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AANP BOARD EXAM 2025-2026 UPDATE ACTUAL
EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES ALREADY GRADED A+ (NEWEST VERSION)
You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP has knowledge that the fastest relief of symptoms is: a TCA a betablocker a benzodiazepine an SSRI Correct answer: benzodiazepine The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents that will require multiple doses for results. With daily continued use
of benzodiazepines, the anti-anxiety effect may become diminished. A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes. The ANP knows that which of the following is the most important to include in this discussion? "Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly." "Have a yearly physical examination, increase fiber in your diet, and exercise regularly." "Maintain a normal level of serum blood sugar and decrease cholesterol intake." "Decrease smoking, increase vitamin supplements, and increase protein intake." Correct answer: "Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss. Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of deficiency in vitamin B12 or other causes. Which of the following is the least likely risk factor for suicide? physical illness male increasing age black race Correct answer: black race Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk factors include: substance abuse, living alone, and less education.
The healthcare provider's required level of expected conduct as established by custom, law, or professional organizations is called the: Standard of care. Breach of duty. Duty. Malpractice. Correct answer: Standard of care Standard of care is another term associated with negligence. Standard of care is a healthcare provider's required level of expected conduct as established by custom, law, or professional organizations. A brief account by the patient of any signs or symptoms he or she is experiencing is one component of: Review of systems. Symptom assessment.
Decreased absorption of calcium is a common change that comes with aging, not increased absorption. Other gastrointestinal changes include: less efficient cholesterol stabilization and absorption, atrophy of taste buds, and slowing in esophageal emptying, among others. A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves disease. The ANP is counseling her and understands that the mechanism of action of this treatment therapy is: alter the thyroid metabolic rate relieve distress caused by increased thyroid size destroy the overactive thyroid tissue reduce production of TSH Correct answer: destroy the overactive thyroid tissue Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid
ablation to destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction. Which of the following statements about falls in the elderly is least accurate? Black women are at higher risk for hip fractures than white women. The majority of deaths from falls are among people aged 65 years or older. Injuries from falls include head injuries, pelvic injuries, lacerations, and more. About 90% of hip fractures are due to falls. Correct Answer: Black women are at higher risk for hip fractures than white women. It is white women, not black women, who are at higher risk for hip fractures. Falls are one of the most common
flow to the skin, which may cause a drop in sebum production. A 29-year old woman who is 6 weeks postpartum reports she is having rectal bleeding that she believes is related to hemorrhoids. The Adult Nurse Practitioner knows that this type of rectal bleeding is usually described as: dark brown to black blood color with normalappearing stool significant amounts of bright red blood large blood clots and mucus mixed with stool streaks of bright red blood on the stool The Correct answer is: streaks of bright red blood on the stool Choice D is the right answer. The color of blood related to hemorrhoids is described as bright red, eliminating choice A. Amount of blood with hemorrhoids is usually small or scant, eliminating choices B and C. Internal hemorrhoids can occur during or after childbirth. With chronically
protruding or prolapsing hemorrhoids, the patient often reports mucous leaking and staining of the undergarments. Other causes are obesity, constipation, and prolonged sitting. You have a patient with AIDS. You recognize that a low CD4 T-cell count puts the patient at risk for opportunistic infections. You are reviewing his lab reports and see that his CD4 T-cell count is indeed low. Which of the following is the normal range for CD4 T-cell count? 800 - 1400 700
- 1400 400 - 1000 600 - 1200 Correct answer: 600 - 1200 The normal CD4 T-cell count is 600 - 1200. A low CD Tcell count is below 600. The destruction of the CD4 T-cell
diabetes, either ACE inhibitors or ARBs, because of their renal protective properties. Clinical findings that are characteristic of asthma include all of the following EXCEPT: wheezing with and without associated respiratory infections a congested cough worse during the day recurrent shortness of breath with exercise a recurrent spasmodic cough that is worse at night The Correct answer is: a congested cough worse during the day Choice B is the right answer. The asthmatic patient complains of a cough that is worse at night and has little congestion or sputum production. There is a history of wheezing and chest tightness, shortness of breath with exercise, and symptoms that worsen after airborne allergen exposure.
Which of the following is an example of objective data used for diagnosis? Patient reports being more tired than usual. Patient reports having difficulty breathing. Patient reports productive cough. Patient's cough produces yellow sputum. Correct Answer: Patient's cough produces yellow sputum Objective data must be measurable and verifiable. It is key to collect both objective and subjective data to form correct differential diagnoses and then to determine the correct diagnosis and course of further testing or treatment for a patient. The ability to synthesize both objective and subjective data is a key skill for NPs. A 68-year-old woman has been admitted to the hospital suffering from peripheral vascular disease (PVD). You check her medical records for predisposing factors. You recognize that all of the following are predisposing factors EXCEPT:
Unless the piercing is marked by scabbing or other evidence of trauma, it is not evidence of impaired skin integrity. Tattoos and other body modifications should be noted in the patient's assessment, but they are not in themselves cause for concern. You are determining the peak expiratory flow (PEF) for a 67-year-old female patient who suffers from asthma. Which of the following is NOT a factor in determining peak expiratory flow (PEF) for this patient? age height weight gender Correct Answer: weight Weight is not a factor in determining PEF. The PEF is based on height (H), age, (A), and gender (G) - HAG.
Upon examination of a patient with a heart murmur, you hear a grade 1-3/6 late systolic crescendo murmur with a honking quality. This is most likely indicative of which of the following? pulmonary hypertension mitral regurgitation mitral valve prolapse aortic sclerosis Correct Answer: mitral valve prolapse In a patient with mitral valve prolapse, you would hear a grade 1-3/6 late systolic crescendo murmur with a honking quality. This is best heard at the apex of the heart. The murmur follows a mid-systolic click. All but which of the following conditions in the patient's past medical history is likely to be associated with congestive heart failure (CHF)?
symptoms. Her abdominal examination reveals slightly hyperactive bowel sound with upper abdominal tenderness. There is no localization or rebound. Her skin is moist and cool, blood pressure is 92/54 and pulse rate is elevated at 122 bpm. The most likely diagnosis is: acute gastroenteritis acute viral hepatitis acute pancreatitis acute alcohol toxicity Correct Answer: acute pancreatitis The most common risk factors for pancreatitis include gallstones and excessive alcohol use. Significant pain and volume constriction are common in patients with this condition. Mary Jane, a 50-year-old female tripped on a curb and fell. She suffered a Colles' fracture. You understand
that a Colles' fracture is associated with a fall on which of the following? finger outstretched hand elbow thumb Correct answer: outstretched hand Loss in continuity in the substance of a bone is called a fracture. A Colles' fracture is associated with a fall on an outstretched hand such as when a person tries to break a fall. Which of the following is NOT an appropriate serving size of vegetables for a person on the ADA diet? 1 c romaine lettuce. ½ c steamed broccoli. 1 c cooked baby spinach. 1 c raw baby spinach.
