AANP (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) -
GUARANTEED PASS A+ [2026]
1. A 45-year-old male presents with
polyuria, polydipsia, and fasting glucose of
130 mg/dL. What is the most appropriate
next step?
A. Diagnose diabetes
B. Order HbA1c test
C. Repeat fasting glucose on another day
D. Order oral glucose tolerance test
Rationale: Diabetes requires two abnormal fasting glucose results on different days unless
symptoms are severe. Repeat to confirm.
2. An elderly woman on lisinopril
develops a persistent dry cough. What is the
best management?
,A. Stop medication and start losartan instead
B. Add benzonatate
C. Reduce lisinopril dose
D. Order chest X-ray
Rationale: ACE inhibitors commonly cause cough; switching to an ARB resolves the issue.
3. A child presents with “thumb sign” on
X-ray and drooling. What is the likely
diagnosis?
A. Croup
B. Epiglottitis
C. Foreign body
D. Asthma
Rationale: Epiglottitis = drooling + toxic appearance + thumb sign, urgent airway concern.
4. A 66-year-old man with COPD presents
with increased sputum and dyspnea. What is
the best treatment?
A. Oral prednisone + antibiotics (azithromycin)
B. High-dose inhaled steroids
C. Albuterol only
D. Oxygen at 10 L/min
Rationale: COPD exacerbation requires systemic steroids + antibiotic coverage.
5. A 23-year-old woman with dysuria has
positive nitrites. Best treatment?
,A. Ciprofloxacin
B. Nitrofurantoin 100 mg BID × 5 days
C. Amoxicillin
D. Azithromycin
Rationale: Nitrofurantoin is first-line for uncomplicated UTI.
6. A BP of 142/92 is classified as:
A. Normal
B. Elevated
C. Stage 1 HTN
D. Stage 2 HTN
Rationale: ≥140 systolic or ≥90 diastolic = Stage 2.
7. A diabetic patient on metformin
reports severe diarrhea. What is the NP’s
next step?
A. Stop metformin and switch to ER formulation
B. Increase dose
C. Add insulin
D. Add sulfonylurea
Rationale: GI side effects often improve with extended-release metformin.
8. A 70-year-old with atrial fibrillation
needs stroke prevention. Which is
recommended?
, A. Aspirin only
B. Warfarin
C. DOAC such as apixaban 5 mg BID
D. Clopidogrel
Rationale: DOACs are first-line unless contraindicated.
9. A patient has a positive Dix-Hallpike
maneuver. What is the diagnosis?
A. Ménière disease
B. BPPV
C. Vestibular neuritis
D. Labyrinthitis
Rationale: Dix-Hallpike → BPPV.
10. Best initial test for suspected heart
failure?
A. CT chest
B. BNP level
C. Cardiac catheterization
D. D-dimer
Rationale: BNP helps identify HF vs non-cardiac dyspnea.
11. A first-line medication for generalized
anxiety disorder is:
A. Benzodiazepines
B. Buspirone
LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) -
GUARANTEED PASS A+ [2026]
1. A 45-year-old male presents with
polyuria, polydipsia, and fasting glucose of
130 mg/dL. What is the most appropriate
next step?
A. Diagnose diabetes
B. Order HbA1c test
C. Repeat fasting glucose on another day
D. Order oral glucose tolerance test
Rationale: Diabetes requires two abnormal fasting glucose results on different days unless
symptoms are severe. Repeat to confirm.
2. An elderly woman on lisinopril
develops a persistent dry cough. What is the
best management?
,A. Stop medication and start losartan instead
B. Add benzonatate
C. Reduce lisinopril dose
D. Order chest X-ray
Rationale: ACE inhibitors commonly cause cough; switching to an ARB resolves the issue.
3. A child presents with “thumb sign” on
X-ray and drooling. What is the likely
diagnosis?
A. Croup
B. Epiglottitis
C. Foreign body
D. Asthma
Rationale: Epiglottitis = drooling + toxic appearance + thumb sign, urgent airway concern.
4. A 66-year-old man with COPD presents
with increased sputum and dyspnea. What is
the best treatment?
A. Oral prednisone + antibiotics (azithromycin)
B. High-dose inhaled steroids
C. Albuterol only
D. Oxygen at 10 L/min
Rationale: COPD exacerbation requires systemic steroids + antibiotic coverage.
5. A 23-year-old woman with dysuria has
positive nitrites. Best treatment?
,A. Ciprofloxacin
B. Nitrofurantoin 100 mg BID × 5 days
C. Amoxicillin
D. Azithromycin
Rationale: Nitrofurantoin is first-line for uncomplicated UTI.
6. A BP of 142/92 is classified as:
A. Normal
B. Elevated
C. Stage 1 HTN
D. Stage 2 HTN
Rationale: ≥140 systolic or ≥90 diastolic = Stage 2.
7. A diabetic patient on metformin
reports severe diarrhea. What is the NP’s
next step?
A. Stop metformin and switch to ER formulation
B. Increase dose
C. Add insulin
D. Add sulfonylurea
Rationale: GI side effects often improve with extended-release metformin.
8. A 70-year-old with atrial fibrillation
needs stroke prevention. Which is
recommended?
, A. Aspirin only
B. Warfarin
C. DOAC such as apixaban 5 mg BID
D. Clopidogrel
Rationale: DOACs are first-line unless contraindicated.
9. A patient has a positive Dix-Hallpike
maneuver. What is the diagnosis?
A. Ménière disease
B. BPPV
C. Vestibular neuritis
D. Labyrinthitis
Rationale: Dix-Hallpike → BPPV.
10. Best initial test for suspected heart
failure?
A. CT chest
B. BNP level
C. Cardiac catheterization
D. D-dimer
Rationale: BNP helps identify HF vs non-cardiac dyspnea.
11. A first-line medication for generalized
anxiety disorder is:
A. Benzodiazepines
B. Buspirone
