AANP Review Questions and Answers 2025 (Verified
Answers)
A 64 year old with HTN and DM presents with productive cough, fever, body aches. What diagnosis is
most likely?
a. Acute bronchitis
b. Chronic bronchitis
c. Pneumonia
d. Pertussis - ANSWER-c. Pneumonia
1st clue: 64 year old
2nd clue: multiple comorbidities
3rd clue: cough, fever
what was the stem of the question?
Indications for a chest xray with acute cough - ANSWER-abnormal vital signs (increased RR or HR,
temp >38c, 100.4F
rales, consolidation
> or equal 75 years of age with cough***
***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change in mental status or behavior
A 75 year old patient wo smokes and has COPD presents with a worsening cough, weight loss, fatigue,
and an enlarged right supraclavicular node. Which finding is most indicative of a right lung tumor?
1. worsening cough
2. weight loss
3. fatigue
4. supraclavicular node - ANSWER-4. supraclavicular node
most important stem clue because this lymph node drains the chest and breast. It's a BIG deal!
If the stem gives a unilateral finding, look for a unilateral diagnosis
What symptoms most commonly accompany acute bronchitis?
1. Fever, runny nose
2. Cough, fever
3. Cough and URI symptoms
4. Cough, URI, and headache - ANSWER-3. Cough and URI symptoms
Remember that bronchitis is an inflammation of the bronchioles, bronchi, and trachea; usually follows
an upper respiratory infection
Starts above the shoulders and drops down into chest.
A 35 year old patient with acute bronchitis has no underlying lung disease. He asks, "How long before
my cough goes aways?" The NP responds:
1. <1 week
2. about 1 week
3. 1-3 weeks
4. >3 weeks - ANSWER-3. 1-3 weeks
The patient with bronchitis will have evidence of upper AND lower airway symptoms.
