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AANP FNP DIFFERENT VERSION EXAM IN 2025 QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PAS, Exams of Nursing

Antioch University Seattle (AUS)Nursing

AANP FNP DIFFERENT VERSION EXAM IN 2025 QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS

Typology: Exams

2025/2026

Available from 06/13/2026

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AANP FNP DIFFERENT VERSION EXAM IN 2025
QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS
Basal Cell Carcinoma
-painless, pearly, ulcerated nodule with overlying telangiectasis
-found on sun areas
Actinic Keratoses
-slightly rough, pink or flesh-colored lesion in sun-exposed area
-pharmacological treatment: 5-fluorouracil (topical chemotherapy)
-non-pharmacological treatment: chemical peel, cryotherapy,
laser resurfacing Tuberculosis
I. Transmission
A. Mycobacterium tuberculosis carried in airborne droplets
B. Active Pulmonary or Laryngeal Tuberculosis transmitted
1. Sneeze, cough, speak, or sing
II. Symptoms
A. Latent Tuberculosis is asymptomatic
B. Active Tuberculosis presentation often mimics cancer
presentation
1. Non-specific presentation (most common)
a. Fatigue
b. Weight loss
c. Cachexia
d. Night Sweats
C. Pulmonary Tuberculosis symptoms
1. Productive cough (typically 2-3 weeks)
2. Hemoptysis (uncommon)
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AANP FNP DIFFERENT VERSION EXAM IN 202 5

QUESTIONS WITH COMPLETE SOLUTIONS

GUARANTEED PASS

Basal Cell Carcinoma

  • painless, pearly, ulcerated nodule with overlying telangiectasis
  • found on sun areas Actinic Keratoses
  • slightly rough, pink or flesh-colored lesion in sun-exposed area
  • pharmacological treatment: 5-fluorouracil (topical chemotherapy)
    • non-pharmacological treatment: chemical peel, cryotherapy, laser resurfacing Tuberculosis I. Transmission A. Mycobacterium tuberculosis carried in airborne droplets B. Active Pulmonary or Laryngeal Tuberculosis transmitted
  1. Sneeze, cough, speak, or sing II. Symptoms A. Latent Tuberculosis is asymptomatic B. Active Tuberculosis presentation often mimics cancer presentation
  2. Non-specific presentation (most common) a. Fatigue b. Weight loss c. Cachexia d. Night Sweats C. Pulmonary Tuberculosis symptoms
    1. Productive cough (typically 2-3 weeks)
    2. Hemoptysis (uncommon)
  1. Pleuritic Chest Pain
  2. Dyspnea III. Signs A. Sites of Involvement
  3. Primary infection: lung involvement B. Disseminated Disease IV. Management A. Latent Tuberculosis
  4. Positive PPD without signs of Active Tb
  5. Treatment indicated if risk of Tb Progression from latent to active disease B. Active Tuberculosis Gout I. Pathophysiology A. Gout occurs when Uric Acid levels exceed solubility limits
  6. Monosodium urate crystals deposit in joints, Kidney, and soft tissues
  7. Crystal deposition triggers a inflammatory response from cytokines and Neutrophils
  8. Joint space is irreversibly injured with ongoing attacks II. Risk Factors A. Most common
  9. Obesity
  10. Alcohol use (especially beer)
  11. High purine diet (red meats, turkey and wild game, organ meats, seafood)
  12. Drinks sweetened with high fructose corn syrup
  13. Diuretic therapy including Thiazide Diuretics
  1. Acute onset of lower extremity Joint Pain
  2. Wakens patient from sleep IV. Signs A. Acute
  3. Joint Inflammation
  4. Erythema, tenderness and swelling at affected joint a. Pain extends well beyond joint b. Entire foot involved in some cases
  5. Asymmetric joint involvement a. May only involve one side with the first attack
  6. Skin over joint is tense and shiny B. Chronic
  7. Gouty Tophi (develop after 10 years) a. Subcutaneous Nodules of monosodium urate crystals and lipids, proteins and mucopolysaccharides C. Chronic Arthritis
  8. Chronic deposition occurs with recurrent attacks Dix-Hallpike Maneuver Central Vertigo I. Findings: Suggestive of central causes A. Nystagmus
  9. Vertical or torsional Nystagmus (pure Horizontal Nystagmus may occur with either peripheral or central cause) 2. No Nystagmus on Horizontal Head Impulse Test
  10. Persists <6 seconds after Dix-Hallpike Maneuver
  11. Fixation of eyes on object does not inhibit Nystagmus
  12. Requires weeks to months to resolve B. Episodes last hours to days C. Severe imbalance impairs standing and walking D. No Hearing Loss or Tinnitus in most central cases

