AANP Board Practice Questions with Verified
Solutions Graded A+ 2026.
Therapeutic INR values below ____ increase stroke risk sixfold. ANSWER >> 2
Diabetic Retinopathy Findings ANSWER >> Microaneurysms
Neovascularization
Cotton Wool Spots
Hard exudates
1
,All of the following would require the nurse practitioner to delay testing a patient's
prostate-specific antigen (PSA), except:
a. Urinary retention
b. Urinary tract infection
c. After a digital rectal exam
d. Vigorous exercise 3 days prior ANSWER >> Vigorous exercise 3 days prior
PSA testing is falsely elevated in a patient with urinary retention and urinary tract
infection and after a digital rectal exam. Vigorous exercise does not have to be stopped
3 days prior to testing; however, vigorous exercise should be discouraged before testing
because it will falsely elevate the PSA levels. Ejaculation within 48 hours will also falsely
raise the PSA level.
Tic Douloureaux ANSWER >> There are two types of tic douloureux (trigeminal
neuralgia).
Type 1--presents with extreme, shock-like facial pain, which lasts from a few seconds to
2 minutes per event and can last up to 2 hours total. Type 1 does not awaken the
patient at night.
2
,Type 2-- is a constant, aching, burning facial pain with less intensity but may occur with
Type 1. Type 2 is more common in women and peaks in their 60s. Type 2 can also be
related to secondary neurologic disease such as multiple sclerosis or HSV-1.
The nurse practitioner sees a 58-year-old female patient who reports abscesses and
pustules in the axilla and groin and under the breasts, which burst and drain purulent
green discharge. She has a history of smoking and a body mass index (BMI) of 37.1.
Which diagnosis is most likely?
a. Impetigo
b. Carbuncles
c. Shingles
d. Hidradenitis suppurativa ANSWER >> hidradenitis suppurativa
Hidradenitis suppurativa is most common in women (3:1). Smoking and obesity are
significant risk factors. Lesions are treated with topical antibiotics (or oral antibiotics,
warm compresses, and pain medications). Institute diet changes to reduce high
glycemic and dairy food intake. Refer to a dermatologist for additional treatment options.
Insulin Lispro (Humalog) ANSWER >> Lispro is a rapid-acting insulin that is used on a
sliding scale to work from meal to meal
3
, Atopic dermatitis (eczema) ANSWER >> chronic, pruritic rash of the hands, flexural
folds, and neck that can be exacerbated by stress and environmental factors.
Toxic Epidermal Necrolysis (TEN) ANSWER >> TEN is the result of a severe skin
reaction to medications such as allopurinol, nonsteroidal anti-inflammatory drugs
(NSAIDs), and anticonvulsants.
Melanoma ANSWER >> Melanoma are nevi with uneven texture, irregular borders,
variegated colors, size larger than 6 mm, and changing size (the mnemonic ABCDE
stands for asymmetry, border irregularity, color variations in the same region, diameter
>6 mm, and enlargement or change in size over time), and they can be pruritic. Risk
factors include family history of melanoma (10% of cases), extensive/intense sunlight
exposure, blistering sunburn in childhood, tanning beds, and atypical nevus
Seborrheic keratoses ANSWER >> Seborrheic keratoses are soft, fleshy, painless
growths that are located mostly on the back. Skin lesions look like they are "pasted" on
the skin and can range in color from light tan to black.
Acanthosis nigricans ANSWER >> Acanthosis nigricans are diffuse, soft thickenings of
the skin usually located at the neck and axilla. They are also associated with diabetes,
metabolic syndrome, obesity, and gastrointestinal cancer.
Acrochordon ANSWER >> Acrochordons (skin tags) are painless, pedunculated
outgrowths of skin that are common in the neck and axillary areas. If the growths are
traumatized, they become necrotic and fall off. They are most common in diabetics and
patients who are obese.
