AANP Actual Exam, Practice Exam And Study Guide
AANP ACTUAL EXAM, PRACTICE EXAM AND STUDY GUIDE
NEWEST 2025/2026 WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+||BRAND NEW
VERSION!
A 12-year-old girl presents to the clinic with her parent, who is concerned about
the C-shaped appearance of the girl's spine. The degree of curvature in her spine
is 35 degrees. Which of the following is appropriate to educate the parent?
A.
"Your daughter's spine has a mild curve but does not require treatment and will
likely resolve on its own."
B.
"Your daughter's spine has a mild curve, so we will watch and wait to see if it
worsens. If so, treatment will be necessary."
C.
"Your daughter's spine has moderate curvature, so we will need to place her in a
brace as treatment."
D.
"Your daughter's spine has severe curvature, so we will need to refer her for
surgery as soon as possible. - ANSWER-C. "Your daughter's spine has moderate
curvature, so we will need to place her in a brace as treatment."
1|Page
, AANP Actual Exam, Practice Exam And Study Guide
Scoliosis is a complex spinal deformity defined as a curve in the spine of at least
10 degrees. A curvature of 25 to 40 degrees is considered moderate scoliosis, and
most cases require bracing for correction (C). Braces are offered for treatment in
patients who are skeletally immature and have curves > 30 degrees at the first
visit. Bracing is considered ineffective if the curvature is > 45 degrees because the
patient has reached the threshold for surgical intervention. In male patients, the
brace is worn until they stop growing, and in female patients, the brace is worn
more than 1.5 years postmenarch or until the patient has grown < 1 cm over the
previous 6 months.
An 11-year-old patient reports a severe sore throat, fever, nausea, and headache.
Upon exam, the nurse practitioner sees a strawberry red pharynx with petechiae
on the hard palate. The remainder of the exam is benign. What would be the best
initial test to order for this patient?
A.
Epstein-Barr virus panel
B.
Nucleic acid amplification test
C.
Rapid antigen detection test
D.
2|Page
, AANP Actual Exam, Practice Exam And Study Guide
Rapid plasma reagin test - ANSWER-C. Rapid antigen detection test
The patient in the above scenario is exhibiting signs of an acute group A
streptococcal pharyngitis infection. Group A Streptococcus infections are the most
common cause of bacterial pharyngitis in children and adolescents. Children
typically present with the abrupt onset of pharyngitis, fever, headache, abdominal
pain or nausea, and vomiting. Physical exam findings include throat erythema,
palatal petechiae, enlarged or erythematous tonsils, enlarged anterior cervical
lymph nodes, and a scarlatiniform rash. The gold standard for testing a patient
with suspected group A streptococcal pharyngitis is a rapid antigen detection test
(C). These tests provide quick, highly specific results and are readily available in
most care centers. Because the sensitivity of the rapid antigen detection tests is a
little lower, 70-90%, if a child initially tests negative, a confirmatory throat culture
should be sent as a follow-up.
All of the following are potential secondary causes of hyperparathyroidism except:
A.
Chronic kidney disease
B.
Neck radiation exposure
C.
Parathyroid adenoma
3|Page
, AANP Actual Exam, Practice Exam And Study Guide
D.
Vitamin D deficiency - ANSWER-C. Parathyroid adenoma
Secondary hyperparathyroidism occurs when an issue external to the parathyroid
lowers calcium levels. This can be due to chronic kidney disease (especially end-
stage kidney disease), a vitamin D deficiency, or neck radiation exposure. Primary
causes of hyperparathyroidism are due to an issue with the parathyroid itself, such
as a parathyroid adenoma (C).
A patient recently diagnosed with primary adrenal insufficiency (Addison disease)
requests additional education on this condition. Which of the following teaching
statements is inaccurate?
A.
"If a potential Addisonian crisis goes untreated, it may lead to severe hypotension
and organ failure"
B.
"It is necessary to keep your IM hydrocortisone injection with you at all times"
C.
"You may experience electrolyte imbalances such as hyperkalemia and
hyponatremia"
D.
