AANP ExAm SuccESS GuidE – Fully uPdAtEd 2025/2026 QuEStioNS with A+ corrEct ANSwErS
◉ A middle adult patient reports a 6-month history of intermittent symmetrical swelling of the wrists and daily morning joint stiffness lasting 1 hour. Which of the following is the most likely diagnosis?Select only one option.A Rheumatoid arthritis B Osteoarthritis C Gouty arthritis D Reiter's syndrome. Answer A
◉ A female patient with depression has been successfully treated using fluoxetine (Prozac), 20 mg daily. The patient now reports that her sex drive has been diminishing and this change is beginning to interfere with a relationship. What would the nurse practitioner recommend?Select only one option.A Discontinue the medication.
B 1 / 4
Increase the fluoxetine (Prozac) to 40 mg daily.C Add sertraline (Zoloft), 25 mg daily.D Switch to bupropion (Wellbutrin), 75-150 mg daily.. Answer D
◉ A middle adult male presents with a 2-week history of rectal pain and itching. He reports a past history of constipation and finding spots of bright red blood on toilet paper several times a week. Rectal examination reveals a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. Which of the following actions should the nurse practitioner take?Select only one option.A Prescribe diphenoxylate/atropine (Lomotil).B Schedule a colonoscopy to rule out colon cancer.C Repeat the guaiac test three times and obtain a complete blood count (CBC).D Prescribe bulk-forming agents and hydrocortisone suppositories.. Answer D
◉ Which of the following drug classes are used to prevent migraine headaches?Select only one option.
A 2 / 4
Beta-blockers B Nitrates C Opioids D Alpha-adrenergic blockers. Answer A
◉ An older adult female returns to clinic for re-evaluation of arthritis and presents with a new onset of left-sided throbbing headache. She is being treated with an NSAID for arthritis. Sedimentation rate is elevated, but all other laboratory values are within normal limits. The headache is most likely
due to:
Select only one option.A a TIA.B an NSAID-induced headache.C giant cell arteritis.D glaucoma.. Answer C
◉ Which of the following criteria differentiates a TIA from a stroke?Select only one option. 3 / 4
A Focal symptoms B Amnesia of incident C Slowness of onset D Absence of residual symptoms. Answer D
◉ An adult with a history of cardiovascular disease in on pravastatin (Pravachol) 80 mg daily and their LDL is 200 mg/dL. The nurse practitioner
should add:
Select only one option.A fenofibrate (Tricor) 120 mg daily.B colesevelam (Welchol) 3,750 mg daily.C ezetimibe (Zetia) 10 mg daily.D fish liver oil 600 mg daily.. Answer C
◉ An elder adult female is being treated with gabapentin (Neurontin) for neuropathic pain. Six months ago, she was started on a dose of 600 mg at HS.
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