Which of the following is associated with male aging?
a. Increased levels of estrogen
4
Solutions Graded A+ 2026.
Therapeutic INR values below ____ increase stroke risk sixfold. ANSWER >> 2
Diabetic Retinopathy Findings ANSWER >> Microaneurysms
Neovascularization
Cotton Wool Spots
Hard exudates
1
,All of the following would require the nurse practitioner to delay testing a patient's
prostate-specific antigen (PSA), except:
a. Urinary retention
b. Urinary tract infection
c. After a digital rectal exam
d. Vigorous exercise 3 days prior ANSWER >> Vigorous exercise 3 days prior
PSA testing is falsely elevated in a patient with urinary retention and urinary tract
infection and after a digital rectal exam. Vigorous exercise does not have to be stopped
3 days prior to testing; however, vigorous exercise should be discouraged before testing
because it will falsely elevate the PSA levels. Ejaculation within 48 hours will also falsely
raise the PSA level.
Tic Douloureaux ANSWER >> There are two types of tic douloureux (trigeminal
neuralgia).
Type 1--presents with extreme, shock-like facial pain, which lasts from a few seconds to
2 minutes per event and can last up to 2 hours total. Type 1 does not awaken the
patient at night.
2
,Type 2-- is a constant, aching, burning facial pain with less intensity but may occur with
Type 1. Type 2 is more common in women and peaks in their 60s. Type 2 can also be
related to secondary neurologic disease such as multiple sclerosis or HSV-1.
The nurse practitioner sees a 58-year-old female patient who reports abscesses and
pustules in the axilla and groin and under the breasts, which burst and drain purulent
green discharge. She has a history of smoking and a body mass index (BMI) of 37.1.
Which diagnosis is most likely?
a. Impetigo
b. Carbuncles
c. Shingles
d. Hidradenitis suppurativa ANSWER >> hidradenitis suppurativa
Hidradenitis suppurativa is most common in women (3:1). Smoking and obesity are
significant risk factors. Lesions are treated with topical antibiotics (or oral antibiotics,
warm compresses, and pain medications). Institute diet changes to reduce high
glycemic and dairy food intake. Refer to a dermatologist for additional treatment options.
Insulin Lispro (Humalog) ANSWER >> Lispro is a rapid-acting insulin that is used on a
sliding scale to work from meal to meal
3
, Atopic dermatitis (eczema) ANSWER >> chronic, pruritic rash of the hands, flexural
folds, and neck that can be exacerbated by stress and environmental factors.
Toxic Epidermal Necrolysis (TEN) ANSWER >> TEN is the result of a severe skin
reaction to medications such as allopurinol, nonsteroidal anti-inflammatory drugs
(NSAIDs), and anticonvulsants.
Melanoma ANSWER >> Melanoma are nevi with uneven texture, irregular borders,
variegated colors, size larger than 6 mm, and changing size (the mnemonic ABCDE
stands for asymmetry, border irregularity, color variations in the same region, diameter
>6 mm, and enlargement or change in size over time), and they can be pruritic. Risk
factors include family history of melanoma (10% of cases), extensive/intense sunlight
exposure, blistering sunburn in childhood, tanning beds, and atypical nevus
Seborrheic keratoses ANSWER >> Seborrheic keratoses are soft, fleshy, painless
growths that are located mostly on the back. Skin lesions look like they are "pasted" on
the skin and can range in color from light tan to black.
Acanthosis nigricans ANSWER >> Acanthosis nigricans are diffuse, soft thickenings of
the skin usually located at the neck and axilla. They are also associated with diabetes,
metabolic syndrome, obesity, and gastrointestinal cancer.
Acrochordon ANSWER >> Acrochordons (skin tags) are painless, pedunculated
outgrowths of skin that are common in the neck and axillary areas. If the growths are
traumatized, they become necrotic and fall off. They are most common in diabetics and
patients who are obese.
Which of the following is associated with male aging?
a. Increased levels of estrogen
4
