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AANP FNP Practice Exam 2025-2026: 100 Questions & Answers, Exams of Nursing

Purdue University GlobalNursing

A practice exam for the aanp family nurse practitioner (fnp) certification. It includes 100 multiple-choice questions covering a range of topics relevant to family nursing practice, such as diagnosis, treatment, and management of various medical conditions. Each question is followed by the correct answer, making it a useful tool for self-assessment and exam preparation. The exam covers areas like musculoskeletal issues, infectious diseases, women's health, geriatric care, and pediatric concerns, offering a comprehensive review for aspiring fnps. The questions are designed to test the knowledge and clinical reasoning skills necessary for providing primary care to individuals and families across the lifespan. Updated for the spring of 2025, ensuring the content is current and aligned with the latest practice standards.

Typology: Exams

2024/2025

Available from 06/05/2025

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AANP FNP PRACTICE EXAM |2025-2026|100
QUESTIONS & ANSWERS| LATEST UPDATE SPRING
2025||GRADED A+
An 86-year-old patient is experiencing radiculopathy-associated lower back pain
that has not improved over the past 4 weeks. The medical history includes a
lumbar discectomy. The best type of imaging study for evaluating this patient
would be a/an:
1. MRI.
2. spinal X-ray.
3. myelography.
4. nuclear bone scan. - ANS:✅MRI
A 30-month-old with a history of frequent ear infections was seen in September
after a symptom-free summer. Examination revealed bilateral bulging eardrums.
After two separate courses of antibiotics, fluid is noted in both ears. The parent
reports speech difficulties. The most likely diagnosis is:
1. otitis media with effusion.
2. myringitis.
3. recurrent acute otitis.
4. Esutachian tube dysfunction. - ANS:✅otiti media with effusion
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Partial preview of the text

Download AANP FNP Practice Exam 2025-2026: 100 Questions & Answers and more Exams Nursing in PDF only on Docsity!

AANP FNP PRACTICE EXAM | 2025 - 2026| 100

QUESTIONS & ANSWERS| LATEST UPDATE SPRING

2025 ||GRADED A+

An 86 - year-old patient is experiencing radiculopathy-associated lower back pain that has not improved over the past 4 weeks. The medical history includes a lumbar discectomy. The best type of imaging study for evaluating this patient would be a/an:

  1. MRI.
  2. spinal X-ray.
  3. myelography.
  4. nuclear bone scan. - ANS: ✅MRI A 30 - month-old with a history of frequent ear infections was seen in September after a symptom-free summer. Examination revealed bilateral bulging eardrums. After two separate courses of antibiotics, fluid is noted in both ears. The parent reports speech difficulties. The most likely diagnosis is:
  5. otitis media with effusion.
  6. myringitis.
  7. recurrent acute otitis.
  8. Esutachian tube dysfunction. - ANS: ✅otiti media with effusion

A 19-year-old patient who has used oral contraceptives for 3 years plans to discontinue the pill at the end of her current cycle to become pregnant. Which of the following daily supplements would receive the highest priority?

  1. Calcium carbonate
  2. Folic acid
  3. Ferrous sulfate
  4. Multivitamin - ANS: ✅folic acid A frail elderly widow presents to the senior clinic with a 3- to 4-day history of confusion that became worse the evening before but currently seems a little better, although her speech is rambling and difficult to follow. During the examination, the patient is anxious and agitated. She is on cardiac medications, an antidepressant, and insulin. The most likely diagnosis is:
  5. mild stroke.
  6. polypharmacy.
  7. electrolyte imbalance.
  8. agitated depression. - ANS: ✅polypharmacy A 46 - year-old female presents with a complaint of amenorrhea for 3 months. The first-line diagnostic workup is:
  9. urine pregnancy test.
  10. progesterone challenge.
  11. serum prolactin level.
  1. postcoital bleeding.
  2. strong odor from vaginal discharge.
  3. itching in the vaginal area.
  4. molluscum contagiosum. - ANS: ✅postcoital bleeding The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The practitioner would:
  5. discontinue amitriptyline and begin ibuprofen (Motrin).
  6. refer to physical therapy.
  7. start methocarbamol (Robaxin).
  8. discontinue amitriptyline and begin gabapentin (Neurontin). - ANS: ✅discontinue amitriptyline and begin gabapentin (neurontin) A 17 - year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are most likely:
  9. associated with the omeprazole.
  10. related to the underlying condition.
  11. the result of the NSAID.
  12. caused by viral gastroenteritis. - ANS: ✅associated with the omeprazole

