AANP FNP CERTIFICATION EXAM AND PRACTICE
EXAM NEWEST ACTUAL EXAM COMPLETE 400
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
All diastolic murmurs are pathological. Murmurs Grades I-barely II-
audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire
steth. EXAM - CORRECT ANSWER III first time audible, IV first time
thrill
Fundal height 12 weeks - CORRECT ANSWER 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? - CORRECT ANSWER
Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? -
CORRECT ANSWER Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of
memory loss - CORRECT ANSWER Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWER
tell her it is normal.
4 month old wont keep anything down, what is the main thing you look
at? - CORRECT ANSWER Growth chart
,6 month old closed anterior fontanel. - CORRECT ANSWER XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWER
Refer for Colposcopy
CAGE ACRONYM - CORRECT ANSWER Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWER Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CORRECT
ANSWER CN 3,4,6
Definition of metabolic syndrome - CORRECT ANSWER cluster of
conditions that increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWER wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next? - CORRECT ANSWER Pelvic US
Epistaxis is most common in the area of the nose known as
kiesselbachs triangle, where is this located? - CORRECT ANSWER
Anterior septum
Definitive diagnosis of acute bacterial prostatitis - CORRECT ANSWER
urinalysis and culture
GERD treatment - CORRECT ANSWER H2 is first line, give hs
Grade 3 cells on Pap, treatment? - CORRECT ANSWER LEEP
excision
,Fingernail hematoma treatment? - CORRECT ANSWER drill hole and
drain blood?
Increased risk of ectopic pregnancy - CORRECT ANSWER Salpingitis,
or history of abortion, PID,
Koplick spots - CORRECT ANSWER Measles (rubeola). Grains of salt
lesions inside mouth in Measles
Koplick spots - CORRECT ANSWER Measles (rubeola). Grains of salt
lesions inside mouth in Measles
Legg-Calve-Perthes Disease - CORRECT ANSWER Avascular necrosis
of the proximal femoral head
Lipid level of 1500, increased risk for? - CORRECT ANSWER
Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - CORRECT ANSWER
Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - CORRECT ANSWER
Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal -
CORRECT ANSWER Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress -
CORRECT ANSWER Meniscus tears
Lachman's Test - CORRECT ANSWER pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - CORRECT ANSWER
refer to orthopedist
Osgood-Schlatter disease - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash
with center clearing and scaling? - CORRECT ANSWER Tinea
Corporis
Pt presents with "bag of worms:, indicates? - CORRECT ANSWER
Varicocele
Pt with atopic dermatitis, look for what other diseases? - CORRECT
ANSWER Asthma
Pt with bleeding after menopause - CORRECT ANSWER endometrial
biopsy, need to screen for cancer
Pt with hx of PID, increased rick for? - CORRECT ANSWER Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400,
what does this indicate? - CORRECT ANSWER This is good. Want
higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this
indicate? - CORRECT ANSWER Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what
risk is there to the fetus? - CORRECT ANSWER slap cheek, PVB19,
rash hands / feet Fetal death and birth defects
