AANP FNP
AANP FNP CERTIFICATION ACTUAL EXAM
NEWEST
VERSION QUESTIONS AND CORRECT
DETAILED
ANSWERS |
ALREADYGRADED A+
Therapeutic INR values below ____ increase stroke risk sixfold. - Answer ✔✔ -
2
Diabetic Retinopathy Findings - Answer ✔✔ - Microaneurysms
Neovascularization
Cotton Wool Spots
Hard exudates
All of the following would require the nurse practitioner to delay testing a
patient's prostate-specific antigen (PSA), except:
a.Urinary retention
b.Urinary tract infection
c. After a digital rectal exam
d.Vigorous exercise 3 days prior - Answer ✔✔ - Vigorous exercise 3 days
prior
PSA testing is falsely elevated in a patient with urinary retention and urinary
tract infection and after a digital rectal exam. Vigorous exercise does not
have to be stopped 3 days prior to testing; however, vigorous exercise
should be discouraged before testing because it will falsely elevate the PSA
levels. Ejaculation within 48 hours will also falsely raise the PSA level.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
,AANP FNP
Tic Douloureaux - Answer ✔✔ - There are two types of tic douloureux
(trigeminal neuralgia).
Type 1--presents with extreme, shock-like facial pain, which lasts from a few
seconds to 2 minutes per event and can last up to 2 hours total. Type 1 does
not awaken the patient at night.
Type 2-- is a constant, aching, burning facial pain with less intensity but may
occur with Type 1. Type 2 is more common in women and peaks in their 60s.
Type 2 can also be related to secondary neurologic disease such as multiple
sclerosis or HSV-1.
The nurse practitioner sees a 58-year-old female patient who reports
abscesses and pustules in the axilla and groin and under the breasts, which
burst and drain purulent green discharge. She has a history of smoking and a
body mass index (BMI) of 37.1.
Which diagnosis is most likely?
a.Impetigo
b.Carbuncles
c. Shingles
d.Hidradenitis suppurativa - Answer ✔✔ - hidradenitis suppurativa
Hidradenitis suppurativa is most common in women (3:1). Smoking and
obesity are significant risk factors. Lesions are treated with topical antibiotics
(or oral antibiotics, warm compresses, and pain medications). Institute diet
changes to reduce high glycemic and dairy food intake. Refer to a
dermatologist for additional treatment options.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
,AANP FNP
Insulin Lispro (Humalog) - Answer ✔✔ - Lispro is a rapid-acting insulin that is
used on a sliding scale to work from meal to meal
Atopic dermatitis (eczema) - Answer ✔✔ - chronic, pruritic rash of the
hands, flexural folds, and neck that can be exacerbated by stress and
environmental factors.
Toxic Epidermal Necrolysis (TEN) - Answer ✔✔ - TEN is the result of a severe
skin reaction to medications such as allopurinol, nonsteroidal anti-
inflammatory drugs (NSAIDs), and anticonvulsants.
Melanoma - Answer ✔✔ - Melanoma are nevi with uneven texture, irregular
borders, variegated colors, size larger than 6 mm, and changing size (the
mnemonic ABCDE stands for asymmetry, border irregularity, color variations
in the same region, diameter >6 mm, and enlargement or change in size
over time), and they can be pruritic. Risk factors include family history of
melanoma (10% of cases), extensive/intense sunlight exposure, blistering
sunburn in childhood, tanning beds, and atypical nevus
Seborrheic keratoses - Answer ✔✔ - Seborrheic keratoses are soft, fleshy,
painless growths that are located mostly on the back. Skin lesions look like
they are "pasted" on the skin and can range in color from light tan to black.
Acanthosis nigricans - Answer ✔✔ - Acanthosis nigricans are diffuse, soft
thickenings of the skin usually located at the neck and axilla. They are also
associated with diabetes, metabolic syndrome, obesity, and gastrointestinal
cancer.
Acrochordon - Answer ✔✔ - Acrochordons (skin tags) are painless,
pedunculated outgrowths of skin that are common in the neck and axillary
areas. If the growths are traumatized, they become necrotic and fall off. They
are most common in diabetics and patients who are obese.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
, AANP FNP
Which of the following is associated with male aging?
a.Increased levels of estrogen
b.Decreased sperm production
c. Increased production of semen
d.Decreased concentration of sperm - Answer ✔✔ - Decreased sperm
production
A nurse practitioner sees a patient for an evaluation of sexually transmitted
diseases.
Assessment reveals Fitz-Hugh-Curtis. The nurse practitioner will prescribe: -
Answer ✔✔ - Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID
× 14 days plus metronidazole 500 mg BID × 14 days.
Fitz-Hugh-Curtis syndrome should be treated as a complicated
gonorrheal/chlamydial infection: Ceftriaxone 500 mg IM × one dose plus
doxycycline 100 mg BID × 14 days plus metronidazole 500 mg BID × 14
days for anaerobic coverage.
sensitive screening test for HIV - Answer ✔✔ - Combination HIV-1 and HIV-2
antibody immunoassay with p24 antigen.
