AANP FNP Certification Exam Questions & Answers 2026
| Latest Review Guide
1. What is typically assessed during a digital rectal exam for a patient suspected
of having benign prostatic hyperplasia (BPH)?
Normal prostate size
Prostate cancer
Enlarged prostate
Inflammation of the bladder
2. What is the outstanding symptom of Pyloric stenosis?
Projectile vomiting
Diarrhea
Nutritional imbalance
Excessive sweating
3. What type of heart murmur is typically associated with mitral regurgitation?
Holosystolic murmur
Systolic ejection murmur
Continuous murmur
Diastolic murmur
4. Describe how grandiosity manifests in individuals with bipolar disorder.
Grandiosity involves a lack of interest in activities once enjoyed.
Grandiosity is characterized by feelings of sadness and hopelessness.
, Grandiosity is marked by excessive worry about everyday problems.
Grandiosity manifests as an inflated self-esteem and an
exaggerated belief in one's abilities.
5. If an elderly patient with atrophic vaginitis presents with a palpable ovary,
what would be the most appropriate next step in management?
Perform a pelvic exam only.
Prescribe estrogen therapy immediately.
Refer for further evaluation, including imaging studies.
Schedule a follow-up in six months.
6. A 28-year-old female presents with a history of pelvic inflammatory disease
and is now trying to conceive. What should the family nurse practitioner
assess for during her evaluation?
Potential infertility issues
Cardiovascular health
Respiratory function
Signs of diabetes
7. Which of the following is associated with a history of high blood pressure or
stroke?
Vascular Dementia
Alzheimer's Disease
Delirium
Sundowning
,8. Describe how certain medications can impact male reproductive health.
Certain medications have no impact on reproductive health.
Certain medications can lead to low sperm count, affecting male
fertility.
Certain medications improve libido without affecting sperm count.
Certain medications increase testosterone levels, enhancing fertility.
9. What is the first-line treatment for Gonorrhea that also covers Chlamydia?
Metronidazole
Doxycycline
Amoxicillin
Ceftriaxone plus Azithromycin
10. What is the first-line antibiotic treatment for Chlamydia trachomatis
infections?
Doxycycline
Amoxicillin
Ciprofloxacin
Azithromycin
11. An older adult presents with their adult child, who says that the patient has
been exhibiting short-term memory loss and confusion over the recent
months. The patient's medical problems include type 2 diabetes mellitus,
hypertension, hypercholesterolemia, and osteoarthritis. They had a stroke
last year and have residual mild hemiparesis. A physical examination is normal
except for mild hemiparesis. On cognitive testing, they're able to recall only 1
, of 3 words, and all the numbers are on one side of the clock-drawing test.
Which one of the following types of dementia is most likely in this patient?
Vascular dementia
Dementia with Lewy bodies
Alzheimer's disease
Frontotemporal dementia
12. Describe the significance of measuring intraocular pressure in clinical
practice.
Measuring intraocular pressure is only relevant for pediatric patients.
Measuring intraocular pressure is used to evaluate kidney function.
Measuring intraocular pressure helps in assessing blood flow to the
brain.
Measuring intraocular pressure is crucial for diagnosing and
managing conditions like glaucoma.
13. The triangle Kiesselbach's is located at:
Superior turbinate
nasal septum
Inferior turbinate
14. The LPN/LVN discovered a carotid bruit when assessing a 76-year-old
patient. What does a carotid bruit indicate?
Obstruction to blood flow in a carotid vessel
Faster than usual blood flow through a carotid vessel
Presence of a cardiac dysrhythmia
| Latest Review Guide
1. What is typically assessed during a digital rectal exam for a patient suspected
of having benign prostatic hyperplasia (BPH)?
Normal prostate size
Prostate cancer
Enlarged prostate
Inflammation of the bladder
2. What is the outstanding symptom of Pyloric stenosis?
Projectile vomiting
Diarrhea
Nutritional imbalance
Excessive sweating
3. What type of heart murmur is typically associated with mitral regurgitation?
Holosystolic murmur
Systolic ejection murmur
Continuous murmur
Diastolic murmur
4. Describe how grandiosity manifests in individuals with bipolar disorder.
Grandiosity involves a lack of interest in activities once enjoyed.
Grandiosity is characterized by feelings of sadness and hopelessness.
, Grandiosity is marked by excessive worry about everyday problems.
Grandiosity manifests as an inflated self-esteem and an
exaggerated belief in one's abilities.
5. If an elderly patient with atrophic vaginitis presents with a palpable ovary,
what would be the most appropriate next step in management?
Perform a pelvic exam only.
Prescribe estrogen therapy immediately.
Refer for further evaluation, including imaging studies.
Schedule a follow-up in six months.
6. A 28-year-old female presents with a history of pelvic inflammatory disease
and is now trying to conceive. What should the family nurse practitioner
assess for during her evaluation?
Potential infertility issues
Cardiovascular health
Respiratory function
Signs of diabetes
7. Which of the following is associated with a history of high blood pressure or
stroke?
Vascular Dementia
Alzheimer's Disease
Delirium
Sundowning
,8. Describe how certain medications can impact male reproductive health.
Certain medications have no impact on reproductive health.
Certain medications can lead to low sperm count, affecting male
fertility.
Certain medications improve libido without affecting sperm count.
Certain medications increase testosterone levels, enhancing fertility.
9. What is the first-line treatment for Gonorrhea that also covers Chlamydia?
Metronidazole
Doxycycline
Amoxicillin
Ceftriaxone plus Azithromycin
10. What is the first-line antibiotic treatment for Chlamydia trachomatis
infections?
Doxycycline
Amoxicillin
Ciprofloxacin
Azithromycin
11. An older adult presents with their adult child, who says that the patient has
been exhibiting short-term memory loss and confusion over the recent
months. The patient's medical problems include type 2 diabetes mellitus,
hypertension, hypercholesterolemia, and osteoarthritis. They had a stroke
last year and have residual mild hemiparesis. A physical examination is normal
except for mild hemiparesis. On cognitive testing, they're able to recall only 1
, of 3 words, and all the numbers are on one side of the clock-drawing test.
Which one of the following types of dementia is most likely in this patient?
Vascular dementia
Dementia with Lewy bodies
Alzheimer's disease
Frontotemporal dementia
12. Describe the significance of measuring intraocular pressure in clinical
practice.
Measuring intraocular pressure is only relevant for pediatric patients.
Measuring intraocular pressure is used to evaluate kidney function.
Measuring intraocular pressure helps in assessing blood flow to the
brain.
Measuring intraocular pressure is crucial for diagnosing and
managing conditions like glaucoma.
13. The triangle Kiesselbach's is located at:
Superior turbinate
nasal septum
Inferior turbinate
14. The LPN/LVN discovered a carotid bruit when assessing a 76-year-old
patient. What does a carotid bruit indicate?
Obstruction to blood flow in a carotid vessel
Faster than usual blood flow through a carotid vessel
Presence of a cardiac dysrhythmia
