AANP BOARD EXAM ACTUAL EXAM 100 QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
BRAND NEW 2025-2026
A 28-year-old female patient is in the office and is to undergo
radioactive iodine treatment for Graves disease. The ANP is counseling
her and understands that the mechanism of action of this treatment
therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue reduce production of TSH -
ANSWER - >Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive
iodine is used for thyroid ablation to destroy the overactive thyroid
tissue that causes the thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least
accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or
older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and
more.
About 90% of hip fractures are due to falls. - ANSWER - >Correct
Answer:
,Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip
fractures. Falls are one of the most common adverse events that
threaten the quality of life of older adults. Falls among older adults are
not a normal consequence of aging.
Normal age-related changes of the skin may be confused with which of
the following clinical abnormalities?
dehydration
vitiligo scabies shingles - ANSWER - >Correct
Answer:
dehydration
Normal age-related changes of the skin may be confused with
dehydration. Sebaceous gland activity tends to decrease with age, and
the skin's natural hydrators decline over the years. The skin's ability to
regenerate lipids compromising the protective lipid barrier layer of the
Stratum Corneum also declines with age, as does blood flow to the skin,
which may cause a drop in sebum production.
A 29-year old woman who is 6 weeks postpartum reports she is having
rectal bleeding that she believes is related to hemorrhoids. The Adult
Nurse Practitioner knows that this type of rectal bleeding is usually
described as:
dark brown to black blood color with normal-appearing stool
significant amounts of bright red blood large blood clots and mucus
,mixed with stool streaks of bright red blood on the stool - ANSWER -
>The Correct answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to hemorrhoids
is described as bright red, eliminating choice A. Amount of blood with
hemorrhoids is usually small or scant, eliminating choices B and C.
Internal hemorrhoids can occur during or after childbirth. With
chronically protruding or prolapsing hemorrhoids, the patient often
reports mucous leaking and staining of the undergarments. Other
causes are obesity, constipation, and prolonged sitting.
You have a patient with AIDS. You recognize that a low CD4 T-cell count
puts the patient at risk for opportunistic infections. You are reviewing
his lab reports and see that his CD4 T-cell count is indeed low. Which of
the following is the normal range for CD4 T-cell count?
800 -1400
700 -1400
400 - 1000
600 -1200 - ANSWER - >Correct answer:
600 -1200
The normal CD4 T-cell count is 600 - 1200. A low CD4 Tcell count is
below 600. The destruction of the CD4 T-cell causes depletion in the
number of CD4 T-cells and consequently increases the risk of infection.
This puts the patient at risk for infection.
ou have an adult patient with diabetes whose blood pressure is 145/95
mm Hg. Which stage of hypertension does this indicate?
normal pre-hypertension
, Stage I
Stage II - ANSWER - >Correct Answer:
Stage I
Stage I hypertension is characterized by a systolic pressure of 140 - 159
mm Hg and a diastolic pressure of 90 - 99 mm Hg. The treatment
recommendation for this stage is usually a thiazide diuretic and for
those with diabetes, either ACE inhibitors or ARBs, because of their
renal protective properties.
Clinical findings that are characteristic of asthma include all of the
following EXCEPT:
wheezing with and without associated respiratory infections a
congested cough worse during the day recurrent shortness of
breath with exercise a recurrent spasmodic cough that is worse
at night - ANSWER - >The Correct answer is:
a congested cough worse during the day
Choice B is the right answer. The asthmatic patient complains of a
cough that is worse at night and has little congestion or sputum
production. There is a history of wheezing and chest tightness,
shortness of breath with exercise, and symptoms that worsen after
airborne allergen exposure.
Which of the following is an example of objective data used for
diagnosis?
Patient reports being more tired than usual.
Patient reports having difficulty breathing.
WITH COMPLETE SOLUTIONS GUARANTEED PASS
BRAND NEW 2025-2026
A 28-year-old female patient is in the office and is to undergo
radioactive iodine treatment for Graves disease. The ANP is counseling
her and understands that the mechanism of action of this treatment
therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue reduce production of TSH -
ANSWER - >Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive
iodine is used for thyroid ablation to destroy the overactive thyroid
tissue that causes the thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least
accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or
older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and
more.
About 90% of hip fractures are due to falls. - ANSWER - >Correct
Answer:
,Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip
fractures. Falls are one of the most common adverse events that
threaten the quality of life of older adults. Falls among older adults are
not a normal consequence of aging.
Normal age-related changes of the skin may be confused with which of
the following clinical abnormalities?
dehydration
vitiligo scabies shingles - ANSWER - >Correct
Answer:
dehydration
Normal age-related changes of the skin may be confused with
dehydration. Sebaceous gland activity tends to decrease with age, and
the skin's natural hydrators decline over the years. The skin's ability to
regenerate lipids compromising the protective lipid barrier layer of the
Stratum Corneum also declines with age, as does blood flow to the skin,
which may cause a drop in sebum production.
A 29-year old woman who is 6 weeks postpartum reports she is having
rectal bleeding that she believes is related to hemorrhoids. The Adult
Nurse Practitioner knows that this type of rectal bleeding is usually
described as:
dark brown to black blood color with normal-appearing stool
significant amounts of bright red blood large blood clots and mucus
,mixed with stool streaks of bright red blood on the stool - ANSWER -
>The Correct answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to hemorrhoids
is described as bright red, eliminating choice A. Amount of blood with
hemorrhoids is usually small or scant, eliminating choices B and C.
Internal hemorrhoids can occur during or after childbirth. With
chronically protruding or prolapsing hemorrhoids, the patient often
reports mucous leaking and staining of the undergarments. Other
causes are obesity, constipation, and prolonged sitting.
You have a patient with AIDS. You recognize that a low CD4 T-cell count
puts the patient at risk for opportunistic infections. You are reviewing
his lab reports and see that his CD4 T-cell count is indeed low. Which of
the following is the normal range for CD4 T-cell count?
800 -1400
700 -1400
400 - 1000
600 -1200 - ANSWER - >Correct answer:
600 -1200
The normal CD4 T-cell count is 600 - 1200. A low CD4 Tcell count is
below 600. The destruction of the CD4 T-cell causes depletion in the
number of CD4 T-cells and consequently increases the risk of infection.
This puts the patient at risk for infection.
ou have an adult patient with diabetes whose blood pressure is 145/95
mm Hg. Which stage of hypertension does this indicate?
normal pre-hypertension
, Stage I
Stage II - ANSWER - >Correct Answer:
Stage I
Stage I hypertension is characterized by a systolic pressure of 140 - 159
mm Hg and a diastolic pressure of 90 - 99 mm Hg. The treatment
recommendation for this stage is usually a thiazide diuretic and for
those with diabetes, either ACE inhibitors or ARBs, because of their
renal protective properties.
Clinical findings that are characteristic of asthma include all of the
following EXCEPT:
wheezing with and without associated respiratory infections a
congested cough worse during the day recurrent shortness of
breath with exercise a recurrent spasmodic cough that is worse
at night - ANSWER - >The Correct answer is:
a congested cough worse during the day
Choice B is the right answer. The asthmatic patient complains of a
cough that is worse at night and has little congestion or sputum
production. There is a history of wheezing and chest tightness,
shortness of breath with exercise, and symptoms that worsen after
airborne allergen exposure.
Which of the following is an example of objective data used for
diagnosis?
Patient reports being more tired than usual.
Patient reports having difficulty breathing.
