1|Page
NEWEST 2025 AANP (AMERICAN ASSOCIATION OF NURSE
PRACTITIONERS) BOARD EXAM WITH ACCURATE AND VERIFIED
QUESTIONS COVERING ADVANCED CLINICAL ASSESSMENT,
DIAGNOSTICS, TREATMENT PLANNING, AND EVIDENCE-BASED
PRACTICE FOR NURSE PRACTITIONER CERTIFICATION.
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ANSWER-follicle-
stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating
hormone (TSH).
Barlow's Maneuver - ANSWER-Feeling of a slip as the femoral head slips away from the
acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis - ANSWER-etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5,
odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH prep.
Treatment: oral diflucan or vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - ANSWER-Increased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption,
atrophic gastritis, and kidney disease
Bacterial Conjunctivitis tx - ANSWER-Eye drops or ointment: Polytrim, trimethoprim, polymyxin,
macrolide
,2|Page
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the presence
of bands is what kind of shift and prognosis? - ANSWER--Shift to the left
-Serious bacterial infection
Actinic Keratosis - ANSWER-Rough flat, dry crusty, erythematous papules or plaques. Scaly patch
of red brown skin caused by years of SUN exposure. Precursor to squamous cell carcinoma. Dx.
Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy.
A patient with macular degeneration has deficit vision in? - ANSWER-Central vision
Dacyrocystitis - ANSWER-Typical symptoms of acute tear duct infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no redness)
Pre-DM in children values - ANSWER-A1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention - ANSWER-- individual actions: eating nutritious diet, exercise, seatbelts, gun
safety. IMMUNIZATIONS
,3|Page
squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is -
ANSWER-wet mount that shows BV
trigeminal neuralgia manifests - ANSWER-electric shock facial pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. - ANSWER-postcoital bleeding
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: -
ANSWER-the meaning of a common proverb.
Auspitz sign - ANSWER-droplets of blood when scales removed = psoriasis
Bacterial vaginosis - ANSWER-etiology: unclear, likely polymicrobial, associated with G. vaginalis,
M. hominid, others.
thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy), itching
is occasionally present, pH 5-7(alkaline- no active bacilli in vagina), "fishy" smell, microscopic >
20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical, oral Flagyl, clindamycin
vaginal cream, oral tinidazole (Tindamax)
, 4|Page
CLUE CELLS, METRONIDAZOLE GEL OR ORAL, CLINDAMYCIN CREAM
Omeprazole (Prilosec) - ANSWER-interacts with with Warfarin (Coumadin),
diazepam (Valium),
Carbamazepine (Tegretol),
Pheytoin (Dilantin),
ketocanazole (Nizoral)
Viral Conjunctivitis tx - ANSWER-Antihistamine, decongestant drops (Trigluridine in herpes
conjunctivitis)
What is the common presentation of a navicular fracture? - ANSWER-Tenderness at the "N
spot," which is defined as the proximal dorsal portion of the navicular (see the image below).
This is the most important physical finding.
Melanoma - ANSWER-ABCDE: asymmetry, border irregularity, color variation, diameter greater
than .6 mm, elevation above skin level.
Type 2 DM in children values - ANSWER-A1C: >6.5%
Fasting: >126
2 hour GTT: >200
Random: >200
Central clearing lesion after camping trip flu like symptoms with muscle aches for several days
is? and treated by? - ANSWER-Lyme disease; doxycycline
NEWEST 2025 AANP (AMERICAN ASSOCIATION OF NURSE
PRACTITIONERS) BOARD EXAM WITH ACCURATE AND VERIFIED
QUESTIONS COVERING ADVANCED CLINICAL ASSESSMENT,
DIAGNOSTICS, TREATMENT PLANNING, AND EVIDENCE-BASED
PRACTICE FOR NURSE PRACTITIONER CERTIFICATION.
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ANSWER-follicle-
stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating
hormone (TSH).
Barlow's Maneuver - ANSWER-Feeling of a slip as the femoral head slips away from the
acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis - ANSWER-etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5,
odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH prep.
Treatment: oral diflucan or vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - ANSWER-Increased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption,
atrophic gastritis, and kidney disease
Bacterial Conjunctivitis tx - ANSWER-Eye drops or ointment: Polytrim, trimethoprim, polymyxin,
macrolide
,2|Page
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the presence
of bands is what kind of shift and prognosis? - ANSWER--Shift to the left
-Serious bacterial infection
Actinic Keratosis - ANSWER-Rough flat, dry crusty, erythematous papules or plaques. Scaly patch
of red brown skin caused by years of SUN exposure. Precursor to squamous cell carcinoma. Dx.
Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy.
A patient with macular degeneration has deficit vision in? - ANSWER-Central vision
Dacyrocystitis - ANSWER-Typical symptoms of acute tear duct infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no redness)
Pre-DM in children values - ANSWER-A1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention - ANSWER-- individual actions: eating nutritious diet, exercise, seatbelts, gun
safety. IMMUNIZATIONS
,3|Page
squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is -
ANSWER-wet mount that shows BV
trigeminal neuralgia manifests - ANSWER-electric shock facial pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. - ANSWER-postcoital bleeding
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: -
ANSWER-the meaning of a common proverb.
Auspitz sign - ANSWER-droplets of blood when scales removed = psoriasis
Bacterial vaginosis - ANSWER-etiology: unclear, likely polymicrobial, associated with G. vaginalis,
M. hominid, others.
thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy), itching
is occasionally present, pH 5-7(alkaline- no active bacilli in vagina), "fishy" smell, microscopic >
20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical, oral Flagyl, clindamycin
vaginal cream, oral tinidazole (Tindamax)
, 4|Page
CLUE CELLS, METRONIDAZOLE GEL OR ORAL, CLINDAMYCIN CREAM
Omeprazole (Prilosec) - ANSWER-interacts with with Warfarin (Coumadin),
diazepam (Valium),
Carbamazepine (Tegretol),
Pheytoin (Dilantin),
ketocanazole (Nizoral)
Viral Conjunctivitis tx - ANSWER-Antihistamine, decongestant drops (Trigluridine in herpes
conjunctivitis)
What is the common presentation of a navicular fracture? - ANSWER-Tenderness at the "N
spot," which is defined as the proximal dorsal portion of the navicular (see the image below).
This is the most important physical finding.
Melanoma - ANSWER-ABCDE: asymmetry, border irregularity, color variation, diameter greater
than .6 mm, elevation above skin level.
Type 2 DM in children values - ANSWER-A1C: >6.5%
Fasting: >126
2 hour GTT: >200
Random: >200
Central clearing lesion after camping trip flu like symptoms with muscle aches for several days
is? and treated by? - ANSWER-Lyme disease; doxycycline
