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AANP PRACTICE QUESTIONS EXAM QUESTIONS

Class notes Jan 9, 2026
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AANP PRACTICE QUESTIONS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -75 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: T-wave inversion with a normal ST segment on a 12-lead EKG may represent:

  • acute coronary ischemia.
  • right ventricular hypertrophy.
  • atrial hypertrophy.
  • hyperkalemia.

Answer:

acute coronary ischemia Question 2: Risk factors for genital herpes include:

  • multiple sexual partners and years of sexual activity.
  • genetic transmission.
  • infection with other sexually transmitted diseases before the age of 12.
  • multiple sexual partners and frequent use of public spas.

Answer:

multiple sexual partners and years of sexual activity

Question 3: Unilateral spontaneous serous or serosanguineous discharge from a single duct of

a breast is most often caused by:

  • intraductal papilloma.
  • mucinous breast lesions.
  • Paget's disease.
  • ductal carcinoma in situ.

Answer:

intraductal papilloma Question 4: A geriatric female presents for her annual examination. She has been on antihypertensive medications for over 20 years, with good control. Laboratory values are within normal ranges. The nurse practitioner is concerned about the patient's cardiac health risks, due her to weight and her waist circumference. According to the AHA guidelines, which of the following goals is expected for this patient?

  • Physical activity for 60 minutes daily, for a minimum of 6 days a week
  • Physical activity for 30 minutes daily, 7 days a week
  • Physical activity for 30 minutes daily, for a minimum of 5 days a week
  • Physical activity for 60 minutes daily, 7 days a week

Answer:

physical activity for 30 minutes daily, for a minimum of 5 days a week Question 5: In pulmonary function testing, forced vital capacity represents the:

  • maximum volume of air that can be forcefully exhaled after maximum inspiration.
  • total volume of air that is exhaled after normal inspiration.
  • total volume of air that the lungs can hold, minus the expiratory reserve volume.
  • volume of air that can be forcefully exhaled in 1 second.

Answer:

maximum volume of air that can be forcefully exhaled after maximum inspiration

Question 6: A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with aging is the most likely cause?

  • Decreased bowel muscle tone
  • Increased bile secretion
  • Increased absorption of calcium
  • Decreased pancreatic secretions

Answer:

decreased bowel muscle tone Question 7: The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and

dry mouth. The practitioner would:

  • discontinue amitriptyline and begin ibuprofen (Motrin).
  • refer to physical therapy.
  • start methocarbamol (Robaxin).
  • discontinue amitriptyline and begin gabapentin (Neurontin).

Answer:

discontinue amitriptyline and begin gabapentin (neurontin) Question 8: Which of the following is NOT used for therapy of an acute attack of gout?

  • Colchicine (Colcrys)
  • Indomethacin (Indocin)
  • Methylprednisolone (Solumedrol)
  • Allopurinol (Zyloprim)

Answer:

allopurinol (zyloprim)

Question 9: A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the patient often has no money to buy food, despite income from social security and a coal miner's pension. The nurse practitioner suspects abuse.Which of the following is the nurse practitioner obligated to do next?

  • Report the case to the proper authorities.
  • Tell the neighbor to check on the woman daily and report back.
  • Document the data and report the information to risk management.
  • Call the patient's family and inquire about the concerns.

Answer:

report the case to proper authorities Question 10: The most common side effect of the oral ribavirin used in the treatment of hepatitis

C is:

  • hemolytic anemia.
  • weight loss.
  • depression.
  • hypothyroidism.

Answer:

hemolytic anemia Question 11: A 27-year-old male patient, who works as a janitor, presents with a 6-month history of an intermittent rash on his hands. History reveals itching and occasional burning.Examination reveals irregularly-distributed scaly maculopapular erythematous patches extending from the dorsum of the hand several inches up the forearms, and dry palms with no

nail involvement. The most likely diagnosis is:

  • contact dermatitis.
  • scabies infestation.
  • psoriasis.
  • eczema.

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