AANP STUDY GUIDE NEWEST (2025/2026) VERSION
WITH FREQUENTLY TESTED QUESTIONS
CORRECT DETAILED AND VERIFIED ANSWERS|
Page | 1
GURANTEED PASS| TOP RATED A+.
AANP STUDY GUIDE
Pass the AANP exam 2025/2026 with confidence. This exam resource
features questions in areas like: assessment, diagnosis, pharmacology, and
patient management. This study guide is perfect for nurse practitioner
graduates preparing for national certification.
What age and how often for skin screening? ....... ANSWER
........Skin: 20 - 39 every 3 yrs; >40 annually
What age and how often for self-breast exams? Complete-breast
exams? ....... ANSWER ........Breast exam: 18+ SBE monthly; 20 - 39
CBE every 3 yrs; 40+ annually CBE
What age and how often for mammograms? ....... ANSWER
........Mammogram: 40 1st; 40 - 49, every 1-2 yrs; 50+ annually
What age and how often for pelvic exams? ....... ANSWER ........Pelvic
exam: 18 - 39 - every 1-3 yrs; 40+ annually
What age and how often for pap smears? ....... ANSWER ........Pap
smear: initially age 21, then every 3 years/ if HPV typing then every 5
years
, What age and how often for digital rectal exams (DRE)? .......
ANSWER ........DRE: 50+ annually
Page | 2
What age and how often for colonoscopy? ....... ANSWER
........Colonoscopy: 35 - 40 every 3 - 5 yrs if Family Hx
What age and how often for cholesterol testing? ....... ANSWER
........Cholesterol test: 19+ every 5 yrs; 64+ every 3 - 5 yrs
What age and how often for TSH screening? ....... ANSWER
........TSH: >65 every 3 - 5 yrs; <65 if autoimmune or Family Hx
What age and how often for HbA1C screening? ....... ANSWER
........GTT or HgbA1C: 45+ every 3 - 5 yrs or if high-risk
(obesity/Family Hx)
ACHES acronym for patients on oral contraceptives. ....... ANSWER
........Abdominal pain, Chest pain, Head pain, Eye (vision) loss or
changes, Severe leg pain
In addition to ACHES, what else should you assess for on a patient
taking oral contraceptives? ....... ANSWER ........Also assess BTB
(break-through bleeding), spotting, irregular bleeding (when during the
cycle the bleeding is occurring).
, How often is Depo-provera given? How does it work? What are the main
concerns with it? How long should it be taken? ....... ANSWER
........Depo-Provera: IM injection every 3 months; suppresses FSH &
Page | 3 LH; reported osteoporosis &
reduced bone mineral density; maximum use for two years. Assess
bone density in patients as
baseline if on long term or have been on for longer than 3 years. Not
recommended to take for
longer than a 2 year period without a break.
The biggest gain in reducing cervical cancer incidence and mortality can
by achieved by what means? ....... ANSWER ........Screening women
rarely or never screened.
What is The Bethesda System (TBS) used for? ....... ANSWER
........The system increases the communication between the health
professional who does the Pap test and
the laboratory specialist (cytologist) who examines the cervical cells. It
provides information about
the quality of the cell sample and the types of cell changes found.
What is the "sensitivity" of a test? ....... ANSWER ........Sensitivity is
the percentage of people with a disease
or condition who have a positive test.
, What is the "specificity of a test? ....... ANSWER ........Specificity is
the percentage of people with no disease who have a negative test.
Page | 4
What is a Pap Smear's purpose? ....... ANSWER ........screening test
for abnormal/atypical cells suggesting actual
or possible preinvasive cervical neoplastic changes
Which HPV viruses account for most cervical cancer and what %? .......
ANSWER ........HPV 16 & 18 accounts for 70% of all cervical cancer.
Smooth "beefy red" tongue, pale conjunctivae, macrocytic, hypochromic
is _______ deficiency. ....... ANSWER ........Vitamin B12 Deficiency
How much will HCT raise (if no bleeding is present) with 1 unit of blood?
....... ANSWER ........Hematocrit will raise 3% for each unit of prbc's
given
Hemic Murmur (blood murmur) ....... ANSWER ........a cardiac or
vascular murmur heard in anemic persons who have no valvular lesion,
probably due to the increased blood velocity and turbulence that
characterizes anemia. Will resolve on treatment of the anemia.
Microcytic, hypochromic, with an elevated RDW is _____ anemia. .......
