AANP FNP CERTIFICATION | AANP FNP CERTIFICATION EXAM WITH
500+ QUESTIONS AND 100% CORRECT ANSWERS| LATEST 2024-2025
SELF ASSESSMENT GUIDE RATED A+
ADA screening for DM in Children - ANSWERS- -symptomatic children (polyuria, polydipsia, polyphagia,
blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese (>85th
percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics - ANSWERS- - leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- Most common cancer: skin.
- In males: prostate. in females: breast
Suicide: males more successful, women more attempts. Highest rate is older white males.
Osgood-Schlatter: - ANSWERS- knee pain in young adults, overuse. Repetitive stress pain, tenderness,
swelling at the tendon's insertion site. The tibial tuberosity. Rule out avulsion fracture if there is an acute
onset and order a lateral xray. RICE. Usually stops when the growth stops.
If client has right sided weakness, etc. the CVA occurred where - ANSWERS- left side initial
evaluation of symptoms of acute prostatitis - ANSWERS- Urinalysis and urine culture
A 65-year-old woman presents for a follow-up examination after a new client visit. She has not seen a
healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled
with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows
cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes,
the nurse practitioner should start the client on:
1. Bile acid sequestrant.
2. A statin drug.
,3. A cholesterol absorption inhibitor.
4. Low-dose aspirin. - ANSWERS- A statin drug
Ortolani's Click - ANSWERS- a click is heard or felt as dislocation is reduced (developmental dysplasia of
hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when the suspected diagnosis
is temporal arteritis? - ANSWERS- Erythrocyte sedimentation rate (ESR)
What are narrow therapeutic index drugs? - ANSWERS- 1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Otitis Externa tx - ANSWERS- Fluoroquinolone & Polymyxin B cortisporin drops
An elderly male client complains of a new-onset, left-sided temporal headache accompanied by scalp
tenderness and indurated temporal artery. The NP suspects temporal arteritis. What screening test
would you order to assist with diagnosis? - ANSWERS- sedimentation rate (expect to be very elevated)
Basal Cell Carcinoma - ANSWERS- Pearly domed nodule with overlaying telangiectatic vessels. Could be
plaque, papule, possible central ulceration and crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age - ANSWERS- white, clear, flocculent(physiologic leukorrhea),
no complaints, pH 3.8-4.2 (toward acidic), no odor, microscopic shows lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? - ANSWERS- Screen for HIV
Screening Tests - ANSWERS- - sensitivity: detect those WITH the disease. higher the sensitivity is higher
the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants - ANSWERS- ...
to assess pts ability to think abstractly a nurse pract could ask the client - ANSWERS- the meaning of a
common proverb
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
,1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). - ANSWERS- ibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to testosterone, the
most appropriate diagnostic tests to order would be: - ANSWERS- follicle-stimulating hormone (FSH),
luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH).
Barlow's Maneuver - ANSWERS- Feeling of a slip as the femoral head slips away from the acetabulum
(toward the butt) (good until 6 mo)
Candida vulvovaginitis - ANSWERS- etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5, odor is
usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH prep. Treatment: oral
diflucan or vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - ANSWERS- Increased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption, atrophic
gastritis, and kidney disease
Bacterial Conjunctivitis tx - ANSWERS- Eye drops or ointment: Polytrim, trimethoprim, polymyxin,
macrolide
A client with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the presence of bandsis
what kind of shift and prognosis? - ANSWERS- -Shift to the left
-Serious bacterial infection
Actinic Keratosis - ANSWERS- Rough flat, dry crusty, erythematous papules or plaques. Scaly patch of red
brown skin caused by years of SUN exposure. Precursor to squamous cell carcinoma. Dx. Biopsy. Tx:
topical 5 fluroracil 5-FU, cryotherapy.
A client with macular degeneration has deficit vision in? - ANSWERS- Central vision
, Dacyrocystitis - ANSWERS- Typical symptoms of acute tear duct infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no redness)
Pre-DM in children values - ANSWERS- A1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention - ANSWERS- - individual actions: eating nutritious diet, exercise, seatbelts, gun safety.
IMMUNIZATIONS
squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is - ANSWERS- wet
mount that shows BV
trigeminal neuralgia manifests - ANSWERS- electric shock facial pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. - ANSWERS- postcoital bleeding
To assess a client's ability to think abstractly, a nurse practitioner could ask the client: - ANSWERS- the
meaning of a common proverb.
