AANC FNP Actual Exam Newest 2025/2026
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A 45-year-old patient who is an opera singer reports progressive
hoarseness for the last four weeks. The hoarseness began after a
three-hour opera performance. The patient does not smoke and
reports no weight loss, upper respiratory infection, dysphagia, or
shortness of breath. The family nurse practitioner manages this
patient by:
1. ordering a computed tomography scan of the head.
2. ordering an immediate lateral neck x-ray.
3. prescribing systemic antibiotics and cool mist inhalations.
4. requesting a referral for evaluation of the larynx. -
ANSWER- 4. requesting a referral for evaluation of the larynx.
Routine immunization guidelines recommend administering the
hepatitis B vaccine at birth and repeating doses at:
1. one month and six months.
2. one month and two months.
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3. four months and two years.
4. six months and 12 months. - ANSWER- 1. one month and
six months.
A patient who sustained a myocardial infarction comes to the
clinic for a refill of atorvastatin (Lipitor). The family nurse
practitioner explains that the medication is prescribed for:
1. cancer prevention.
2. primary prevention.
3. secondary prevention.
4. tertiary prevention. - ANSWER- 4. tertiary prevention.
Which health promotion strategy is most appropriate for
adolescents who are obese?
1. individual-based behavior modification.
2. Motivational interviewing.
3. Parents should regulate meals.
4. Presenting video case studies. - ANSWER- 2. Motivational
interviewing.
Treatment of viral conjunctivitis includes the use of:
1. antihistamine/decongestant drops.
2. antihistamine/mast cell stabilizer drops.
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3. cold compresses.
4. steroid eyedrops. - ANSWER- 3. cold compresses.
A 60-year-old patient with diabetes has a blood pressure reading
of 150/96 mmHg. After three months of increased exercise and
decreased calories, the patient has lost 10 lb (4.54 kg). The
patient's follow-up blood pressure is 142/94 mmHg. Which
medication does the family nurse practitioner prescribe?
1. Enalapril (Vasotec).
2. Furosemide (Lasix).
3. Hydrochlorothiazide (HydroDIURIL).
4. Propranolol (Inderal). - ANSWER- 1. Enalapril (Vasotec).
A family nurse practitioner advises a nursing mother who has
postpartum mastitis to take antibiotics as prescribed and:
1. continue to nurse with both breasts.
2. pump the unaffected breast with a lactation pump.
3. take cool showers.
4. temporarily switch to formula. - ANSWER- continue to
nurse with both breasts.
A patient who had a total gastrectomy one year ago complains of
a sore mouth, indigestion, and tingling in the lower extremities.
Which test is ordered by the family nurse practitioner?
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1. Blood urea nitrogen level.
2. Complete blood count.
3. Liver function study.
4. Thyroid function study. - ANSWER- 2. Complete blood
count.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia,
and mild euphoria shows symptoms associated with the use of:
1. benzodiazepine (Alprazolam).
2. cocaine.
3. morphine (MS Contin).
4. oxycodone (OxyContin). - ANSWER- 2. cocaine.
A 40-year-old patient has had a generalized, nonpruritic skin
eruption with intermittent exacerbations over the past 10 years.
Currently, a well-circumscribed erythematous plaque appears
over the patient's left gluteal fold area. The lesion is covered
with scales and has some fissuring. The family nurse practitioner
makes a diagnosis of:
1. atopic dermatitis.
2. ichthyosis.
3. psoriasis.
4. tinea corporis. - ANSWER- 3. psoriasis.