AANP FNP CERTIFICATION LATEST UPDATED
2026 ACTUAL FINAL EXAM WITH COMPLETE
REVIEWED QUESTIONS AND CORRECT
ANSWERS ALREADY A+ GRADED
1. All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV-first time thrill V-Steth edge VI-entire steth.
III first time audible, IV first time thrill.
2. Fundal height 12 weeks.
Fundal height 12 weeks above symphysis pubis.
3. Fundus at 16 weeks is located:
Between symphysis pubis and umbilicus.
4. Fundus at 20 weeks is at:
Umbilicus.
5. 2 cm more or less from number of weeks gestation is normal; if more or less,
order:
Ultrasound.
6. 3-month-old infant with Down syndrome, due to milk intolerance mom started
on goat's milk; now has pale conjunctiva but otherwise healthy. Low HCT. What
additional test would you order?
Iron, TIBC.
7. 3 months of Synthroid, TSH increased, T4 normal, what do you do?
Increase medication.
,8. 3 ways to assess cognitive function in patient with signs/symptoms of memory
loss:
Mini Mental State Exam (MMSE), Montreal Cognitive Assessment (MoCA),
and clock-drawing test.
9. 4-month-old with strabismus, mom is worried. What should you tell her?
It is normal.
10. 4-month-old won't keep anything down; what is the main thing you look at?
Growth chart.
11. 6-month-old with closed anterior fontanel. What should be done?
X-ray (to rule out craniosynostosis).
12. Abnormal cells on Pap, what do you do next?
Refer for colposcopy.
13. CAGE acronym:
Cut down, Annoyed by criticism, Guilty about drinking, Eye opener drink.
14. Causes of tachycardia:
Fever, anemia, hypotension, hyperthyroidism, anxiety, dehydration, pain,
heart failure, pulmonary embolism.
15. Cranial nerves responsible for extraocular eye movements:
CN 3 (oculomotor), 4 (trochlear), 6 (abducens).
, 16. Definition of metabolic syndrome:
Cluster of conditions that increase risk of heart disease, stroke, and diabetes
(central obesity, hypertension, hyperglycemia, dyslipidemia).
17. Diagnose trichomoniasis:
Wet prep (saline microscopy showing motile trichomonads).
18. Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 cm ovary,
what do you do next?
Pelvic ultrasound.
19. Epistaxis is most common in the area of the nose known as Kiesselbach's
triangle; where is this located?
Anterior septum.
20. Definitive diagnosis of acute bacterial prostatitis:
Urinalysis and culture (midstream urine or expressed prostatic secretions).
21. GERD treatment first line:
H2 blocker (e.g., famotidine) given at bedtime, or proton pump inhibitor for
more severe symptoms.
22. Grade 3 cells on Pap (CIN 3), treatment:
LEEP (loop electrosurgical excision procedure) or excision (cone biopsy).
23. Fingernail hematoma treatment:
Drill hole and drain blood (trephination).
2026 ACTUAL FINAL EXAM WITH COMPLETE
REVIEWED QUESTIONS AND CORRECT
ANSWERS ALREADY A+ GRADED
1. All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV-first time thrill V-Steth edge VI-entire steth.
III first time audible, IV first time thrill.
2. Fundal height 12 weeks.
Fundal height 12 weeks above symphysis pubis.
3. Fundus at 16 weeks is located:
Between symphysis pubis and umbilicus.
4. Fundus at 20 weeks is at:
Umbilicus.
5. 2 cm more or less from number of weeks gestation is normal; if more or less,
order:
Ultrasound.
6. 3-month-old infant with Down syndrome, due to milk intolerance mom started
on goat's milk; now has pale conjunctiva but otherwise healthy. Low HCT. What
additional test would you order?
Iron, TIBC.
7. 3 months of Synthroid, TSH increased, T4 normal, what do you do?
Increase medication.
,8. 3 ways to assess cognitive function in patient with signs/symptoms of memory
loss:
Mini Mental State Exam (MMSE), Montreal Cognitive Assessment (MoCA),
and clock-drawing test.
9. 4-month-old with strabismus, mom is worried. What should you tell her?
It is normal.
10. 4-month-old won't keep anything down; what is the main thing you look at?
Growth chart.
11. 6-month-old with closed anterior fontanel. What should be done?
X-ray (to rule out craniosynostosis).
12. Abnormal cells on Pap, what do you do next?
Refer for colposcopy.
13. CAGE acronym:
Cut down, Annoyed by criticism, Guilty about drinking, Eye opener drink.
14. Causes of tachycardia:
Fever, anemia, hypotension, hyperthyroidism, anxiety, dehydration, pain,
heart failure, pulmonary embolism.
15. Cranial nerves responsible for extraocular eye movements:
CN 3 (oculomotor), 4 (trochlear), 6 (abducens).
, 16. Definition of metabolic syndrome:
Cluster of conditions that increase risk of heart disease, stroke, and diabetes
(central obesity, hypertension, hyperglycemia, dyslipidemia).
17. Diagnose trichomoniasis:
Wet prep (saline microscopy showing motile trichomonads).
18. Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 cm ovary,
what do you do next?
Pelvic ultrasound.
19. Epistaxis is most common in the area of the nose known as Kiesselbach's
triangle; where is this located?
Anterior septum.
20. Definitive diagnosis of acute bacterial prostatitis:
Urinalysis and culture (midstream urine or expressed prostatic secretions).
21. GERD treatment first line:
H2 blocker (e.g., famotidine) given at bedtime, or proton pump inhibitor for
more severe symptoms.
22. Grade 3 cells on Pap (CIN 3), treatment:
LEEP (loop electrosurgical excision procedure) or excision (cone biopsy).
23. Fingernail hematoma treatment:
Drill hole and drain blood (trephination).