4|Page
AANP ACTUAL EXAM, PRACTICE EXAM AND STUDY GUIDE
NEWEST 2025/2026 WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+||BRAND NEW
VERSION!
A 12-year-old girl presents to the clinic with her parent, who is concerned about
the C-shaped appearance of the girl's spine. The degree of curvature in her spine
is 35 degrees. Which of the following is appropriate to educate the parent?
A.
"Your daughter's spine has a mild curve but does not require treatment and will
likely resolve on its own."
B.
"Your daughter's spine has a mild curve, so we will watch and wait to see if it
worsens. If so, treatment will be necessary."
C.
"Your daughter's spine has moderate curvature, so we will need to place her in a
brace as treatment."
D.
"Your daughter's spine has severe curvature, so we will need to refer her for
surgery as soon as possible. - ANSWER-C. "Your daughter's spine has moderate
curvature, so we will need to place her in a brace as treatment."
1|Page
, AANP Actual Exam, Practice Exam And Study Guide
Scoliosis is a complex spinal deformity defined as a curve in the spine of at least
10 degrees. A curvature of 25 to 40 degrees is considered moderate scoliosis, and
most cases require bracing for correction (C). Braces are offered for treatment in
patients who are skeletally immature and have curves > 30 degrees at the first
visit. Bracing is considered ineffective if the curvature is > 45 degrees because the
patient has reached the threshold for surgical intervention. In male patients, the
brace is worn until they stop growing, and in female patients, the brace is worn
more than 1.5 years postmenarch or until the patient has grown < 1 cm over the
previous 6 months.
An 11-year-old patient reports a severe sore throat, fever, nausea, and headache.
Upon exam, the nurse practitioner sees a strawberry red pharynx with petechiae
on the hard palate. The remainder of the exam is benign. What would be the best
initial test to order for this patient?
A.
Epstein-Barr virus panel
B.
Nucleic acid amplification test
C.
Rapid antigen detection test
D.
2|Page
, AANP Actual Exam, Practice Exam And Study Guide
Rapid plasma reagin test - ANSWER-C. Rapid antigen detection test
The patient in the above scenario is exhibiting signs of an acute group A
streptococcal pharyngitis infection. Group A Streptococcus infections are the most
common cause of bacterial pharyngitis in children and adolescents. Children
typically present with the abrupt onset of pharyngitis, fever, headache, abdominal
pain or nausea, and vomiting. Physical exam findings include throat erythema,
palatal petechiae, enlarged or erythematous tonsils, enlarged anterior cervical
lymph nodes, and a scarlatiniform rash. The gold standard for testing a patient
with suspected group A streptococcal pharyngitis is a rapid antigen detection test
(C). These tests provide quick, highly specific results and are readily available in
most care centers. Because the sensitivity of the rapid antigen detection tests is a
little lower, 70-90%, if a child initially tests negative, a confirmatory throat culture
should be sent as a follow-up.
All of the following are potential secondary causes of hyperparathyroidism except:
A.
Chronic kidney disease
B.
Neck radiation exposure
C.
Parathyroid adenoma
3|Page
, AANP Actual Exam, Practice Exam And Study Guide
D.
Vitamin D deficiency - ANSWER-C. Parathyroid adenoma
Secondary hyperparathyroidism occurs when an issue external to the parathyroid
lowers calcium levels. This can be due to chronic kidney disease (especially end-
stage kidney disease), a vitamin D deficiency, or neck radiation exposure. Primary
causes of hyperparathyroidism are due to an issue with the parathyroid itself, such
as a parathyroid adenoma (C).
A patient recently diagnosed with primary adrenal insufficiency (Addison disease)
requests additional education on this condition. Which of the following teaching
statements is inaccurate?
A.
"If a potential Addisonian crisis goes untreated, it may lead to severe hypotension
and organ failure"
B.
"It is necessary to keep your IM hydrocortisone injection with you at all times"
C.
"You may experience electrolyte imbalances such as hyperkalemia and
hyponatremia"
D.
4|Page
