AANP FNP CERTIFICATION EXAM VERSION A, B AND
PRACTICE REVIEW EXAM COMPLETE 550 QUESTIONS
AND DETAILED SOLUTIONS JUST RELEASED
AANP FNP CERTIFICATION VERSION A
Question: A 70-year-old patient presents to the clinic complaining of dyspnea, palpitations, and
fatigue. The patient reports a 2-week history of blackened stools. Assessment reveals BP =
110/60, P = 100, R = 24, Hgb = 4.5, Hct = 16%. What is the most appropriate intervention? -
CORRECT ANSWER✔✔Send to ER
Question: During a well-child exam of an 18-month-old, premature tooth decay and inflamed
gums, particularly of the maxillary incisors, are noted. The approach to this problem includes? -
CORRECT ANSWER✔✔Referring the child to a dentist, assessing for bottle feeding and fluoride
in local water.
Question: A 3-year-old female has been diagnosed with bacterial meningitis. She attends
preschool daily at a local church day care program. The day before her diagnosis, she ate lunch
with her mother at a local restaurant. For which contact would chemoprophylaxis with rifampin
be recommended? - CORRECT ANSWER✔✔Preschool contacts in the past 7 days
Question: A 19-year-old patient who has used OCPs for 3 years plans to discontinue the pill at
the end of her current cycle to become pregnant. What daily supplement would receive the
highest priority? - CORRECT ANSWER✔✔Folic acid
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Question: The most commonly prescribed medication for mild systemic lupus erythematosus
is? - CORRECT ANSWER✔✔Ibuprofen
Question: A child is being treated with Ritalin for ADD. What is not a side effect of Ritalin? -
CORRECT ANSWER✔✔Slight increase in growth velocity
Question: A mother has just noticed that her 15-month-old, 15 kg child has just recently
ingested an unknown quantity of iron tablets. The mother has ipecac syrup and activated
charcoal on hand. The mother should be advised to? - CORRECT ANSWER✔✔Take the child to
the ER
Question: What is not used for therapy of an acute attack of gout? - CORRECT
ANSWER✔✔Allopurinol
Question: In a 6-year-old, what is the preferred drug for stage 1 Lyme disease? - CORRECT
ANSWER✔✔Cefuroxime (Ceftin)
Question: The optimal treatment for latent TB is? - CORRECT ANSWER✔✔Isoniazid (Nydrazid)
for 9 months
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Question: A 46-year-old female found a lump in her breast this morning. History includes: no
prior breast disease; G2P2; maternal aunt diagnosed with breast cancer at age 72; LMP 2.5
weeks ago. On exam, an NP palpates a 2-cm round, soft, mobile, tender lesion in the upper
outer quadrant of the right breast. Mammogram is negative. What action is most appropriate? -
CORRECT ANSWER✔✔Schedule a right-breast US
Question: The medication of choice for initial treatment of juvenile RA is? - CORRECT
ANSWER✔✔Ibuprofen
Question: A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery
stools without blood or mucus, and 2 episodes of vomiting in the past 48 hours. Assessment
reveals no current abx therapy, dehydration <5%, soft abdomen with hyperactive bowel sounds,
no masses or organomegaly; other physical findings are normal. What is the appropriate
management plan? - CORRECT ANSWER✔✔No lab workup; instruct parents on signs and
symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and
soup
Question: An NP places a 76-year-old patient on nifedipine (Procardia) 10 mg TID for angina.
The patient is unable to remember to take the medication at the scheduled times. The
practitioner should? - CORRECT ANSWER✔✔Change the dose to extended release 30 mg daily
Question: The most common side effect of the oral ribavirin used in the treatment of hep C is? -
CORRECT ANSWER✔✔Hemolytic anemia
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Question: A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of
vomiting and six diarrheal stools. On PE today, his vital signs reveal P = 120 and capillary refill 3
seconds. The patient's eyes are sunken and his extremities are mottled and cool to touch. The
treatment plan would include? - CORRECT ANSWER✔✔Hospitalization for IV fluid replacement
Question: A young child with asthma presents for follow-up eval. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. What condition would be the most likely cause of the
continued asthma symptoms? - CORRECT ANSWER✔✔GERD
Question: The NP prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary
to DM. On follow-up, the patient complains of urine retention and dry mouth. The practitioner
would? - CORRECT ANSWER✔✔Discontinue amitriptyline and begin Gabapentin
Question: The management of COPD in the elderly is best guided by? - CORRECT
ANSWER✔✔Symptomatology
Question: A 65-year-old woman presents for a follow-up exam after a new patient visit. She has
not seen a healthcare provider for several years. She is a smoker and her HTN is now adequately
controlled with medication. Her mother died at age 40 from a hear attack. The fasting lipid
profile shows cholesterol = 240, HDL = 30, and LDL = 200. In addition to starting Therapeutic
Lifestyle Changes, the NP should start the patient on? - CORRECT ANSWER✔✔A statin drug
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