AOPP NPQ TEST ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ It inhibits the effect of renal prostaglandins and blunts the effectiveness of
the diuretic.
Answer: A 72 yo woman has been on hydrochlorothiazide 12.5mg for many
years to control her Stae I HTN. Her blood pressure at this visit is 168/96.
She is currently complaining of pain in her right hip and on both knees. She
has increased her dose of ibuprofen from 400mg 3 times a day to 800mg 3
times a day. She is still in pain and would like something stronger. Which of
the following statements is the best explanation of the effects of ibuprofen
on her disease.
◍ What are the ANCC and AANPCB NP certification exams designed for?.
Answer: Entry-level practice for new graduates.
◍ Acute appendicitis.
Answer: The NP would test the obturator and iliopsoas muscle to evaluate
for what?
◍ A prescription of methyldopa (Aldomet) to control BP.
Answer: Treatment for mild preeclampsia includes all of the following
except: A) Bed rest except for bathroom privilegesB) Close monitoring of
weight and blood pressureC) Close follow-up of urinary protein, serum
creatinine, and platelet countD) A prescription of methyldopa (Aldomet) to
control BP.
◍ Nursing home care.
Answer: All of the following services are covered under Medicare Part A
except:A) Inpatient hospitalizationsB) Medicines administered to a patient
, while hospitalizedC) Nursing home careD) Surgeons
◍ How many pilot-test questions are on the ANCC exam?.
Answer: 25 pilot-test questions.
◍ Mycoplasma pneumonia.
Answer: A 28 yo student is seen in the school health clinic with complaints
of hacking cough that is productive of small amounts of sputum and runny
nose. He does not take any meds, denies any allergies, and has no significant
medical history. Physical exam reveals a low-grade temperature of 99.9
degrees F, respirations of 16/min, pulse =90, and diffuse fine crackles in the
base of the lungs. A chest x-ray shows diffuse infiltrates in the lower lobe of
the right lung. The total white blood cell count is 10,500/uL. What is the
likely diagnosis?
◍ How many pilot-test questions are on the AANPCB exam?.
Answer: 15 pilot-test questions.
◍ 10mm.
Answer: A 39 yo migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration
would be considered positive for this patient?
◍ The patient's spouse has the right to override the agent's decisions.
Answer: All of the following are correct statements regarding the role of the
person named in a durable power of attorney except: A) The agent's
decisions are legally bindingB) The agent can make decisions in other areas
of the patient's life such as financial issues.C) The agent can decide for the
patient who is on life support when that life support can be terminated.D)
The patient's spouse has the right to override the agent's decisions
◍ What type of clinical information is likely not included in the NP
certification exams?.
Answer: New clinical information released within the 10 months prior to the
exam.
◍ The patient has a medical illness that causes an anxiety reaction and denial.
, Answer: The following statement regarding Munchausen syndrome is false:
◍ What type of disorders will the NP certification exam questions primarily
focus on?.
Answer: Primary care disorders.
◍ Beta-blockers.
Answer: Which antihypertensive medications should the NP avoid when
treating patient with emphysema?
◍ What will the AANPCB exams provide when pertinent to a question?.
Answer: Normal lab results.
◍ Perform a complete and thorough history.
Answer: A 30 y/o chef complains of pruritic hives over her chest and arms
but denies difficulty breathing. She reports a family history of allergic
rhinitis and asthma. What intervention is most appropriate?
◍ Edema of the face and upper extremities.
Answer: Which finding is most likely in young primigravidas with
pregnancy induced hypertension?
◍ Tingling and numbness of both feet.
Answer: Which symptom is associated with B12 deficiency anemia?
◍ What should candidates memorize for the ANCC exam regarding lab
results?.
Answer: Some normal lab results.
◍ Order an ultrasound.
Answer: A second triple screen on a 35 yo primigravida reveals abnormal
low levels of the alpha fetoprotein and estriol and high levels of human
chorionic gonadotropin. Which of the following interventions is the best
choice for this patient?
◍ What is an example of an abnormal lab result and its significance?.
Answer: An elevated sedimentation rate indicates possible temporal arteritis.
◍ What should be done with a completely avulsed permanent tooth?.
, Answer: It should be reimplanted as soon as possible, transported in cold
milk or the patient's buccal mucosa.
◍ Chlamydia trachoma's.
Answer: Pts. diagnosed with gonorrhea should also be treated for what other
infections?
◍ Osteoporosis.
Answer: Kyphosis is a late sign of
◍ Higher than normal.
Answer: A 35 y/o primigravida who is at 28wks gestation is expecting
twins. What would you would expect her alpha fetal protein (AFP) to be?
◍ Calcium channel blockers.
Answer: Which of the following antihypertensive medications has beneficial
effects for an elderly white female with osteoporosis?
◍ What is the definition of sensitivity in epidemiologic terms?.
Answer: The ability of a test to detect a person who has the disease.
◍ Knee instability.
Answer: The Lachman maneuver is used to detect which of the following?
◍ Tanner Stage III.
Answer: When an adolescent male's penis grows more in length than width,
at which of the following Tanner stages is he classified?
◍ Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes.
Answer: Fetal TORCH infections can cause microcephaly, mental
retardation, hepatosplenomegaly, and intrauterine growth retardation. The
acronym for TORCH stands for:.
◍ Laryngeal neoplasia.
Answer: HPV infection of the larynx has been associated with:
◍ What is the definition of specificity in epidemiologic terms?.
Answer: The ability of a test to detect a person who is healthy or without the
disease.
