AANP FNP CERTIFICATION LATEST 2025-
2026 WITH 200 REAL EXAM QUESTIONS
AND CORRECT ANSWERS(VERIFIED
ANSWERS)
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth - ANSWER- edge VI-entire steth. EXAMIII first time
audible, IV first time thrill
Fundal height 12 - ANSWER- weeksFundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now
has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order?
ANSWER-Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you - ANSWER- do?Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory - ANSWER-
lossMini mental exam
4 month old with strabismus, mom is - ANSWER- worried......tell her it is normal.
4 month old wont keep anything down, what is the main thing you look - ANSWER- at?Growth
chart
6 month old closed anterior - ANSWER- fontanel.XRAY
Abnormal cells on PAP, what do you do - ANSWER- next?Refer for Colposcopy
CAGE - ANSWER- ACRONYMCut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of - ANSWER- tachycardiaFever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye - ANSWER- movementsCN 3,4,6
Definition of metabolic - ANSWER- syndromecluster of conditions that increase risk of
heart disease, stroke, diabetes.
,diagnose - ANSWER- trichomoniasiswet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next?
ANSWER-Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is
- ANSWER- this located? Anterior septum
Definitive diagnosis of acute bacterial - ANSWER- prostatitisurinalysis and culture
GERD - ANSWER- treatmentH2 is first line, give hs
Grade 3 cells on Pap, - ANSWER- treatment?LEEP
excision
Fingernail hematoma - ANSWER- treatment?drill hole and drain blood?
Increased risk of ectopic - ANSWER- pregnancySalpingitis, or history of abortion, PID,
Koplick - ANSWER- spotsMeasles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick - ANSWER- spotsMeasles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes - ANSWER- DiseaseAvascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk - ANSWER- for?Pancreatitis
Low HGB, Low HCT, High MCV indicates - ANSWER- what?Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital - ANSWER- exam?Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent - ANSWER- pedalArterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus - ANSWER- stressMeniscus tears
Lachman's - ANSWER- Testpivot shift test (ACL tear)
Newborn with foot turned in, what do you - ANSWER- do?refer to orthopedist
Osgood-Schlatter - ANSWER- diseaseKnee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What - ANSWER- is this indicative of?Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. - ANSWER- What do you do?Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing
- ANSWER- and scaling? Tinea Corporis
Pt presents with "bag of worms:, - ANSWER- indicates?Varicocele
Pt with atopic dermatitis, look for what other - ANSWER- diseases?Asthma
, Pt with bleeding after - ANSWER- menopauseendometrial biopsy, need to screen for
cancer
Pt with hx of PID, increased rick - ANSWER- for?Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate?
ANSWER-This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this - ANSWER-
indicate?Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?
ANSWER-slap cheek, PVB19, rash hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and - ANSWER- GoTimed Get up and Go
Red beefy - ANSWER- tongue?pernicious anemia
Rotator cuff injury - ANSWER- presentationdisturbs sleep, arm weakness, dull ache
Shingles near - ANSWER- eyeimmediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) - ANSWER- ?Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage -Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3
days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less
prominently on the face and limbs. -High fever, pink flat or raised rash
Treatment for chronic - ANSWER- alcoholism:12 step program
Treatment for - ANSWER- Gonorrhea?Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green
colored vaginal discharge, friable cervix. EXAM Report to health department
Young female want birth control, forgets to take pills, does not want to get pregnant for at
least - ANSWER- 5
years:IUD
Basal cell - ANSWER- cancerWaxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
Actinic - ANSWER- KeratosisScaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Actinic - ANSWER- KeratosisNumerous round dry pink to red areas. Scaly red to yellow
located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin biopsy
cryo or 5fu cream subungual hematoma txMake a hole and drain
the blood
- ANSWER-
Moderate acne - ANSWER- treatmentWithout inflammation: Topical retinoid
2026 WITH 200 REAL EXAM QUESTIONS
AND CORRECT ANSWERS(VERIFIED
ANSWERS)
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth - ANSWER- edge VI-entire steth. EXAMIII first time
audible, IV first time thrill
Fundal height 12 - ANSWER- weeksFundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now
has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order?
ANSWER-Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you - ANSWER- do?Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory - ANSWER-
lossMini mental exam
4 month old with strabismus, mom is - ANSWER- worried......tell her it is normal.
4 month old wont keep anything down, what is the main thing you look - ANSWER- at?Growth
chart
6 month old closed anterior - ANSWER- fontanel.XRAY
Abnormal cells on PAP, what do you do - ANSWER- next?Refer for Colposcopy
CAGE - ANSWER- ACRONYMCut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of - ANSWER- tachycardiaFever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye - ANSWER- movementsCN 3,4,6
Definition of metabolic - ANSWER- syndromecluster of conditions that increase risk of
heart disease, stroke, diabetes.
,diagnose - ANSWER- trichomoniasiswet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next?
ANSWER-Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is
- ANSWER- this located? Anterior septum
Definitive diagnosis of acute bacterial - ANSWER- prostatitisurinalysis and culture
GERD - ANSWER- treatmentH2 is first line, give hs
Grade 3 cells on Pap, - ANSWER- treatment?LEEP
excision
Fingernail hematoma - ANSWER- treatment?drill hole and drain blood?
Increased risk of ectopic - ANSWER- pregnancySalpingitis, or history of abortion, PID,
Koplick - ANSWER- spotsMeasles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick - ANSWER- spotsMeasles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes - ANSWER- DiseaseAvascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk - ANSWER- for?Pancreatitis
Low HGB, Low HCT, High MCV indicates - ANSWER- what?Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital - ANSWER- exam?Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent - ANSWER- pedalArterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus - ANSWER- stressMeniscus tears
Lachman's - ANSWER- Testpivot shift test (ACL tear)
Newborn with foot turned in, what do you - ANSWER- do?refer to orthopedist
Osgood-Schlatter - ANSWER- diseaseKnee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What - ANSWER- is this indicative of?Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. - ANSWER- What do you do?Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing
- ANSWER- and scaling? Tinea Corporis
Pt presents with "bag of worms:, - ANSWER- indicates?Varicocele
Pt with atopic dermatitis, look for what other - ANSWER- diseases?Asthma
, Pt with bleeding after - ANSWER- menopauseendometrial biopsy, need to screen for
cancer
Pt with hx of PID, increased rick - ANSWER- for?Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate?
ANSWER-This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this - ANSWER-
indicate?Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?
ANSWER-slap cheek, PVB19, rash hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and - ANSWER- GoTimed Get up and Go
Red beefy - ANSWER- tongue?pernicious anemia
Rotator cuff injury - ANSWER- presentationdisturbs sleep, arm weakness, dull ache
Shingles near - ANSWER- eyeimmediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) - ANSWER- ?Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage -Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3
days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less
prominently on the face and limbs. -High fever, pink flat or raised rash
Treatment for chronic - ANSWER- alcoholism:12 step program
Treatment for - ANSWER- Gonorrhea?Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green
colored vaginal discharge, friable cervix. EXAM Report to health department
Young female want birth control, forgets to take pills, does not want to get pregnant for at
least - ANSWER- 5
years:IUD
Basal cell - ANSWER- cancerWaxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
Actinic - ANSWER- KeratosisScaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Actinic - ANSWER- KeratosisNumerous round dry pink to red areas. Scaly red to yellow
located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin biopsy
cryo or 5fu cream subungual hematoma txMake a hole and drain
the blood
- ANSWER-
Moderate acne - ANSWER- treatmentWithout inflammation: Topical retinoid
