AANP EXAM 2024 / 2025 Expected Questions and Answers STUDY BUNDLE (COMPLETE PACKAGE) AANP EXAM 2024 / 2025 Expected Questions and Answers STUDY BUNDLE (COMPLETE PACKAGE)

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AANP Exam Review
Expected Questions and Answers (Verified Answers)

A 64 year old with HTN and DM presents with productive cough, fever, body
aches. What diagnosis is most likely?
a. Acute bronchitis
b. Chronic bronchitis
c. Pneumonia
d. Pertussis: c. Pneumonia
1st clue: 64 year old
2nd clue: multiple comorbidities 3rd
clue: cough, fever
what was the stem of the question?

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Indications for a chest xray with acute cough: abnormal vital signs (increased RR or
HR, temp >38c, 100.4F
rales, consolidation

or equal 75 years of age with cough***
***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change in mental statusor behavior

A 75 year old patient wo smokes and has COPD presents with a worsening cough,weight loss, fatigue, and an enlarged right supraclavicular node. Which finding is mostindicative of a right lung tumor?

worsening cough

weight loss

fatigue

supraclavicular node: 4. supraclavicular node
most important stem clue because this lymph node drains the chest and breast. It’s a BIG
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deal!
If the stem gives a unilateral finding, look for a unilateral diagnosis

What symptoms most commonly accompany acute bronchitis?

Fever, runny nose

Cough, fever

Cough and URI symptoms

Cough, URI, and headache: 3. Cough and URI symptoms
Remember that bronchitis is an inflammation of the bronchioles, bronchi, and trachea;
usually follows an upper respiratory infection

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Starts above the shoulders and drops down into chest.

A 35 year old patient with acute bronchitis has no underlying lung disease. He asks,
“How long before my cough goes aways?” The NP responds:
<1 week
about 1 week
1-3 weeks
>3 weeks: 3. 1-3 weeks
The patient with bronchitis will have evidence of upper AND lower airway symptoms.
COUGH, COUGH, COUGH, usually worse at night!
What is the management of bronchitis?: Treat symptoms! Time
is the only thing for bronchitis
ABX usually prescribed, but usually not necessary
Differential Diagnosis for Acute Bronchitis: PND
Asthma
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AANP Exam
Expected Questions and Answers (Verified Answers)

Treatment for Gonorrhea: Rocephin (Ceftriaxone) 250mg IM and Azithromycin
1 gm po x1
or doxy 100mg BID x7 days
Treatment for Chlamydia: Azithromycin 1 gm po x1 or doxy 100 mg BID x 7 days or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for preggo
Treatment for Bacterial vaginosis: Flagyl BID x 7 days
Candidia vaginitis treatment: diflucan 100mg x1
Fever, chills, N/v, photophobia, myalgia, arthralgias usually present then re-
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port development of a petechial rash on forearms, ankles, wrists, that spreadstowards trunk and becomes generalized. Pt usually reports spending time inthe woods.: Rocky Mountain Spotted Fever
What is the diagnosis and treatment for Rocky Mountain Spotted Fever?: –
PCR essay with Rickessetti antigen
tx: doxycycline
What is the diagnosis and treatment for lyme disease (erythema migraines)?: Dx: B. Burgdorferi via ELISA then confirm with western blot
TX: doxycycline
or amoxicillin if less than 7 yo
Dark moles, uneven texture, different colors, irregular, > 6mm, an itch: –
Melanoma
Target or bulls-eye. Abruptly, hives, blisters, peticiae, purpura, necrosis,
sloughing of tissues. Extensive mucosal involvement. Prodrome of fevers with
flu like symptoms. Usually triggered by medication: Stevens Johnson Syndrome
What medications are more likely to cause Stevens Johnson Syndrome?-
: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS.

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Pt with HIV is at increased risk

Inherited. Pruritic erythematous plaques, fine silvery-white scales with
pitted fingernails. Can occur on scalp, elbows, knees, sacrum, or intergluteal
folds.: psoriasis

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AANP EXAM
Expected Questions and Answers (Verified Answers)

A 65-year-old woman presents for a follow-up examination
after a new
patient 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 patient on:
bile acid sequestrant.
a statin drug.
a cholesterol absorption inhibitor.
low-dose aspirin
ANS: A statin drug
The most commonly prescribed medication for mild systemic

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lupus erythe- matosus (SLE) is:

azathioprine (AZA).
belimumab (Benlysta).
ibuprofen (Advil).
cyclophosphamide (Cytoxan)
ANS: ibuprofen (advil)
The most common sign of cervical cancer is:
postcoital bleeding.
strong odor from vaginal discharge.
itching in the vaginal area.
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:
discontinue amitriptyline and begin ibuprofen (Motrin).
refer to physical therapy.
start methocarbamol (Robaxin).
discontinue amitriptyline and begin gabapentin (Neurontin)

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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:
associated with the omeprazole.

