1 of 20
AANP FNP CERTIFICATION LATEST 2025/2026 WITH 240 REAL EXAM QUESTIONS
AND CORRECT ANSWERS GRADED A+
JVD caused by - ......ANSWER........-tension pneumothorax, -Rt. sided heart failure, -
cardiac tamponade, -traumatic asphyxia from Increase in portal pressure (LIVER) in
venous side or cor pulmonale
pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules, rash
on palms - ......ANSWER........endocarditis, painful red spots on fingers olser's nodes,
janeway legions rash on palms and soles.
Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency
or PVD. There was question about PAD. - ......ANSWER........PAD: Absence of pulse,
decrease blow flowing down, PAIN, Dx doppler or ABI<0.9, TX exercise by walking or
antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
Chronic Bronchitis Treatment - ......ANSWER........Smoking cessation Pulmonary
rehabilitation Pharmacologic therapy Supplemental oxygen
TB... PPD is positive if area of induration is: - ......ANSWER........>5 mm in an
immunocompromised patient or close contact
10 mm in immigrant, health care workers, drug user 15 mm in a patient who lives in an area
where TB is very rare.
what condition would make you order Lateral X-ray of the neck. Options include Drooling,
Unable to do ROM of the neck / stiff neck. - ......ANSWER........Croup/Epiglottitis
AV nicking (Arterioles pressing on vein of the eye) - ......ANSWER........HTN retinopathy
intraocular pressure (IOP) - ......ANSWER........Fluid pressure inside the eye; measured with
tonometry
Rovsing sign - ......ANSWER........pain in the RLQ when the LLQ is palpated (indicative of
appendicitis)
Pencil-like stools occur in an obstruction of what - ......ANSWER........Sigmoid descending
colon It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS.
Refer for GI colonoscopy
,2 of 20
headache after trauma - ......ANSWER........SDH
migraine headache - ......ANSWER........-paroxysmal (sudden, periodic) attacks of mostly
unilateral headache, often accompanied by disordered vision, nausea, or vomiting, lasting
hours or days and caused by dilation of arteries.
4-12 hours,
abortive triptans
prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate
Vitamin B12 - ......ANSWER........Folate shares a close relationship with this other B
Vitamin.
Vitamin B12 - ......ANSWER........Cognitive deficits, glossitis, pernicious anemia, Folate
shares a close relationship with this other B Vitamin.
88/yr. old patient in for follow up secondary. She's been treated with Tylenol for Joint
arthritis. Her SED rate was checked after 6 weeks of treatment, and it was 28. Normal
range is from something to 25. How would you treat the pt. - ......ANSWER........be changed
to NSAID, SED rate is a sign of inflammation
Which medication causes low sperm count for a patient - ......ANSWER........SSRI
grandiosity - ......ANSWER........Exaggerated belief in or claims about one's importance or
identity. Bipolar
ADHD - ......ANSWER........A behavioral problem characterized by short attention span,
restless movement, and impaired learning capacity.
pt. pap's smear noted with Low Grade Squamous Intraepithelial Lesions and High-Grade
Squamous Epithelia Lesion noted on the report, what should NP do?
- ......ANSWER........HPV test if not done. Refer for colposcopy
Chlamydia trachomatis - ......ANSWER........Doxycycline (+ ceftriaxone for gonorrhea
coinfection)
Genital warts treatment - ......ANSWER........Cryotherapy OR Podophyllotoxin cream - OR
Imiquimod (Aldara cream)
, 3 of 20
HIV pt. with antiviral and CD4 count still less than 200. What should NP tell the pt.
- ......ANSWER........tell the pt. that he is qualified to be diagnosed with AIDS according to
CDC
Most common cause of death in children - ......ANSWER........motor vehicle
Tanner 2 - ......ANSWER........Tanner 2- female breast bud areola develops Male testes
scrotum start to enlarge; scrotum gets darker
Tanner 4 - ......ANSWER........Tanner 4- female nipples and areola become elevated from
breast, secondary mound Male penis grows wider grows in length, darker scrotum
pt. expecting memory loss and increase in confusion, and she has a history of stroke, HTN,
What type of Alzheimer. - ......ANSWER........vascular dementia
presbycusis - ......ANSWER........a gradual loss of sensorineural hearing that occurs as the
body ages
a pregnant female at slightly above symphysis pubic and Fundal height is 32cm (above the
umbilical). What should be done - ......ANSWER........Ultrasound
Romberg test - ......ANSWER........cerebellar -ask client to stand with feet at comfortable
distance apart, arms at sides, and eyes closed -expected finding: client should be able to
stand with minimal swaying for at least 5 seconds
Direct Coombs test - ......ANSWER........r/o bilirubin
preeclampsia treatment - ......ANSWER........bed rest, laying on her side
Molluscum contagiosum treatment - ......ANSWER........Curettage, liquid nitrogen
pyloric stenosis - ......ANSWER........non bilious vomiting, olive like firm mass palpated on
right upper quadrant
horizontal nystagmus that stops when eye is close to midline in a college student
- ......ANSWER........Ménière's disease?
Nystagmus test - ......ANSWER........the involuntary jerking of the eyes as a person gaze to
the side
eating, painful lump noted on the jaw that comes and go.
- ......ANSWER........sialolithiasis).
