AANP FNP CERTIFICATION ACTUA
m m m
L EXAM 2024-
m m
2025 QUESTION AND ANSWERS
m m m
Assessmentmofmthemopticmdiscmismamcomponentmofmthemevaluationmofmcranialmnerv
e:mI.
II.
III.
.IV
CranialmII
Youmexaminemam62-year-oldmwomanmwithmam20-
yearmhistorymofmhypertension.mShemreportsmintermittentmusemofmantihypertensivemm
edications,mstating,m"Imfeelmbettermwithoutmthemmedications." mTodaymshempresentsmf
ormam"check-
up."Onmphysicalmexamination,myoumnotemthemfollowing:mPMImwithmamdownwardmandm
lateralmshiftmasmwellmasmamGrmII/VImholosystolicmmurmurmwithmradiationmtomthemaxilla.
Thismpatient'smhealthmhistorymismmostmlikelymtomincludemamreportmof
:mSyncopalmepisodes.
Episodesmofmchestmpainmatmrest.mDysp
neamwithmexertion.
Vertigo.
Ans:mdyspneamonmexertion
Ofmthemfollowing,mwhichmshouldmbemperformedmfirstminmassessingmam48-year-
oldmwomanmwhomhasmam25-
yearmhistorymofmmoderatempersistentmasthmamandmwhomnow mpresentsmwithmanmac
utemasthmamflare?
Oxygenmsaturatio
nmArterialmbloodmg
as
FEV1m(forcedmexpiratorymvolumematm1msecond)
Chestmx-ray
Ans:mFEVm(forcemexpiratorymvolume)
Youmaremsettingmupmamhealthcaremclinicmformmigrantmfarmmworkers.mWhichmofmthem
followingmsitesmismmostmdesirable?
CommunitymhallmofmamlocalmchurchmLo
calmhospitalmambulatorymcaremcenterm
Mobilemvan
,Spaceminmamshoppingmcenter
Ans:mMobilemvan
Am58-year-
oldmwomanmpresentsmformanminitialmexaminationminmordermtombecomemampatientminmy
ourmprimarymcarempractice.mShemismamnonsmoker,mdrinksm1mtom2,m5mozm(0.15mL)mglass
esmofmwinempermweek,mandmworksmasmanmadministrativemassistantminmamlaw moffice.mS
hemismwithoutmcomplaintmandmreportsmthatmshemismgenerallyminmgoodmhealth.mPhysic
almexammrevealsmBMI=34mkg/m2mandmBP=144/98mmmmHgmbilaterally.
Themrestmofmhermexaminationmismunremarkable.
Prescribemamlow-dosemthiazidemdiuretic.
m
Arrangemformadditionalmbloodmpressuremmeasurementsmwithinmthemnextmfourmweeks
.mOrdermamserummcreatinine,mureamnitrogenmandmurinalysis.
Advisemrestrictingmsodiummintakemandmlimitingmalcoholmintakemtomnommoremthanm1
mglassmofmwinempermweek.
Ans:mArrangemformadditional mbloodmpressuremmeasurementsmwithinmthemnextmfourmweeks.m
ThemNPmdemonstratesmfulfillmentmofmthemadvancedmpracticemnursingmleadershipmrol
embymparticipatingminmwhichmofmthemfollowingmactivities?
Teachingmam56-year-oldmmanmwithmnewly-
diagnosedmtypem2mdiabetesmmellitusmaboutmthemimportancemofmself-
glucosemmonitoring
Volunteeringmtomteachmamclassmonmcontraceptivemmethodsmtomamgroupmofmteenmm
others
Discussingmbarriersmtomachievingmbloodmpressuremcontrolmwithmam65-year-
oldmwomanmwithmhypertensionmwhom"doesmnotmwantmtomtakemanymmedicine"
Collaboratingmwithmthemregionalmpublicmhealthmdepartmentmonmanminitiativemtomco
mbatmobesitymthroughmamcommunity-basedmexercisemprogram
Ans:mCollaboratingmwithmthemregionalmpublicmhealthmdepartmentmonmanminitiativemtomcomba
tmobesitymthroughmamcommunity-basedmexercisemprogram
YoumaremaskedmtomspeakmtomamgroupmofmhealthcaremexecutivesmonmthemNPmrole.mWhi
chmofmthemfollowingmprovidesmthemstrongestmsupportmformNPmpractice?
NumbermofmacademicmcreditsmearnedmduringmthemNPmprogrammEvi
dencemofmNPmpracticemoutcomes
ThemquantitymofmclinicalmhoursmandmtypemofmclinicalmrotationsminmthemNPmprogram
ThemprofessionalmexperiencemofmthempersonmpriormtomenteringmthemNPmprogram
m
,Ans:mEvidencemofmNPmpracticemoutcomes
Rankmthemfollowingmfrommhighestm(1)mtomlowestm(4)mlevelmofmresearchmdesign.
Casemreports
Meta-analysis
Randomizedmcontrolledmtrials
Expertmopinion
1- Casemreportsm2-Meta-analysism3-Randomizedmcontrolledmtrialsm4-Expertmopinion
2- Casemreportsm1-Meta-analysism3-Randomizedmcontrolledmtrialsm4-Expertmopinion
3- Casemreportsm1-Meta-analysism2-Randomizedmcontrolledmtrialsm4-Expertmopinion
4- Casemreportsm3-Meta-analysism2-Randomizedmcontrolledmtrialsm1-Expertmopinion
Ans:
3-Casemreportsm1-Meta-analysism2-Randomizedmcontrolledmtrialsm4-Expertmopinion
Inmam46-year-
oldmwomanmwithmhypertensionmandmdyslipidemia,mchoosemthemcorrectmpreventio
n:
PrimarympreventionmS
econdarympreventionm
Tertiarymprevention
Counselingmaboutmreducingmriskmformsexuallymtransmittedminfectionm
Skinmsurveymformprecancerousmlesionsm
1-Primarympreventionm2-
Secondarympreventionm1-
Secondarympreventionm2-
Primarympreventionm1-Primarympreventionm2-
Tertiarymprevention
1-Tertiarympreventionm2-Secondarymprevention
Ans:m1-Primarympreventionm2-Secondarymprevention
Inmam66-year-
oldmwomanmwithmtypem2mdiabetesmmellitusm(T2DM),mchoosemthemcorrectmpreventio
n:
PrimarympreventionmS
econdarympreventionm
Tertiarymprevention
1. Administeringminfluenzamvaccinem
, 2. Adjustingmtherapymtomenhancemglycemicmcontrolm
m m m
L EXAM 2024-
m m
2025 QUESTION AND ANSWERS
m m m
Assessmentmofmthemopticmdiscmismamcomponentmofmthemevaluationmofmcranialmnerv
e:mI.
II.
III.
.IV
CranialmII
Youmexaminemam62-year-oldmwomanmwithmam20-
yearmhistorymofmhypertension.mShemreportsmintermittentmusemofmantihypertensivemm
edications,mstating,m"Imfeelmbettermwithoutmthemmedications." mTodaymshempresentsmf
ormam"check-
up."Onmphysicalmexamination,myoumnotemthemfollowing:mPMImwithmamdownwardmandm
lateralmshiftmasmwellmasmamGrmII/VImholosystolicmmurmurmwithmradiationmtomthemaxilla.
Thismpatient'smhealthmhistorymismmostmlikelymtomincludemamreportmof
:mSyncopalmepisodes.
Episodesmofmchestmpainmatmrest.mDysp
neamwithmexertion.
Vertigo.
Ans:mdyspneamonmexertion
Ofmthemfollowing,mwhichmshouldmbemperformedmfirstminmassessingmam48-year-
oldmwomanmwhomhasmam25-
yearmhistorymofmmoderatempersistentmasthmamandmwhomnow mpresentsmwithmanmac
utemasthmamflare?
Oxygenmsaturatio
nmArterialmbloodmg
as
FEV1m(forcedmexpiratorymvolumematm1msecond)
Chestmx-ray
Ans:mFEVm(forcemexpiratorymvolume)
Youmaremsettingmupmamhealthcaremclinicmformmigrantmfarmmworkers.mWhichmofmthem
followingmsitesmismmostmdesirable?
CommunitymhallmofmamlocalmchurchmLo
calmhospitalmambulatorymcaremcenterm
Mobilemvan
,Spaceminmamshoppingmcenter
Ans:mMobilemvan
Am58-year-
oldmwomanmpresentsmformanminitialmexaminationminmordermtombecomemampatientminmy
ourmprimarymcarempractice.mShemismamnonsmoker,mdrinksm1mtom2,m5mozm(0.15mL)mglass
esmofmwinempermweek,mandmworksmasmanmadministrativemassistantminmamlaw moffice.mS
hemismwithoutmcomplaintmandmreportsmthatmshemismgenerallyminmgoodmhealth.mPhysic
almexammrevealsmBMI=34mkg/m2mandmBP=144/98mmmmHgmbilaterally.
