AANP FNP-C Cheat Sheet

Cheat sheet AANP FNP-C Cheat Sheet Practice Questions Study Guide Print / Save PDF

Assess 32% of exam History and Physical Screening Guidelines Growth Milestones Mental Health Screens

Diagnose 26-27% of exam HTN Categories Diabetes Criteria Infection Clues Lab Interpretation

Plan 26-27% of exam Treatment Targets First-Line Drugs Immunization Schedule Antibiotic Selection

Evaluate 15% of exam Follow-Up Intervals Response Signals Referral Triggers Safety Monitoring

Quick Facts Exam AANPCB FNP-C Credential Family Nurse Practitioner Questions 150 total, 135 scored Time 3 hours Pass Score 500 scaled, 200-800 range Format Computer-based, Prometric centers Level Graduate NP certification Blueprint Date January 2, 2024

Depression Screen Mnemonic AS SIGECAPS: sleep, interest, guilt, energy, concentration, appetite, psychomotor, suicidality Sleep changes Interest loss Guilt feelings Energy loss Concentration problems Appetite change Psychomotor changes Suicidal ideation

Preventive Screening Start Ages AS Average-risk colon cancer → Start screening at 45 Average-risk breast cancer → Start mammography at 40 Cervical cancer screening → Start at age 21 Heavy smoker, ages 50-80 → Annual low-dose CT Postmenopausal woman, 65 plus → Order DEXA scan Overweight adult, ages 35-70 → Screen for diabetes

Pediatric Developmental Milestones AS 2 months Social smile appears 4 months Rolls over, laughs 6 months Sits unsupported, babbles 9 months Pulls to stand 12 months First words, walks alone 18 months Runs, 10-25 word vocabulary

Melanoma ABCDE Mnemonic AS ABCDE: asymmetry, border, color, diameter, evolution Asymmetry irregular shape Border ragged edges Color varies within Diameter over 6mm Evolution over time

USPSTF Screening Guidelines AS Colorectal cancer Screening starts age 45 USPSTF Breast mammography Biennial, ages 40-74 Cervical cancer Screening starts age 21 Lung cancer LDCT Ages 50-80, 20 pack-years AAA screening Men 65-75 who smoked Diabetes screening Overweight adults ages 35-70 Depression screening All adults, use PHQ-9

Focused History Mnemonic AS SAMPLE: symptoms, allergies, meds, past history, last meal, events Symptoms onset Allergies known Medications current Past history Last oral intake Events leading up

Mental Health Screening Tools AS PHQ-9 Depression severity screen GAD-7 Anxiety severity screen CAGE Alcohol use screening tool Edinburgh scale Postpartum depression screening tool

Type 1 vs Type 2 Diabetes DI

Type 1 Autoimmune beta-cell destruction Always needs insulin Often younger onset

Type 2 Insulin resistance dominant Oral agents first-line Often adult onset Absolute vs relative insulin

HTN Diagnostic Categories DI Normal <120/80 mmHg ACC/AHA 2017 Elevated 120-129/<80 mmHg Stage 1 130-139/80-89 mmHg Stage 2 ≥140/90 mmHg HTN crisis >180/120 mmHg

IFG vs IGT Prediabetes DI

IFG Fasting glucose 100-125 Uses fasting glucose test

IGT 2-hour OGTT 140-199 Uses post-load glucose test Fasting vs post-load test

Diabetes Diagnostic Criteria DI A1C diabetes ≥6.5% confirms diagnosis ADA 2026 Fasting glucose ≥126 mg/dL fasting 2-hr OGTT ≥200 mg/dL diabetes Random glucose ≥200 plus classic symptoms Prediabetes A1C 5.7-6.4% range IFG Fasting 100-125 mg/dL

Cystitis vs Pyelonephritis DI

Cystitis Dysuria and frequency only No fever or flank pain Oral outpatient therapy

Pyelonephritis Fever and flank pain Systemic illness signs May need IV therapy Local vs systemic infection

Infection Diagnostic Clues DI Centor criteria Predicts bacterial strep pharyngitis UTI dipstick Nitrites plus leukocyte esterase Pyelonephritis sign Fever plus flank pain Pneumonia sign Focal crackles, consolidation Mono triad Fever, pharyngitis, adenopathy

Primary vs Subclinical Hypothyroidism DI

Primary hypothyroid TSH is high Free T4 is low

Subclinical hypothyroid TSH is high Free T4 is normal Free T4 level decides

Acute Injury Care Mnemonic PL RICE: rest, ice, compression, elevation Rest the joint Ice 20 minutes Compress with wrap Elevate the limb

JNC8 vs ACC/AHA HTN Targets PL

JNC8 (2014) Goal under 60 is 140/90 Goal 60 plus is 150/90

ACC/AHA (2017) Goal is under 130/80 Redefines stage 1 at 130/80 Older vs newer thresholds

HTN Drug Selection Picker PL Black patient, no CKD → Thiazide or CCB CKD, any race → ACEi or ARB preferred Diabetes plus albuminuria → ACEi or ARB Pregnant and hypertensive → Labetalol or nifedipine Stage 2 hypertension → Start two-drug combo Resistant hypertension → Add spironolactone

