AANP CERTIFICATION EXAM / 250 QUESTIONS AND
VERIFIED ANSWERS (2024 2025) 100% GUARANTEE
PASS
1. If your patient is in the catarrhal stage of pertussis, upon examination you
would find which of the following?: You would find mild upper respiratory symptoms
with cough. And mild conjunctival injection. It is really indistinguishable from the
common cold.
2. What would NOT be considered a typical finding in a geriatric patient?: Low
frequency hearing loss. A typical finding in a geriatric patient would be a high frequency
hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles,
fewer auditory neurons and atrophy of the hair cells results in sensorineural hearing loss.
3. Typical findings in a geriatric patient?: Thinner epidermis, dermis and
subcutaneous layers of skin, bright purple-colored patches on the forearms and hands,
opaque white ring at the periphery of the cornea
4. Risk factors for age-related macular degeneration: Tobacco use, aging, sun
exposure and family history
5. 5. Underweight BMI: <18.5
6. Normal BMI: 18.5-24.9
7. Overweight BMI: 25-29.9
8. Obese BMI: 30-39.9
9. Grossly obese BMI: >40
10. Pregnancy Category A Drugs: Vitamins and levothyroxine
11. Pregnancy Category B Drugs: Acetaminophen, ibuprofen, penicillins,
cephalosporins, and azithromycin and erythromycin antibiotics.
12. A geriatric patient who has a 40 pack-year smoking history complains of
painful cramping in the leg muscles that occurs after walking for 20 minutes.
After taking a complete history and performing a physical exam, an NP decides
that the most likely diagnosis is?: Intermittent claudication 13. What is a common
cause of acne?: Increase in androgens
14. In a 19-year-old who presents with a sore throat and anterior cervical
adenopathy, which causative agent would be suspected?: Group A beta-
hemolytic Streptococcus
15. When completing the initial assessment for depression in geriatric adults, the
NP should evaluate?: Mental status exam
16. What is the most common risk factor for developing severe hyperbilirubinemia
in the newborn?: Blood incompatibility with the mother
,17. Which trimester of pregnancy is a woman with a fundal height measurement at
the umbilicus?: Second
18. Which of the following conditions exacerbate urinary incontinence?: Impacted
stool and atrophic vaginitis
19. An adult patient presents with a 2-day history of intermittent stabbing chest
pain that worsens with deep breaths. The patient reports a nonproductive
cough and no fever for several days, and denies trauma, palpitations or GI
symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals
localized chest wall tenderness at the costal margin. EKG and CXR normal.
The most likely diagnosis is?: Costchondritis
20. The most common skin cancer is?: Basal cell carcinoma
21. What is true regarding depression in the elderly?: Depression can be induced by
prescribed and OTC medications
22. Acute otitis media has what characteristics?: Loss of ossicular landmarks on the
TM
23. What constellations of symptoms, lasting more than 3 months, is MOST
common in fibromyalgia?: Diffuse pain, sleep abnormality, fatigue
24. An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use.
He has a sedentary lifestyle and no family history of DM. VS normal, BMI =
31. What diabetes screening tests would an NP order?: Fasting plasma glucose 25. An
adolescent presents for a preparticipation athlete exam. In determining clearance
for participation in sports, what should be considered?: Characteristics of the sport
26. Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot
drop are signs of?: Cauda equina syndrome
27. The NP would suspect what person to be at the highest risk for Rocky
Mountain spotted fever?: A 40-year old male who is living in a wooded area raising
dogs
28. What condition is associated with the development of type 2 DM?: Delivery of a
neonate weighing 9 lb or greater
29. What condition is a risk factor for development of DVT and PE?: Visceral
malignancy
30. Research studies indicate that ED in geriatric patients is a common
complication in?: Vascular disease
31. What neuro signs are characteristic of the patient with AD?: Gait disorder and
impaired stereognosis
32. A frail elderly male patient complains of difficulty with urination. The
International Prostate Symptom Score can assist with decisions regarding the
diagnosis of BPH. What symptom is consistent with the items on this scale?:
Nocturia
, .
