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AANP & AGPCNP PSI Test Prep: Questions & Answers for Nurse Practitioners, Exams of Nursing

Rasmussen College - North DakotaNursing

A collection of questions and answers related to the aanp agpcnp psi test 1 & 2, covering various topics relevant to the practice of nurse practitioners. It offers insights into common clinical scenarios, diagnostic procedures, and treatment options, serving as a valuable resource for preparing for the certification exams. Questions on topics such as cardiovascular disease, diabetes, neurological disorders, and ophthalmology, providing a comprehensive overview of key concepts.

Typology: Exams

2024/2025

Available from 03/13/2025

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AANP AGPCNP PSI Test 1 & 2 questions wih
answers
An 88-year-old presents with right-side weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia
and noncompliance with hypertension medication regimen. What is the
most likely diagnosis?
Left-sided or right-sided CVA? - CORRECT ANSWERS ✔✔LEFT-SIDED
CVA
Which of the following signs/symtpoms are often associated with headahces
due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - CORRECT ANSWERS ✔✔1) pain worse
laying down, focal neurological signs
Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
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Download AANP & AGPCNP PSI Test Prep: Questions & Answers for Nurse Practitioners and more Exams Nursing in PDF only on Docsity!

AANP AGPCNP PSI Test 1 & 2 questions wih

answers

An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What is the most likely diagnosis? Left-sided or right-sided CVA? - CORRECT ANSWERS ✔✔LEFT-SIDED CVA Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?

  1. pain worse laying down, focal neurological signs
  2. Hyperflexia, personality change
  3. acute onset: hours to days
  4. pupillary constriction; stupor - CORRECT ANSWERS ✔✔1) pain worse laying down, focal neurological signs Which of the following pharmacotherapeutics would be most important to administer to a patient who has a corneal abrasion?
  5. Timolol
  6. Gentamicin ophthalmic
  1. Cromolyn optha
  2. Olopatadine - CORRECT ANSWERS ✔✔2) Gentamicin ophthalmic (Genoptic) A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated by movement. The patient reports that he participated in extensive house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. What is the next step to be taken in order to make a diagnosis?
  3. Xray of shoulder
  4. Palpate structures around the shoulder.
  5. MRI of shoulder
  6. EMG - CORRECT ANSWERS ✔✔2) palpate structures A 16-year-old female in the first month of taking Ortho-Novum 7/7/ complains of midcycle spotting. She has not missed any doses and uses no other medication. Which of the following is appropriate?
  7. Changing to Ortho-Novum 1/
  8. Discontinue use
  9. Providing reassurance
  10. Double dose-for two days - CORRECT ANSWERS ✔✔3) provide reassurance
  1. sweating - CORRECT ANSWERS ✔✔4) sweating A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to:
  2. stop NSAID, apply a heel cup and encourage exercise and wt loss.
  3. continue NSAID, apply an arch support and encourage wt loss and exercise
  4. continue NSAID, xray and add a short-leg night splint
  5. COntinue NSAID, xray and add a metatarsal bar - CORRECT ANSWERS ✔✔2) continue NSAID, apply an arch support and encourage wt loss and exercise Fundoscopic exam of Hypertensive patient.
  6. nicking of arteriols and viens, and small retinol hemorrages
  7. drusen bodies and pale retina
  8. pale macula and swollen disk margins
  9. microaneurysms and optic disc cupping - CORRECT ANSWERS ✔✔1) nicking of arteriols and viens, and small retinol hemorrages Which of the following is a common presenting feature of hyperthyroidism in the elderly?
  1. elevated TSH
  2. Thyroid enlargement
  3. atrial fibrillation
  4. abnormal T3 suppression - CORRECT ANSWERS ✔✔3) atrial fibrillation A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse practitioner would FIRST:
  5. send to ophthalmologists
  6. florescreen staining
  7. test visual field
  8. prescribe eyedrops - CORRECT ANSWERS ✔✔3) test visual field A 72-year-old patient presents with dry, itchy eyes. During the course of the physical examination, the nurse practitioner notes the presence of a gray band of opacity in the cornea that encircles the iris. The band is 1.0- 1.5 mm wide. This finding is most consistent with a diagnosis of a/an:
  1. corneal abrasion
  2. arcus senilis
  3. corneal ulcer
  4. herpetic infection of the eye - CORRECT ANSWERS ✔✔2) arcus senilis
  1. physical exam
  2. EKG
  3. knee xrays
  4. PT Stress test - CORRECT ANSWERS ✔✔1) Physical Exam 29 y/o has uncomplicated Chlamydia infection will exhibit:
  5. green penile discharge
  6. uticartia
  7. unremarkable symtpoms
  8. penile ulcer - CORRECT ANSWERS ✔✔3) unremarkable symptoms 37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
  9. spirometry
  10. MRI
  11. COntract venogra[hy
  12. helical CT pulmonary angiograph - CORRECT ANSWERS ✔✔4) helical CT pulmonary angiography. A 12-lead EKG shows an undulating baseline with no visible P waves and an irregularly irregular R-R interval. This arrhythmia is:
  1. atrial flutter
  2. atrial fibrillation
  3. second degree heart block
  4. Wolff-White Syndrome - CORRECT ANSWERS ✔✔2) atrial fibrillation After a 3-week camping trip, a 17-year-old is seen for a target lesion with central clearing, located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized musculoskeletal pain for several days. Pharmacologic management of this condition includes:
  5. Bactrim
  6. azithromycin
  7. doxycycline (Doryx).
  8. metronidazole - CORRECT ANSWERS ✔✔3) doxycycline (Doryx). Rocky Mountain spotted fever (Lyme disease-test with WEstern Blot) According to the American Diabetes Association, the newest standard for determining the presence of diabetes mellitus based on fasting plasma sugar level is a value equal to or greater than:
  9. 110 mg/dL.
  10. 126 mg/dL.
  11. 135

