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AANP Board Questions And Answers100%, Exams of Nursing

American International CollegeNursing

AANP Board Questions And Answers100% AANP board exam questions AANP practice test AANP test preparation board certification AANP AANP exam study guide AANP review materials AANP question bank AANP board exam answers AANP study resources AANP test strategies AANP practice questions AANP exam tips AANP test bank AANP board exam help AANP board exam practice questions AANP board review course how to pass AANP exam AANP exam example questions AANP exam preparation tips AANP certification practice questions AANP exam success strategies AANP board exam review AANP exam support AANP board exam tips AANP prep course AANP study tips AANP question and answer guide AANP board exam coaching AANP online practice test AANP board exam preparation

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AANP Board Questions And Answers100%
1. Therapeutic INR values below increase stroke risk sixfold.
Ans 2
2. Diabetic Retinopathy Findings
Ans Microaneurysms Neovascularization
Cotton Wool Spots Hard
exudates
3. All of the following would require the nurse practitioner to delay testing a patient's
prostate-specific antigen (PSA), except
Ans
a. Urinary retention
b. Urinary tract infection
c. After a digital rectal exam
d. Vigorous exercise 3 days prior
Ans Vigorous exercise 3 days prior
PSA testing is falsely elevated in a patient with urinary retention and urinary tract infection
and after a digital rectal exam. Vigorous exercise does not have to be stopped 3 days prior
to testing; however, vigorous exercise should be discouraged before testing because it will
falsely elevate the PSA levels. Ejaculation within 48 hours will also falsely raise the PSA
level.
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AANP Board Questions And Answers100%

  1. Therapeutic INR values below increase stroke risk sixfold. Ans 2
  2. Diabetic Retinopathy Findings Ans Microaneurysms Neovascularization Cotton Wool Spots Hard exudates
  3. All of the following would require the nurse practitioner to delay testing a patient's prostate-specific antigen (PSA), except Ans a. Urinary retention b. Urinary tract infection c. After a digital rectal exam d. Vigorous exercise 3 days prior Ans Vigorous exercise 3 days prior PSA testing is falsely elevated in a patient with urinary retention and urinary tract infection and after a digital rectal exam. Vigorous exercise does not have to be stopped 3 days prior to testing; however, vigorous exercise should be discouraged before testing because it will falsely elevate the PSA levels. Ejaculation within 48 hours will also falsely raise the PSA level.
  1. Tic Douloureaux Ans There are two types of tic douloureux (trigeminal neuralgia). Type 1--presents with extreme, shock-like facial pain, which lasts from a few seconds to 2 minutes per event and can last up to 2 hours total. Type 1 does not awaken the patient at night. Type 2-- is a constant, aching, burning facial pain with less intensity but may occur with Type 1. Type 2 is more common in women and peaks in their 60s. Type 2 can also be related to secondary neurologic disease such as multiple sclerosis or HSV-1.
  2. The nurse practitioner sees a 58-year-old female patient who reports ab- scesses and pustules in the axilla and groin and under the breasts, which burst and drain purulent green discharge. She has a history of smoking and a body mass index (BMI) of 37.1. Which diagnosis is most likely? a. Impetigo b. Carbuncles c. Shingles d. Hidradenitis suppurativa Ans hidradenitis suppurativa Hidradenitis suppurativa is most common in women ( Ans1). Smoking and obesity are

tan to black.

  1. Acanthosis nigricans Ans Acanthosis nigricans are diffuse, soft thickenings of the skin usually located at the neck and axilla. They are also associated with diabetes, metabolic syndrome, obesity, and gastrointestinal cancer.
  2. Acrochordon Ans Acrochordons (skin tags) are painless, pedunculated outgrowths of skin that are common in the neck and axillary areas. If the growths are trauma- tized, they become necrotic and fall off. They are most common in diabetics and patients who are obese.
  3. Which of the following is associated with male aging? a. Increased levels of estrogen b. Decreased sperm production c. Increased production of semen d. Decreased concentration of sperm Ans Decreased sperm production
  4. A nurse practitioner sees a patient for an evaluation of sexually transmitted diseases. Assessment reveals Fitz-Hugh-Curtis. The nurse practitioner will prescribe Ans Ans Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole 500 mg BID × 14 days. Fitz-Hugh-Curtis syndrome should be treated as a complicated gonorrheal/chlamy-

dial infection Ans Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole 500 mg BID × 14 days for anaerobic coverage.