E. Acute Vestibular Syndrome (Posterior Circulation in 25% of cases)

  1. Rapid onset (<1 hour) of acute, persistent, continuous Vertigo or Dizziness
  2. Associated with Nystagmus, Nausea or Vomiting, head motion intolerance, and gait unsteadiness F. Positive HiNTs Exam Criteria (at least 1 of 3 positive) are suggestive of cerebellar CVA or Brainstem CVA (100% sensitive, 96% specific)
  3. Normal Horizontal Head Impulse Test (no saccade/correction on head rotation) OR
  4. Nystagmus that changes direction (or Vertical Nystagmus or torsional Nystagmus) OR
  5. Skew Deviation on Alternate Eye Cover Test in which uncovered eye demonstrates quick vertical gaze corrections III. Causes: Central Vertigo A. Non-Vascular Central Causes of Vertigo (CN 8 or CNS)
  6. Tumor a. Acoustic Neuroma (Vestibular Schwannoma) b. Infratentorial ependymoma c. Brainstem glioma d. Medulloblastoma e. Neurofibromatosis 2. Migraine Headache
  7. Multiple Sclerosis B. Vascular disease related transient cerebral anoxia
  8. Specific anoxia to vertebrobasilar system a. Vessel specific i. Brainstem Infarct (associated with Hearing Loss)

II. Causes: Common (Peripheral Vertigo) A. Acute Vestibular Neuronitis B. Benign Paroxysmal Positional Vertigo C. Meniere's Disease III. Causes: Other (Peripheral Vertigo) A. Ear Infections

  1. Serous Otitis Media
  2. Chronic Otitis Media
  3. Otitis Externa
  4. Mastoiditis B. Other infections
  5. Herpes Zoster Oticus (Ramsay Hunt Syndrome)
  6. Acute Labyrinthitis (uncommon) a. Not synonymous with Vestibular Neuritis i. Labyrinthitis is much less common than neuritis ii. Labyrinthitis causes permanent Hearing Loss b. Types i. Viral Labyrinthitis ii. Bacterial Labyrinthitis (Rare) C. Structural disorder
  7. Cholesteatoma
  8. Perilymphatic Fistula
  9. Otosclerosis D. Trauma
  10. Temporal Bone Fracture
  11. Labyrinthine Concussion Reiter's Syndrome Perihepatitis Spontaneous Abortions When there is vaginal bleeding and cramping but the cervix remains closed it is a threatened abortion. It is possible in this

case that the pregnancy can be salvaged. In an inevitable abortion the cervix is dilated. In a complete abortion the placenta and fetus are expelled completely. In an incomplete abortion placental products remain in the uterus and the cervix remains dilated. Addison's Disease Cushing's Disease Myocardial Infarction Fosamax Patients taking aledronate are instructed to take the medication when they get up in the morning, 30 minutes before eating and with a full glass of water. They should be instructed to remain upright to avoid esophageal irritation. If they take this medication with food, it will reduce the bioavailability by 40%. Taking alendronate with coffee or orange juice will reduce bioavailabiliy by 60%. Hyperlipidemia Medications The expected outcomes of the preceding medications are as follows: Lipitor: LDL: 20-60% decrease HDL: 5-15% increase Triglyceride: 10-40% decrease Gemfibrozil: LDL: 5-15% decrease HDL: 14-20% increase Triglyceride: 20-50% decrease Nicotinic acid: LDL: 10-25% decrease HDL: 15-35% increase Triglyceride: 20 - 50% decrease Colestipol: LDL: 10-20% decrease HDL: 3-5% increase Triglyceride: May increase Trochanteric Bursitis I. Definition A. Inflammation of bursa overlying hip greater trochanter II. Symptoms A. Pain overlying greater trochanter B. May radiate into knee or ankle or into buttock C. Night pain occurs if lying on affected side D. Palliative and provocative factors