ANSWER ........Iron deficiency anemia
WITH FREQUENTLY TESTED QUESTIONS
CORRECT DETAILED AND VERIFIED ANSWERS|
Page | 1
GURANTEED PASS| TOP RATED A+.
AANP STUDY GUIDE
Pass the AANP exam 2025/2026 with confidence. This exam resource
features questions in areas like: assessment, diagnosis, pharmacology, and
patient management. This study guide is perfect for nurse practitioner
graduates preparing for national certification.
What age and how often for skin screening? ....... ANSWER
........Skin: 20 - 39 every 3 yrs; >40 annually
What age and how often for self-breast exams? Complete-breast
exams? ....... ANSWER ........Breast exam: 18+ SBE monthly; 20 - 39
CBE every 3 yrs; 40+ annually CBE
What age and how often for mammograms? ....... ANSWER
........Mammogram: 40 1st; 40 - 49, every 1-2 yrs; 50+ annually
What age and how often for pelvic exams? ....... ANSWER ........Pelvic
exam: 18 - 39 - every 1-3 yrs; 40+ annually
What age and how often for pap smears? ....... ANSWER ........Pap
smear: initially age 21, then every 3 years/ if HPV typing then every 5
years
, What age and how often for digital rectal exams (DRE)? .......
ANSWER ........DRE: 50+ annually
Page | 2
What age and how often for colonoscopy? ....... ANSWER
........Colonoscopy: 35 - 40 every 3 - 5 yrs if Family Hx
What age and how often for cholesterol testing? ....... ANSWER
........Cholesterol test: 19+ every 5 yrs; 64+ every 3 - 5 yrs
What age and how often for TSH screening? ....... ANSWER
........TSH: >65 every 3 - 5 yrs; <65 if autoimmune or Family Hx
What age and how often for HbA1C screening? ....... ANSWER
........GTT or HgbA1C: 45+ every 3 - 5 yrs or if high-risk
(obesity/Family Hx)
ACHES acronym for patients on oral contraceptives. ....... ANSWER
........Abdominal pain, Chest pain, Head pain, Eye (vision) loss or
changes, Severe leg pain
In addition to ACHES, what else should you assess for on a patient
taking oral contraceptives? ....... ANSWER ........Also assess BTB
(break-through bleeding), spotting, irregular bleeding (when during the
cycle the bleeding is occurring).
, How often is Depo-provera given? How does it work? What are the main
concerns with it? How long should it be taken? ....... ANSWER
........Depo-Provera: IM injection every 3 months; suppresses FSH &
Page | 3 LH; reported osteoporosis &
reduced bone mineral density; maximum use for two years. Assess
bone density in patients as
baseline if on long term or have been on for longer than 3 years. Not
recommended to take for
longer than a 2 year period without a break.
The biggest gain in reducing cervical cancer incidence and mortality can
by achieved by what means? ....... ANSWER ........Screening women
rarely or never screened.
What is The Bethesda System (TBS) used for? ....... ANSWER
........The system increases the communication between the health
professional who does the Pap test and
the laboratory specialist (cytologist) who examines the cervical cells. It
provides information about
the quality of the cell sample and the types of cell changes found.
What is the "sensitivity" of a test? ....... ANSWER ........Sensitivity is
the percentage of people with a disease
or condition who have a positive test.
, What is the "specificity of a test? ....... ANSWER ........Specificity is
the percentage of people with no disease who have a negative test.
Page | 4
What is a Pap Smear's purpose? ....... ANSWER ........screening test
for abnormal/atypical cells suggesting actual
or possible preinvasive cervical neoplastic changes
Which HPV viruses account for most cervical cancer and what %? .......
ANSWER ........HPV 16 & 18 accounts for 70% of all cervical cancer.
Smooth "beefy red" tongue, pale conjunctivae, macrocytic, hypochromic
is _______ deficiency. ....... ANSWER ........Vitamin B12 Deficiency
How much will HCT raise (if no bleeding is present) with 1 unit of blood?
....... ANSWER ........Hematocrit will raise 3% for each unit of prbc's
given
Hemic Murmur (blood murmur) ....... ANSWER ........a cardiac or
vascular murmur heard in anemic persons who have no valvular lesion,
probably due to the increased blood velocity and turbulence that
characterizes anemia. Will resolve on treatment of the anemia.
Microcytic, hypochromic, with an elevated RDW is _____ anemia. .......
ANSWER ........Iron deficiency anemia