  1. sensitive screening test for HIV Ans Combination HIV-1 and HIV-2 antibody im- munoassay with p24 antigen.
  2. DM medication class that should not be used in patients with heart failure or hx of bladder cancer? Ans Thiazolidinediones
  3. Medication class with high risk of hypoglycemic events Ans Ans Sulfonylureas stimulate the beta cells but have a long half-life, and there is a high risk for severe hypoglycemic events.
  4. Treponema pallidum Ans T. pallidum is a gram-negative spirochete bacterium that causes syphilis.
  5. Which class of diuretics is contraindicated in patients who are allergic to sulfa products? Ans Thiazides (hydrochlorothiazide and indapamide) and loop diuret- ics (furosemide and bumetanide) are contraindicated in patients with sulfa allergies.
  6. Hypertensive Retinopathy Findings Ans - silver wire/copper wire arterioles.
  • AV nicking
  1. Bullous Myringitis

as well as the presence of a new murmur.

  1. What finding is expected in a 13 YO male with Cushing's Disease? Ans Delayed Puberty
  1. Bowen's Disease (Intraepidermal squamous cell carcinoma Ans SCC that has not invaded the dermis yet- Curettage and electrodessication is the preferred tx
  2. Treatment for non-gonococcal uretthritis Ans Azithromycin 1 gm, one dose
  3. Syphilis Ans Penicillin G 1 g IM once is gold RPR is gold standard test
  4. Sinusitis Ans Augmentin or PCNs Doxycycline if PCN allergy
  5. C-Diff TX Ans Vancomycin 125 mg PO qid x 10 days Can still use flagyl, but no longer first line Vanco AE- Ototoxicity, Red man syndrome, Hard on kidneys
  6. Metronidazole Ans S/E GI upset, metallic taste Teach patients to avoid alcohol before starting and a few days after to avoid disulfiram-like reaction Tx=BV and Trich
  1. Bacterial Vaginosis Ans Positive whiff test Clue cells pH > 4.
  2. BV Treatment Ans flagyl 500 mg PO BID x 7 days Alternative Ans Tinidazole
  3. Atypical pathogen Ans Mycoplasma pneumonaie Treat w/ macrolide- azithromycin, clarithromycin or tetracycline -doxycycline or minocycline
  4. COPD characteristics Ans Progressive, persistent airflow obstruction Chronic Altered anatomy/pathology --airway abnormalities --> chronic bronchitis --alveoli abnormalities --> emphysema morbidity and mortality increased in females Alpha 1 antitrypsin deficiency can be a genetic cause. --consider in younger patient with no smoking hx or exposure
  5. Clindamycin

Ans Used for more serious infections; risk for super infection 2nd line option for mastitis

