ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
*CORE DOMAINS*
Advanced Pathophysiology
Advanced Pharmacology
Health Assessment & Diagnostic Reasoning
Primary Care Management (Adult & Geriatrics)
Pediatrics & Women’s Health
Psychiatry & Mental Health
Ethics, Legal & Professional Practice
Evidence-Based Practice & Clinical Guidelines
*INTRODUCTION*
The AANP certification examination evaluates the readiness of nurse practition
SECTION ONE (QUESTIONS 1–50)
,Question 1
A 58-year-old male with hypertension presents with persistent chest pain radiating to the
left arm. Which condition is most likely?
A. GERD
B. Myocardial infarction
C. Costochondritis
D. Panic attack
🟢 Correct Answer: B. Myocardial infarction
🔴 Explanation: Chest pain radiating to the left arm with risk factors strongly suggests
acute coronary syndrome.
Question 2
Which medication is first-line for type 2 diabetes mellitus?
A. Insulin glargine
B. Metformin
C. Glipizide
D. Pioglitazone
,🟢 Correct Answer: B. Metformin
🔴 Explanation: Metformin is first-line therapy unless contraindicated due to its efficacy
and safety profile.
Question 3
A child presents with barking cough and inspiratory stridor. Diagnosis?
A. Asthma
B. Bronchiolitis
C. Croup
D. Epiglottitis
🟢 Correct Answer: C. Croup
🔴 Explanation: Barking cough and stridor are classic for viral croup.
Question 4
Which lab is most specific for acute pancreatitis?
A. ALT
B. Amylase
, C. Lipase
D. ALP
🟢 Correct Answer: C. Lipase
🔴 Explanation: Lipase is more specific and remains elevated longer than amylase.
Question 5
A patient with COPD should avoid which medication class?
A. Beta-agonists
B. Anticholinergics
C. Non-selective beta-blockers
D. Corticosteroids
🟢 Correct Answer: C. Non-selective beta-blockers
🔴 Explanation: These can cause bronchoconstriction and worsen COPD symptoms.
Question 6
Which is the most common cause of community-acquired pneumonia?