AANP ANCC ACTUAL CERTIFICATION TEST
PAPER 2026 COMPREHENSIVE QUESTIONS
DETAILED RATIONALES COMPLETE
SOLUTIONS GRADED A+
⩥ Molluscum contagiosum treatment. Answer: Currettage, liquid
nitrogen
⩥ pyloric stenosis. Answer: non bilious vomiting, olive like firm mass
palpated on right upper quadrant
⩥ horizontal nystagmus that stops when eye is close to midline in a
college student. Answer: Ménière's disease ?
⩥ Nystagmus test. Answer: the involuntary jerking of the eyes as a
person gazes to the side
⩥ eating, painful lump noted on the jaw that comes and go.. Answer:
sialolithiasis).
⩥ Etopic Pregnancy: Risk Factors. Answer: Previous ectopic pregnancy
Prior fallopian tube surgery
Previous pelvic or abdominal surgery
,Certain sexually transmitted infections (STIs)
Pelvic inflammatory disease
Endometriosis
cigarette smoking
age older than 35 years
history of infertility
use of assisted reproductive technology, such as in vitro fertilization
(IVF)
⩥ Which among the list can cause increase in respiration. Answer:
Options include (low oxygen, high oxygen, hypercapnia, hypocapnia)?
⩥ Which among the list can cause increase in respiration. Answer:
hypercapnia
⩥ Osteoporosis Risk Factors (ACCESS). Answer: A-lcohol Use
C-orticosteroid Use
C-alcium low
E-strogen low
S-moking
S-edentary lifestyle/s
, ACCESS leads to OSTEOPOROSIS
⩥ to prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and
low Hct. Answer: VITAMIN D 600-800, CALCIUM 1000-1200.
OSTEOPOROSIS BONE ABSORPTION EXCEED BONE
FORMATION.
LOW TSH= Hyperthyroidism- BONE DEMINERALIZATION.
NEED CALCIUM for BONE GROWTH
⩥ Carotid bruit. Answer: abnormal flow of blood through the carotid
artery
⩥ Carotid bruit. Answer: abnormal flow of blood through the carotid
artery due to atherosclerotic disease
⩥ Common causes of GERD. Answer: risk factors- alcohol,
anticholinergic, CCB, chocolate peppermint, fatty, spicy, citrus foods,
hormones, obesity, pregnancy, smoking, theophylline, exacerbated by
CCB verapamil
⩥ Common causes of GERD. Answer: risk factors-
alcohol,
anticholinergic,
PAPER 2026 COMPREHENSIVE QUESTIONS
DETAILED RATIONALES COMPLETE
SOLUTIONS GRADED A+
⩥ Molluscum contagiosum treatment. Answer: Currettage, liquid
nitrogen
⩥ pyloric stenosis. Answer: non bilious vomiting, olive like firm mass
palpated on right upper quadrant
⩥ horizontal nystagmus that stops when eye is close to midline in a
college student. Answer: Ménière's disease ?
⩥ Nystagmus test. Answer: the involuntary jerking of the eyes as a
person gazes to the side
⩥ eating, painful lump noted on the jaw that comes and go.. Answer:
sialolithiasis).
⩥ Etopic Pregnancy: Risk Factors. Answer: Previous ectopic pregnancy
Prior fallopian tube surgery
Previous pelvic or abdominal surgery
,Certain sexually transmitted infections (STIs)
Pelvic inflammatory disease
Endometriosis
cigarette smoking
age older than 35 years
history of infertility
use of assisted reproductive technology, such as in vitro fertilization
(IVF)
⩥ Which among the list can cause increase in respiration. Answer:
Options include (low oxygen, high oxygen, hypercapnia, hypocapnia)?
⩥ Which among the list can cause increase in respiration. Answer:
hypercapnia
⩥ Osteoporosis Risk Factors (ACCESS). Answer: A-lcohol Use
C-orticosteroid Use
C-alcium low
E-strogen low
S-moking
S-edentary lifestyle/s
, ACCESS leads to OSTEOPOROSIS
⩥ to prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and
low Hct. Answer: VITAMIN D 600-800, CALCIUM 1000-1200.
OSTEOPOROSIS BONE ABSORPTION EXCEED BONE
FORMATION.
LOW TSH= Hyperthyroidism- BONE DEMINERALIZATION.
NEED CALCIUM for BONE GROWTH
⩥ Carotid bruit. Answer: abnormal flow of blood through the carotid
artery
⩥ Carotid bruit. Answer: abnormal flow of blood through the carotid
artery due to atherosclerotic disease
⩥ Common causes of GERD. Answer: risk factors- alcohol,
anticholinergic, CCB, chocolate peppermint, fatty, spicy, citrus foods,
hormones, obesity, pregnancy, smoking, theophylline, exacerbated by
CCB verapamil
⩥ Common causes of GERD. Answer: risk factors-
alcohol,
anticholinergic,
