AANP Actual Exam, Practice Exam And
Study Guide
AANP Actual Exam Questions and Correct
Answers Brand New Version 2025 Top
Rated A+
An 11-year-old patient reports a severe sore throat, fever, nausea, and headache. Upon exam,
the nurse practitioner sees a strawberry red pharynx with petechiae on the hard palate. The
remainder of the exam is benign. What would be the best initial test to order for this patient?
A.
Epstein-Barr virus panel
B.
Nucleic acid amplification test
C.
Rapid antigen detection test
D.
Rapid plasma reagin test - Correct Answer :C. Rapid antigen detection test
The patient in the above scenario is exhibiting signs of an acute group A streptococcal
pharyngitis infection. Group A Streptococcus infections are the most common cause of bacterial
pharyngitis in children and adolescents. Children typically present with the abrupt onset of
pharyngitis, fever, headache, abdominal pain or nausea, and vomiting. Physical exam findings
include throat erythema, palatal petechiae, enlarged or erythematous tonsils, enlarged anterior
cervical lymph nodes, and a scarlatiniform rash. The gold standard for testing a patient with
suspected group A streptococcal pharyngitis is a rapid antigen detection test (C). These tests
provide quick, highly specific results and are readily available in most care centers. Because the
sensitivity of the rapid antigen detection tests is a little lower, 70-90%, if a child initially tests
negative, a confirmatory throat culture should be sent as a follow-up.
All of the following are potential secondary causes of hyperparathyroidism except:
A.
Chronic kidney disease
A+ TEST BANK 1
, AANP Actual Exam, Practice Exam And
Study Guide
B.
Neck radiation exposure
C.
Parathyroid adenoma
D.
Vitamin D deficiency - Correct Answer :C. Parathyroid adenoma
Secondary hyperparathyroidism occurs when an issue external to the parathyroid lowers calcium
levels. This can be due to chronic kidney disease (especially end-stage kidney disease), a vitamin
D deficiency, or neck radiation exposure. Primary causes of hyperparathyroidism are due to an
issue with the parathyroid itself, such as a parathyroid adenoma (C).
A 6-year-old patient presents to the clinic accompanied by his mother, who reports concerns
regarding her child's progressive urinary issues. The patient's mother states that she and the
child's father recently divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary incontinence and holds his
stomach as if he is in pain. He frequently asks to use the bathroom but is scared of urination
once he is there. Which of the following is the most likely diagnosis?
A.
Adjustment disorder
B.
Constipation
C.
Regression
D.
Urinary tract infection - Correct Answer :D. Urinary tract infection
The most likely diagnosis is a urinary tract infection (D). His clinical presentation includes
abdominal pain, urinary frequency, and dysuria, which are signs of cystitis in children, which is
considered a lower urinary tract infection (UTI). Pyelonephritis is a complicated form of UTI that
may present with persistent fever, flank pain, or vomiting.
A patient recently diagnosed with primary adrenal insufficiency (Addison disease) requests
additional education on this condition. Which of the following teaching statements is inaccurate?
A+ TEST BANK 2
, AANP Actual Exam, Practice Exam And
Study Guide
A.
"If a potential Addisonian crisis goes untreated, it may lead to severe hypotension and organ
failure"
B.
"It is necessary to keep your IM hydrocortisone injection with you at all times"
A+ TEST BANK 3
, AANP Actual Exam, Practice Exam And
Study Guide
C.
"You may experience electrolyte imbalances such as hyperkalemia and hyponatremia"
D.
"Your symptoms are related to an increase in a substance called cortisol in your blood" - Correct
Answer :D. "Your symptoms are related to an increase in a substance called cortisol in your
blood"
Your symptoms are related to an increase in a substance called cortisol in your blood (D) is an
inaccurate statement, as Addison disease is a condition characterized by adrenal insufficiency,
meaning the body is unable to produce sufficient amounts of the hormone cortisol.
A 72-year-old woman presents to the clinic with jaw pain when eating for 1 day. She reports
feeling tired and having some blurry vision, a new nagging headache near her left eye, and a
fever. Which of the following is the best next step?
A.
Order inflammatory markers
B.
Prescribe the patient sumatriptan (Imitrex)
C.
Refer to an ophthalmologist for a biopsy
D.
Refer to the ED to rule out a potential brain bleed - Correct Answer :C. Refer to an
ophthalmologist for a biopsy
Jaw claudication, or pain in the jaw with chewing, headache, fever, and blurry vision, is
suspicious for temporal arteritis. Referral to an ophthalmologist for a biopsy (C) will confirm this
diagnosis.
A 33-year-old patient recovering from a left rotator cuff repair performed 2 weeks ago reports
for a follow-up visit. Before seeing the nurse practitioner, she is told to remove her shirt and
undergarments and is given a gown and a sheet for modesty. She is assured that she is seeing a
female nurse practitioner today who is aware of her Afghani heritage, Islamic faith, and cultural
values. Today, the nurse practitioner demonstrates which of the following in the care of the
patient?
