Our Questions

Just like you’ll see on the actual exam

Based on National Board of Medical Examiner’s format. No “negatively phrased” questions, no “all of the following except”, no “A and B”…you know what we mean.

Question » Stem » Lead in

A 52-year-old woman presents to her primary care provider’s office with complaints of a pruritic rash on her chest. She has a past medical history of morbid obesity, type 2 diabetes mellitus, and hypertension. On exam, there is a sharply demarcated area of erythema underneath both breasts. Direct microscopy of skin scrapings reveals oval budding yeast and pseudohyphae. Which of the following is the most appropriate management?

Our Answer Choices

Building difficulty into the question.

A question’s difficulty is defined by the choice of distractors.

Understanding why an answer choice is incorrect is just as important as knowing why it is correct

Our Explanations

Synthesized for optimized learning and recall & created with a purpose

Every question contains a detailed explanation for the correct and incorrect answer choices and integrated media for those that learn best by visual stimuli. Understanding a topic cannot be learned in isolation. You require context. We take deliberate steps to deliver a comprehensive explanation linking the most important components to master a topic.

This woman, with limited areas of candidal intertrigo, is best treated with topical econazole. Intertrigo is an inflammatory condition of two opposed skin surfaces or folds. Intertrigo can be infectious or noninfectious. The inflammatory process is induced by heat, friction, moisture, and lack of air circulation. The resulting skin breakdown creates a warm, moist environment that is ideal for overgrowth of microorganisms. While bacteria can cause intertrigo, the most common etiology is a superficial infection of Candida species. Risk factors for candidal intertrigo include obesity, tight-fitting clothing, hyperhidrosis, urinary or fecal incontinence, diabetes mellitus, topical or systemic corticosteroid use, antibiotic use, human immunodeficiency virus (HIV) infection, and chemotherapy. Patients with recurrent or severe candidal infections without an obvious cause should undergo further evaluation for underlying or undiagnosed endocrinopathy, malignancy, or HIV infection. Candidal intertrigo is typically located in inguinal folds, axillae, scrotum, inframammary folds, beneath a pannus, or intergluteal folds. The involved area appears erythematous and macerated with satellite papules and pustules. The plaques are usually pruritic. The diagnosis of intertrigo is mainly clinical, but potassium hydroxide (KOH) examination or direct microscopy can be used to confirm the diagnosis. Treatment involves antifungal medication, skin care, and addressing predisposing risk factors. Topical antifungal medication is effective and well tolerated in most patients with mild to moderate infections. Oral agents may be required when topical therapy has failed or if there are multiple intertriginous areas involved. Skin care with drying agents is important for preventing recurrences of intertrigo. Commonly used drying agents are antifungal powders, like nystatin. Weight loss, loose clothing, and absorbent hygiene products may be useful preventative measures.

Enhanced Learning

Explanations contain integrated audio and visual content to further clarify meaning of the core concept. By representing information using audio cues and spatially with images, you are able to focus on meaning, reorganize and group similar ideas easily and make better use of your audio and visual memory.

More than just a question

Advanced reinforcement

To optimize recall and understanding of a topic we link concepts to help you express knowledge, thoughts and ideas and build relationships between them.


Taking Your Learning One Step Further

After each question explanation is a straightforward factoid-based questions with a simple, memorizable answer that serves as reinforcement for the corresponding topic.

(Q) What is a classic ECG finding of hypercalcemia?

(A) Shortened QT interval.


Break it down, Keep it simple

Boiling it down to the most high yield concepts

Cushing’s Syndrome

  • Patient will be complaining of amenorrhea, central obesity, depressive symptoms, and easy bruising
  • PE will show purple striae, “moon face” (facial adiposity), “buffalo hump” (increased adipose tissue in the neck and upper back), and hypertension
  • Diagnosis is made by 24 hr urine cortisol and testing ACTH levels
  • Most commonly caused by hypercortisolism from ACTH-secreting pituitary tumor
  • Comments: If cause is pituitary tumor then called Cushing’s disease

Powerful Analytics

Progress, performance, predictions

“If you can’t measure it, you can’t manage it.” Rosh Review provides you with key statistics and robust analytics to create an efficient and effective learning strategy.


Focus your learning on what matters

Identify your strengths and weaknesses based on the AANP or ANCC Exam Blueprint.

Peer comparison

Compare your answer choices to the answers provided by other nurse practitioner students and nurse practitioners around the country.

Probability of Passing Your Exam

Using data generated by our previous users, we can predict your probability of passing the AANP or ANCC Certification Exam.

“With so much material to cover for the Certification exam, Rosh Review helped me organize and focus on the topics I needed to know to pass my exam.”

Gail Walsh, FNP-BC

Family Nurse Practitioner

There are two certification options:

American Academy of Nurse Practitioners (AANP) is a board examination. Upon passing, the credentials awarded are FNP-C (C-denotes certified)

  • Questions: 150 questions (135 are scored; 15 are pretest and not scored) 
  • Exam Breakdown
    • Assessment (~36%)
    • Diagnosis (~24%)
    • Plan (~23%)
    • Evaluation (~17%)
  • Exam Breakdown by Patient Age:
    • Prenatal (~3%)
    • Pediatric (including newborn and infant (~14%)
    • Adolescent (early/late) (~18%)
    • Adult (~37%)
    • Geriatric (~21%)
    • Frail Elderly (~7) 

American Nurses Credentialing Center (ANCC) is a board examination. Upon passing, the credentials awarded are FNP-BC (-BC denotes board certified)

  • Questions: 200 (175 are scored; 25 are pretest and are not scored)
  • Exam Breakdown
    • Foundations for Advanced Practice (~37%)
    • Professional Practice (~17%)
    • Independent Practice (~46%)

“I would like to thank you for your review. I used the ENP exam questions/review only from Rosh to prepare for the ENP exam. I passed first go around. Your question style was similar to the exam format. Everything needed to pass the exam is covered in your review. Having the certification is making a difference – job wise, pay, and credibility. Thank you very much!”

Elizabeth Bagan, NP-C, ENP-C

Emergency Nurse Practitioner

Developed by the American Academy of Nurse Practitioners Certification Board (AANPCB) in collaboration with the American Academy of Emergency Nurse Practitioners (AAENP).

The following eligibility requirements established by AAENPCB include:

Option 1

  • Minimum of 2,000 direct, emergency care clinical practice hours as a Family NP in the past 5 years.
  • Evidence of 100 hrs of continuing emergency care education
  • Minimum of 30 continuing emergency care education hours in emergency care procedural skills within those 5 yrs.

Option 2

  • Completion of an academic emergency care graduate/post-graduate NP program from an accredited nursing program, or
  • Completion of a dual FNP/ENP graduate/post-graduate certificate program from an accredited nursing program.

Option 3

  • Completion of an approved emergency fellowship program.

The Rosh Review Emergency Nurse Practitioner (ENP-C) Question Bank was created specifically to help you receive your ENP-C designation.

  • 1,500 Questions and Comprehensive Explanations
  • Designed with the AANPCB Examination Blueprint for Emergency Care
  • Receive 100 Continuing Education Credits

 Adult-Gerontology Acute Care Nurse Practitioner Qbank

Option 1: American Association of Critical Care Nurses (AACN) is a board examination.

Upon passing, the credentials awarded are ACNPC-AG

  • Questions: 175 (150 are scored; 25 are pretest and not scored) 4
    • Exam Breakdown
      • Clinical Judgment (~73%)
        • Includes all major body systems-emphasis on cardiovascular (21%)
      • Professional Caring and Ethical Practice
        • Advocacy/Moral Agency (~3%)
        • Caring Practices (~6%)
        • Collaboration (~5%)
        • Systems Thinking (~3%)
        • Response to Diversity (~2%)
        • Clinical Inquiry (~4%)
        • Facilitation of Learning (~3%) 4

Option 2: American Nurses Credentialing Center (ANCC) is a board examination.

Upon passing, the credentials awarded are AG-ACNP-BC (BC denotes board certified)

  • Questions: 175 (150 are scored; 25 are pretest and are not scored)
    • Exam Breakdown
      • Nurse Practitioner/Patient Relationship ~14%
      • Assessment and Diagnosis ~24%
      • Clinical Management ~34%
      • Healthcare Delivery ~14%
      • Professional Responsibility ~14%


Nurse Practicioner

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Family NP
Crush Your Cert and Earn CE


1 year
$349 - 90 days
$329 - 30 days

Pass Guaranteed. Period.

Covers material for the ANCC and AANP FNP exams

2,000 Board-style questions

2,000 Comprehensive explanations

2,000 One Step Further questions and answers

Includes 100 AMA PRA Cat 1 CE credit(s)™

Emergency NP
Crush Your ENP Cert and Earn CE


1 year
$349 - 90 days
$329 - 30 days

Pass Guaranteed. Period.

*Based on the AAENP and AANPCB Examination Blueprint*

Available for purchase in your dashboard ($99) is the 30 CE credit Procedure Module required for ENP Certification eligibility.

2,000 Questions and Comprehensive Explanations

2,000 One Step Further questions and answers

Includes 100 AMA PRA Cat 1 CE credit(s)™

Acute Care NP
Crush Your Cert


1 year
$249 - 90 days
$229 - 30 days

Pass Guaranteed. Period.

Covers material for the AACN and ANCC exams

1,000 Board-style questions

1,000 Comprehensive explanations

1,000 One Step Further questions and answers

Includes 100 AMA PRA Cat 1 CE credit(s)™

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