AANP Practice Questions Latest Update 2026 | Exam Prep
1. What is the most common presentation of cervical cancer?
Most-menopausal bleeding
Post-coital bleeding
Foul smelling discharge
Periumbilical pain
2. "A patient is being treated for Hepatitis C. The patient presents with fatigue
and shortness of breath. A blood test reveals hemolytic anemia. Which of the
following drugs is most likely to cause this side effect?
NS3/4 Protease Inhibitors
NS5A Inhibitors
Ribavirin "
Alpha interferon
NS5B inhibitors
3. If a patient with an orbital rim fracture presents with worsening double vision
and increasing swelling, what should be your immediate course of action?
Suggest the patient apply ice to the affected area and follow up in a
week.
Prescribe pain medication and advise rest.
Refer the patient for imaging studies and possible surgical
intervention.
Monitor the patient for 24 hours before taking any action.
,4. Describe how omeprazole may lead to gastrointestinal symptoms in patients
taking it alongside NSAIDs.
Omeprazole can cause gastrointestinal symptoms due to its effect
on stomach acid production, which may lead to discomfort.
Omeprazole has no known side effects when taken with NSAIDs.
Omeprazole is used to treat the symptoms caused by NSAIDs.
Omeprazole increases the effectiveness of NSAIDs, reducing side
effects.
5. How do you treat latent TB?
Isoniazid for 9 months
Rifampin for 4 months
a and b
Ethambutol for 6 months
6. What is the most appropriate initial management plan for a child with acute
diarrhea and mild dehydration?
Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O,
and soup over next 72 hours; Imodium AD liquid, 1 mg/sml.
No laboratory workup; instruct parents on signs and symptoms of
dehydration; diet of clear liquids, advancing to bananas, rice cereal,
Jell-O, and soup.
Stool for ova and parasites; advise parents of likely sources of Giardia;
prescribe furazolidone (Furoxone).
Stool culture; Immodium AD liquid.
,7. Type 2 diabetes mellitus is characterized by:
Glucose intolerance occurring only during pregnancy
Inadequate endogenous insulin and the body's inability to properly
use insulin
An autoimmune process
The absence of endogenous insulin
8. What does T-wave inversion on a 12-lead EKG typically indicate?
atrial hypertrophy
right ventricular hypertrophy
acute coronary ischemia
hyperkalemia
9. What is the primary therapeutic effect of anticholinergic agents like
ipratropium and tiotropium in the treatment of COPD?
expand the lung fields
induce bronchodilation
treat hypoxemia
decrease airway inflammation
10. Which two bacteria are commonly linked to acute bacterial rhino-sinusitis?
Streptococcus pneumoniae and Haemophilus influenzae
Staphylococcus aureus and Mycoplasma pneumonia
Streptococcus pneumoniae and Pseudomonas aeruginosa
Staphylococcus aureus and Methicillin Resistant Staph aureus
, 11. A pediatric nurse suspects a pinworm infestation in a child presenting with
anal itching. What steps should the nurse take to collect a sample for
diagnosis?
Instruct the parent to apply transparent tape to the perianal area in
the morning before the child bathes.
Perform a patch test to check for allergic reactions.
Examine the child's bed linens for signs of pinworms.
Collect a blood sample for eosinophil count.
12. A child diagnosed with ADHD (attention-deficit/hyperactivity disorder) has
been prescribed Ritalin (methylphenidate). The nurse should explain to the
parents that one of the side effects is:
Sedation
Insomnia
Constipation
Increased appetite
13. Describe the significance of monitoring for hemolytic anemia in patients
receiving ribavirin for hepatitis C treatment.
Hemolytic anemia is not a serious side effect and does not require
monitoring.
Monitoring for hemolytic anemia is crucial because it can lead to
significant complications and requires adjustments in treatment.
Patients on ribavirin do not need any monitoring for side effects.
Monitoring is only necessary for liver function, not for hemolytic
anemia.