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related to the underlying condition.
the result of the NSAID.
caused by viral gastroenteritis
ANS: associated with the omeprazole
The medication of choice for the initial treatment of juvenile
rheumatoid arthritis is:
acetaminophen.
prednisone.
aspirin.
ibuprofen
ANS: ibuprofen
A 12-year-old with sickle cell anemia has recentlyexperienced a sickle cell crisis and presents for a follow-upexamination after a recent hospitalization. It is most importantto continue monitoring growth, development, and:
white blood cell levels.
fecal occult blood test.
hemoglobin levels.
urine dipsticks
ANS: hemoglobin levels

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AANP Exam
Expected Questions and Answers (Verified Answers)

A patient tells the nurse practitioner that she recently started taking the
supplement St. John’s wort after reading about its benefits online. Which of the
following medications, if being actively consumed, must be immediately stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glucophage)
D. Sumatriptan (Imitrex)
ANS: D. Sumatriptan (imitrex)
Sumatriptan (Imitrex) (D) is a medication used to treat migraines and belongs to a drug
class known as serotonin agonists. When used in conjunction with St. John’s wort, it may
increase the risk of serotonin syndrome, a potentially life-threatening condition.
Which of the following is not a symptom of both major depressive disorder and posttraumatic stress disorder?

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A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty
ANS: B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major depressive
disorder (MDD) may also include symptoms of depressed mood, anhedonia, weight loss
or gain, and low energy. However, hypervigilance (B) is not a symptom associ- ated with
this diagnosis.

A patient with type 1 diabetes presents for a follow-up visit. He has been stable on
his medication regimen but is worried because he is between jobs and will be without
health insurance coverage for a few months. He asks if there are less expensive insulin
options to get him through this time. Which of the following would be good options for
this patient, given his circumstance? Incorrect
A.
Insulin aspart 70/30
B.
Insulin detemir C.

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Insulin isophane
D.
Insulin degludec
ANS: Insulin Isophane
The least expensive insulin type listed in this question is insulin isophane (C) (neutral
protamine Hagedorn insulin). There are also often pharmacy-specific coupons that can
be used on insulin, so helping patients apply for and navigate these pro- grams can be
instrumental in managing their diabetes. Another inexpensive option is regular
insulin.Insulin analogs (glargine, detemir, degludec, lispro, and aspart) are significantly
more expensive than human insulin (isophane, regular). Insulins modified by
manufacturers, especially when sold as brand-name medications, tend to be more
expensive due to this modification. While analogs offer alternate lengths of action and
convenience, there is no well-documented clinical evidence that patient outcomes are
improved with differing brands. Therefore, maintaining a patient’s blood glucose level
through outcome-focused treatment is more valuable than a process-focused plan based on medication.

A 40-year-old woman with type 2 diabetes presents to the clinic with con- cerns of
spiking blood sugar between lunch and dinner. She states she is on a rapid-acting
insulin sliding scale and long-acting insulin. Which change should be implemented to
help prevent or curb this glycemic spike?

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A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner
ANS: A. Add a dose of mealtime insulin aspart (Novolog) at lunch
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly dosed with meals
and as a sliding scale regimen based on a patient’s glucose prior to eating (preprandial). Itis the appropriate insulin to add as a mealtime dose when patients experience blood
glucose spikes between meals because of its short-acting proper

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AANP EXAM TEST BANK
Expected Questions and Answers (Verified Answers)

Hypertensive brain injury, which is when uncontrolled high blood pressure leads to
ANS: bleeding in the brain.
meningitis, which is inflammation of the protective membranes around the
ANS: brain and spinal cord
What eye complaint is associated with sudden onset of floaters and com- plaints of a curtain closing?
ANS: Retinal detachment, refer to ED
What sinusitis is dental pain associated with?
ANS: Maxillary

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What is a white, gray patch on the tongue or in the mouth called? What is it
associated with?
ANS: Leukoplakia, HIV and oral cancer
Adolescent presents with a painful, yellow ulcer with red base inside the mouth.
What is it?
ANS: Apthous stomatitis, (canker sore) self-limiting. Resolves in 7-10 days. Can use magic mouthwash.
College student with single, painful, intra-oral lesion with yellow center and
erythematous base has
ANS: aphthous ulcer
Aphthous stomatitis (canker sores)
Single ulcers could also be caused by
trauma from biting, braces, tooth, hot food, toothbrush; food intolerance or allergy;
stress; hormone changes; genes; medications; stopping smoking.
Besides avoiding allergens, what is the first line treatment for allergic rhinitis?
ANS: Intranasal steroids. (Budesonide)

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A patient complains of swelling in the mouth, that is worse with meals, and comesand goes. It is commonly seen under the tongue and diagnose him with sialolithiasis.What is your treatment plan?
ANS: Increase fluids, moist heat, NSAIDS, abx if infected, and surgery to remove stone
On fundoscopic exam, you observe an artery crosses a vein and indents it. What is
this associated with?
ANS: AV nicking, HTN
A pediatric patient has small, red papules with a white center on the inside of theirmouth. What are they called? What are they associated with?
ANS: Koplik’s spots, Measles (Rubeola)

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A patient has a cerumen impaction of the left ear. What would you see when
performed a Rinne test? On Weber?
ANS: BC>AC, lateralization to the left ear,
In a patient with left ear infection, test should lateralize to the left ear.
ANS: Web- ber test
Weber test place
ANS: tuning fork at the midline of the patient’s forehead
weber test normal or equal bilateral loss localizes to
ANS: midline
conductive hearing loss localizes to the
ANS: affected ear
sensinoural hearing loss localizes to the
ANS: good ear
Rinne test place tuning fork on patient’s
ANS: mastoid bone (bone conduction) and then in
front of the patient’s ear (air conduction)
normal or SNHL
ANS: air conduction > bone conduction
CHL
ANS: bone conduction > air conduction
A normal test is termed as a
ANS: ‘positive Rinne’, and an abnormal test is termed
‘negative’

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