Adult Nurse Practitioner Test Review

The Adult Nurse Practitioner certification indicates specialization and advanced practice in treating adult patients with acute and chronic disease. Adult Nurse Practitioners are employed in clinics, doctor's offices, hospitals, federal and state institutions, and function in a variety of medical specialties.

In order to take the Adult NP test, the applicant must be a licensed Registered Nurse who has completed an accredited Nurse Practitioner education program with a minimum of a Master's Degree. The clinical portion of the educational program must have contained a minimum of 500 clinic hours.

The Adult NP test is available to RNs throughout the year at various testing sites across the United States. The fee to take the Adult Nurse Practitioner Exam is $230 for American Nurses Association (ANA) members and $370 for non-members.

The Adult Nurse Practitioner Exam consists of 175 questions of which 25 of the questions are used for pre-testing purposes only for possible inclusion on future exams. The Adult Nurse Practitioner Exam tests the RN's knowledge in all aspects of assessment, diagnosis, and treatment of acute and chronic adult illnesses. Issues in health promotion and wellness are also included on the Adult Nurse Practitioner Exam. Almost one-half of the Adult Nurse Practitioner Exam focuses on specific questions dealing with the clinical management of the patient. The balance of the Adult Nurse Practitioner Exam consists of questions regarding patient assessment, healthy living, patient factors, and research.

The Adult Nurse Practitioner certification is valid for 3 years. At the end of that time period, the licensed RN must have completed at least 1,000 hours of employment as an Adult Nurse Practitioner. In addition, at least 75 continuing education hours should have been completed or other educational activities should have been completed as outlined by the American Nurses Credentialing Center. The fee for renewal is $160 for ANA members and $290 for non-members as long as the practice hour and continuing education hour requirements are met. For those who wish to retake the Adult Nurse Practitioner Exam in order to recertify, the fee is $230 for ANA members and $370 for non-members.

For more information regarding the Adult Nurse Practitioner certification, go to or

Nursing Certification Central

Free Adult Nurse Practitioner Practice Test Questions

1. What is autogenic training?

  1. Using imagery to deal with a stressful situation
  2. Biofeedback training
  3. Meditation
  4. Repeating certain phrases over and over again to promote positive thinking

2. Losartan works by

  1. blocking the vasoconstricting effects of angiotensin II at its receptor sites
  2. blocking beta receptors in the heart to slow the heart rate
  3. blocking alpha receptors in the heart to lessen contractility of the heart
  4. removing fluid from the circulatory system through the urine

3. In patients taking valproic acid for seizure disorder, serum levels should be maintained at:

  1. 50 to 100 mcg/mL
  2. 20 to 80 mcg/mL
  3. 10 to 20 mcg/mL
  4. 4 to 12 mcg/mL

4. Which of the following is NOT an example of a HAART regimen of HIV medications?

  1. Efavirenz along with two nucleoside reverse transcriptase inhibitors (NRTIs)
  2. Indinavir along with two NRTIs
  3. Nelfinavir along with two NRTIs
  4. Two NRTIs

5. You are seeing a patient in the emergency department who you suspect is having an acute MI. What would you expect to see on her ECG?

  1. Shortened QRS complex
  2. Inverted T waves
  3. Absent U waves
  4. Depressed P waves

Adult Nurse Practitioner Answer Key

1. Answer: D

Repeating certain positive phrases over and over again to promote positive thinking is known as autogenic training. Imagery is thinking about beautiful or happy places or things to encourage relaxation. Sitting quietly and focusing on your breathing or on clearing your mind is known as meditation. Biofeedback trains users to recognize small physical changes that indicate stress or discomfort so that they can intervene early and alleviate their symptoms.

2. Answer: A

Losartan blocks the vasoconstricting effects of angiotensin II at its receptor sites.

3. Answer: A

The therapeutic serum levels for valproic acid is between 50 and 100 mcg/mL. Clonazepam therapeutic serum levels are between 20 and 80 ng/mL. Carbamazepine should be maintained at serum levels of 4 to 12 mcg/mL, and phenytoin should be maintained at serum levels of 10 to 20 mcg/mL.

4. Answer: D

HAART drug regimens for HIV involve 3 different HIV drugs, which tend to be more effective than a single drug regimen. Choice D, only 2 NRTIs, is not a HAART regimen. In addition to the drug protocols listed in the question (choices A through C), ritonavir and indinavir along with 2 NRTIs, ritonavir and lopinavir along with 2 NRTIs, and ritonavir and saquinavir along with 2 NRTIs are all other examples of HAART drug protocols.

5. Answer: B

During an acute MI, there will be inverted or peaked upright T waves on ECG. Other signs include elevating cardiac enzymes and white blood cells, though these signs would not be observed until the following day.


Last Updated: 07/05/2018

© 2018 Copyright | All Rights Reserved
All material on this website is copyrighted. provides free unofficial review materials for a variety of exams.
All trademarks are property of their respective owners.