1. What is the most common presentation of cervical cancer?
Most-menopausal bleeding
Post-coital bleeding
Foul smelling discharge
Periumbilical pain
2. "A patient is being treated for Hepatitis C. The patient presents with fatigue
and shortness of breath. A blood test reveals hemolytic anemia. Which of the
following drugs is most likely to cause this side effect?
NS3/4 Protease Inhibitors
NS5A Inhibitors
Ribavirin "
Alpha interferon
NS5B inhibitors
3. If a patient with an orbital rim fracture presents with worsening double vision
and increasing swelling, what should be your immediate course of action?
Suggest the patient apply ice to the affected area and follow up in a
week.
Prescribe pain medication and advise rest.
Refer the patient for imaging studies and possible surgical
intervention.
Monitor the patient for 24 hours before taking any action.
,4. Describe how omeprazole may lead to gastrointestinal symptoms in patients
taking it alongside NSAIDs.
Omeprazole can cause gastrointestinal symptoms due to its effect
on stomach acid production, which may lead to discomfort.
Omeprazole has no known side effects when taken with NSAIDs.
Omeprazole is used to treat the symptoms caused by NSAIDs.
Omeprazole increases the effectiveness of NSAIDs, reducing side
effects.
5. How do you treat latent TB?
Isoniazid for 9 months
Rifampin for 4 months
a and b
Ethambutol for 6 months
6. What is the most appropriate initial management plan for a child with acute
diarrhea and mild dehydration?
Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O,
and soup over next 72 hours; Imodium AD liquid, 1 mg/sml.
No laboratory workup; instruct parents on signs and symptoms of
dehydration; diet of clear liquids, advancing to bananas, rice cereal,
Jell-O, and soup.
Stool for ova and parasites; advise parents of likely sources of Giardia;
prescribe furazolidone (Furoxone).
Stool culture; Immodium AD liquid.
,7. Type 2 diabetes mellitus is characterized by:
Glucose intolerance occurring only during pregnancy
Inadequate endogenous insulin and the body's inability to properly
use insulin
An autoimmune process
The absence of endogenous insulin
8. What does T-wave inversion on a 12-lead EKG typically indicate?
atrial hypertrophy
right ventricular hypertrophy
acute coronary ischemia
hyperkalemia
9. What is the primary therapeutic effect of anticholinergic agents like
ipratropium and tiotropium in the treatment of COPD?
expand the lung fields
induce bronchodilation
treat hypoxemia
decrease airway inflammation
10. Which two bacteria are commonly linked to acute bacterial rhino-sinusitis?
Streptococcus pneumoniae and Haemophilus influenzae
Staphylococcus aureus and Mycoplasma pneumonia
Streptococcus pneumoniae and Pseudomonas aeruginosa
Staphylococcus aureus and Methicillin Resistant Staph aureus
, 11. A pediatric nurse suspects a pinworm infestation in a child presenting with
anal itching. What steps should the nurse take to collect a sample for
diagnosis?
Instruct the parent to apply transparent tape to the perianal area in
the morning before the child bathes.
Perform a patch test to check for allergic reactions.
Examine the child's bed linens for signs of pinworms.
Collect a blood sample for eosinophil count.
12. A child diagnosed with ADHD (attention-deficit/hyperactivity disorder) has
been prescribed Ritalin (methylphenidate). The nurse should explain to the
parents that one of the side effects is:
Sedation
Insomnia
Constipation
Increased appetite
13. Describe the significance of monitoring for hemolytic anemia in patients
receiving ribavirin for hepatitis C treatment.
Hemolytic anemia is not a serious side effect and does not require
monitoring.
Monitoring for hemolytic anemia is crucial because it can lead to
significant complications and requires adjustments in treatment.
Patients on ribavirin do not need any monitoring for side effects.
Monitoring is only necessary for liver function, not for hemolytic
anemia.