  1. Congestive Heart Failure
  2. Subacute Bacterial Endocarditis
  3. Aortic Dissection C. Musculoskeletal signs and conditions
  4. Arachnodactyly (Spider fingers)
  5. Pectus deformity (Pigeon Breast or Funnel Breast)
  6. High narrow Palate
  7. Arm Span exceeds height
  8. Leg length exceeds trunk length
  9. Hyperextensible joints and ligaments
  10. Pes planus
  11. Hammer toes
  12. Vertebral Column deformities (e.g. Kyphoscoliosis)
  13. Inguinal Hernia
  14. Striae Distensae D. Ocular signs and conditions
  15. Upward ectopia lentis
  16. Myopia
  17. Iridodonesis
  18. Glaucoma
  19. Retinal Detachment III. Labs A. Homocystinuria IV. Radiology A. Echocardiogram
  20. Enlarged aortic root B. Chest XRay
  21. Deformed aorta and pulmonary artery

Korsakoff's Syndrome I. Causes A. Untreated Thiamine deficiency from Alcoholism II. Pathophysiology A. Follows Wernicke's Encephalopathy B. Lesions develop in mammillary bodies and Thalamus III. Signs A. Severe Short Term Memory loss B. Intact Immediate Memory C. Confabulation IV. Management A. Thiamine (See Wernicke's Encephalopathy) V. Prognosis A. Life-long Impairment B. Improvement in 75% of patients with treatment Mallory Weiss Syndrome I. Pathophysiology A. Severe Retching results in tear in esophageal mucosa B. Lesion occurs near esophagogastric junction II. Symptoms A. Hematemesis (vomiting fresh blood) follows episode of Retching or Vomiting III. Signs A. Melena (black, tarry stool)

  1. No Hepatomegaly III. Management: First-Line Management A. Corticosteroids
  2. Indicated for severe Thrombocytopenia a. Typically indicated with Platelet Count <50,000 per uL (especially <30,000 per uL)
  3. Platelets increase within a week of starting Corticosteroids
  4. Dosing a. Methylprednisolone 30 ml/kg/day over 20-30 min up to 1 g/day IV OR b. Prednisone 1-1.5 mg/kg orally daily B. Intravenous Immune globulin (IV IG)
  5. Dose: 1 g/kg/day for 2-3 days C. Rituximab (Rituxan) IV. Management: Emergent management A. Indications for urgent or emergent management (uncommon)
  6. Serious Hemorrhage
  7. Urgent or emergent surgery required B. Treatment
  8. Platelet Transfusion at dosing 2-3 fold greater than usual dose Hidradenitis Suppurativa Hidradenitis Suppurativa is a bacterial infection of the sebaceous glands of the axilla (or groin) by Gram-positive Staphylococcus aureus. It is marked by flare-ups and resolution. It can be confirmed by a C&S of the purulent discharge. I. Pathophysiology A. Inflammation of the Apocrine Sweat Glands

II. Symptoms A. Pain, itching, burning and erythema in area involved III. Signs A. Characteristic

  1. Early: Inflammatory Nodule or abscess
  2. Later a. Sinus tract formation b. Fibrosis c. Bridge scarring d. Hypertrophic Scar or Keloid e. Contractures f. Comedones B. Distribution
  3. Axilla (more common in women)
  4. Anogenital area (more common in men)
  5. Breasts
  6. Extension onto back and buttocks IV. Management: Mild (Single Nodules with minimal pain) A. Avoid exposure to heat and humidity B. Avoid shaving if it causes irritation C. Avoid synthetic tight fitting clothes D. Use antibacterial soaps or hibiclens E. Weight loss F. Apply warm compresses to affected area V. Management: Moderate (Recurrent Nodules, pain, abscesses) A. Antibiotics for 2 months or more 1. Axillary involvement

