AANP Final Exam Newest 2025 Actual Exam Test Bank
AANP FINAL EXAM NEWEST 2025 ACTUAL EXAM TEST BANK ACTUAL
EXAM 450 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ||ALREADY GRADED A+||BRAND NEW VERSION!!
A 6-year-old patient presents to the clinic accompanied by his mother, who reports concerns
regarding her child's progressive urinary issues. The patient's mother states that she and the
child's father recently divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary incontinence and holds his
stomach as if he is in pain. He frequently asks to use the bathroom but is scared of urination
once he is there. Which of the following is the most likely diagnosis?
A.
Adjustment disorder
B.
Constipation
C.
Regression
D.
Urinary tract infection - ANSWER-D. Urinary tract infection
The most likely diagnosis is a urinary tract infection (D). His clinical presentation includes
abdominal pain, urinary frequency, and dysuria, which are signs of cystitis in children, which is
considered a lower urinary tract infection (UTI). Pyelonephritis is a complicated form of UTI that
may present with persistent fever, flank pain, or vomiting.
1|Page
, AANP Final Exam Newest 2025 Actual Exam Test Bank
A 12-year-old girl presents to the clinic with her parent, who is concerned about the C-shaped
appearance of the girl's spine. The degree of curvature in her spine is 35 degrees. Which of the
following is appropriate to educate the parent?
A.
"Your daughter's spine has a mild curve but does not require treatment and will likely resolve on
its own."
B.
"Your daughter's spine has a mild curve, so we will watch and wait to see if it worsens. If so,
treatment will be necessary."
C.
"Your daughter's spine has moderate curvature, so we will need to place her in a brace as
treatment."
D.
"Your daughter's spine has severe curvature, so we will need to refer her for surgery as soon as
possible. - ANSWER-C. "Your daughter's spine has moderate curvature, so we will need to place
her in a brace as treatment."
Scoliosis is a complex spinal deformity defined as a curve in the spine of at least 10 degrees. A
curvature of 25 to 40 degrees is considered moderate scoliosis, and most cases require bracing
for correction (C). Braces are offered for treatment in patients who are skeletally immature and
have curves > 30 degrees at the first visit. Bracing is considered ineffective if the curvature is >
45 degrees because the patient has reached the threshold for surgical intervention. In male
patients, the brace is worn until they stop growing, and in female patients, the brace is worn
more than 1.5 years postmenarch or until the patient has grown < 1 cm over the previous 6
months.
2|Page
, AANP Final Exam Newest 2025 Actual Exam Test Bank
An 11-year-old patient reports a severe sore throat, fever, nausea, and headache. Upon exam,
the nurse practitioner sees a strawberry red pharynx with petechiae on the hard palate. The
remainder of the exam is benign. What would be the best initial test to order for this patient?
A.
Epstein-Barr virus panel
B.
Nucleic acid amplification test
C.
Rapid antigen detection test
D.
Rapid plasma reagin test - ANSWER-C. Rapid antigen detection test
The patient in the above scenario is exhibiting signs of an acute group A streptococcal
pharyngitis infection. Group A Streptococcus infections are the most common cause of bacterial
pharyngitis in children and adolescents. Children typically present with the abrupt onset of
pharyngitis, fever, headache, abdominal pain or nausea, and vomiting. Physical exam findings
include throat erythema, palatal petechiae, enlarged or erythematous tonsils, enlarged anterior
cervical lymph nodes, and a scarlatiniform rash. The gold standard for testing a patient with
suspected group A streptococcal pharyngitis is a rapid antigen detection test (C). These tests
provide quick, highly specific results and are readily available in most care centers. Because the
sensitivity of the rapid antigen detection tests is a little lower, 70-90%, if a child initially tests
negative, a confirmatory throat culture should be sent as a follow-up.
All of the following are potential secondary causes of hyperparathyroidism except:
3|Page
, AANP Final Exam Newest 2025 Actual Exam Test Bank
A.
Chronic kidney disease
B.
Neck radiation exposure
C.
Parathyroid adenoma
D.
Vitamin D deficiency - ANSWER-C. Parathyroid adenoma
Secondary hyperparathyroidism occurs when an issue external to the parathyroid lowers
calcium levels. This can be due to chronic kidney disease (especially end-stage kidney disease), a
vitamin D deficiency, or neck radiation exposure. Primary causes of hyperparathyroidism are
due to an issue with the parathyroid itself, such as a parathyroid adenoma (C).
A patient recently diagnosed with primary adrenal insufficiency (Addison disease) requests
additional education on this condition. Which of the following teaching statements is
inaccurate?
A.
"If a potential Addisonian crisis goes untreated, it may lead to severe hypotension and organ
failure"
B.
