Download AANP FNP CERTIFICATION 2025/ACTUAL EXAM WITH 200 REAL EXAM QUESTIONS AND CORRECT ANSWERS ( and more Exams Nursing in PDF only on Docsity!
AANP FNP CERTIFICATION 202 5 /ACTUAL EXAM WITH
200 REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |A+ GRADE/NEWEST 2025
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? - ANSWER- Iron, TIBC 3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER- Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - ANSWER- Mini mental exam 4 month old with strabismus, mom is worried...... - ANSWER- tell her it is normal. 4 month old wont keep anything down, what is the main thing you look
at? - ANSWER- Growth chart 6 month old closed anterior fontanel. - ANSWER- XRAY Abnormal cells on PAP, what do you do next? - ANSWER- Refer for Colposcopy CAGE ACRONYM - ANSWER- Cut down Annoyed by criticism Guilty about drinking Eye opener drink Causes of tachycardia - ANSWER- Fever Anemia Hypotension Cranial nerves responsible for extraocular eye movements - ANSWER- CN 3,4,
Increased risk of ectopic pregnancy - ANSWER- Salpingitis, or history of abortion, PID, Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions inside mouth in Measles Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions inside mouth in Measles Legg-Calve-Perthes Disease - ANSWER- Avascular necrosis of the proximal femoral head Lipid level of 1500, increased risk for? - ANSWER- Pancreatitis Low HGB, Low HCT, High MCV indicates what? - ANSWER- Macrocytic anemia, B12 Def Man with BPH, prostate feels on digital exam? - ANSWER- Enlarged, symmetrical, smooth Man with HTN, CAD, present femoral pulses but absent pedal -
ANSWER- Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress - ANSWER- Meniscus tears Lachman's Test - ANSWER- pivot shift test (ACL tear) Newborn with foot turned in, what do you do? - ANSWER- refer to orthopedist Osgood-Schlatter disease - 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? - ANSWER- Alzheimer's
Pt with hx of htn and stroke, now having memory loss. What does this indicate? - ANSWER- Vascular dementia Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus? - ANSWER- slap cheek, PVB19, rash hands / feet Fetal death and birth defects Quick assessment of patients fall risk? Timed Get up and Go - ANSWER- Timed Get up and Go Red beefy tongue? - ANSWER- pernicious anemia Rotator cuff injury presentation - ANSWER- disturbs sleep, arm weakness, dull ache Shingles near eye - ANSWER- immediate referral to ophthalmology Signs and symptoms of Roseola (6ths disease)? - ANSWER- 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.
- On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less prominently on the face and limbs.
- High fever, pink flat or raised rash Treatment for chronic alcoholism: - ANSWER- 12 step program Treatment for Gonorrhea? - ANSWER- Rocephin 250mg IMx1 plus Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal discharge, friable cervix. EXAM Report to health department Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years: - ANSWER- IUD Basal cell cancer - ANSWER- Waxy, pearly, telangiectasia, ulcer center
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very expensive and hard to get covered) PLUS ADD Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has been proven most affective for inflammatory acne) Minocycline- long term use has been linked with pseudotumor cerebri Oral contraceptives for hormone related Spironolactone heart murmur with holosystolic or pan systolic Heart mumur with mid systolic - ANSWER- MR - radiate axilla, 5th ICS MCL, apex, AS - radiate neck, 2ICS right sternal border MR ASSH
Coarctation of Aorta - ANSWER- COA: bounding radial and weak femoral pulse increase blood pressure in arms, and lower pressure in lower legs.