down." All of the following would be included in the differential diagnosis EXCEPT:

  1. opthalmolic migraine
  2. retinal detachment.
  3. diabetic retinopathy.
  4. TIA - CORRECT ANSWERS ✔✔3) diabetic retinopathy A patient with diabetes mellitus who is on NPH and regular insulin split- dosing presents with complaints of early morning rise in fingerstick blood glucose. A review of self blood glucose monitoring reveals increased morning levels. After an increase in the evening insulin dose, the problem worsens. This is most likely an example of:
  5. insulin resistance
  6. the Somogyi effect.
  7. needing more insulin in the mornings
  8. Need to increase insulin at night - CORRECT ANSWERS ✔✔2) Somogyi effect In a healthy elder, which of the following TRADITIONALLY defines a positive urine culture?
  9. ≥100,000 colonies/mL of a single organism
  1. ≥10,000 colonies/mL of a single organism
  2. ≥100,000 colonies/mL of a two or more organisms - CORRECT ANSWERS ✔✔≥100,000 colonies/mL of a single organism A 55-year-old patient exhibits a verified serum calcium level of 13 mg/dL [normal = 8.9-10.2 mg/dL]. The next step in determining the presence of pathology is to order a:
  3. BUN and serum creatinine.
  4. 24 hour urine
  5. parathyroid hormone level.
  6. thyroid panel - CORRECT ANSWERS ✔✔3) parathyroid hormone level An 88-year-old female presents with a 3-day history of vertigo. The patient has a past medical history of hypertension controlled with metoprolol, 50 mg daily. She reports that the presenting symptoms are constant, severe, and accompanied by nausea and vomiting. She denies experiencing diplopia, slurring of speech, chest pain, dyspnea, or diaphoresis. She exhibits mild anxiety and reluctance to change position or turn the head. BP = 126/76; P = 78; R = 16/min; and T = 98.2°F (36.8°C). HEENT examination reveals 17 beats of horizontal nystagmus on right lateral gaze; the nystagmus stops after several repetitions of the maneuver. Funduscopic, cardiac, pulmonary, abdominal, and neurologic examination results are normal. The most likely diagnosis is:
  7. acoustic neuroma
  1. Organisms about the size of white blood cells with undulating flagellum, occasional lactobacillus, many white blood cells
  2. Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, many white blood cells
  3. Squamous epithelial cells with stippling appearance and indistinct borders, many lactobacillus rods, few white blood cells - CORRECT ANSWERS ✔✔2) Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, many white blood cells Which of the following physical findings would best alert a nurse practitioner to the probability of a herniated lumbar disc?
  4. Positive Patrick's sign, decreased thoracolumbar ROM, positive straight- leg raise at 90°
  5. Decreased thoracolumbar ROM, positive crossed straight-leg raise, positive straight-leg raise at 30°
  6. Negative Patrick's sign, decreased thoracolumbar ROM, positive straight-leg raise at 80° - CORRECT ANSWERS ✔✔2) Decreased thoracolumbar ROM, positive crossed straight-leg raise, positive straight- leg raise at 30°