A+ TEST BANK 4
Study Guide
AANP Actual Exam Questions and Correct
Answers Brand New Version 2025 Top
Rated A+
An 11-year-old patient reports a severe sore throat, fever, nausea, and headache. Upon exam,
the nurse practitioner sees a strawberry red pharynx with petechiae on the hard palate. The
remainder of the exam is benign. What would be the best initial test to order for this patient?
A.
Epstein-Barr virus panel
B.
Nucleic acid amplification test
C.
Rapid antigen detection test
D.
Rapid plasma reagin test - Correct Answer :C. Rapid antigen detection test
The patient in the above scenario is exhibiting signs of an acute group A streptococcal
pharyngitis infection. Group A Streptococcus infections are the most common cause of bacterial
pharyngitis in children and adolescents. Children typically present with the abrupt onset of
pharyngitis, fever, headache, abdominal pain or nausea, and vomiting. Physical exam findings
include throat erythema, palatal petechiae, enlarged or erythematous tonsils, enlarged anterior
cervical lymph nodes, and a scarlatiniform rash. The gold standard for testing a patient with
suspected group A streptococcal pharyngitis is a rapid antigen detection test (C). These tests
provide quick, highly specific results and are readily available in most care centers. Because the
sensitivity of the rapid antigen detection tests is a little lower, 70-90%, if a child initially tests
negative, a confirmatory throat culture should be sent as a follow-up.
All of the following are potential secondary causes of hyperparathyroidism except:
A.
Chronic kidney disease
A+ TEST BANK 1
, AANP Actual Exam, Practice Exam And
Study Guide
B.
Neck radiation exposure
C.
Parathyroid adenoma
D.
Vitamin D deficiency - Correct Answer :C. Parathyroid adenoma
Secondary hyperparathyroidism occurs when an issue external to the parathyroid lowers calcium
levels. This can be due to chronic kidney disease (especially end-stage kidney disease), a vitamin
D deficiency, or neck radiation exposure. Primary causes of hyperparathyroidism are due to an
issue with the parathyroid itself, such as a parathyroid adenoma (C).
A 6-year-old patient presents to the clinic accompanied by his mother, who reports concerns
regarding her child's progressive urinary issues. The patient's mother states that she and the
child's father recently divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary incontinence and holds his
stomach as if he is in pain. He frequently asks to use the bathroom but is scared of urination
once he is there. Which of the following is the most likely diagnosis?
A.
Adjustment disorder
B.
Constipation
C.
Regression
D.
Urinary tract infection - Correct Answer :D. Urinary tract infection
The most likely diagnosis is a urinary tract infection (D). His clinical presentation includes
abdominal pain, urinary frequency, and dysuria, which are signs of cystitis in children, which is
considered a lower urinary tract infection (UTI). Pyelonephritis is a complicated form of UTI that
may present with persistent fever, flank pain, or vomiting.
A patient recently diagnosed with primary adrenal insufficiency (Addison disease) requests
additional education on this condition. Which of the following teaching statements is inaccurate?
A+ TEST BANK 2
, AANP Actual Exam, Practice Exam And
Study Guide
A.
"If a potential Addisonian crisis goes untreated, it may lead to severe hypotension and organ
failure"
B.
"It is necessary to keep your IM hydrocortisone injection with you at all times"
A+ TEST BANK 3
, AANP Actual Exam, Practice Exam And
Study Guide
C.
"You may experience electrolyte imbalances such as hyperkalemia and hyponatremia"
D.
"Your symptoms are related to an increase in a substance called cortisol in your blood" - Correct
Answer :D. "Your symptoms are related to an increase in a substance called cortisol in your
blood"
Your symptoms are related to an increase in a substance called cortisol in your blood (D) is an
inaccurate statement, as Addison disease is a condition characterized by adrenal insufficiency,
meaning the body is unable to produce sufficient amounts of the hormone cortisol.
A 72-year-old woman presents to the clinic with jaw pain when eating for 1 day. She reports
feeling tired and having some blurry vision, a new nagging headache near her left eye, and a
fever. Which of the following is the best next step?
A.
Order inflammatory markers
B.
Prescribe the patient sumatriptan (Imitrex)
C.
Refer to an ophthalmologist for a biopsy
D.
Refer to the ED to rule out a potential brain bleed - Correct Answer :C. Refer to an
ophthalmologist for a biopsy
Jaw claudication, or pain in the jaw with chewing, headache, fever, and blurry vision, is
suspicious for temporal arteritis. Referral to an ophthalmologist for a biopsy (C) will confirm this
diagnosis.
A 33-year-old patient recovering from a left rotator cuff repair performed 2 weeks ago reports
for a follow-up visit. Before seeing the nurse practitioner, she is told to remove her shirt and
undergarments and is given a gown and a sheet for modesty. She is assured that she is seeing a
female nurse practitioner today who is aware of her Afghani heritage, Islamic faith, and cultural
values. Today, the nurse practitioner demonstrates which of the following in the care of the
patient?
A+ TEST BANK 4
