Page 1 of 37
AANP CERTIFICATION REAL EXAM
WITH BEST SOLUTIONS
A young child with asthma presents for follow-up
evaluation. After numerous changes in
medications and doses, the parents report that
the child continues to have difficulty with
coughing, especially during the night. Which of
the following conditions would be the most likely
cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis
gastroesophageal reflux
A 65-year-old woman presents for a follow-up
examination after a new patient visit. She has not
seen a healthcare provider for several years. She
is a smoker and her hypertension is now
adequately controlled with medication. Her
mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to
starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
, Page 2 of 37
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
A statin drug
The most commonly prescribed medication for
mild systemic lupus erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan).
ibuprofen (advil)
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.
postcoital bleeding
The nurse practitioner prescribes amitriptyline
(Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the
patient complains of urine retention and dry
, Page 3 of 37
mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen
(Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin
gabapentin (Neurontin).
discontinue amitriptyline and begin gabapentin
(neurontin)
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.
associated with the omeprazole
The medication of choice for the initial treatment
of juvenile rheumatoid arthritis is:
1. acetaminophen.
2. prednisone.
, Page 4 of 37
3. aspirin.
4. ibuprofen.
ibuprofen
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.
hemoglobin levels
A 90-year-old female is brought to the clinic by
her neighbor. She states that everything is fine,
but the nurse practitioner notes that she has poor
hygiene and bruises on her trunk. The neighbor
is concerned that the patient often has no money
to buy food, despite income from social security
and a coal miner's pension. The nurse
practitioner suspects abuse. Which of the
following is the nurse practitioner obligated to do
next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily
AANP CERTIFICATION REAL EXAM
WITH BEST SOLUTIONS
A young child with asthma presents for follow-up
evaluation. After numerous changes in
medications and doses, the parents report that
the child continues to have difficulty with
coughing, especially during the night. Which of
the following conditions would be the most likely
cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis
gastroesophageal reflux
A 65-year-old woman presents for a follow-up
examination after a new patient visit. She has not
seen a healthcare provider for several years. She
is a smoker and her hypertension is now
adequately controlled with medication. Her
mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to
starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
, Page 2 of 37
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
A statin drug
The most commonly prescribed medication for
mild systemic lupus erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan).
ibuprofen (advil)
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.
postcoital bleeding
The nurse practitioner prescribes amitriptyline
(Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the
patient complains of urine retention and dry
, Page 3 of 37
mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen
(Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin
gabapentin (Neurontin).
discontinue amitriptyline and begin gabapentin
(neurontin)
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.
associated with the omeprazole
The medication of choice for the initial treatment
of juvenile rheumatoid arthritis is:
1. acetaminophen.
2. prednisone.
, Page 4 of 37
3. aspirin.
4. ibuprofen.
ibuprofen
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.
hemoglobin levels
A 90-year-old female is brought to the clinic by
her neighbor. She states that everything is fine,
but the nurse practitioner notes that she has poor
hygiene and bruises on her trunk. The neighbor
is concerned that the patient often has no money
to buy food, despite income from social security
and a coal miner's pension. The nurse
practitioner suspects abuse. Which of the
following is the nurse practitioner obligated to do
next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily
