AANP FNP TEST review, AANP
FNP CERTIFICATION
With Rationales Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update.
ADA screening for DM in Children - Answer✔✔--symptomatic children
(polyuria, polydipsia, polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight
or obese (>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS,
SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics - Answer✔✔-- leading causes of death: Heart disease, cancer, lung
disease
,- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older
white males.
Osgood-Schlatter: - Answer✔✔-knee pain in young adults, overuse. Repetitive
stress pain, tenderness, swelling at the tendon's insertion site. The tibial
tuberosity. Rule out avulsion fracture if there is an acute onset and order a
lateral xray. RICE. Usually stops when the growth stops.
If patient has right sided weakness, etc. the CVA occurred where - Answer✔✔-
left side
initial evaluation of symptoms of acute prostatitis - Answer✔✔-Urinalysis and
urine culture
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker
and her hypertension is now adequately controlled with medication. Her
mother died at age 40 from a heart attack. The fasting lipid profile shows
cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting
Therapeutic Lifestyle Changes, the nurse practitioner should start the patient
on:
1. bile acid sequestrant.
,2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - Answer✔✔-A statin drug
Ortolani's Click - Answer✔✔-a click is heard or felt as dislocation is reduced
(developmental dysplasia of hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when
the suspected diagnosis is temporal arteritis? - Answer✔✔-Erythrocyte
sedimentation rate (ESR)
What are narrow therapeutic index drugs? - Answer✔✔-1. Warfarin sodium
(Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium,
magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Otitis Externa tx - Answer✔✔-Fluoroquinolone & Polymyxin B cortisporin drops
, An elderly male patient complains of a new-onset, left-sided temporal
headache accompanied by scalp tenderness and indurated temporal artery.
The NP suspects temporal arteritis. What screening test would you order to
assist with diagnosis? - Answer✔✔-sedimentation rate (expect to be very
elevated)
Basal Cell Carcinoma - Answer✔✔-Pearly domed nodule with overlaying
telangiectatic vessels. Could be plaque, papule, possible central ulceration and
crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age - Answer✔✔-white, clear,
flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward acidic),
no odor, microscopic shows lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? - Answer✔✔-Screen for HIV
Screening Tests - Answer✔✔-- sensitivity: detect those WITH the disease.
higher the sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants - Answer✔✔-...
to assess pts ability to think abstractly a nurse pract could ask the patient -
Answer✔✔-the meaning of a common proverb
The most commonly prescribed medication for mild systemic lupus
erythematosus (SLE) is:
FNP CERTIFICATION
With Rationales Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update.
ADA screening for DM in Children - Answer✔✔--symptomatic children
(polyuria, polydipsia, polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight
or obese (>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS,
SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics - Answer✔✔-- leading causes of death: Heart disease, cancer, lung
disease
,- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older
white males.
Osgood-Schlatter: - Answer✔✔-knee pain in young adults, overuse. Repetitive
stress pain, tenderness, swelling at the tendon's insertion site. The tibial
tuberosity. Rule out avulsion fracture if there is an acute onset and order a
lateral xray. RICE. Usually stops when the growth stops.
If patient has right sided weakness, etc. the CVA occurred where - Answer✔✔-
left side
initial evaluation of symptoms of acute prostatitis - Answer✔✔-Urinalysis and
urine culture
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker
and her hypertension is now adequately controlled with medication. Her
mother died at age 40 from a heart attack. The fasting lipid profile shows
cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting
Therapeutic Lifestyle Changes, the nurse practitioner should start the patient
on:
1. bile acid sequestrant.
,2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - Answer✔✔-A statin drug
Ortolani's Click - Answer✔✔-a click is heard or felt as dislocation is reduced
(developmental dysplasia of hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when
the suspected diagnosis is temporal arteritis? - Answer✔✔-Erythrocyte
sedimentation rate (ESR)
What are narrow therapeutic index drugs? - Answer✔✔-1. Warfarin sodium
(Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium,
magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Otitis Externa tx - Answer✔✔-Fluoroquinolone & Polymyxin B cortisporin drops
, An elderly male patient complains of a new-onset, left-sided temporal
headache accompanied by scalp tenderness and indurated temporal artery.
The NP suspects temporal arteritis. What screening test would you order to
assist with diagnosis? - Answer✔✔-sedimentation rate (expect to be very
elevated)
Basal Cell Carcinoma - Answer✔✔-Pearly domed nodule with overlaying
telangiectatic vessels. Could be plaque, papule, possible central ulceration and
crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age - Answer✔✔-white, clear,
flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward acidic),
no odor, microscopic shows lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? - Answer✔✔-Screen for HIV
Screening Tests - Answer✔✔-- sensitivity: detect those WITH the disease.
higher the sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants - Answer✔✔-...
to assess pts ability to think abstractly a nurse pract could ask the patient -
Answer✔✔-the meaning of a common proverb
The most commonly prescribed medication for mild systemic lupus
erythematosus (SLE) is:
