FNP-AANP Certification Exam
FNP-AANP CERTIFICATION EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition
to testosterone, the most appropriate diagnostic tests to order would be: - Correct
Answer-follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin,
and thyroid-stimulating hormone (TSH).
Office spirometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates: - Correct Answer-whether a patient has
reversible airway obstruction.
An 88-year-old patient presents with right-sided weakness after being unable to
rise unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with a hypertension medication regimen. What is the most likely
diagnosis? - Correct Answer-Left-sided stroke
29-year-old male with noncomplicated Chlamydia infection may exhibit: - Correct
Answer-no remarkable clinical symptoms.
To assess spinal function at the S1 level, which deep tendon reflex should be
tested? - Correct Answer-Achilles
An 18-year-old college student presents for an athletic physical. When asked
about current medications, she mentions that she takes "some herb" she bought
at a health food store for migraines and menstrual cramps. Which of the following
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, FNP-AANP Certification Exam
herbal remedies has been commonly used for these conditions? - Correct Answer-
Feverfew
An 88-year-old patient has had a gradual onset of hearing loss in the left ear.
Examination shows a large accumulation of cerumen in the external auditory
canal. Assuming there is no neural loss, the nurse practitioner would expect the
Weber test to: - Correct Answer-lateralize to the left.
Which of the following wet-mount results confirms a preliminary diagnosis of
bacterial vaginosis? - Correct Answer-Squamous epithelial cells with stippling
appearance and indistinct borders, no lactobacillus rods, and many white blood
cells
Which of the following would be most appropriate to perform in the initial
evaluation of a patient with symptoms of acute prostatitis? - Correct Answer-
Urinalysis and urine culture
A 25-year-old presents with the chief complaint of decreased mobility and pain of
the right shoulder exacerbated by movement. The patient reports that he
participated in extensive house painting 24 hours prior to the onset of pain. He
denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step that should be taken in order to make a diagnosis? - Correct
Answer-Palpate structures around the shoulder.
Assessment findings that would support a diagnosis of mitral regurgitation
include: - Correct Answer-Loud, high-pitched pansystolic murmur.
2|Page
, FNP-AANP Certification Exam
Which of the following gastrointestinal changes is associated with normal aging? -
Correct Answer-Decreased production of gastric acid
Which of the following signs/symptoms are often associated with headaches due
to an intracranial tumor? - Correct Answer-Pain worse in supine position; focal
neurological signs
Which of the following is NOT an indication of preeclampsia? - Correct Answer-
Glucosuria
Which of the following laboratory tests should a nurse practitioner order when
the suspected diagnosis is temporal arteritis? - Correct Answer-Erythrocyte
sedimentation rate (ESR)
According to the American Diabetes Association, the newest standard for
determining the presence of diabetes mellitus based on fasting plasma sugar level
is a value equal to or greater than: - Correct Answer-126 mg/dL.
An 85-year-old patient relates that on the way to an annual physical examination,
the patient suffered a sudden loss of vision in the right eye characterized by "a
bunch of lights" and a feeling that "a curtain came down." The most likely
diagnosis is: - Correct Answer-Retinal detachment.
A 32-year-old patient reports a 6-month history of intermittent symmetrical
swelling of the wrists and daily morning stiffness lasting 1 hour or more in and
around other joints. What is the most likely diagnosis? - Correct Answer-
Rheumatoid arthritis
3|Page
, FNP-AANP Certification Exam
A 38-year-old male experiences a sudden onset of acute abdominal pain radiating
to his groin. He is having difficulty walking and is nauseated. He denies any trauma
or previous groin injuries. Examination reveals diffuse swelling of the left testicle
and negative cremasteric reflex. The most likely diagnosis is: - Correct Answer-
testicular torsion.
A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6
months. She reports recent unintentional weight loss. On physical examination,
there is pain on ROM, with no weakness noted. Laboratory studies show a low
hemoglobin and an elevated sedimentation rate. Which of the following is the
most likely diagnosis? - Correct Answer-Polymyalgia rheumatica
A 20-year-old male presents with a 1-month history of a "bump on my testicle."
He reports being sexually active, with frequent episodes of unprotected
intercourse with multiple partners. Which condition should be suspected? -
Correct Answer-Cancer of the testicles
A 10-month-old presents with a rash, runny nose, and cough. Examination reveals
a cluster of tiny white papules with an erythematous base on the buccal mucosa.
What does this suggest? - Correct Answer-Measles
A nurse practitioner is evaluating a 40-year-old patient suspected of having a
pulmonary embolus. The patient complains of anxiety and cough. A stat chest X-
ray is normal. Which of the following tests should the nurse practitioner perform
next? - Correct Answer-Helical CT pulmonary angiography
4|Page
FNP-AANP CERTIFICATION EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition
to testosterone, the most appropriate diagnostic tests to order would be: - Correct
Answer-follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin,
and thyroid-stimulating hormone (TSH).