Themrestmofmhermexaminationmismunremarkable.
Prescribemamlow-dosemthiazidemdiuretic.
m
Arrangemformadditionalmbloodmpressuremmeasurementsmwithinmthemnextmfourmweeks
.mOrdermamserummcreatinine,mureamnitrogenmandmurinalysis.
Advisemrestrictingmsodiummintakemandmlimitingmalcoholmintakemtomnommoremthanm1
mglassmofmwinempermweek.
Ans:mArrangemformadditional mbloodmpressuremmeasurementsmwithinmthemnextmfourmweeks.m
ThemNPmdemonstratesmfulfillmentmofmthemadvancedmpracticemnursingmleadershipmrol
embymparticipatingminmwhichmofmthemfollowingmactivities?
Teachingmam56-year-oldmmanmwithmnewly-
diagnosedmtypem2mdiabetesmmellitusmaboutmthemimportancemofmself-
glucosemmonitoring
Volunteeringmtomteachmamclassmonmcontraceptivemmethodsmtomamgroupmofmteenmm
others
Discussingmbarriersmtomachievingmbloodmpressuremcontrolmwithmam65-year-
oldmwomanmwithmhypertensionmwhom"doesmnotmwantmtomtakemanymmedicine"
Collaboratingmwithmthemregionalmpublicmhealthmdepartmentmonmanminitiativemtomco
mbatmobesitymthroughmamcommunity-basedmexercisemprogram
Ans:mCollaboratingmwithmthemregionalmpublicmhealthmdepartmentmonmanminitiativemtomcomba
tmobesitymthroughmamcommunity-basedmexercisemprogram
YoumaremaskedmtomspeakmtomamgroupmofmhealthcaremexecutivesmonmthemNPmrole.mWhi
chmofmthemfollowingmprovidesmthemstrongestmsupportmformNPmpractice?
NumbermofmacademicmcreditsmearnedmduringmthemNPmprogrammEvi
dencemofmNPmpracticemoutcomes
ThemquantitymofmclinicalmhoursmandmtypemofmclinicalmrotationsminmthemNPmprogram
ThemprofessionalmexperiencemofmthempersonmpriormtomenteringmthemNPmprogram
m
,Ans:mEvidencemofmNPmpracticemoutcomes
Rankmthemfollowingmfrommhighestm(1)mtomlowestm(4)mlevelmofmresearchmdesign.
Casemreports
Meta-analysis
Randomizedmcontrolledmtrials
Expertmopinion
1- Casemreportsm2-Meta-analysism3-Randomizedmcontrolledmtrialsm4-Expertmopinion
2- Casemreportsm1-Meta-analysism3-Randomizedmcontrolledmtrialsm4-Expertmopinion
3- Casemreportsm1-Meta-analysism2-Randomizedmcontrolledmtrialsm4-Expertmopinion
4- Casemreportsm3-Meta-analysism2-Randomizedmcontrolledmtrialsm1-Expertmopinion
Ans:
3-Casemreportsm1-Meta-analysism2-Randomizedmcontrolledmtrialsm4-Expertmopinion
Inmam46-year-
oldmwomanmwithmhypertensionmandmdyslipidemia,mchoosemthemcorrectmpreventio
n:
PrimarympreventionmS
econdarympreventionm
Tertiarymprevention
Counselingmaboutmreducingmriskmformsexuallymtransmittedminfectionm
Skinmsurveymformprecancerousmlesionsm
1-Primarympreventionm2-
Secondarympreventionm1-
Secondarympreventionm2-
Primarympreventionm1-Primarympreventionm2-
Tertiarymprevention
1-Tertiarympreventionm2-Secondarymprevention
Ans:m1-Primarympreventionm2-Secondarymprevention
Inmam66-year-
oldmwomanmwithmtypem2mdiabetesmmellitusm(T2DM),mchoosemthemcorrectmpreventio
n:
PrimarympreventionmS
econdarympreventionm
Tertiarymprevention
1. Administeringminfluenzamvaccinem
, 2. Adjustingmtherapymtomenhancemglycemicmcontrolm
