AANP/ANCC Exam 2023 With Complete
Solution Graded and Already Passed.
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever
102.8, R. pleuretic pain, and green sputum. which of the following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion - CORRECT ANS A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best
indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy - CORRECT ANS c) The child quickly
begins using arm to pick up toy
a 11mo old presents with a rash, runny clear nose, and cough. During assessment you note tiny
white papules with erythema on the buccal mucousa. What is this suggestive of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles - CORRECT ANS D)Measles
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal drainage.
what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
d)Erythromycin - CORRECT ANS A)Augmentin
Leading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung - CORRECT ANS d)Lung
a 27yo male uncomplicated chlamydia infection may exhibit:
a)urticaria
b)no obvious signs or symptoms
c) green mucoid penile drainage
d)penile shaft ulcer - CORRECT ANS b) No obvious signs/symptoms
common practice rule to follow with initiating medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water - CORRECT ANS b)start lower dose then taper up
12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies fever. The
NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold - CORRECT ANS b) lower the seizure threshold
1|Pag e
, AANP/ANCC Exam 2023 With Complete
Solution Graded and Already Passed.
According to the American Thoracic Society/Infectious Disease Society of American (ATS/IDSA)
Consensus guidelines on the Management of Community-Acquired Pneumonia in Adults, which of
the following is the most appropriate antimicrobial for tx of CAP in a:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin - CORRECT ANS c. doxycyline
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on the inner left
thigh. Chief complaints of headache, fatigue,and generalized muscle pain for several days. What
should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole - CORRECT ANS c) Doxycycline
During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP needs to be
concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia - CORRECT ANS b. osteoporosis
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting. Denies
missing doses and is currently not on any other medications. Which is appropriate?
a)modify usage
b)double her dose x 2 days
c) change to a different medication
d) provide reassurance - CORRECT ANS d)provide reassurance
Polymyalgia Rheumatica (PMR) should be managed by:
a)whirlpool tub
b)celebrex
c) analgesic
d)prednisone - CORRECT ANS d)prednisone
54yo male c/o malaise as well as delayed ejaculation. Current medications: atenolol, paxil, hctz,
claritin. Which med is most likely to cause ED?
a)HCTZ
b)atenolol
c)paxil
d) claritin - CORRECT ANS c) Paxil (paroxetine)
25yo presents with chief complaint of decreased mobility and pain of the right shoulder
exacerbated with movement. The patient occupation is painting houses. He reports he recently
painted for 24 hours prior to onset of pain. Denies trauma. Passive ROM intact. No visible signs of
injury. What should NP do next?
a) Palpate structures around shoulder
b)obtain MRI
c) Order Xray
d) Order EMG - CORRECT ANS a) palpate structures around shoulder
2|Pag e
, AANP/ANCC Exam 2023 With Complete
Solution Graded and Already Passed.
17 yo has never had menses. She is at tanner stage III Physical exam normal with weight
appropriate. What is likely diagnosis?
a) ovarian dysfunction
b) dysmenorrhea
c) primary amenorrhea
d)secondary amenorrhea - CORRECT ANS C. Primary amenorrhea
12 yo patient has a family history of thalessemia and anemia is stage II presentation and a HCT of
330. What should NP order in addition to CBC?
a) hemoglobin electrophoresis
b) vitamin b12 level
c) 25 hr creatinine clearance
d) serum folic acid - CORRECT ANS a)hemoglobin electrophoresis
Common bacteria responsible for pneumonia in older patients residing in the community is:
a) staph aureus
b)pseudomonas
c)strep pneumo
d)tuberculi - CORRECT ANS c)strep pneumo
43yo c/o 14 day rectal itch &pain. PMI of constipation. Also reports bright red blood on toilet paper
several times a week. Rectal exam positive for a single tender, blue, swollen ovoid mass. Guaiac
stools negative. What should NP prescribe?
a) lomotil
b)colonoscopy to r/o cancer
c) repeat guaiac test three times and a CBC
d) Prescribe bulk forming agents& hydrocortisone suppositories. - CORRECT ANS d) prescribe
bulk forming agents & hydrocortisone suppositories
16yo is suspected of having PCOS. In addition to testosterone, the most appropriate diagnostic
tests to order:
a) BUN,Creatinine,electrolytes &Dhea
b) CBC,BUN,creatinine & estrogen
c)FBS,CBC,BUN & sex hormone
d) FSH,LH,prolactin & TSH - CORRECT ANS d) FSH , LH, prolactin &TSH
Which is an example of the typical management of trichomoniasis
a)miconazole
b)metronidazole
c) clindamycin
d)azithromycin - CORRECT ANS b) Metronidazole
High risk population such as elderly, COPD, or immunocompromised. What should NP prescribe?
a) Rest & fluids
b) Tamiflu
c) amoxicillin
d) watch & wait - CORRECT ANS b)Tamiflu
Which CN is affected in Bell's palsy?
a) 5
b)3
c)7
d)4 - CORRECT ANS c) 7(VII)
Which CN function together for oculomotor function?