Office spirometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates: - Correct Answer-whether a patient has
reversible airway obstruction.
An 88-year-old patient presents with right-sided weakness after being unable to
rise unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with a hypertension medication regimen. What is the most likely
diagnosis? - Correct Answer-Left-sided stroke
29-year-old male with noncomplicated Chlamydia infection may exhibit: - Correct
Answer-no remarkable clinical symptoms.
To assess spinal function at the S1 level, which deep tendon reflex should be
tested? - Correct Answer-Achilles
An 18-year-old college student presents for an athletic physical. When asked
about current medications, she mentions that she takes "some herb" she bought
at a health food store for migraines and menstrual cramps. Which of the following
1|Page
, FNP-AANP Certification Exam
herbal remedies has been commonly used for these conditions? - Correct Answer-
Feverfew
An 88-year-old patient has had a gradual onset of hearing loss in the left ear.
Examination shows a large accumulation of cerumen in the external auditory
canal. Assuming there is no neural loss, the nurse practitioner would expect the
Weber test to: - Correct Answer-lateralize to the left.
Which of the following wet-mount results confirms a preliminary diagnosis of
bacterial vaginosis? - Correct Answer-Squamous epithelial cells with stippling
appearance and indistinct borders, no lactobacillus rods, and many white blood
cells
Which of the following would be most appropriate to perform in the initial
evaluation of a patient with symptoms of acute prostatitis? - Correct Answer-
Urinalysis and urine culture
A 25-year-old presents with the chief complaint of decreased mobility and pain of
the right shoulder exacerbated by movement. The patient reports that he
participated in extensive house painting 24 hours prior to the onset of pain. He
denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step that should be taken in order to make a diagnosis? - Correct
Answer-Palpate structures around the shoulder.
Assessment findings that would support a diagnosis of mitral regurgitation
include: - Correct Answer-Loud, high-pitched pansystolic murmur.
2|Page
, FNP-AANP Certification Exam
Which of the following gastrointestinal changes is associated with normal aging? -
Correct Answer-Decreased production of gastric acid
Which of the following signs/symptoms are often associated with headaches due
to an intracranial tumor? - Correct Answer-Pain worse in supine position; focal
neurological signs
Which of the following is NOT an indication of preeclampsia? - Correct Answer-
Glucosuria
Which of the following laboratory tests should a nurse practitioner order when
the suspected diagnosis is temporal arteritis? - Correct Answer-Erythrocyte
sedimentation rate (ESR)
According to the American Diabetes Association, the newest standard for
determining the presence of diabetes mellitus based on fasting plasma sugar level
is a value equal to or greater than: - Correct Answer-126 mg/dL.
An 85-year-old patient relates that on the way to an annual physical examination,
the patient suffered a sudden loss of vision in the right eye characterized by "a
bunch of lights" and a feeling that "a curtain came down." The most likely
diagnosis is: - Correct Answer-Retinal detachment.
A 32-year-old patient reports a 6-month history of intermittent symmetrical
swelling of the wrists and daily morning stiffness lasting 1 hour or more in and
around other joints. What is the most likely diagnosis? - Correct Answer-
Rheumatoid arthritis
3|Page
, FNP-AANP Certification Exam
A 38-year-old male experiences a sudden onset of acute abdominal pain radiating
to his groin. He is having difficulty walking and is nauseated. He denies any trauma
or previous groin injuries. Examination reveals diffuse swelling of the left testicle
and negative cremasteric reflex. The most likely diagnosis is: - Correct Answer-
testicular torsion.
A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6
months. She reports recent unintentional weight loss. On physical examination,
there is pain on ROM, with no weakness noted. Laboratory studies show a low
hemoglobin and an elevated sedimentation rate. Which of the following is the
most likely diagnosis? - Correct Answer-Polymyalgia rheumatica
A 20-year-old male presents with a 1-month history of a "bump on my testicle."
He reports being sexually active, with frequent episodes of unprotected
intercourse with multiple partners. Which condition should be suspected? -
Correct Answer-Cancer of the testicles
A 10-month-old presents with a rash, runny nose, and cough. Examination reveals
a cluster of tiny white papules with an erythematous base on the buccal mucosa.
What does this suggest? - Correct Answer-Measles
A nurse practitioner is evaluating a 40-year-old patient suspected of having a
pulmonary embolus. The patient complains of anxiety and cough. A stat chest X-
ray is normal. Which of the following tests should the nurse practitioner perform
next? - Correct Answer-Helical CT pulmonary angiography
4|Page