The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:

  1. acetaminophen.
  2. prednisone.
  3. aspirin.
  4. ibuprofen. - ANS: ✅ibuprofen A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a follow-up examination after a recent hospitalization. It is most important to continue monitoring growth, development, and:
  5. white blood cell levels.
  6. fecal occult blood test.
  7. hemoglobin levels.
  8. urine dipsticks. - ANS: ✅hemoglobin levels A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the patient often has no money to buy food, despite income from social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
  9. Report the case to the proper authorities.
  1. "Your development is exactly as expected for your age; you'll probably begin to have periods within a year." - ANS: ✅"Your development is exactly as expected for your age; you'll probably begin to have periods within a year." The most common bacterial cause of cellulitis in patients with diabetes mellitus is:
  2. Pseudomonas aeruginosa.
  3. group B beta-hemolytic Streptococcus.
  4. Staphylococcus aureus.
  5. Staphylococcus saprophyticus. - ANS: ✅Staphylococcus aureus A 46 - year-old female found a lump in her breast this morning. History includes: no prior breast disease; G2P2 (first birth, age 22); maternal aunt diagnosed with breast cancer at age 72; last menstrual period was 2.5 weeks ago. On examination, a nurse practitioner palpates a 2-cm round, soft, mobile, tender lesion in the upper outer quadrant of the right breast. Mammogram is negative. Which of the following actions is most appropriate?
  6. Reassure the patient that no further action is necessary.
  7. Repeat unilateral right mammogram in 3 months.
  8. Schedule a right-breast ultrasound.
  1. Refer for genetic testing if the lump increases in size. - ANS: ✅schedule a right breast ultrasound Risk factors for genital herpes include:
  2. multiple sexual partners and years of sexual activity.
  3. genetic transmission.
  4. infection with other sexually transmitted diseases before the age of 12.
  5. multiple sexual partners and frequent use of public spas. - ANS: ✅multiple sexual partners and years of sexual activity On physically assessing a newborn's head, you note an enlarged, fluid-filled area that is subperiosteal and does not cross suture lines. This finding indicates the presence of:
  6. macrocephaly.
  7. subgaleal hemorrhage.
  8. congenital hypothyroidism.
  9. cephalohematoma. - ANS: ✅cephalohematoma
  1. gastroesophageal reflux disease. - ANS: ✅GERD A late adolescent patient presents with complaints of acute-onset unilateral right eye pain, visual changes, seeing halos around lights, abdominal pain, and intermittent nausea. Physical findings include an erythematous right eye without discharge, a cloudy cornea, and a moderately dilated right pupil that is nonreactive to light. The nurse practitioner should immediately:
  2. apply steroid drops to the right eye.
  3. apply mydriatic drops to the eye.
  4. refer to the emergency department.
  5. make an appointment for him to see an ophthalmologist. - ANS: ✅refer to emergency department In a 6 - year-old child, which of the following is the preferred drug for stage 1 Lyme disease?
  6. Trimethoprim-sulfamethoxazole (Bactrim)
  7. Azithromycin (Zithromax)
  8. Doxycycline (Doryx)
  9. Cefuroxime (Ceftin) - ANS: ✅cefuroxime (ceftin)

In most cases, the first manifestation of Alzheimer's disease is:

  1. impaired judgment.
  2. decrease in short-term memory.
  3. disorientation in time and place.
  4. decrease in long-term memory. - ANS: ✅decrease in short-term memory The optimal treatment for latent tuberculosis is:
  5. rifampin (Rifadin) for 5 months.
  6. isoniazid (Nydrazid) for 9 months.
  7. pyrazinamide for 6 months.
  8. ethambutol for 6 months. - ANS: ✅osioniazid (nydrazid) for 9 months Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is most often caused by:
  1. post amniocentesis.
  2. after 14 weeks of gestation.
  3. if premature rupture of membranes occurs.
  4. if maternal viral loads are greater than 10,000. - ANS: ✅after 14 weeks gestation T-wave inversion with a normal ST segment on a 12 - lead EKG may represent:
  5. acute coronary ischemia.
  6. right ventricular hypertrophy.
  7. atrial hypertrophy.
  8. hyperkalemia. - ANS: ✅acute coronary ischemia The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very irritable and does not feed well. During physical examination, the child's head drops back and the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the following diagnostic tests should be ordered?
  9. Skull X-rays

