1|Page
NEW AANP FNP ACTUAL EXAM 2024/2025 WITH 300
REAL EXAM QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED A+ (100%
CORRECT) ANNP FNP/ AGPCNP PSI/ AANP EXAM
REVIEW 2024
A 10-year-old girl presents for a wellness exam today. Upon examination, breast
budding is noted as well as a few fine pubic hairs. She and her parent mention that
her breasts just began to grow and ask when they should expect her menses to
start. What anticipatory guidance should be provided during this visit?
A.
Menarche should start any day
B.
Menarche should start in 3-4 years
C.
Menarche should start in the next 3 years
D.
Menarche should start in the next year
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- Correct Answer-C.
Menarche should start in the next 3 years
Menarche should start in the next 3 years (C) once a girl begins puberty or enters
Tanner stage 2. Tanner stage 2 peaks in girls aged 12-13 years. In this stage,
breast buds become palpable, areola enlarge, and minimal coarse pubic hair is
visible on the labia.
The Enquiring About Tolerance study found that introducing gluten to exclusively
breastfed babies at age 4 months delayed the prevalence of celiac disease at age
3 years compared to introducing gluten to exclusively breastfed babies at age 6
months. The type of study conducted helps provide the highest level of evidence.
Which of the following describes this study type?
A.
Data from a population or representative subset at a specific point in time is
collected and then analyzed
B.
Groups of subjects who share common characteristics or experiences within a
defined period are observed longitudinally
C.
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Subjects are randomly allocated to one of the different treatments under study
D.
Subjects with a known exposure are tracked to observe outcomes
- Correct Answer-C.
Subjects are randomly allocated to one of the different treatments under study
The Enquiring About Tolerance study is an example of a randomized controlled
trial (RCT), a type of research study that helps provide the highest level of
evidence. In an RCT, subjects are randomly allocated to one of the different
treatments under study (C). In this case, exclusively breastfed babies were
randomly selected to be introduced to gluten at age 4 months or at age 6 months,
and the prevalence of celiac disease at age 3 years was compared between the
two groups.RCTs are considered the gold standard of clinical research.
Randomization reduces bias, which is defined as skewed study results related to
outside factors instead of the intervention tested. In addition to randomization,
blinding is a research technique used to decrease bias. In a single-blind study, the
study participants do not know which group they are assigned to. In a double-blind
study, neither the study participants nor the investigators know which group the
participants are assigned to. Within the hierarchy of evidence, a systematic
review or meta-analysis of RCTs summarizes controlled studies about a specific
topic and provides the highest level of evidence regarding treatments or
interventions.
, 4|Page
Which of the following would likely be the vaginal pH of a patient diagnosed with
vulvovaginal candidiasis?
A.
2.5
B.
4.5
C.
6.0
D.
8.0
- Correct Answer-B.
4.5
Normal vaginal pH levels typically fall within the range of 4.0 to 4.5 due to the
lactic acid produced by gram-positive aerobic lactobacilli found in normal vaginal
flora. Vaginal pH is unaffected by the presence of vulvovaginal candidiasis.
Vulvovaginal candidiasis presents with pruritus, a vaginal pH between 4.0 and 4.5
(B), vulvovaginal erythema, and a nonmalodorous white curd-like discharge.
NEW AANP FNP ACTUAL EXAM 2024/2025 WITH 300
REAL EXAM QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED A+ (100%
CORRECT) ANNP FNP/ AGPCNP PSI/ AANP EXAM
REVIEW 2024
A 10-year-old girl presents for a wellness exam today. Upon examination, breast
budding is noted as well as a few fine pubic hairs. She and her parent mention that
her breasts just began to grow and ask when they should expect her menses to
start. What anticipatory guidance should be provided during this visit?
A.
Menarche should start any day
B.
Menarche should start in 3-4 years
C.
Menarche should start in the next 3 years
D.
Menarche should start in the next year
,2|Page
- Correct Answer-C.
Menarche should start in the next 3 years
Menarche should start in the next 3 years (C) once a girl begins puberty or enters
Tanner stage 2. Tanner stage 2 peaks in girls aged 12-13 years. In this stage,
breast buds become palpable, areola enlarge, and minimal coarse pubic hair is
visible on the labia.
The Enquiring About Tolerance study found that introducing gluten to exclusively
breastfed babies at age 4 months delayed the prevalence of celiac disease at age
3 years compared to introducing gluten to exclusively breastfed babies at age 6
months. The type of study conducted helps provide the highest level of evidence.
Which of the following describes this study type?
A.
Data from a population or representative subset at a specific point in time is
collected and then analyzed
B.
Groups of subjects who share common characteristics or experiences within a
defined period are observed longitudinally
C.
,3|Page
Subjects are randomly allocated to one of the different treatments under study
D.
Subjects with a known exposure are tracked to observe outcomes
- Correct Answer-C.
Subjects are randomly allocated to one of the different treatments under study
The Enquiring About Tolerance study is an example of a randomized controlled
trial (RCT), a type of research study that helps provide the highest level of
evidence. In an RCT, subjects are randomly allocated to one of the different
treatments under study (C). In this case, exclusively breastfed babies were
randomly selected to be introduced to gluten at age 4 months or at age 6 months,
and the prevalence of celiac disease at age 3 years was compared between the
two groups.RCTs are considered the gold standard of clinical research.
Randomization reduces bias, which is defined as skewed study results related to
outside factors instead of the intervention tested. In addition to randomization,
blinding is a research technique used to decrease bias. In a single-blind study, the
study participants do not know which group they are assigned to. In a double-blind
study, neither the study participants nor the investigators know which group the
participants are assigned to. Within the hierarchy of evidence, a systematic
review or meta-analysis of RCTs summarizes controlled studies about a specific
topic and provides the highest level of evidence regarding treatments or
interventions.
, 4|Page
Which of the following would likely be the vaginal pH of a patient diagnosed with
vulvovaginal candidiasis?
A.
2.5
B.
4.5
C.
6.0
D.
8.0
- Correct Answer-B.
4.5
Normal vaginal pH levels typically fall within the range of 4.0 to 4.5 due to the
lactic acid produced by gram-positive aerobic lactobacilli found in normal vaginal
flora. Vaginal pH is unaffected by the presence of vulvovaginal candidiasis.
Vulvovaginal candidiasis presents with pruritus, a vaginal pH between 4.0 and 4.5
(B), vulvovaginal erythema, and a nonmalodorous white curd-like discharge.