AANP FNP CERTIFICATION LATEST 2025/2026 WITH 240 REAL EXAM QUESTIONS
AND CORRECT ANSWERS GRADED A+
JVD caused by - ......ANSWER........-tension pneumothorax, -Rt. sided heart failure, -
cardiac tamponade, -traumatic asphyxia from Increase in portal pressure (LIVER) in
venous side or cor pulmonale
pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules, rash
on palms - ......ANSWER........endocarditis, painful red spots on fingers olser's nodes,
janeway legions rash on palms and soles.
Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency
or PVD. There was question about PAD. - ......ANSWER........PAD: Absence of pulse,
decrease blow flowing down, PAIN, Dx doppler or ABI<0.9, TX exercise by walking or
antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
Chronic Bronchitis Treatment - ......ANSWER........Smoking cessation Pulmonary
rehabilitation Pharmacologic therapy Supplemental oxygen
TB... PPD is positive if area of induration is: - ......ANSWER........>5 mm in an
immunocompromised patient or close contact
10 mm in immigrant, health care workers, drug user 15 mm in a patient who lives in an area
where TB is very rare.
what condition would make you order Lateral X-ray of the neck. Options include Drooling,
Unable to do ROM of the neck / stiff neck. - ......ANSWER........Croup/Epiglottitis
AV nicking (Arterioles pressing on vein of the eye) - ......ANSWER........HTN retinopathy
intraocular pressure (IOP) - ......ANSWER........Fluid pressure inside the eye; measured with
tonometry
Rovsing sign - ......ANSWER........pain in the RLQ when the LLQ is palpated (indicative of
appendicitis)
Pencil-like stools occur in an obstruction of what - ......ANSWER........Sigmoid descending
colon It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS.
Refer for GI colonoscopy
,2 of 20
headache after trauma - ......ANSWER........SDH
migraine headache - ......ANSWER........-paroxysmal (sudden, periodic) attacks of mostly
unilateral headache, often accompanied by disordered vision, nausea, or vomiting, lasting
hours or days and caused by dilation of arteries.
4-12 hours,
abortive triptans
prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate
Vitamin B12 - ......ANSWER........Folate shares a close relationship with this other B
Vitamin.
Vitamin B12 - ......ANSWER........Cognitive deficits, glossitis, pernicious anemia, Folate
shares a close relationship with this other B Vitamin.
88/yr. old patient in for follow up secondary. She's been treated with Tylenol for Joint
arthritis. Her SED rate was checked after 6 weeks of treatment, and it was 28. Normal
range is from something to 25. How would you treat the pt. - ......ANSWER........be changed
to NSAID, SED rate is a sign of inflammation
Which medication causes low sperm count for a patient - ......ANSWER........SSRI
grandiosity - ......ANSWER........Exaggerated belief in or claims about one's importance or
identity. Bipolar
ADHD - ......ANSWER........A behavioral problem characterized by short attention span,
restless movement, and impaired learning capacity.
pt. pap's smear noted with Low Grade Squamous Intraepithelial Lesions and High-Grade
Squamous Epithelia Lesion noted on the report, what should NP do?
- ......ANSWER........HPV test if not done. Refer for colposcopy
Chlamydia trachomatis - ......ANSWER........Doxycycline (+ ceftriaxone for gonorrhea
coinfection)
Genital warts treatment - ......ANSWER........Cryotherapy OR Podophyllotoxin cream - OR
Imiquimod (Aldara cream)
, 3 of 20
HIV pt. with antiviral and CD4 count still less than 200. What should NP tell the pt.
- ......ANSWER........tell the pt. that he is qualified to be diagnosed with AIDS according to
CDC
Most common cause of death in children - ......ANSWER........motor vehicle
Tanner 2 - ......ANSWER........Tanner 2- female breast bud areola develops Male testes
scrotum start to enlarge; scrotum gets darker
Tanner 4 - ......ANSWER........Tanner 4- female nipples and areola become elevated from
breast, secondary mound Male penis grows wider grows in length, darker scrotum
pt. expecting memory loss and increase in confusion, and she has a history of stroke, HTN,
What type of Alzheimer. - ......ANSWER........vascular dementia
presbycusis - ......ANSWER........a gradual loss of sensorineural hearing that occurs as the
body ages
a pregnant female at slightly above symphysis pubic and Fundal height is 32cm (above the
umbilical). What should be done - ......ANSWER........Ultrasound
Romberg test - ......ANSWER........cerebellar -ask client to stand with feet at comfortable
distance apart, arms at sides, and eyes closed -expected finding: client should be able to
stand with minimal swaying for at least 5 seconds
Direct Coombs test - ......ANSWER........r/o bilirubin
preeclampsia treatment - ......ANSWER........bed rest, laying on her side
Molluscum contagiosum treatment - ......ANSWER........Curettage, liquid nitrogen
pyloric stenosis - ......ANSWER........non bilious vomiting, olive like firm mass palpated on
right upper quadrant
horizontal nystagmus that stops when eye is close to midline in a college student
- ......ANSWER........Ménière's disease?
Nystagmus test - ......ANSWER........the involuntary jerking of the eyes as a person gaze to
the side
eating, painful lump noted on the jaw that comes and go.
- ......ANSWER........sialolithiasis).