HTN Treatment Targets PL ACC/AHA goal <130/80 for most adults JNC8, age under 60 <140/90 goal JNC8, age 60 plus <150/90 goal Diabetes plus HTN <130/80 per ADA CKD plus HTN ACEi or ARB preferred

Purulent vs Non-Purulent Cellulitis PL

Non-purulent No abscess or drainage Likely strep cause Cephalexin first-line

Purulent Abscess or drainage present Likely MRSA cause TMP-SMX or doxycycline Drainage presence changes coverage

Antibiotic Selection Picker PL Uncomplicated cystitis → Nitrofurantoin, 5 days UTI, pregnant, near term → Avoid nitrofurantoin Strep-positive pharyngitis → Penicillin or amoxicillin Penicillin allergy → Cephalexin or azithromycin Acute bacterial sinusitis → Amoxicillin-clavulanate Purulent cellulitis, MRSA risk → TMP-SMX or doxycycline

HTN First-Line Drug Classes PL Black patients, no CKD Thiazide or CCB first CKD, any race ACEi or ARB first Diabetes plus albuminuria ACEi or ARB preferred ACEi suffix Drug names ending -pril ARB suffix Drug names ending -sartan

Pap Alone vs Co-Testing Schedule PL

Ages 21 to 29 Cytology alone accepted Repeat every 3 years

Ages 30 to 65 Cytology plus HPV co-test Repeat every 5 years Age adds HPV co-testing

Diabetes Management (ADA) PL First-line drug Metformin, unless contraindicated A1C goal, most adults <7% target A1C goal, low risk <6.5% may be appropriate ASCVD or CKD Add GLP-1 RA or SGLT2i Statin start age 40 to 75 years BP goal with diabetes <130/80 per ADA 2026

Childhood Immunization Schedule PL Birth dose Hepatitis B vaccine 2, 4, 6 months DTaP, IPV, Hib, PCV 12-15 months MMR, Varicella, Hepatitis A 4-6 years DTaP, IPV, MMR boosters 11-12 years Tdap, HPV, MenACWY RSV prevention Nirsevimab for eligible infants

Adult and Pregnancy Immunizations PL Td/Tdap booster Every 10 years Shingles vaccine Age 50 plus, 2 doses Pneumococcal vaccine All adults 50+, or risk Pregnancy Tdap Give 27 to 36 weeks

Women's Health Screening and Care PL Pap alone, ages 21-29 Every 3 years Co-testing, ages 30-65 Every 5 years Stop screening Age 65 with adequate history Chlamydia screening Sexually active women under 25 First prenatal visit 6 to 8 weeks GDM screening 24 to 28 weeks gestation

First-Line Antibiotic Choices PL Uncomplicated cystitis Nitrofurantoin for 5 days Strep pharyngitis Penicillin or amoxicillin, 10 days Acute otitis media High-dose amoxicillin first Bacterial sinusitis Amoxicillin-clavulanate first line Non-purulent cellulitis Cephalexin first-line choice MRSA-risk cellulitis TMP-SMX or doxycycline

Pregnancy Drug Safety PL Avoid, cardiac drugs ACE inhibitors, ARBs, statins Avoid, antibiotics Tetracyclines, fluoroquinolones Safe UTI drug Nitrofurantoin, avoid near term Safe HTN drugs Labetalol, nifedipine, methyldopa

Follow-Up and Monitoring Intervals EV New antihypertensive Recheck in 2-4 weeks A1C monitoring Every 3 months, uncontrolled Stable diabetes A1C every 6 months Statin therapy Lipid panel in 4-12 weeks Antibiotic failure Reassess at 48 to 72 hours

Treatment Response Red Flags EV BP still uncontrolled Add a second agent Persistent proteinuria Refer to nephrology Growth faltering Refer to pediatric specialist No improvement, 72 hours Reassess or broaden antibiotic Worsening dyspnea Escalate care urgently

Common Traps

JNC8 goal ≠ ACC/AHA goal JNC8 allows 150/90 after 60 ≠ ACC/AHA targets under 130/80

Pretest questions ≠ scored questions 15 pretest items unscored ≠ 135 scored items count

Type 1 DM ≠ Type 2 DM Type 1 always needs insulin ≠ Type 2 starts oral agents

Cystitis ≠ pyelonephritis Cystitis has no fever ≠ Pyelonephritis has flank pain

IFG ≠ IGT prediabetes IFG uses fasting glucose ≠ IGT uses 2-hour OGTT

Nitrofurantoin ≠ safe near term Avoid after 36 weeks ≠ Risk of hemolytic anemia

AANPCB domains ≠ ANCC domains AANPCB uses four domains ≠ ANCC uses five domains

Last Minute 1 . 150 questions, 135 scored 2 . 3 hours, pass score 500 3 . Assess 32%, Diagnose 26.5% 4 . Plan 26.5%, Evaluate 15% 5 . ACC/AHA goal: under 130/80 6 . Metformin first-line for diabetes 7 . Colon cancer screening starts 45 8 . Nitrofurantoin treats uncomplicated UTI 9 . Pap co-testing starts age 30 10 . HPV vaccine given ages 11-12

AANP Family Nurse Practitioner Practice Questions 260 questions Study Guide 30 topics Cheat Sheet 85 facts Flashcards 50 cards Videos 1 video Blogs 1 blog Free CE Podcast

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