AANP FNP REAL TEST BANK QUESTIONS WITH
CORRECT ANSWERS 2025/2026
A 72-year-old woman presents to the clinic with jaw pain when eating
for 1 day. She reports feeling tired and having some blurry vision, a new
nagging headache near her left eye, and a fever. Which of the following
is the best next step?
A.
Order inflammatory markers
B.
Prescribe the patient sumatriptan (Imitrex)
C.
Refer to an ophthalmologist for a biopsy
D.
Refer to the ED to rule out a potential brain bleed - correct
answer✔✔.C. Refer to an ophthalmologist for a biopsy
,Jaw claudication, or pain in the jaw with chewing, headache, fever, and
blurry vision, is suspicious for temporal arteritis. Referral to an
ophthalmologist for a biopsy (C) will confirm this diagnosis.
A 23-year-old patient who is pregnant at 28 weeks gestation presents
to the clinic for a routine prenatal checkup. Which fundal height
measurement would warrant a more conclusive assessment with an
ultrasound?
A.
26 cm
B.
29 cm
C.
30 cm
D.
31 cm - correct answer✔✔.D. 31 cm
After 20 weeks gestation, the fundal height should be measured with a
measuring tape in centimeters and should match the gestational age. It
can be > or < 2 centimeters and still be within normal limits. A fundal
,height of 26-30 cm is a normal finding in a patient who is 28 weeks
gestation. A result of 31 cm (D) is larger than expected and should be
further evaluated with an ultrasound.
A 4-year-old boy presents with ear pain and an erythematous, bulging
tympanic membrane on examination. The nurse practitioner diagnoses
him with acute otitis media. Which of the following are the three most
common bacterial pathogens associated with acute otitis media in
children?
A.
Moraxella catarrhalis, Staphylococcus aureus, Streptococcus
pneumoniae
B.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Staphylococcus aureus
C.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Streptococcus pneumoniae
D.
Nontypeable Haemophilus influenzae, Staphylococcus aureus,
Streptococcus pneumoniae - correct answer✔✔.C. Nontypeable
, Haemophilus influenzae, Moraxella catarrhalis, Streptococcus
pneumoniae
Acute otitis media is commonly encountered by primary care nurse
practitioners. Typically, children present with otalgia and have a bulging
tympanic membrane on examination. Many times, children also have a
preceding viral upper respiratory infection, resulting in the colonization
of bacteria in the middle ear and leading to a bacterial infection. Ear
infections can be caused by bacterial and viral pathogens. The most
common bacterial pathogens isolated from middle ear fluid are
nontypeable Haemophilus influenzae, Moraxella catarrhalis, and
Streptococcus pneumoniae (C). The most common viral pathogens
include respiratory syncytial virus, coronaviruses, influenza viruses, and
adenoviruses. Treatment for acute otitis media should be targeted to
combat the most common bacterial causes, including amoxicillin
(penicillin), amoxicillin-clavulanate (penicillin and combination beta-
lactam and betalactamase inhibitor), and an oral second-generation
cephalosporin (e.g., cefuroxime) in the case of a child with a penicillin
allergy.
A 6-year-old patient presents to the clinic accompanied by his mother,
who reports concerns regarding her child's progressive urinary issues.
The patient's mother states that she and the child's father recently
divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary
incontinence and holds his stomach as if he is in pain. He frequently
asks to use the bathroom but is scared of urination once he is there.
Which of the following is the most likely diagnosis?
CORRECT ANSWERS 2025/2026
A 72-year-old woman presents to the clinic with jaw pain when eating
for 1 day. She reports feeling tired and having some blurry vision, a new
nagging headache near her left eye, and a fever. Which of the following
is the best next step?
A.
Order inflammatory markers
B.
Prescribe the patient sumatriptan (Imitrex)
C.
Refer to an ophthalmologist for a biopsy
D.
Refer to the ED to rule out a potential brain bleed - correct
answer✔✔.C. Refer to an ophthalmologist for a biopsy
,Jaw claudication, or pain in the jaw with chewing, headache, fever, and
blurry vision, is suspicious for temporal arteritis. Referral to an
ophthalmologist for a biopsy (C) will confirm this diagnosis.
A 23-year-old patient who is pregnant at 28 weeks gestation presents
to the clinic for a routine prenatal checkup. Which fundal height
measurement would warrant a more conclusive assessment with an
ultrasound?
A.
26 cm
B.
29 cm
C.
30 cm
D.
31 cm - correct answer✔✔.D. 31 cm
After 20 weeks gestation, the fundal height should be measured with a
measuring tape in centimeters and should match the gestational age. It
can be > or < 2 centimeters and still be within normal limits. A fundal
,height of 26-30 cm is a normal finding in a patient who is 28 weeks
gestation. A result of 31 cm (D) is larger than expected and should be
further evaluated with an ultrasound.
A 4-year-old boy presents with ear pain and an erythematous, bulging
tympanic membrane on examination. The nurse practitioner diagnoses
him with acute otitis media. Which of the following are the three most
common bacterial pathogens associated with acute otitis media in
children?
A.
Moraxella catarrhalis, Staphylococcus aureus, Streptococcus
pneumoniae
B.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Staphylococcus aureus
C.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Streptococcus pneumoniae
D.
Nontypeable Haemophilus influenzae, Staphylococcus aureus,
Streptococcus pneumoniae - correct answer✔✔.C. Nontypeable
, Haemophilus influenzae, Moraxella catarrhalis, Streptococcus
pneumoniae
Acute otitis media is commonly encountered by primary care nurse
practitioners. Typically, children present with otalgia and have a bulging
tympanic membrane on examination. Many times, children also have a
preceding viral upper respiratory infection, resulting in the colonization
of bacteria in the middle ear and leading to a bacterial infection. Ear
infections can be caused by bacterial and viral pathogens. The most
common bacterial pathogens isolated from middle ear fluid are
nontypeable Haemophilus influenzae, Moraxella catarrhalis, and
Streptococcus pneumoniae (C). The most common viral pathogens
include respiratory syncytial virus, coronaviruses, influenza viruses, and
adenoviruses. Treatment for acute otitis media should be targeted to
combat the most common bacterial causes, including amoxicillin
(penicillin), amoxicillin-clavulanate (penicillin and combination beta-
lactam and betalactamase inhibitor), and an oral second-generation
cephalosporin (e.g., cefuroxime) in the case of a child with a penicillin
allergy.
A 6-year-old patient presents to the clinic accompanied by his mother,
who reports concerns regarding her child's progressive urinary issues.
The patient's mother states that she and the child's father recently
divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary
incontinence and holds his stomach as if he is in pain. He frequently
asks to use the bathroom but is scared of urination once he is there.
Which of the following is the most likely diagnosis?