B. Walking Reflex

  1. Hold baby up with one hand across chest
  2. As feet touch ground, baby makes walking motion ("stepping") C. Rooting Reflex
  3. Touch newborn on either side of cheek
  4. Baby turns to find Breast
  5. Sucking Mechanism on finger is divided into 3 steps: a. Front of Tongue laps on finger b. Back of Tongue massages middle of the finger c. Esophagus pulls on tip of finger D. Tonic Neck (Fencing) Reflex
  6. If the Babies' head is rotated leftward a. The left arm (face side) stretches into extension b. The right arm flexes up above head
  7. Opposite reaction if head is rotated rightward E. Moro Reflex (Startle Reflex)
  8. Hold supine infant by arms a few inches above bed a. Gently drop infant back to elicit startle
  9. Baby throws Arms out in extension and baby grimaces F. Hand-to-Mouth (Babkin) Reflex
  10. Stroke newborns cheek or put finger in babies palm
  11. Baby will bring his fist to mouth and suck a finger G. Swimmer's (Gallant) Response
  12. Hold baby prone while supporting belly with hand a. Stroke along one side of babies' spine 2. Baby flexes whole body toward the stroked side Nodes on Interphalangeal Joints Bouchard's nodes are bony nodules on the proximal interphalangeal joints. Heberden's nodes are bony nodules on the distal interphalangeal joints.

Prostatic Disease Herbal Remedies Pertussis Baker Cyst Koplik Spots They are small, white spots (often on a reddened background) that occur on the inside of the cheeks early in the course of measles. Salter-Harris Fractures Fractures through a growth plate; therefore, they are unique to pediatric patients. These fractures are categorized according to the involvement of the physis, metaphysis, and epiphysis. The classification of the injuries is important, because it affects patient treatment and provides clues to possible long-term complications. Pernicious Anemia (B12 Deficiency) A. Symptoms:

  1. Initial: Generalized Weakness, Paresthesias
  2. Next: Leg Stiffness, Ataxia
  3. Late: Memory Impairment, Personality Change, Depressed Mood B. Signs: (Mnemonic: "The 5 P's")
  4. Pancytopenia (decrease in all blood cell lines)
  5. Peripheral Neuropathy
  6. Posterior Spinal Column Neuropathy (Dorsal Column Degeneration, Decreased proprioception, Decreased Vibration Sense, Ataxia, Hyporeflexia {e.g. Decreased Ankle Jerk})
  7. Pyramidal Tract Signs
  8. Papillary Atrophy of Tongue (Atrophic Glossitis) red, beefy tongue C. Labs:
  9. CBC a. MCV >100 (macrocytic)

C. Labs:

  1. CBC a. MCV <75 (microcytic)
  2. Iron Studies a. Serum Ferritin b. TIBC c. Serum Iron D. Risk Factors:
    1. Vegetarian
    2. Gastrointestinal Disease E. Iron Food Sources:
    3. Red Meat
    4. Green Leafy Veggies
    5. Dried Fruit
    6. Nuts
    7. Iron-Fortified Cereal F. Associated Symptoms:
    8. Generalized Pruritis (itching)
    9. Restless Leg Syndrome (crawling feeling in legs)
    10. Glossitis (inflammation of tongue)
    11. Angular Cheilitis (cracking at corners of mouth) G. Treatment:
  3. Iron Supplement a. Iron absorption decreased 40% when taken with meals - do not take with meals

b. Antacids or proton-pump inhibitor use will decrease iron absorption c. Vitamin C aids in the absorption of iron - orange juice McMurray's Test I. Indication A. Evaluation for Knee Meniscus Injury II. Interpretation: Positive Test Suggests Meniscal Injury A. "Click" heard or palpated on above maneuvers. B. Joint line tenderness on palpation. Lachman's Test I. Indications A. Assessment for Anterior Cruciate Ligament (ACL) Rupture II. Interpretation: Positive Test for ACL Rupture A. Lax endpoints on anterior translation Rotator Cuff Injury I. Symptoms A. Characteristics

  1. Lateral arm without radiation beyond elbow
  2. Associated with arm weakness B. Timing
  3. Night pain interferes with sleep C. Provocative
  4. Exacerbated by throwing motion
  5. Overhead work II. Initial Visit A. Evaluation
  6. Shoulder Exam
  7. Shoulder Xray B. Conservative Therapy