AANP CERTIFIED NURSE PRACTITIONER

AANP CERTIFIED NURSE PRACTITIONER

(CNP) PRACTICE EXAM 2 QUESTIONS

AND CORRECT ANSWERS (VERIFIED

ANSWERS) PLUS RATIONALES 2025

• A 45-year-old female presents with fatigue, weight gain, and cold intolerance.

Which laboratory test is most appropriate to evaluate her symptoms?

a) Complete blood count (CBC)

b) Thyroid-stimulating hormone (TSH)

c) Serum glucose

d) Liver function tests

Answer: b) Thyroid-stimulating hormone (TSH)

Rationale: Symptoms suggest hypothyroidism. TSH is the most sensitive test to

screen for thyroid dysfunction.

• Which vaccine is contraindicated in a pregnant woman?

a) Influenza (inactivated) 1 / 3

b) Tetanus-diphtheria-pertussis (Tdap)

c) Measles-mumps-rubella (MMR)

d) Hepatitis B

Answer: c) Measles-mumps-rubella (MMR)

Rationale: MMR is a live attenuated vaccine and contraindicated during

pregnancy due to potential teratogenicity.

• What is the first-line treatment for uncomplicated cystitis in a healthy adult

female?

a) Ciprofloxacin

b) Nitrofurantoin

c) Amoxicillin

d) Azithromycin

Answer: b) Nitrofurantoin

Rationale: Nitrofurantoin is effective, has low resistance rates, and is

recommended as first-line therapy for uncomplicated cystitis.

• A 65-year-old patient with hypertension presents with a blood pressure of

150/90 mm Hg. According to current guidelines, what is the target blood pressure?

• <140/90 mm Hg
• <130/80 mm Hg
• <150/95 mm Hg
• <160/100 mm Hg 2 / 3

Answer: b) <130/80 mm Hg

Rationale: Current ACC/AHA guidelines recommend a target of less than 130/80

mm Hg for most patients with hypertension.

• Which medication is contraindicated in a patient with asthma?

a) Albuterol

b) Metoprolol

c) Montelukast

d) Fluticasone

Answer: b) Metoprolol

Rationale: Beta blockers, especially non-selective types, can worsen

bronchospasm in asthma patients.

• What is the most common cause of acute pancreatitis?

a) Alcohol abuse

b) Gallstones

c) Hypertriglyceridemia

d) Medications

Answer: b) Gallstones

Rationale: Gallstones are the most common cause, followed by alcohol use.

• A patient with type 2 diabetes has an HbA1c of 9.5%. What is the next best

step?

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