AANP FNP CERTIFICATION EXAM | QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS
• Fundal height 12 weeks -✓✓ Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
• 3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order? -✓✓ Iron, TIBC
• 3 months of synthroid, TSH increased, T4 normal, what do you do? -✓✓ Increase
Medication
• 3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
✓✓ Mini mental exam
• 4 month old with strabismus, mom is worried...... -✓✓ tell her it is normal.
• 4 month old wont keep anything down, what is the main thing you look at? -✓✓ Growth
chart
• 6 month old closed anterior fontanel. -✓✓ XRAY
• Abnormal cells on PAP, what do you do next? -✓✓ Refer for Colposcopy
• CAGE ACRONYM -✓✓ Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
• Causes of tachycardia -✓✓ Fever
Anemia
Hypotension
• Cranial nerves responsible for extraocular eye movements -✓✓ CN 3,4,6
• Definition of metabolic syndrome -✓✓ cluster of conditions that increase risk of heart
disease, stroke, diabetes.
,• diagnose trichomoniasis -✓✓ wet prep
• Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? -✓✓ Pelvic US
• Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? -✓✓ Anterior septum
• Definitive diagnosis of acute bacterial prostatitis -✓✓ urinalysis and culture
• GERD treatment -✓✓ H2 is first line, give hs
• Grade 3 cells on Pap, treatment? -✓✓ LEEP
excision
• Fingernail hematoma treatment? -✓✓ drill hole and drain blood?
• Increased risk of ectopic pregnancy -✓✓ Salpingitis, or history of abortion, PID,
• Koplick spots -✓✓ Measles (rubeola). Grains of salt lesions inside mouth in Measles
• Koplick spots -✓✓ Measles (rubeola). Grains of salt lesions inside mouth in Measles
• Legg-Calve-Perthes Disease -✓✓ Avascular necrosis of the proximal femoral head
• Lipid level of 1500, increased risk for? -✓✓ Pancreatitis
• Low HGB, Low HCT, High MCV indicates what? -✓✓ Macrocytic anemia, B12 Def
• Man with BPH, prostate feels on digital exam? -✓✓ Enlarged, symmetrical, smooth
• Man with HTN, CAD, present femoral pulses but absent pedal -✓✓ Arterial
Insufficiency
• McMurray's Sign
(+) palpable or audible click while extending with varus stress -✓✓ Meniscus tears
• Lachman's Test -✓✓ pivot shift test (ACL tear)
• Newborn with foot turned in, what do you do? -✓✓ refer to orthopedist
• Osgood-Schlatter disease -✓✓ Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
, • Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? -✓✓
Alzheimer's
• Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do? -✓✓ Refer to oncologist
• Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? -✓✓ Tinea Corporis
• Pt presents with "bag of worms:, indicates? -✓✓ Varicocele
• Pt with atopic dermatitis, look for what other diseases? -✓✓ Asthma
• Pt with bleeding after menopause -✓✓ endometrial biopsy, need to screen for cancer
• Pt with hx of PID, increased rick for? -✓✓ Infertility
• Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? -✓✓ This is good. Want higher than 350
• Pt with hx of htn and stroke, now having memory loss. What does this indicate? -✓✓
Vascular dementia
• Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? -✓✓ slap cheek, PVB19, rash hands / feet Fetal death and birth defects
• Quick assessment of patients fall risk? Timed Get up and Go -✓✓ Timed Get up and
Go
• Red beefy tongue? -✓✓ pernicious anemia
• Rotator cuff injury presentation -✓✓ disturbs sleep, arm weakness, dull ache
• Shingles near eye -✓✓ immediate referral to ophthalmology
• Signs and symptoms of Roseola (6ths disease) ? -✓✓ Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
up to 3 days followed by rash
-Seizures may occur during this period.
ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS
• Fundal height 12 weeks -✓✓ Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
• 3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order? -✓✓ Iron, TIBC
• 3 months of synthroid, TSH increased, T4 normal, what do you do? -✓✓ Increase
Medication
• 3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
✓✓ Mini mental exam
• 4 month old with strabismus, mom is worried...... -✓✓ tell her it is normal.
• 4 month old wont keep anything down, what is the main thing you look at? -✓✓ Growth
chart
• 6 month old closed anterior fontanel. -✓✓ XRAY
• Abnormal cells on PAP, what do you do next? -✓✓ Refer for Colposcopy
• CAGE ACRONYM -✓✓ Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
• Causes of tachycardia -✓✓ Fever
Anemia
Hypotension
• Cranial nerves responsible for extraocular eye movements -✓✓ CN 3,4,6
• Definition of metabolic syndrome -✓✓ cluster of conditions that increase risk of heart
disease, stroke, diabetes.
,• diagnose trichomoniasis -✓✓ wet prep
• Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? -✓✓ Pelvic US
• Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? -✓✓ Anterior septum
• Definitive diagnosis of acute bacterial prostatitis -✓✓ urinalysis and culture
• GERD treatment -✓✓ H2 is first line, give hs
• Grade 3 cells on Pap, treatment? -✓✓ LEEP
excision
• Fingernail hematoma treatment? -✓✓ drill hole and drain blood?
• Increased risk of ectopic pregnancy -✓✓ Salpingitis, or history of abortion, PID,
• Koplick spots -✓✓ Measles (rubeola). Grains of salt lesions inside mouth in Measles
• Koplick spots -✓✓ Measles (rubeola). Grains of salt lesions inside mouth in Measles
• Legg-Calve-Perthes Disease -✓✓ Avascular necrosis of the proximal femoral head
• Lipid level of 1500, increased risk for? -✓✓ Pancreatitis
• Low HGB, Low HCT, High MCV indicates what? -✓✓ Macrocytic anemia, B12 Def
• Man with BPH, prostate feels on digital exam? -✓✓ Enlarged, symmetrical, smooth
• Man with HTN, CAD, present femoral pulses but absent pedal -✓✓ Arterial
Insufficiency
• McMurray's Sign
(+) palpable or audible click while extending with varus stress -✓✓ Meniscus tears
• Lachman's Test -✓✓ pivot shift test (ACL tear)
• Newborn with foot turned in, what do you do? -✓✓ refer to orthopedist
• Osgood-Schlatter disease -✓✓ Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
, • Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? -✓✓
Alzheimer's
• Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do? -✓✓ Refer to oncologist
• Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? -✓✓ Tinea Corporis
• Pt presents with "bag of worms:, indicates? -✓✓ Varicocele
• Pt with atopic dermatitis, look for what other diseases? -✓✓ Asthma
• Pt with bleeding after menopause -✓✓ endometrial biopsy, need to screen for cancer
• Pt with hx of PID, increased rick for? -✓✓ Infertility
• Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? -✓✓ This is good. Want higher than 350
• Pt with hx of htn and stroke, now having memory loss. What does this indicate? -✓✓
Vascular dementia
• Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? -✓✓ slap cheek, PVB19, rash hands / feet Fetal death and birth defects
• Quick assessment of patients fall risk? Timed Get up and Go -✓✓ Timed Get up and
Go
• Red beefy tongue? -✓✓ pernicious anemia
• Rotator cuff injury presentation -✓✓ disturbs sleep, arm weakness, dull ache
• Shingles near eye -✓✓ immediate referral to ophthalmology
• Signs and symptoms of Roseola (6ths disease) ? -✓✓ Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
up to 3 days followed by rash
-Seizures may occur during this period.
