AANP Exam QUESTION BANK (SARAH MICHELLE’S) | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
A patient tells the nurse practitioner that she recently started taking the
supplement St. John's wort after reading about its benefits online. Which of
the following medications, if being actively consumed, must be
immediately stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glucophage)
D. Sumatriptan (Imitrex) - (ANSWERS)D. Sumatriptan (imitrex)
Sumatriptan (Imitrex) (D) is a medication used to treat migraines and
belongs to a drug class known as serotonin agonists. When used in
conjunction with St. John's wort, it may increase the risk of serotonin
syndrome, a potentially life-threatening condition.
Which of the following is not a symptom of both major depressive disorder
and post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty - (ANSWERS)B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major
depressive disorder (MDD) may also include symptoms of depressed mood,
,AANP Exam QUESTION BANK (SARAH MICHELLE’S) | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
anhedonia, weight loss or gain, and low energy. However, hypervigilance
(B) is not a symptom associated with this diagnosis.
A patient with type 1 diabetes presents for a follow-up visit. He has been
stable on his medication regimen but is worried because he is between jobs
and will be without health insurance coverage for a few months. He asks if
there are less expensive insulin options to get him through this time. Which
of the following would be good options for this patient, given his
circumstance?
Incorrect
A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec - (ANSWERS)Insulin Isophane
The least expensive insulin type listed in this question is insulin isophane
(C) (neutral protamine Hagedorn insulin). There are also often pharmacy-
specific coupons that can be used on insulin, so helping patients apply for
,AANP Exam QUESTION BANK (SARAH MICHELLE’S) | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
and navigate these programs can be instrumental in managing their diabetes.
Another inexpensive option is regular insulin.Insulin analogs (glargine,
detemir, degludec, lispro, and aspart) are significantly more expensive than
human insulin (isophane, regular). Insulins modified by manufacturers,
especially when sold as brand-name medications, tend to be more expensive
due to this modification. While analogs offer alternate lengths of action and
convenience, there is no well-documented clinical evidence that patient
outcomes are improved with differing brands. Therefore, maintaining a
patient's blood glucose level through outcome-focused treatment is more
valuable than a process-focused plan based on medication.
A 40-year-old woman with type 2 diabetes presents to the clinic with
concerns of spiking blood sugar between lunch and dinner. She states she is
on a rapid-acting insulin sliding scale and long-acting insulin. Which
change should be implemented to help prevent or curb this glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
, AANP Exam QUESTION BANK (SARAH MICHELLE’S) | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner -
(ANSWERS)A. Add a dose of mealtime insulin aspart (Novolog) at lunch
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
dosed with meals and as a sliding scale regimen based on a patient's glucose
prior to eating (preprandial). It is the appropriate insulin to add as a
mealtime dose when patients experience blood glucose spikes between
meals because of its short-acting properties. Peak time action of insulin
aspart is 2 hours with initial effect within the first 30 minutes, making it an
ideal choice to control expected postprandial glycemic spikes
Which of the following conditions is associated with an increased risk for
conductive hearing loss?
A.
Acoustic neuroma
B.
Ménière disease
C.
Otitis media
D.
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
A patient tells the nurse practitioner that she recently started taking the
supplement St. John's wort after reading about its benefits online. Which of
the following medications, if being actively consumed, must be
immediately stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glucophage)
D. Sumatriptan (Imitrex) - (ANSWERS)D. Sumatriptan (imitrex)
Sumatriptan (Imitrex) (D) is a medication used to treat migraines and
belongs to a drug class known as serotonin agonists. When used in
conjunction with St. John's wort, it may increase the risk of serotonin
syndrome, a potentially life-threatening condition.
Which of the following is not a symptom of both major depressive disorder
and post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty - (ANSWERS)B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major
depressive disorder (MDD) may also include symptoms of depressed mood,
,AANP Exam QUESTION BANK (SARAH MICHELLE’S) | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
anhedonia, weight loss or gain, and low energy. However, hypervigilance
(B) is not a symptom associated with this diagnosis.
A patient with type 1 diabetes presents for a follow-up visit. He has been
stable on his medication regimen but is worried because he is between jobs
and will be without health insurance coverage for a few months. He asks if
there are less expensive insulin options to get him through this time. Which
of the following would be good options for this patient, given his
circumstance?
Incorrect
A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec - (ANSWERS)Insulin Isophane
The least expensive insulin type listed in this question is insulin isophane
(C) (neutral protamine Hagedorn insulin). There are also often pharmacy-
specific coupons that can be used on insulin, so helping patients apply for
,AANP Exam QUESTION BANK (SARAH MICHELLE’S) | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
and navigate these programs can be instrumental in managing their diabetes.
Another inexpensive option is regular insulin.Insulin analogs (glargine,
detemir, degludec, lispro, and aspart) are significantly more expensive than
human insulin (isophane, regular). Insulins modified by manufacturers,
especially when sold as brand-name medications, tend to be more expensive
due to this modification. While analogs offer alternate lengths of action and
convenience, there is no well-documented clinical evidence that patient
outcomes are improved with differing brands. Therefore, maintaining a
patient's blood glucose level through outcome-focused treatment is more
valuable than a process-focused plan based on medication.
A 40-year-old woman with type 2 diabetes presents to the clinic with
concerns of spiking blood sugar between lunch and dinner. She states she is
on a rapid-acting insulin sliding scale and long-acting insulin. Which
change should be implemented to help prevent or curb this glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
, AANP Exam QUESTION BANK (SARAH MICHELLE’S) | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner -
(ANSWERS)A. Add a dose of mealtime insulin aspart (Novolog) at lunch
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
dosed with meals and as a sliding scale regimen based on a patient's glucose
prior to eating (preprandial). It is the appropriate insulin to add as a
mealtime dose when patients experience blood glucose spikes between
meals because of its short-acting properties. Peak time action of insulin
aspart is 2 hours with initial effect within the first 30 minutes, making it an
ideal choice to control expected postprandial glycemic spikes
Which of the following conditions is associated with an increased risk for
conductive hearing loss?
A.
Acoustic neuroma
B.
Ménière disease
C.
Otitis media
D.
