AANP Practice Exam American Academy of Nurse Practitioners Practice Test 2024/2025

AANP Practice Exam
American Academy of Nurse Practitioners Practice Test
These are retired test questions from previous years. They are similar in
structure, but should not necessarily be considered similar in difficulty when
compared with the actual test. Use only as a guide. There are no rationales
with the answers.
1. A nurse practitioner is suturing a simple laceration on an 11 year-old patient. The use of lidocaine with
epinephrine is contraindicated in all of the following areas EXCEPT the:
a. Scalp
b. Nose
c. Fingers
d. Earlobe
2. A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History indicates
normal prenatal progress to date and the patient denies pain, vaginal itching, or discharge. Which of
the following is the most appropriate intervention to aid in the diagnosis of this case?
a. Nitrazine test
e. Non-stress test
f. Ultrasound
g. Bimanual cervical examination
3. A 40 year-old 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 the toilet paper several times per 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?
a. Refer the patient to a gastroenterologist for a malignancy workup.
h. Schedule a colonoscopy to rule out colon cancer.
i. Repeat the guaiac test three times and obtain a complete blood count (CBC).
j. Prescribe bulk-forming agents and hydrocortisone suppositories.
4. 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?
a. Polymyositis
k. Osteoarthritis
2
l. Polymyalgia rheumatic
a. Fibromyalgia
5. A patient with type 1 diabetes mellitus who is on NPH and regular insulin split-dosing presents with
complaints of early morning rise in fingerstick blood glucose. A review of an at-home glucose test
reveals increased morning levels. After an increase in the evening insulin dose, the problem worsens.
This is most likely an example of:
a. Insulin resistance
m. Insulin allergy
n. The Somogyi effect
o. Hyperglycemia-induced hypoglycemia
6. A 66-year-old patient presents with bilateral otitis media with effusion and white patches in the mouth
that do not rub off when wiped with a 4x4. The patient should be evaluated for:
a. HIV infection
p. Myelodyspastic syndrome
q. Congenital lymphoproliferative disease
r. Non-Hodgkin’s lymphoma
7. A routine laboratory assessment of a 12-year-old patient