AANP Practice exam Paper 2025 real exam

AANP PrActice exAm PAPer 2025 – reAl exAm QuestioNs & Verified ANswers for Best results

◉ An adult female who is homeless presents for an initial obstetric visit at 34 weeks of pregnancy. She is diagnosed with Chlamydia trachomatis infection.What complication will her newborn be most at risk?

• Conjunctivitis
• Hearing loss
• Pneumonitis

4. Meningitis. Answer: conjunctivitis

◉ A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of vomiting and six diarrheal stools. On physical examination today, his vital signs reveal P = 120 and capillary refill of 3 seconds. The patient's eyes are sunken and his extremities are mottled and cool to the touch. The

treatment plan would include:

• start oral electrolyte mixture every hour.
• hospitalization for IV fluid replacement.
• giving the child loperamide for each diarrheal stool.

4. catheterizing the child to obtain accurate urine output.. Answer:

hospitalization for IV fluid replacement

◉ A nurse practitioner places a 76-year-old patient on nifedipine (Procardia) 10 mg t.i.d. for angina. The patient is unable to remember to take the medication at the scheduled times. The practitioner should: 1 / 3

• discontinue the issue with the patient's daughter.
• change the dose to extended release 30 mg daily.
• reinforce the importance of taking the medication.

4. increase the dosage to 20 mg b.i.d.. Answer: change the dose to extended

release 30mg daily

◉ A pediatric male is present with his mother, who states that he is extremely restless at night and constantly scratches his anal area. Which diagnostic procedure would confirm a diagnosis of pinworm infestation?

• The patch test
• Examination of bed linens
• Examination of transparent tape sample from perianal skin

4. Blood tests for anemia and eosinophilia. Answer: examination of

transparent tape sample from perianal skin

◉ Which of the following microorganisms are most frequently associated with acute bacterial rhino-sinusitis?

• Staphylococcus aureus and Mycoplasma pneumonia
• Staphylococcus aureus and Methicillin Resistant Staph aureus
• Streptococcus pneumoniae and Haemophilus influenzae

4. Streptococcus pneumoniae and Pseudomonas aeruginosa. Answer: strep

pneumo and haemophilus influenzae

• / 3

◉ A child is being treated with methylphenidate (Ritalin) for attention-deficit

disorder. The following are all side effects of Ritalin EXCEPT:

• muscle cramps
• mild irritability.
• increased heart rate.
• slight increase in growth velocity.. Answer: slight increase in growth velocity

◉ 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

4. 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

◉ The management of COPD in the elderly is best guided by:

• spirometry.
• arterial blood gases.
• radiologic imaging.
• / 3