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AANP FNP CERTIFICATION
EXAM 2026 WITH QUESTIONS AND
ANSWERS
Diastolic murmurs - correct answer-All diastolic murmurs are pathological.
Murmur Grades - correct answer-Grades I-barely, II-audible, III-clearly
audible, IV-first time thrill, V-Steth edge, VI-entire steth.
Fundal height at 12 weeks - correct answer-Fundal Height 12 weeks above
symphysis pubis.
Fundus at 16 weeks - correct answer-Fundus 16 weeks between
symphysis pubis and umbilicus.
Fundus at 20 weeks - correct answer-Fundus at 20 weeks is at umbilicus.
Normal fundal height variation - correct answer-2 cm more or less from
number of weeks gestation is normal if more or less order US.
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3 month old infant with down syndrome - correct answer-Pale conjunctiva
but otherwise healthy. Low HCT. Additional test: Iron, TIBC.
TSH and T4 levels after 3 months of synthroid - correct answer-TSH
increased, T4 normal, increase medication.
Assessing cognitive function - correct answer-3 ways to assess cognitive
function in patient with signs/symptoms of memory loss: Mini mental exam.
4 month old with strabismus - correct answer-Tell her it is normal.
4 month old won't keep anything down - correct answer-Look at the growth
chart.
6 month old closed anterior fontanel - correct answer-X-ray.
Abnormal cells on PAP - correct answer-Refer for Colposcopy.
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CAGE acronym - correct answer-Cut down, Annoyed by criticism, Guilty
about drinking, Eye opener drink.
Causes of tachycardia - correct answer-Fever, Anemia, Hypotension.
Cranial nerves for extraocular movements - correct answer-CN 3, 4, 6.
Definition of metabolic syndrome - correct answer-Cluster of conditions that
increase risk of heart disease, stroke, diabetes.
Diagnosing trichomoniasis - correct answer-Wet prep.
Elderly with atrophic vaginitis - correct answer-Pelvic US.
Epistaxis location - correct answer-Kiesselbach's triangle, located in the
anterior septum.
Diagnosis of acute bacterial prostatitis - correct answer-Urinalysis and
culture.
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GERD treatment - correct answer-H2 is first line, give hs.
Grade 3 cells on Pap treatment - correct answer-LEEP excision.
Fingernail hematoma treatment - correct answer-Drill hole and drain blood.
Increased risk of ectopic pregnancy - correct answer-Salpingitis, or history
of abortion, PID.
Koplick spots - correct answer-Measles (rubeola). Grains of salt lesions
inside mouth in Measles.
Legg-Calve-Perthes Disease - correct answer-Avascular necrosis of the
proximal femoral head.
Lipid level of 1500 - correct answer-Increased risk for pancreatitis.
Low HGB, Low HCT, High MCV - correct answer-Indicates macrocytic
anemia, B12 deficiency.
AANP FNP CERTIFICATION
EXAM 2026 WITH QUESTIONS AND
ANSWERS
Diastolic murmurs - correct answer-All diastolic murmurs are pathological.
Murmur Grades - correct answer-Grades I-barely, II-audible, III-clearly
audible, IV-first time thrill, V-Steth edge, VI-entire steth.
Fundal height at 12 weeks - correct answer-Fundal Height 12 weeks above
symphysis pubis.
Fundus at 16 weeks - correct answer-Fundus 16 weeks between
symphysis pubis and umbilicus.
Fundus at 20 weeks - correct answer-Fundus at 20 weeks is at umbilicus.
Normal fundal height variation - correct answer-2 cm more or less from
number of weeks gestation is normal if more or less order US.
,2 |Page
3 month old infant with down syndrome - correct answer-Pale conjunctiva
but otherwise healthy. Low HCT. Additional test: Iron, TIBC.
TSH and T4 levels after 3 months of synthroid - correct answer-TSH
increased, T4 normal, increase medication.
Assessing cognitive function - correct answer-3 ways to assess cognitive
function in patient with signs/symptoms of memory loss: Mini mental exam.
4 month old with strabismus - correct answer-Tell her it is normal.
4 month old won't keep anything down - correct answer-Look at the growth
chart.
6 month old closed anterior fontanel - correct answer-X-ray.
Abnormal cells on PAP - correct answer-Refer for Colposcopy.
,3 |Page
CAGE acronym - correct answer-Cut down, Annoyed by criticism, Guilty
about drinking, Eye opener drink.
Causes of tachycardia - correct answer-Fever, Anemia, Hypotension.
Cranial nerves for extraocular movements - correct answer-CN 3, 4, 6.
Definition of metabolic syndrome - correct answer-Cluster of conditions that
increase risk of heart disease, stroke, diabetes.
Diagnosing trichomoniasis - correct answer-Wet prep.
Elderly with atrophic vaginitis - correct answer-Pelvic US.
Epistaxis location - correct answer-Kiesselbach's triangle, located in the
anterior septum.
Diagnosis of acute bacterial prostatitis - correct answer-Urinalysis and
culture.
, 4 |Page
GERD treatment - correct answer-H2 is first line, give hs.
Grade 3 cells on Pap treatment - correct answer-LEEP excision.
Fingernail hematoma treatment - correct answer-Drill hole and drain blood.
Increased risk of ectopic pregnancy - correct answer-Salpingitis, or history
of abortion, PID.
Koplick spots - correct answer-Measles (rubeola). Grains of salt lesions
inside mouth in Measles.
Legg-Calve-Perthes Disease - correct answer-Avascular necrosis of the
proximal femoral head.
Lipid level of 1500 - correct answer-Increased risk for pancreatitis.
Low HGB, Low HCT, High MCV - correct answer-Indicates macrocytic
anemia, B12 deficiency.