DM medication class that should not be used in patients with heart failure or
hx of bladder cancer? - Answer ✔✔ - Thiazolidinediones
Medication class with high risk of hypoglycemic events: - Answer ✔✔ -
Sulfonylureas stimulate the beta cells but have a long half-life, and there is a
high risk for severe hypoglycemic events.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
AANP FNP CERTIFICATION ACTUAL EXAM
NEWEST
VERSION QUESTIONS AND CORRECT
DETAILED
ANSWERS |
ALREADYGRADED A+
Therapeutic INR values below ____ increase stroke risk sixfold. - Answer ✔✔ -
2
Diabetic Retinopathy Findings - Answer ✔✔ - Microaneurysms
Neovascularization
Cotton Wool Spots
Hard exudates
All of the following would require the nurse practitioner to delay testing a
patient's prostate-specific antigen (PSA), except:
a.Urinary retention
b.Urinary tract infection
c. After a digital rectal exam
d.Vigorous exercise 3 days prior - Answer ✔✔ - Vigorous exercise 3 days
prior
PSA testing is falsely elevated in a patient with urinary retention and urinary
tract infection and after a digital rectal exam. Vigorous exercise does not
have to be stopped 3 days prior to testing; however, vigorous exercise
should be discouraged before testing because it will falsely elevate the PSA
levels. Ejaculation within 48 hours will also falsely raise the PSA level.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
,AANP FNP
Tic Douloureaux - Answer ✔✔ - There are two types of tic douloureux
(trigeminal neuralgia).
Type 1--presents with extreme, shock-like facial pain, which lasts from a few
seconds to 2 minutes per event and can last up to 2 hours total. Type 1 does
not awaken the patient at night.
Type 2-- is a constant, aching, burning facial pain with less intensity but may
occur with Type 1. Type 2 is more common in women and peaks in their 60s.
Type 2 can also be related to secondary neurologic disease such as multiple
sclerosis or HSV-1.
The nurse practitioner sees a 58-year-old female patient who reports
abscesses and pustules in the axilla and groin and under the breasts, which
burst and drain purulent green discharge. She has a history of smoking and a
body mass index (BMI) of 37.1.
Which diagnosis is most likely?
a.Impetigo
b.Carbuncles
c. Shingles
d.Hidradenitis suppurativa - Answer ✔✔ - hidradenitis suppurativa
Hidradenitis suppurativa is most common in women (3:1). Smoking and
obesity are significant risk factors. Lesions are treated with topical antibiotics
(or oral antibiotics, warm compresses, and pain medications). Institute diet
changes to reduce high glycemic and dairy food intake. Refer to a
dermatologist for additional treatment options.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
,AANP FNP
Insulin Lispro (Humalog) - Answer ✔✔ - Lispro is a rapid-acting insulin that is
used on a sliding scale to work from meal to meal
Atopic dermatitis (eczema) - Answer ✔✔ - chronic, pruritic rash of the
hands, flexural folds, and neck that can be exacerbated by stress and
environmental factors.
Toxic Epidermal Necrolysis (TEN) - Answer ✔✔ - TEN is the result of a severe
skin reaction to medications such as allopurinol, nonsteroidal anti-
inflammatory drugs (NSAIDs), and anticonvulsants.
Melanoma - Answer ✔✔ - Melanoma are nevi with uneven texture, irregular
borders, variegated colors, size larger than 6 mm, and changing size (the
mnemonic ABCDE stands for asymmetry, border irregularity, color variations
in the same region, diameter >6 mm, and enlargement or change in size
over time), and they can be pruritic. Risk factors include family history of
melanoma (10% of cases), extensive/intense sunlight exposure, blistering
sunburn in childhood, tanning beds, and atypical nevus
Seborrheic keratoses - Answer ✔✔ - Seborrheic keratoses are soft, fleshy,
painless growths that are located mostly on the back. Skin lesions look like
they are "pasted" on the skin and can range in color from light tan to black.
Acanthosis nigricans - Answer ✔✔ - Acanthosis nigricans are diffuse, soft
thickenings of the skin usually located at the neck and axilla. They are also
associated with diabetes, metabolic syndrome, obesity, and gastrointestinal
cancer.
Acrochordon - Answer ✔✔ - Acrochordons (skin tags) are painless,
pedunculated outgrowths of skin that are common in the neck and axillary
areas. If the growths are traumatized, they become necrotic and fall off. They
are most common in diabetics and patients who are obese.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
, AANP FNP
Which of the following is associated with male aging?
a.Increased levels of estrogen
b.Decreased sperm production
c. Increased production of semen
d.Decreased concentration of sperm - Answer ✔✔ - Decreased sperm
production
A nurse practitioner sees a patient for an evaluation of sexually transmitted
diseases.
Assessment reveals Fitz-Hugh-Curtis. The nurse practitioner will prescribe: -
Answer ✔✔ - Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID
× 14 days plus metronidazole 500 mg BID × 14 days.
Fitz-Hugh-Curtis syndrome should be treated as a complicated
gonorrheal/chlamydial infection: Ceftriaxone 500 mg IM × one dose plus
doxycycline 100 mg BID × 14 days plus metronidazole 500 mg BID × 14
days for anaerobic coverage.
sensitive screening test for HIV - Answer ✔✔ - Combination HIV-1 and HIV-2
antibody immunoassay with p24 antigen.
DM medication class that should not be used in patients with heart failure or
hx of bladder cancer? - Answer ✔✔ - Thiazolidinediones
Medication class with high risk of hypoglycemic events: - Answer ✔✔ -
Sulfonylureas stimulate the beta cells but have a long half-life, and there is a
high risk for severe hypoglycemic events.
AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS
ALREADYGRADED A+