"It is necessary to keep your IM hydrocortisone injection with you at all times"
4|Page
AANP FINAL EXAM NEWEST 2025 ACTUAL EXAM TEST BANK ACTUAL
EXAM 450 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ||ALREADY GRADED A+||BRAND NEW VERSION!!
A 6-year-old patient presents to the clinic accompanied by his mother, who reports concerns
regarding her child's progressive urinary issues. The patient's mother states that she and the
child's father recently divorced, and the child alternates weekly between her house and his
father's house. She reports he experiences episodes of urinary incontinence and holds his
stomach as if he is in pain. He frequently asks to use the bathroom but is scared of urination
once he is there. Which of the following is the most likely diagnosis?
A.
Adjustment disorder
B.
Constipation
C.
Regression
D.
Urinary tract infection - ANSWER-D. Urinary tract infection
The most likely diagnosis is a urinary tract infection (D). His clinical presentation includes
abdominal pain, urinary frequency, and dysuria, which are signs of cystitis in children, which is
considered a lower urinary tract infection (UTI). Pyelonephritis is a complicated form of UTI that
may present with persistent fever, flank pain, or vomiting.
1|Page
, AANP Final Exam Newest 2025 Actual Exam Test Bank
A 12-year-old girl presents to the clinic with her parent, who is concerned about the C-shaped
appearance of the girl's spine. The degree of curvature in her spine is 35 degrees. Which of the
following is appropriate to educate the parent?
A.
"Your daughter's spine has a mild curve but does not require treatment and will likely resolve on
its own."
B.
"Your daughter's spine has a mild curve, so we will watch and wait to see if it worsens. If so,
treatment will be necessary."
C.
"Your daughter's spine has moderate curvature, so we will need to place her in a brace as
treatment."
D.
"Your daughter's spine has severe curvature, so we will need to refer her for surgery as soon as
possible. - ANSWER-C. "Your daughter's spine has moderate curvature, so we will need to place
her in a brace as treatment."
Scoliosis is a complex spinal deformity defined as a curve in the spine of at least 10 degrees. A
curvature of 25 to 40 degrees is considered moderate scoliosis, and most cases require bracing
for correction (C). Braces are offered for treatment in patients who are skeletally immature and
have curves > 30 degrees at the first visit. Bracing is considered ineffective if the curvature is >
45 degrees because the patient has reached the threshold for surgical intervention. In male
patients, the brace is worn until they stop growing, and in female patients, the brace is worn
more than 1.5 years postmenarch or until the patient has grown < 1 cm over the previous 6
months.
2|Page
, AANP Final Exam Newest 2025 Actual Exam Test Bank
An 11-year-old patient reports a severe sore throat, fever, nausea, and headache. Upon exam,
the nurse practitioner sees a strawberry red pharynx with petechiae on the hard palate. The
remainder of the exam is benign. What would be the best initial test to order for this patient?
A.
Epstein-Barr virus panel
B.
Nucleic acid amplification test
C.
Rapid antigen detection test
D.
Rapid plasma reagin test - ANSWER-C. Rapid antigen detection test
The patient in the above scenario is exhibiting signs of an acute group A streptococcal
pharyngitis infection. Group A Streptococcus infections are the most common cause of bacterial
pharyngitis in children and adolescents. Children typically present with the abrupt onset of
pharyngitis, fever, headache, abdominal pain or nausea, and vomiting. Physical exam findings
include throat erythema, palatal petechiae, enlarged or erythematous tonsils, enlarged anterior
cervical lymph nodes, and a scarlatiniform rash. The gold standard for testing a patient with
suspected group A streptococcal pharyngitis is a rapid antigen detection test (C). These tests
provide quick, highly specific results and are readily available in most care centers. Because the
sensitivity of the rapid antigen detection tests is a little lower, 70-90%, if a child initially tests
negative, a confirmatory throat culture should be sent as a follow-up.
All of the following are potential secondary causes of hyperparathyroidism except:
3|Page
, AANP Final Exam Newest 2025 Actual Exam Test Bank
A.
Chronic kidney disease
B.
Neck radiation exposure
C.
Parathyroid adenoma
D.
Vitamin D deficiency - ANSWER-C. Parathyroid adenoma
Secondary hyperparathyroidism occurs when an issue external to the parathyroid lowers
calcium levels. This can be due to chronic kidney disease (especially end-stage kidney disease), a
vitamin D deficiency, or neck radiation exposure. Primary causes of hyperparathyroidism are
due to an issue with the parathyroid itself, such as a parathyroid adenoma (C).
A patient recently diagnosed with primary adrenal insufficiency (Addison disease) requests
additional education on this condition. Which of the following teaching statements is
inaccurate?
A.
"If a potential Addisonian crisis goes untreated, it may lead to severe hypotension and organ
failure"
B.
"It is necessary to keep your IM hydrocortisone injection with you at all times"
4|Page