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ It inhibits the effect of renal prostaglandins and blunts the effectiveness of
the diuretic.
Answer: A 72 yo woman has been on hydrochlorothiazide 12.5mg for many
years to control her Stae I HTN. Her blood pressure at this visit is 168/96.
She is currently complaining of pain in her right hip and on both knees. She
has increased her dose of ibuprofen from 400mg 3 times a day to 800mg 3
times a day. She is still in pain and would like something stronger. Which of
the following statements is the best explanation of the effects of ibuprofen
on her disease.
◍ What are the ANCC and AANPCB NP certification exams designed for?.
Answer: Entry-level practice for new graduates.
◍ Acute appendicitis.
Answer: The NP would test the obturator and iliopsoas muscle to evaluate
for what?
◍ A prescription of methyldopa (Aldomet) to control BP.
Answer: Treatment for mild preeclampsia includes all of the following
except: A) Bed rest except for bathroom privilegesB) Close monitoring of
weight and blood pressureC) Close follow-up of urinary protein, serum
creatinine, and platelet countD) A prescription of methyldopa (Aldomet) to
control BP.
◍ Nursing home care.
Answer: All of the following services are covered under Medicare Part A
except:A) Inpatient hospitalizationsB) Medicines administered to a patient
, while hospitalizedC) Nursing home careD) Surgeons
◍ How many pilot-test questions are on the ANCC exam?.
Answer: 25 pilot-test questions.
◍ Mycoplasma pneumonia.
Answer: A 28 yo student is seen in the school health clinic with complaints
of hacking cough that is productive of small amounts of sputum and runny
nose. He does not take any meds, denies any allergies, and has no significant
medical history. Physical exam reveals a low-grade temperature of 99.9
degrees F, respirations of 16/min, pulse =90, and diffuse fine crackles in the
base of the lungs. A chest x-ray shows diffuse infiltrates in the lower lobe of
the right lung. The total white blood cell count is 10,500/uL. What is the
likely diagnosis?
◍ How many pilot-test questions are on the AANPCB exam?.
Answer: 15 pilot-test questions.
◍ 10mm.
Answer: A 39 yo migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration
would be considered positive for this patient?
◍ The patient's spouse has the right to override the agent's decisions.
Answer: All of the following are correct statements regarding the role of the
person named in a durable power of attorney except: A) The agent's
decisions are legally bindingB) The agent can make decisions in other areas
of the patient's life such as financial issues.C) The agent can decide for the
patient who is on life support when that life support can be terminated.D)
The patient's spouse has the right to override the agent's decisions
◍ What type of clinical information is likely not included in the NP
certification exams?.
Answer: New clinical information released within the 10 months prior to the
exam.
◍ The patient has a medical illness that causes an anxiety reaction and denial.
, Answer: The following statement regarding Munchausen syndrome is false:
◍ What type of disorders will the NP certification exam questions primarily
focus on?.
Answer: Primary care disorders.
◍ Beta-blockers.
Answer: Which antihypertensive medications should the NP avoid when
treating patient with emphysema?
◍ What will the AANPCB exams provide when pertinent to a question?.
Answer: Normal lab results.
◍ Perform a complete and thorough history.
Answer: A 30 y/o chef complains of pruritic hives over her chest and arms
but denies difficulty breathing. She reports a family history of allergic
rhinitis and asthma. What intervention is most appropriate?
◍ Edema of the face and upper extremities.
Answer: Which finding is most likely in young primigravidas with
pregnancy induced hypertension?
◍ Tingling and numbness of both feet.
Answer: Which symptom is associated with B12 deficiency anemia?
◍ What should candidates memorize for the ANCC exam regarding lab
results?.
Answer: Some normal lab results.
◍ Order an ultrasound.
Answer: A second triple screen on a 35 yo primigravida reveals abnormal
low levels of the alpha fetoprotein and estriol and high levels of human
chorionic gonadotropin. Which of the following interventions is the best
choice for this patient?
◍ What is an example of an abnormal lab result and its significance?.
Answer: An elevated sedimentation rate indicates possible temporal arteritis.
◍ What should be done with a completely avulsed permanent tooth?.
, Answer: It should be reimplanted as soon as possible, transported in cold
milk or the patient's buccal mucosa.
◍ Chlamydia trachoma's.
Answer: Pts. diagnosed with gonorrhea should also be treated for what other
infections?
◍ Osteoporosis.
Answer: Kyphosis is a late sign of
◍ Higher than normal.
Answer: A 35 y/o primigravida who is at 28wks gestation is expecting
twins. What would you would expect her alpha fetal protein (AFP) to be?
◍ Calcium channel blockers.
Answer: Which of the following antihypertensive medications has beneficial
effects for an elderly white female with osteoporosis?
◍ What is the definition of sensitivity in epidemiologic terms?.
Answer: The ability of a test to detect a person who has the disease.
◍ Knee instability.
Answer: The Lachman maneuver is used to detect which of the following?
◍ Tanner Stage III.
Answer: When an adolescent male's penis grows more in length than width,
at which of the following Tanner stages is he classified?
◍ Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes.
Answer: Fetal TORCH infections can cause microcephaly, mental
retardation, hepatosplenomegaly, and intrauterine growth retardation. The
acronym for TORCH stands for:.
◍ Laryngeal neoplasia.
Answer: HPV infection of the larynx has been associated with:
◍ What is the definition of specificity in epidemiologic terms?.
Answer: The ability of a test to detect a person who is healthy or without the
disease.
