-Perthes Disease --CORRECT>>Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? --CORRECT>>Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWER:
Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? --CORRECT>>Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal -
ANSWER: Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress -
ANSWER: Meniscus tears
Lachman's Test --CORRECT>>pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? --CORRECT>>refer to
orthopedist
Osgood-Schlatter disease --CORRECT>>Knee pain.
inflammation or irritation of the tibia at its point of attachment with the
patellar tendon
Patient (CLIENT) forgot to start Thanksgiving dinner and husband
states she has trouble remembering tasks and trouble with organization.
What is this indicative of? --CORRECT>>Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? -
ANSWER: Refer to oncologist
