AANP AGNP certification EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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AANP Board Questions 2026 A+ GRADE ASSURED COMP
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LETE SOLUTIONS AND VERIFIED ANSWERS (FBA8A)
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QUESTION 1 vc




Therapeutic INR values below ____ increase stroke risk sixfold.
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ANSWER

2



QUESTION 2 vc




Diabetic Retinopathy Findings vc vc




ANSWER

Microaneurysms Neovascularization Cotton Wool Spots Hard exudates vc vc vc vc vc vc




QUESTION 3 vc




All of the following would require the nurse practitioner to delay testing a patient's pros
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tate-specific antigen (PSA), except: vc vc vc



a. Urinary retention
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b. Urinary tract infection
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c. After a digital rectal exam
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d. Vigorous exercise 3 days prior
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ANSWER

Vigorous exercise 3 days prior PSA testing is falsely elevated in a patient with urinary retention and uri
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nary tract infection and after a digital rectal exam. Vigorous exercise does not have to be stopped 3 days
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prior to testing; however, vigorous exercise should be discouraged before testing because it will falsely
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elevate the PSA levels. Ejaculation within 48 hours will also falsely raise the PSA level.
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QUESTION 4 vc

,Tic Douloureaux vc




ANSWER

There are two types of tic douloureux (trigeminal neuralgia). Type 1--presents with extreme, shock-
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like facial pain, which lasts from a few seconds to 2 minutes per event and can last up to 2 hours total.
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Type 1 does not awaken the patient at night. Type 2--
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is a constant, aching, burning facial pain with less intensity but may occur with Type 1. Type 2 is more
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common in women and peaks in their 60s. Type 2 can also be related to secondary neurologic disease s
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uch as multiple sclerosis or HSV-1.
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QUESTION 5 vc




The nurse practitioner sees a 58-year-
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old female patient who reports abscesses and pustules in the axilla and groin and under
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the breasts, which burst and drain purulent green discharge. She has a history of smokin
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g and a body mass index (BMI) of 37.1. Which diagnosis is most likely?
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a. Impetigo
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b. Carbuncles
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c. Shingles
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d. Hidradenitis suppurativa
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ANSWER

hidradenitis suppurativa Hidradenitis suppurativa is most common in women (3:1). Smoking and obesit
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y are significant risk factors. Lesions are treated with topical antibiotics (or oral antibiotics, warm comp
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resses, and pain medications). Institute diet changes to reduce high glycemic and dairy food intake. Refe
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r to a dermatologist for additional treatment options.
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QUESTION 6 vc




Insulin Lispro (Humalog) vc vc




ANSWER

Lispro is a rapid-acting insulin that is used on a sliding scale to work from meal to meal
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QUESTION 7 vc




Atopic dermatitis (eczema) vc vc




ANSWER

chronic, pruritic rash of the hands, flexural folds, and neck that can be exacerbated by stress and enviro
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nmental factors. vc




QUESTION 8 vc

,Toxic Epidermal Necrolysis (TEN)
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ANSWER

TEN is the result of a severe skin reaction to medications such as allopurinol, nonsteroidal anti-
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inflammatory drugs (NSAIDs), and anticonvulsants. vc vc vc vc




QUESTION 9 vc




Melanoma
ANSWER

Melanoma are nevi with uneven texture, irregular borders, variegated colors, size larger than 6 mm, and
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changing size (the mnemonic ABCDE stands for asymmetry, border irregularity, color variations in the
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same region, diameter >6 mm, and enlargement or change in size over time), and they can be pruritic. R
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isk factors include family history of melanoma (10% of cases), extensive/intense sunlight exposure, blist
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ering sunburn in childhood, tanning beds, and atypical nevus
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QUESTION 10 vc




Seborrheic keratoses vc




ANSWER

Seborrheic keratoses are soft, fleshy, painless growths that are located mostly on the back. Skin lesions l
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ook like they are "pasted" on the skin and can range in color from light tan to black.
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QUESTION 11 vc




Acanthosis nigricans vc




ANSWER

Acanthosis nigricans are diffuse, soft thickenings of the skin usually located at the neck and axilla. They
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are also associated with diabetes, metabolic syndrome, obesity, and gastrointestinal cancer.
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QUESTION 12 vc




Acrochordon
ANSWER

Acrochordons (skin tags) are painless, pedunculated outgrowths of skin that are common in the neck an
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d axillary areas. If the growths are traumatized, they become necrotic and fall off. They are most commo
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n in diabetics and patients who are obese.
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QUESTION 13 vc

, Which of the following is associated with male aging?
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a. Increased levels of estrogen
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b. Decreased sperm production
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c. Increased production of semen
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d. Decreased concentration of sperm
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ANSWER

Decreased sperm production vc vc




QUESTION 14 vc




A nurse practitioner sees a patient for an evaluation of sexually transmitted diseases. As
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sessment reveals Fitz-Hugh-Curtis. The nurse practitioner will prescribe:
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ANSWER

Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole 500 mg B
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ID × 14 days. Fitz-Hugh-
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Curtis syndrome should be treated as a complicated gonorrheal/chlamydial infection: Ceftriaxone 500 m
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g IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole 500 mg BID × 14 days for a
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naerobic coverage. vc




QUESTION 15 vc




sensitive screening test for HIV vc vc vc vc




ANSWER

Combination HIV-1 and HIV-2 antibody immunoassay with p24 antigen.
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QUESTION 16 vc




DM medication class that should not be used in patients with heart failure or hx of bladd
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er cancer?
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ANSWER

Thiazolidinediones



QUESTION 17 vc




Medication class with high risk of hypoglycemic events:
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ANSWER

Sulfonylureas stimulate the beta cells but have a long half-
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life, and there is a high risk for severe hypoglycemic events.
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