An 87-year-old obese female presents with complaints of calf pain in her right leg. The patient reports that the pain is increased with ambulation and has been increasing over the past 24 to 48 hours. The patient denies the following: any recent injury to the leg, smoking, or recent surgery. To assess this patient's symptoms, you would initially assess:

  1. calf circumference and perform Doppler studies.
  2. popliteal pulses and Doppler studies
  3. Femoral pulses and skin temperature
  4. Patrick's signs and popliteal pulses - CORRECT ANSWERS ✔✔1) calf circumference and perform Doppler studies What type of exercise would you recommend for a 74-year-old patient with hypertension and degenerative joint disease (DJD)?
  5. Stationary bike
  6. Aqua exercises
  7. aerobic walking - CORRECT ANSWERS ✔✔2) Aqua exercises Trigeminal neuralgia
  8. electric shock like unilateral pain
  9. jaw pain extending to the neck
  1. if a patient has reversible airway obstruction. - CORRECT ANSWERS ✔✔3) if a patient has reversible airway obstruction. To assess ability to reason abstractly, you would ask the patient to:
  2. the meaning of a common proverb
  3. ask what they would do if there was a fire in the house
  4. count backwards by 7's - CORRECT ANSWERS ✔✔1) the meaning of a common proverb A 66-year-old patient presents with bilateral otitis media with effusion and white patches in the mouth that do not rub off when wiped with a 4 × 4. The patient should be evaluated for:
  5. lichen planus
  6. HIV infection.
  7. lymphoma
  8. Candida lingua - CORRECT ANSWERS ✔✔2) HIV infection (hairy luekaplakia-immune) A 70-year-old patient presents with complaints of vague epigastric pain occurring at night, causing early morning awakening, and decreased appetite with early satiety. Significant history includes recent use of ibuprofen for headaches. Rectal examination was negative. While awaiting the results of ordered diagnostic tests, the practitioner should recommend all of the following EXCEPT:
  1. starting H2 blockers.
  2. taking off from work until the work-up is complete.
  3. Reporting nausea/vomiting
  4. Discontinue NSAIDS - CORRECT ANSWERS ✔✔2) taking off work until the work-up is complete A 32-year-old patient reports a 6-month history of intermittent symmetrical swelling of the wrists and daily morning stiffness lasting 1 hour or more in and around other joints. What is the most likely diagnosis?
  5. Rheumatoid arthritis
  6. Osteoarthritis
  7. Gouty arthritis - CORRECT ANSWERS ✔✔1) Rheumatoid arthritis An 18-year-old college student presents for an athletic physical. When asked about current medications, she mentions she takes "some herb" she bought at the health food store for migraines and menstrual cramps. Which of the following herbal remedies has been commonly used for these conditions?
  8. Echinacea
  9. St. JOhn's Wort

Which of the following is the most serious outcome of Barrett's esophagus?

  1. Esophageal adenocarcinoma
  2. esophageal varices
  3. GERD
  4. Stricture - CORRECT ANSWERS ✔✔1) Esophageal adenocarcinoma Which of the following is most important in enhancing a nurse practitioner's clinical assessment when promoting health behaviors in young adults?
  5. Personality
  6. Include the parents with the pateint
  7. Taking developmental stages into consideration
  8. Provide a chart of growth physical changes - CORRECT ANSWERS ✔✔3) Taking developmental stages into consideration Pulmonary status findings of increased total lung capacity and residual volume in a 74-year-old patient are indicative of:
  9. emphysema.
  10. COPD
  11. chronic bronchitis
  1. Asthma - CORRECT ANSWERS ✔✔1) emphysema A 65-year-old patient with hypertension and associated angina requests a flu vaccine. The patient had a pneumococcal vaccine 10 years ago. The most appropriate plan of care would include:
  2. influenza vaccine, 0.5 mL IM,
  3. influenza vaccine, 0.5 mL IM, and pneumococcal vaccine, 0.5 mL IM.
  4. pneumococcal vaccine, 0.5 mL IM. - CORRECT ANSWERS ✔✔2) influenza vaccine, 0.5 mL IM, and pneumococcal vaccine, 0.5 mL IM. An 87-year-old patient is being treated for major depression with a selective serotonin reuptake inhibitor. Which of the following would have the greatest probability of remaining in the serum long after being discontinued?
  5. Celexa
  6. Prozac
  7. Paxil
  8. Zoloft - CORRECT ANSWERS ✔✔2) Fluoxetine (Prozac) Age-related macular degeneration leads to which of the following?
  9. Loss of central vision