2. MRI

  1. CT scan
  2. Pet scan - ANS: ✅CT scan The most important diagnostic factor in evaluating angina pectoris is the patient's:
  3. King of Heart's monitor.
  4. physical examination.
  5. history.
  6. echocardiogram. - ANS: ✅history There are three reasons for latex allergies. Which of the following does NOT cause the problem?
  7. Immediate hypersensitivity
  8. Irritant contact of dermatitis
  9. Cytotoxic hypersensitivity
  10. Immune complex reaction - ANS: ✅cytotoxic hypersensitivity

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 antibiotic therapy, dehydration <5%, soft abdomen with hyperactive bowel sounds, no masses or organomegaly; other physical findings are normal. Which of the following is the most appropriate management plan?

  1. Stool culture; Immodium AD liquid.
  2. No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.
  3. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup over next 72 hours; Imodium AD liquid, 1 mg/sml
  4. Stool for ova and parasites; advise parents of likely sources of Giardia; prescribe furazolidone (Furoxone) - ANS: ✅No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup. A mother presents her 12-month-old child with concern because the child does not yet say "mama" or "dada." The mother reports that in the first months of life, the child loved listening to music and being talked to. The past medical history is negative for ear infections. The nurse practitioner should:
  1. evaluate for hearing loss.
  2. refer to speech therapy.
  3. re-evaluate in 3 months.
  4. check for cerumen impaction. - ANS: ✅evaluate for hearing loss The most common side effect of the oral ribavirin used in the treatment of hepatitis C is:
  5. hemolytic anemia.
  6. weight loss.
  7. depression.
  8. hypothyroidism. - ANS: ✅hemolytic anemia An 86 - year-old patient presents with pinguecula, a yellow triangular degenerative tissue thickening of the bulbar conjunctiva. This condition is:
  9. cured by eye drops.
  10. a genetic process.
  11. a malignant growth.
  12. a solar-induced lesion - ANS: ✅a solar-induced lesion
  1. Decreased secretions - ANS: ✅increased peristalsis Type 2 diabetes mellitus is characterized by which of the following?
  2. Decreased production of exogenous glucagon-like peptide
  3. Autoimmune beta-cell destruction
  4. Relative deficiency of dipeptidyl peptidase- 4
  5. Decreased reabsorption of sodium-glucose transporters - ANS: ✅decreased reabsorption of sodium-glucose transporters In pulmonary function testing, forced vital capacity represents the:
  6. maximum volume of air that can be forcefully exhaled after maximum inspiration.
  7. total volume of air that is exhaled after normal inspiration.
  8. total volume of air that the lungs can hold, minus the expiratory reserve volume.
  9. volume of air that can be forcefully exhaled in 1 second. - ANS: ✅maximum volume of air that can be forcefully exhaled after maximum inspiration

An adult male presents as first patient of the day after awaking about 5:00 AM with indigestion and chest pressure. On checking his pulse, he found no change from previous measurements. He states that, while waiting for the nurse practitioner to arrive, he began to feel a little clammy. A 12 - lead EKG records the following patterns. On the basis of these EKG readings, the diagnosis is:

  1. anterior-septal acute myocardial infarction.
  2. lateral acute myocardial infarction.
  3. inferior acute myocardial infarction.
  4. anterior acute myocardial infarction. - ANS: ✅inferior acute myocardial infarction During the past 24 hours, a 62-year-old has experienced abdominal pain that radiates to the back. The patient also reports several episodes of nausea and vomiting, a low-grade temperature, and a history of excessive drinking. Physical examination reveals a distended abdomen. Laboratory serum values indicate elevated alkaline phosphatase, amylase, and serum lipase. The most likely diagnosis is:
  5. alcoholic liver disease.
  6. acute mesenteric ischemia.