1
AANP Practice Questions and Verified
Questions 2025-2026 Edition. Graded A
A 12-year-old with sickle cell anemia has recently experienced a sickle cell
crisis and presents for a follow-up examination after a recent
hospitalization. It is most important to continue monitoring growth,
development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - ANS hemoglobin levels
A 13-year-old is concerned because she has not yet begun to menstruate.
Physical examination indicates that the patient is at Tanner stage IV and is
of average height and weight. Which of the following would be the most
appropriate response to this patient?
1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
4. "Your development is exactly as expected for your age; you'll probably
begin to have periods within a year." - ANS"Your development is exactly as
expected for your age; you'll probably begin to have periods within a year."
1
, 2
A 16-year-old female adolescent is brought to the nurse practitioner's office
by her mother, who is concerned about her daughter's recent weight loss.
History reveals that the daughter was consistently in the 50th percentile for
weight, but is now in the 10th percentile. The mother states that she is
concerned that her daughter is purging herself after meals since she often
goes to the restroom after eating and remains there for a long period of
time. The daughter denies any self-induced vomiting, starvation or
excessive activity. She does state that she jogs five miles a day and is in
good condition. In addition to a complete blood count with differential,
which of the following laboratory tests will be most helpful for further
assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt - ANSelectrolytes, blood urea nitrogen (BUN)/creatinine,
urinalysis
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID
and omeprazole (Prilosec). The patient complains of headache, abdominal
pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - ANSassociated with the omeprazole
2
, 3
A 19-year-old patient who has used oral contraceptives for 3 years plans to
discontinue the pill at the end of her current cycle to become pregnant.
Which of the following daily supplements would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin - ANSfolic acid
A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On physical examination
today, his vital signs reveal P = 120 and capillary refill of 3 seconds. The
patient's eyes are sunken and his extremities are mottled and cool to the
touch. The treatment plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output. -
ANShospitalization for IV fluid replacement
A 26-year-old female presents with abdominal distention, bloating, and
intermittent crampy abdominal pain relieved by defecation. She has four to
six loose stools a day when stressed. Between bouts of diarrhea, she often
has constipation. Physical examination results are normal. The CBC was
normal. The most likely diagnosis is:
3
AANP Practice Questions and Verified
Questions 2025-2026 Edition. Graded A
A 12-year-old with sickle cell anemia has recently experienced a sickle cell
crisis and presents for a follow-up examination after a recent
hospitalization. It is most important to continue monitoring growth,
development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - ANS hemoglobin levels
A 13-year-old is concerned because she has not yet begun to menstruate.
Physical examination indicates that the patient is at Tanner stage IV and is
of average height and weight. Which of the following would be the most
appropriate response to this patient?
1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
4. "Your development is exactly as expected for your age; you'll probably
begin to have periods within a year." - ANS"Your development is exactly as
expected for your age; you'll probably begin to have periods within a year."
1
, 2
A 16-year-old female adolescent is brought to the nurse practitioner's office
by her mother, who is concerned about her daughter's recent weight loss.
History reveals that the daughter was consistently in the 50th percentile for
weight, but is now in the 10th percentile. The mother states that she is
concerned that her daughter is purging herself after meals since she often
goes to the restroom after eating and remains there for a long period of
time. The daughter denies any self-induced vomiting, starvation or
excessive activity. She does state that she jogs five miles a day and is in
good condition. In addition to a complete blood count with differential,
which of the following laboratory tests will be most helpful for further
assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt - ANSelectrolytes, blood urea nitrogen (BUN)/creatinine,
urinalysis
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID
and omeprazole (Prilosec). The patient complains of headache, abdominal
pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - ANSassociated with the omeprazole
2
, 3
A 19-year-old patient who has used oral contraceptives for 3 years plans to
discontinue the pill at the end of her current cycle to become pregnant.
Which of the following daily supplements would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin - ANSfolic acid
A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On physical examination
today, his vital signs reveal P = 120 and capillary refill of 3 seconds. The
patient's eyes are sunken and his extremities are mottled and cool to the
touch. The treatment plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output. -
ANShospitalization for IV fluid replacement
A 26-year-old female presents with abdominal distention, bloating, and
intermittent crampy abdominal pain relieved by defecation. She has four to
six loose stools a day when stressed. Between bouts of diarrhea, she often
has constipation. Physical examination results are normal. The CBC was
normal. The most likely diagnosis is:
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