AANP ANCC CERTIFICATION
PRACTICE SET 2026 TESTED
QUESTIONS AND CORRECT
SOLUTIONS
◉ A patient, who is allergic to penicillin, requires antibiotic treatment
for community-acquired pneumonia. The patient has a limited income,
lacks health insurance, and is about to be discharged from the hospital.
An acute care nurse practitioner's intervention is to:
-consult social services for assistance.
-order an aerosol antibiotic.
-transfer the patient to an extended care facility.
-write a prescription for an antibiotic. Answer: consult social services
for assistance.
◉ A patient is scheduled for elective orthopedic surgery. During the
preadmission physical examination, the acute care nurse practitioner
detects an asymptomatic pulsatile mass in the middle upper abdomen.
The nurse practitioner's most appropriate action is to:
obtain a kidney-urethra-bladder x-ray.
obtain a renal arteriogram.
obtain an abdominal ultrasound.
, proceed with the patient's elective surgery. Answer: obtain an
abdominal ultrasound.
Abdominal Aortic aneurysm
◉ Which musculoskeletal disease primarily involves the distal joints,
hips, knees, and spine, and is characterized by the development of
Heberden and Bouchard nodes?
Gout
Osteoarthritis
Osteoporosis
Rheumatoid arthritis Answer: Osteoarthritis
Heberden: distal phalanges
Bouchard: proximal phalanges
Difference between OA and RA:
Heberden and Bouchard nodes are often seen in digits, they are bony
round growth near the joints, while rheumatoid nodules are more
common with arms and elbows underneath the skin, people with RA
later develop curving and bending of fingers.
◉ An acute care nurse practitioner is deciding whether to recommend a
long-term medication regimen that will help a patient manage disease
symptoms but may also introduce problematic side effects. This decision
reflects which ethical principle?
Autonomy
PRACTICE SET 2026 TESTED
QUESTIONS AND CORRECT
SOLUTIONS
◉ A patient, who is allergic to penicillin, requires antibiotic treatment
for community-acquired pneumonia. The patient has a limited income,
lacks health insurance, and is about to be discharged from the hospital.
An acute care nurse practitioner's intervention is to:
-consult social services for assistance.
-order an aerosol antibiotic.
-transfer the patient to an extended care facility.
-write a prescription for an antibiotic. Answer: consult social services
for assistance.
◉ A patient is scheduled for elective orthopedic surgery. During the
preadmission physical examination, the acute care nurse practitioner
detects an asymptomatic pulsatile mass in the middle upper abdomen.
The nurse practitioner's most appropriate action is to:
obtain a kidney-urethra-bladder x-ray.
obtain a renal arteriogram.
obtain an abdominal ultrasound.
, proceed with the patient's elective surgery. Answer: obtain an
abdominal ultrasound.
Abdominal Aortic aneurysm
◉ Which musculoskeletal disease primarily involves the distal joints,
hips, knees, and spine, and is characterized by the development of
Heberden and Bouchard nodes?
Gout
Osteoarthritis
Osteoporosis
Rheumatoid arthritis Answer: Osteoarthritis
Heberden: distal phalanges
Bouchard: proximal phalanges
Difference between OA and RA:
Heberden and Bouchard nodes are often seen in digits, they are bony
round growth near the joints, while rheumatoid nodules are more
common with arms and elbows underneath the skin, people with RA
later develop curving and bending of fingers.
◉ An acute care nurse practitioner is deciding whether to recommend a
long-term medication regimen that will help a patient manage disease
symptoms but may also introduce problematic side effects. This decision
reflects which ethical principle?
Autonomy