33. The best medication for a patient who complains of IBS with cramping is?:
Dicyclomine (Bentyl)
34. Major causes of CKD include?: Amyloidosis and SLE
35 A risk factor postmeno osteoporosis is?: History of tobacco use
36. An NP considering referral of a frail elderly patient for hospice care
understands that?: Documentation of limited life expectancy is a prerequisite
37. The sound intensity of a grade III/VI hear murmur is typically described as?:
Medium intensity
38. What is associated with decreased risk of breast cancer?: Breast feeding 39. An
adult patient present with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hep B 30 years ago. What hep B serology testing
results would indicate that the patient has chronic hepatitis?: HBsAG = positive,
IgM anti-HBc = negative
40. A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR
should be evaluated for?: Multiple myeloma
41. An older adult female presents with severe pain. She reports malaise, and
periodic itching and burning on her chest wall. PE reveals a small area of
hyperesthesia in a linear fashion. The most likely diagnosis is?: Herpes zoster 42. An
adult female presents complaining of an increase in a malodorous vaginal discharge
that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5,
presence of clue cells on the wet mount, and a positive whiff test. The most
appropriate diagnosis is?: BV
43. An adult patient presents with a painless ulcer in the genital area and
enlarged lymph nodes in the groin. The NP suspects?: Syphilis
44. An elderly retired farmed presents with a dome-shaped, pearly, firm nodule
with telangiectasia on the side of his nose. An NP would recognize the nodule as a?:
Basal cell carcinoma
45. A child presents wit a reddened right eye. His mother states that he has been
complaining of watering eyes with no purulent drainage. On exam, an enlarged
preauricular node is identified. The NP should suspect:: Viral conjunctivitis
46. A late adolescent football player presents to the UC with an acute knee injury.
He heard a pop when his knee buckled. The NP notes a positive anterior drawer
test. The most likely diagnosis is injury to the?: ACL
47. A geriatric female complains of problems with urination. She reports that
whenever she feels the need to urinate, she is unable to "make it to the bathroom in
time," and wets herself. Which type of incontinence is most likely?: Urge
48. An early adolescent patient who plays football presents to clinic after a
football practice complaining of limping due to anterior left knee pain. The pain has
gradually increased over the past 2 weeks but is relieved with rest. The patient
VERIFIED ANSWERS (2024 2025) 100% GUARANTEE
PASS
1. If your patient is in the catarrhal stage of pertussis, upon examination you
would find which of the following?: You would find mild upper respiratory symptoms
with cough. And mild conjunctival injection. It is really indistinguishable from the
common cold.
2. What would NOT be considered a typical finding in a geriatric patient?: Low
frequency hearing loss. A typical finding in a geriatric patient would be a high frequency
hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles,
fewer auditory neurons and atrophy of the hair cells results in sensorineural hearing loss.
3. Typical findings in a geriatric patient?: Thinner epidermis, dermis and
subcutaneous layers of skin, bright purple-colored patches on the forearms and hands,
opaque white ring at the periphery of the cornea
4. Risk factors for age-related macular degeneration: Tobacco use, aging, sun
exposure and family history
5. 5. Underweight BMI: <18.5
6. Normal BMI: 18.5-24.9
7. Overweight BMI: 25-29.9
8. Obese BMI: 30-39.9
9. Grossly obese BMI: >40
10. Pregnancy Category A Drugs: Vitamins and levothyroxine
11. Pregnancy Category B Drugs: Acetaminophen, ibuprofen, penicillins,
cephalosporins, and azithromycin and erythromycin antibiotics.
12. A geriatric patient who has a 40 pack-year smoking history complains of
painful cramping in the leg muscles that occurs after walking for 20 minutes.
After taking a complete history and performing a physical exam, an NP decides
that the most likely diagnosis is?: Intermittent claudication 13. What is a common
cause of acne?: Increase in androgens
14. In a 19-year-old who presents with a sore throat and anterior cervical
adenopathy, which causative agent would be suspected?: Group A beta-
hemolytic Streptococcus
15. When completing the initial assessment for depression in geriatric adults, the
NP should evaluate?: Mental status exam
16. What is the most common risk factor for developing severe hyperbilirubinemia
in the newborn?: Blood incompatibility with the mother
,17. Which trimester of pregnancy is a woman with a fundal height measurement at
the umbilicus?: Second
18. Which of the following conditions exacerbate urinary incontinence?: Impacted
stool and atrophic vaginitis
19. An adult patient presents with a 2-day history of intermittent stabbing chest
pain that worsens with deep breaths. The patient reports a nonproductive
cough and no fever for several days, and denies trauma, palpitations or GI
symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals
localized chest wall tenderness at the costal margin. EKG and CXR normal.
The most likely diagnosis is?: Costchondritis
20. The most common skin cancer is?: Basal cell carcinoma
21. What is true regarding depression in the elderly?: Depression can be induced by
prescribed and OTC medications
22. Acute otitis media has what characteristics?: Loss of ossicular landmarks on the
TM
23. What constellations of symptoms, lasting more than 3 months, is MOST
common in fibromyalgia?: Diffuse pain, sleep abnormality, fatigue
24. An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use.
He has a sedentary lifestyle and no family history of DM. VS normal, BMI =
31. What diabetes screening tests would an NP order?: Fasting plasma glucose 25. An
adolescent presents for a preparticipation athlete exam. In determining clearance
for participation in sports, what should be considered?: Characteristics of the sport
26. Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot
drop are signs of?: Cauda equina syndrome
27. The NP would suspect what person to be at the highest risk for Rocky
Mountain spotted fever?: A 40-year old male who is living in a wooded area raising
dogs
28. What condition is associated with the development of type 2 DM?: Delivery of a
neonate weighing 9 lb or greater
29. What condition is a risk factor for development of DVT and PE?: Visceral
malignancy
30. Research studies indicate that ED in geriatric patients is a common
complication in?: Vascular disease
31. What neuro signs are characteristic of the patient with AD?: Gait disorder and
impaired stereognosis
32. A frail elderly male patient complains of difficulty with urination. The
International Prostate Symptom Score can assist with decisions regarding the
diagnosis of BPH. What symptom is consistent with the items on this scale?:
Nocturia
, .
33. The best medication for a patient who complains of IBS with cramping is?:
Dicyclomine (Bentyl)
34. Major causes of CKD include?: Amyloidosis and SLE
35 A risk factor postmeno osteoporosis is?: History of tobacco use
36. An NP considering referral of a frail elderly patient for hospice care
understands that?: Documentation of limited life expectancy is a prerequisite
37. The sound intensity of a grade III/VI hear murmur is typically described as?:
Medium intensity
38. What is associated with decreased risk of breast cancer?: Breast feeding 39. An
adult patient present with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hep B 30 years ago. What hep B serology testing
results would indicate that the patient has chronic hepatitis?: HBsAG = positive,
IgM anti-HBc = negative
40. A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR
should be evaluated for?: Multiple myeloma
41. An older adult female presents with severe pain. She reports malaise, and
periodic itching and burning on her chest wall. PE reveals a small area of
hyperesthesia in a linear fashion. The most likely diagnosis is?: Herpes zoster 42. An
adult female presents complaining of an increase in a malodorous vaginal discharge
that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5,
presence of clue cells on the wet mount, and a positive whiff test. The most
appropriate diagnosis is?: BV
43. An adult patient presents with a painless ulcer in the genital area and
enlarged lymph nodes in the groin. The NP suspects?: Syphilis
44. An elderly retired farmed presents with a dome-shaped, pearly, firm nodule
with telangiectasia on the side of his nose. An NP would recognize the nodule as a?:
Basal cell carcinoma
45. A child presents wit a reddened right eye. His mother states that he has been
complaining of watering eyes with no purulent drainage. On exam, an enlarged
preauricular node is identified. The NP should suspect:: Viral conjunctivitis
46. A late adolescent football player presents to the UC with an acute knee injury.
He heard a pop when his knee buckled. The NP notes a positive anterior drawer
test. The most likely diagnosis is injury to the?: ACL
47. A geriatric female complains of problems with urination. She reports that
whenever she feels the need to urinate, she is unable to "make it to the bathroom in
time," and wets herself. Which type of incontinence is most likely?: Urge
48. An early adolescent patient who plays football presents to clinic after a
football practice complaining of limping due to anterior left knee pain. The pain has
gradually increased over the past 2 weeks but is relieved with rest. The patient
