AANP FNP LEIK PRACTICE EXAM RECOMMEDED STUDY
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A 28-year-old multipara who is at 32 weeks of gestation presents to your office
complaining of a sudden onset of small amounts of bright red vaginal bleeding.
She has had several episodes and appears anxious. On exam, her uterus is soft to
palpation. Which of the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole) - SELECTED ANSWER 👀 B) Placenta
previa
Placenta previa occurs when abnormal implantation of the placenta occurs. A
common symptom of placenta previa is painless, bright red bleeding.
,Epidemiologic studies show that Hashimoto's disease occurs most commonly in:
A) Middle-aged to older women
B) Smokers
C) Obese individuals
D) Older men - SELECTED ANSWER 👀 A) Middle-aged to older women
Hashimoto's disease commonly occurs in middle-aged to older women.
A 48-year-old woman is told by a physician that she is starting menopause. All of
the following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings - SELECTED ANSWER 👀 C) Severe vaginal atrophic changes
As women reach menopause, changes that may occur include hot flashes,
irregular menstrual periods, and cyclic mood swings. Vaginal changes, such as
dryness and thinning, may also begin to occur
A 63-year-old patient with a 10-year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following indicate
target organ damage commonly seen in hypertensive patients?
A) Pedal edema, hepatomegaly, and enlarged kidneys
,B) Hepatomegaly, AV nicking, bibasilar crackles
C) Renal infection, S3, neuromuscular abnormalities
D) Glaucoma, jugular vein atrophy, heart failure - SELECTED ANSWER 👀 B)
Hepatomegaly, AV nicking, bibasilar crackles
With long-term, uncontrolled hypertension, organ damage may occur. Organs
commonly affected include: brain (stroke), eyes (retinopathy, AV nicking, bleeding,
blindness), heart (heart dis- ease, left ventricular hypertrophy, MI, and/or CHF),
and kidneys (renal failure, proteinuria).
A 30-year-old primigravida is diagnosed with a possible threatened abortion. The
result of the urine pregnancy test is positive. Which of the following statements is
true regarding a threatened abortion?
A) Vaginal bleeding and cramping are present, but the cervix remains closed
B) Vaginal bleeding and cramping are present along with a dilated cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the uterus along
with a dilated cervix - SELECTED ANSWER 👀 A) Vaginal bleeding and cramping
are present, but the cervix remains closed
Threatened abortion is defined as vaginal bleeding and cramping with- out the
presence of cervical dilation.
, A 30-year-old female who is sexually active complains of a large amount of milk-
like vaginal discharge for several weeks. A microscopy slide reveals a large
amount of squamous epithelial cells that have blurred margins. Very few white
blood cells are seen. The vaginal pH is at 6.0. What is most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding - SELECTED ANSWER 👀 B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and symptoms
include copious off-white to gray discharge with foul odor without vaginal
erythema or irritation. Wet prep will show positive for clue cells. When performing
a wet prep, the "whiff test" will be positive for a strong "fishy" odor when vaginal
discharge is mixed with one drop of KOH.
The Pap smear result on a 20-year-old sexually active student who uses condoms
inconsistently shows a large amount of inflammation. Which of the following is
the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
C) Call the patient and tell her she needs a repeat Pap smear in 6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days - SELECTED
ANSWER 👀 A) The NP needs to do cervical cultures to verify the presence of
gonor-
rhea
GUIDE 2026 COMPLETE QUESTIONS BANK WITH
VERIFIED CORRECT ANSWERS|| 100% GUARANTEED
PASS RECENT VERSION
A 28-year-old multipara who is at 32 weeks of gestation presents to your office
complaining of a sudden onset of small amounts of bright red vaginal bleeding.
She has had several episodes and appears anxious. On exam, her uterus is soft to
palpation. Which of the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole) - SELECTED ANSWER 👀 B) Placenta
previa
Placenta previa occurs when abnormal implantation of the placenta occurs. A
common symptom of placenta previa is painless, bright red bleeding.
,Epidemiologic studies show that Hashimoto's disease occurs most commonly in:
A) Middle-aged to older women
B) Smokers
C) Obese individuals
D) Older men - SELECTED ANSWER 👀 A) Middle-aged to older women
Hashimoto's disease commonly occurs in middle-aged to older women.
A 48-year-old woman is told by a physician that she is starting menopause. All of
the following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings - SELECTED ANSWER 👀 C) Severe vaginal atrophic changes
As women reach menopause, changes that may occur include hot flashes,
irregular menstrual periods, and cyclic mood swings. Vaginal changes, such as
dryness and thinning, may also begin to occur
A 63-year-old patient with a 10-year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following indicate
target organ damage commonly seen in hypertensive patients?
A) Pedal edema, hepatomegaly, and enlarged kidneys
,B) Hepatomegaly, AV nicking, bibasilar crackles
C) Renal infection, S3, neuromuscular abnormalities
D) Glaucoma, jugular vein atrophy, heart failure - SELECTED ANSWER 👀 B)
Hepatomegaly, AV nicking, bibasilar crackles
With long-term, uncontrolled hypertension, organ damage may occur. Organs
commonly affected include: brain (stroke), eyes (retinopathy, AV nicking, bleeding,
blindness), heart (heart dis- ease, left ventricular hypertrophy, MI, and/or CHF),
and kidneys (renal failure, proteinuria).
A 30-year-old primigravida is diagnosed with a possible threatened abortion. The
result of the urine pregnancy test is positive. Which of the following statements is
true regarding a threatened abortion?
A) Vaginal bleeding and cramping are present, but the cervix remains closed
B) Vaginal bleeding and cramping are present along with a dilated cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the uterus along
with a dilated cervix - SELECTED ANSWER 👀 A) Vaginal bleeding and cramping
are present, but the cervix remains closed
Threatened abortion is defined as vaginal bleeding and cramping with- out the
presence of cervical dilation.
, A 30-year-old female who is sexually active complains of a large amount of milk-
like vaginal discharge for several weeks. A microscopy slide reveals a large
amount of squamous epithelial cells that have blurred margins. Very few white
blood cells are seen. The vaginal pH is at 6.0. What is most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding - SELECTED ANSWER 👀 B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and symptoms
include copious off-white to gray discharge with foul odor without vaginal
erythema or irritation. Wet prep will show positive for clue cells. When performing
a wet prep, the "whiff test" will be positive for a strong "fishy" odor when vaginal
discharge is mixed with one drop of KOH.
The Pap smear result on a 20-year-old sexually active student who uses condoms
inconsistently shows a large amount of inflammation. Which of the following is
the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
C) Call the patient and tell her she needs a repeat Pap smear in 6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days - SELECTED
ANSWER 👀 A) The NP needs to do cervical cultures to verify the presence of
gonor-
rhea
