Can analog pins be used as a digital output pin?

You could power an LED from here but that would not be a good choice since LEDs do not need a regulated voltage (or a regulated current).

Well they need a limited current and normally that depends on a regulated voltage. I would say powering an LED off the +5V rail is a good choice. The alternative, powering it off the Vin, will require you using a transistor so that you don't exceed the maximum voltage on the output.