- congenital cardiac condition characterized by a narrowing of the aorta
Murmur Grade III - VI - ANSWER- Loud murmur easily heard JVD caused by - ANSWER- - tension pneumothorax,
- Rt. sided heart failure,
- cardiac tamponade,
- traumatic axphysia from Increase in portal pressure(LIVER) in venous side or cor pulmonale pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules, rash on palms - ANSWER- endocarditis , painful red spots on fingers olser's nodes, janeway legions rash on palms and soles. Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency or PVD. There was question about PAD. -
retinopathy intraocular pressure (IOP) - ANSWER- Fluid pressure inside the eye; measured with tonometry Rovsing sign - ANSWER- pain in the RLQ when the LLQ is palpated (indicative of appendicitis) Pencil-like stools occur in an obstruction of what - ANSWER- Sigmoid descending colon It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS. Refer for GI colonoscopy headache after trauma - ANSWER- SDH migraine headache - ANSWER- - paroxysmal (sudden, periodic) attacks of mostly unilateral headache, often accompanied by disordered vision, nausea, or vomiting, lasting hours or days and caused by dilation of arteries.
4 - 12 hours, abortive triptans prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate Vitamin B12 - ANSWER- Folate shares a close relationship with this other B Vitamin. Vitamin B12 - ANSWER- Cognitive deficits, glossitis, pernicious anemia, Folate shares a close relationship with this other B Vitamin. 88/yr. old patient in for follow up secondary. She's been treated with Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of treatment and it was 28. Normal range is from something to 25. How would you treat the pt. - ANSWER- be changed to NSAID, SED rate is a sign of inflammation Which medication causes low sperm count for a patient - ANSWER- SSRI
NP tell the pt. - ANSWER- tell the pt. that he is qualified to be diagnosed with AIDS according to CDC Most common cause of death in children - ANSWER- motor vehicle Tanner 2 - ANSWER- Tanner 2 - female breast bud areola develops Male testes scrotum start to enlarge, scrotum gets darker Tanner 4 - ANSWER- Tanner 4- female nipples and areola become elevated from breast, secondary mound Male penis grows wider grows in length, darker scrotum pt. expericieng memory loss, and increase in confusion and she has a history of stroke, HTN, What type of Alzheimer. - ANSWER- vascular dementia presbycusis - ANSWER- a gradual loss of sensorineural hearing that occurs as the body ages a pregnant female at slightly above symphysis pubic and Fundal height is
32cm (above the umbilical). What should be done - ANSWER- Ultrasound Romberg test - ANSWER- cerebellar
- ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed
- expected finding: client should be able to stand with minimal swaying for at least 5 seconds Direct Coombs test - ANSWER- r/o bilirubin preeclampsia treatment - ANSWER- bed rest, laying on her side Molluscum contagiosum treatment - ANSWER- Currettage, liquid nitrogen pyloric stenosis - ANSWER- non bilious vomiting, olive like firm mass palpated on right upper quadrant horizontal nystagmus that stops when eye is close to midline in a college student - ANSWER- Ménière's disease?
Which among the list can cause increase in respiration - ANSWER- Options include (low oxygen, high oxygen, hypercapnia, hypocapnia)? Which among the list can cause increase in respiration - ANSWER- hypercapnia Osteoporosis Risk Factors (ACCESS) - ANSWER- A-lcohol Use C-orticosteroid Use C-alcium low E-strogen low S-moking S-edentary lifestyle/s ACCESS leads to OSTEOPOROSIS to prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and low Hct - ANSWER- VITAMIN D 600-800, CALCIUM 1000-1200. OSTEOPOROSIS BONE ABSORPTION EXCEED BONE FORMATION. LOW TSH= Hyperthyroidism- BONE DEMINERALIZATION.
NEED CALCIUM for BONE GROWTH Carotid bruit - ANSWER- abnormal flow of blood through the carotid artery Carotid bruit - ANSWER- abnormal flow of blood through the carotid artery due to atherosclerotic disease Common causes of GERD - ANSWER- risk factors- alcohol, anticholinergic, CCB, chocolate peppermint, fatty, spicy, citrus foods, hormones, obesity, pregnancy, smoking, theophylline, exacerbated by CCB verapamil Common causes of GERD - ANSWER- risk factors- alcohol, anticholinergic, CCB, BB chocolate peppermint, fatty, spicy, citrus foods, hormones, obesity,
