Launch your career as a certified Family Nurse Practitioner with the “AANPCB FNP Certification Exam (Family Nurse Practitioner (FNP) Exam by AANPCB) New Latest Version with 150 Questions, Answers and Rationales,” the definitive study tool for mastering the AANPCB FNP certification exam in 2025. Designed specifically for aspiring FNPs, this test bank delivers 150 expertly crafted multiple-choice questions (MCQs) that mirror the real exam’s scope and rigor, providing you with a precise and powerful resource to secure your credential with confidence.
Fully updated for the 2024-2025 exam cycle, this latest version aligns with the AANPCB’s current test blueprint, covering essential domains: Assessment, Diagnosis, Plan, and Evaluation, across all age groups from infants to the elderly. Each of the 150 questions comes with a verified answer and a comprehensive rationale, unpacking critical topics like primary care management (e.g., hypertension treatment), diagnostic reasoning (e.g., interpreting lab results), pharmacology (e.g., antibiotic selection), and health promotion strategies (e.g., vaccination schedules). This resource goes beyond memorization, fostering the clinical decision-making skills FNPs need in practice.
Created by experienced nurse practitioners and educators familiar with AANPCB standards, this test bank replicates the exam’s exact question count—150 scored items—while offering detailed explanations to clarify complex scenarios, such as differentiating acute vs. chronic conditions or managing patient education. Ideal for self-paced study, group prep, or final review, it’s delivered as an instant digital download, giving you immediate access to practice that matches the 3-hour exam’s intensity. With this tool, you’re equipped to achieve the passing score of 500 (out of 800) and step into primary care with authority. Elevate your preparation and pass the AANPCB FNP exam on your first try with this unmatched, up-to-date resource for 2025!
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AANPCB FNP Certification Exam (Family Nurse
Practitioner (FNP) Exam by AANPCB) New Latest
Version with 150 Questions, Answers and Rationales
Question 1
A 35-year-old male presents with a blood pressure of 150/95 mmHg on two separate visits. What
is the most appropriate initial treatment?
A) Hydrochlorothiazide
B) Atenolol
C) Furosemide
D) Lifestyle modifications alone
Correct Answer: A) Hydrochlorothiazide
Rationale: For stage 1 hypertension (140–159/90–99 mmHg), thiazide diuretics like
hydrochlorothiazide are first-line per JNC 8 guidelines, often combined with lifestyle changes.
Atenolol is not first-line, furosemide is for edema, and lifestyle alone is insufficient here.
Question 2
A 10-year-old child has a fever, rash, and joint pain following a recent sore throat. What is the
most likely diagnosis?
A) Kawasaki disease
B) Rheumatic fever
C) Juvenile idiopathic arthritis
D) Measles
Correct Answer: B) Rheumatic fever
Rationale: Fever, rash, and joint pain after a streptococcal infection suggest rheumatic fever, a
complication of untreated strep throat. Kawasaki involves coronary issues, arthritis lacks a rash
link, and measles has a distinct rash pattern.
Question 3
Which test confirms a diagnosis of diabetes mellitus in a 50-year-old patient with polydipsia?
A) Fasting glucose of 110 mg/dL
B) A1C of 6.2%
C) Random glucose of 210 mg/dL with symptoms
D) Oral glucose tolerance test of 180 mg/dL
Correct Answer: C) Random glucose of 210 mg/dL with symptoms
Rationale: Per ADA criteria, a random glucose ≥ 200 mg/dL with symptoms (e.g., polydipsia)
confirms diabetes. Fasting glucose ≥ 126 mg/dL, A1C ≥ 6.5%, or OGTT ≥ 200 mg/dL also
diagnose, but the scenario fits random glucose best.
Question 4
A 60-year-old female reports fatigue and cold intolerance. Which lab test should be ordered
first?
A) TSH
B) Serum cortisol
C) Hemoglobin A1C
D) Complete blood count
Correct Answer: A) TSH
Rationale: Fatigue and cold intolerance suggest hypothyroidism, common in older adults. TSH is
the initial screening test. Cortisol tests adrenal function, A1C assesses diabetes, and CBC checks
anemia, but TSH aligns with symptoms.
Question 5
What is the most common causative organism of otitis media in children?
A) Streptococcus pneumoniae
B) Moraxella catarrhalis
C) Staphylococcus aureus
D) Pseudomonas aeruginosa
Correct Answer: A) Streptococcus pneumoniae
Rationale: S. pneumoniae is the leading cause of acute otitis media in children, followed by H.
influenzae and M. catarrhalis. S. aureus and P. aeruginosa are less common.
Practitioner (FNP) Exam by AANPCB) New Latest
Version with 150 Questions, Answers and Rationales
Question 1
A 35-year-old male presents with a blood pressure of 150/95 mmHg on two separate visits. What
is the most appropriate initial treatment?
A) Hydrochlorothiazide
B) Atenolol
C) Furosemide
D) Lifestyle modifications alone
Correct Answer: A) Hydrochlorothiazide
Rationale: For stage 1 hypertension (140–159/90–99 mmHg), thiazide diuretics like
hydrochlorothiazide are first-line per JNC 8 guidelines, often combined with lifestyle changes.
Atenolol is not first-line, furosemide is for edema, and lifestyle alone is insufficient here.
Question 2
A 10-year-old child has a fever, rash, and joint pain following a recent sore throat. What is the
most likely diagnosis?
A) Kawasaki disease
B) Rheumatic fever
C) Juvenile idiopathic arthritis
D) Measles
Correct Answer: B) Rheumatic fever
Rationale: Fever, rash, and joint pain after a streptococcal infection suggest rheumatic fever, a
complication of untreated strep throat. Kawasaki involves coronary issues, arthritis lacks a rash
link, and measles has a distinct rash pattern.
Question 3
Which test confirms a diagnosis of diabetes mellitus in a 50-year-old patient with polydipsia?
A) Fasting glucose of 110 mg/dL
B) A1C of 6.2%
C) Random glucose of 210 mg/dL with symptoms
D) Oral glucose tolerance test of 180 mg/dL
Correct Answer: C) Random glucose of 210 mg/dL with symptoms
Rationale: Per ADA criteria, a random glucose ≥ 200 mg/dL with symptoms (e.g., polydipsia)
confirms diabetes. Fasting glucose ≥ 126 mg/dL, A1C ≥ 6.5%, or OGTT ≥ 200 mg/dL also
diagnose, but the scenario fits random glucose best.
Question 4
A 60-year-old female reports fatigue and cold intolerance. Which lab test should be ordered
first?
A) TSH
B) Serum cortisol
C) Hemoglobin A1C
D) Complete blood count
Correct Answer: A) TSH
Rationale: Fatigue and cold intolerance suggest hypothyroidism, common in older adults. TSH is
the initial screening test. Cortisol tests adrenal function, A1C assesses diabetes, and CBC checks
anemia, but TSH aligns with symptoms.
Question 5
What is the most common causative organism of otitis media in children?
A) Streptococcus pneumoniae
B) Moraxella catarrhalis
C) Staphylococcus aureus
D) Pseudomonas aeruginosa
Correct Answer: A) Streptococcus pneumoniae
Rationale: S. pneumoniae is the leading cause of acute otitis media in children, followed by H.
influenzae and M. catarrhalis. S. aureus and P. aeruginosa are less common.
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