3|Pag e
Solution Graded and Already Passed.
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever
102.8, R. pleuretic pain, and green sputum. which of the following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion - CORRECT ANS A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best
indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy - CORRECT ANS c) The child quickly
begins using arm to pick up toy
a 11mo old presents with a rash, runny clear nose, and cough. During assessment you note tiny
white papules with erythema on the buccal mucousa. What is this suggestive of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles - CORRECT ANS D)Measles
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal drainage.
what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
d)Erythromycin - CORRECT ANS A)Augmentin
Leading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung - CORRECT ANS d)Lung
a 27yo male uncomplicated chlamydia infection may exhibit:
a)urticaria
b)no obvious signs or symptoms
c) green mucoid penile drainage
d)penile shaft ulcer - CORRECT ANS b) No obvious signs/symptoms
common practice rule to follow with initiating medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water - CORRECT ANS b)start lower dose then taper up
12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies fever. The
NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold - CORRECT ANS b) lower the seizure threshold
1|Pag e
, AANP/ANCC Exam 2023 With Complete
Solution Graded and Already Passed.
According to the American Thoracic Society/Infectious Disease Society of American (ATS/IDSA)
Consensus guidelines on the Management of Community-Acquired Pneumonia in Adults, which of
the following is the most appropriate antimicrobial for tx of CAP in a:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin - CORRECT ANS c. doxycyline
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on the inner left
thigh. Chief complaints of headache, fatigue,and generalized muscle pain for several days. What
should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole - CORRECT ANS c) Doxycycline
During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP needs to be
concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia - CORRECT ANS b. osteoporosis
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting. Denies
missing doses and is currently not on any other medications. Which is appropriate?
a)modify usage
b)double her dose x 2 days
c) change to a different medication
d) provide reassurance - CORRECT ANS d)provide reassurance
Polymyalgia Rheumatica (PMR) should be managed by:
a)whirlpool tub
b)celebrex
c) analgesic
d)prednisone - CORRECT ANS d)prednisone
54yo male c/o malaise as well as delayed ejaculation. Current medications: atenolol, paxil, hctz,
claritin. Which med is most likely to cause ED?
a)HCTZ
b)atenolol
c)paxil
d) claritin - CORRECT ANS c) Paxil (paroxetine)
25yo presents with chief complaint of decreased mobility and pain of the right shoulder
exacerbated with movement. The patient occupation is painting houses. He reports he recently
painted for 24 hours prior to onset of pain. Denies trauma. Passive ROM intact. No visible signs of
injury. What should NP do next?
a) Palpate structures around shoulder
b)obtain MRI
c) Order Xray
d) Order EMG - CORRECT ANS a) palpate structures around shoulder
2|Pag e
, AANP/ANCC Exam 2023 With Complete
Solution Graded and Already Passed.
17 yo has never had menses. She is at tanner stage III Physical exam normal with weight
appropriate. What is likely diagnosis?
a) ovarian dysfunction
b) dysmenorrhea
c) primary amenorrhea
d)secondary amenorrhea - CORRECT ANS C. Primary amenorrhea
12 yo patient has a family history of thalessemia and anemia is stage II presentation and a HCT of
330. What should NP order in addition to CBC?
a) hemoglobin electrophoresis
b) vitamin b12 level
c) 25 hr creatinine clearance
d) serum folic acid - CORRECT ANS a)hemoglobin electrophoresis
Common bacteria responsible for pneumonia in older patients residing in the community is:
a) staph aureus
b)pseudomonas
c)strep pneumo
d)tuberculi - CORRECT ANS c)strep pneumo
43yo c/o 14 day rectal itch &pain. PMI of constipation. Also reports bright red blood on toilet paper
several times a week. Rectal exam positive for a single tender, blue, swollen ovoid mass. Guaiac
stools negative. What should NP prescribe?
a) lomotil
b)colonoscopy to r/o cancer
c) repeat guaiac test three times and a CBC
d) Prescribe bulk forming agents& hydrocortisone suppositories. - CORRECT ANS d) prescribe
bulk forming agents & hydrocortisone suppositories
16yo is suspected of having PCOS. In addition to testosterone, the most appropriate diagnostic
tests to order:
a) BUN,Creatinine,electrolytes &Dhea
b) CBC,BUN,creatinine & estrogen
c)FBS,CBC,BUN & sex hormone
d) FSH,LH,prolactin & TSH - CORRECT ANS d) FSH , LH, prolactin &TSH
Which is an example of the typical management of trichomoniasis
a)miconazole
b)metronidazole
c) clindamycin
d)azithromycin - CORRECT ANS b) Metronidazole
High risk population such as elderly, COPD, or immunocompromised. What should NP prescribe?
a) Rest & fluids
b) Tamiflu
c) amoxicillin
d) watch & wait - CORRECT ANS b)Tamiflu
Which CN is affected in Bell's palsy?
a) 5
b)3
c)7
d)4 - CORRECT ANS c) 7(VII)
Which CN function together for oculomotor function?
3|Pag e