  1. What allergy contradicts the use of thiazide diuretics? Ans Sulfa
  2. Why should ACE-Is be avoided with renal stenosis? Ans Leads to ARF
  3. Adverse effects of aldosterone antagonists (Aldactone) Ans Galactorrhea and hyperkalemia
  4. What are beta blocker indications? Ans HTN, post-MI< angina, arrhythmias, mi- graine prophylaxis, hyperthyroidism
  5. 1st line BP med for DM? Ans ACE or ARB
  6. Grapefruit juice should be avoided in what 1st line antihypertensive med- ication? Ans CCB- it increases the level of medicine in your blood Also in statins- can increase potential for side effects, joint pain and rhabdo No grapefruit juice with warfarin
  7. Alternative antibiotic treatment for patients with gram positive baterial infections that are allergic to PCN Ans Ans macrolides
  8. Initial treatment of COPD
  1. 1st line treatment for gonorrheal infections Ans Rocephin IM
  2. ICS Criteria for COPD patients Ans Serum EOS 300 or greater Exacerbation requiring hospitalization Asthma
  3. COPD ABE Classification Ans Group A- mMRC 0-1 or CAT < 10; 0-1 exacerbation Group B- mMRC 2 or more or CAT 10 or >; 0-1 exacerbation w/o hospitalization Group C- Group E- Exacerbations 2 or more/year or 1 or more hospitalizations
  4. ABE prescribing Ans Group A- SAMA (ipratropium) - SABA OR SABA prn plus LAMA (tiotropium) or LABA (formoterol) Group B- LAMA and/or LABA + SABA prn Group E- LAMA/LABA + SABA prn +/- ICS
  5. COPD Exacerbation Tx Ans Mild-----------> Moderate May need nebulizer instead of MDI SABA LABA-continue routine mgmt Prednisone 40 mg/day x 5-14 days Abx- prophylactic if increased, purulent sputum production High

risk= 65 or >, comorbidities

  1. Lung Cancer Screening Ans Low dose CT between ages 55 and 80 if >20 pack year smoke history Plus- quit within the past 15 years, or still smoke Secondary Prevention
  2. What will happen if you prescribe SAMA and LAMA together? Ans Increased anticholinergic effects ex. ipratropium and tiotropium
  3. Asthma Ans Reversible airflow limitation Triggers Symptom Pattern Treatment based on symptom severity
  4. Asthma Step 1- Symptoms , 2 x/week Ans SABA PRN or

Ans Tests used to help identify an ACL injury

  1. Posterior Drawer Test Ans PCL tear
  2. Empty Can Test/ Supraspinatus Test Ans Purpose Ans Assess supraspinatus involve- ment with shoulder injury. Method Ans Pt. raises arms in scaption to shoulder height with thumps up. Pt rotates thumbs down ( "empty can" ). PT applies resistance. Positive Test Ans Pain or weakness
  3. Drop Arm Test Ans abduction of the arm followed by controlled lowering to assess the possibility of injury to the rotator cuff if patient's arm falls or is weak when lowering, it is positive
  4. Hawkins-Kennedy Test Ans compression of the supraspinatus tendon against the coracoacromial ligament to assess the possibility of impingement of the subacromial bursa

shoulder flexed at 90 degrees, elbow flexed at 90 degrees, passive adduction elicits pain

  1. Vitamin K foods Ans Dark green vegetables ( Spinach, Brussels sprouts, broccoli, kale, greens, and asparagus)
  2. Conditions that don't need Abx Ans Bronchitis (unless pertussis) -Treat pertussis w/macrolide or bactrim Allergic rhinitis -Tx w/ Inhaled glucocorticoid Uveitis -Corticosteroid eye drops Any "itis" of the MSK system (except osteomyelitis) Mononucleosis
  3. Normal Cholesterol Levels Ans Total Cholesterol < 200 LDL < HDL > 40 Triglycerides <
  4. Cephalosporins (Cef or Ceph) Ans Skin and Skin Structure Infections Good for non-IgE mediated (no hives or anaphylaxis) PCN allergy Pregnancy safe Keflex -Above the waist wounds

Mitral regurgitation is best heard at the apical area and manifests as a high-pitched, blowing pansystolic murmur. It occurs when the mitral valve does not close properly.

  1. Physiologic Murmur Ans Physiologic murmur -(growing, stretching heart)
  2. Aortic Stenosis Ans Aortic stenosis Heard loudest near 2nd ICS, RSB The murmur of aortic stenosis is typically a midsystolic ejection murmur, heard best over the "aortic area" or right second intercostal space, with radiation into the right neck. It has a harsh quality and may be associated with a palpably slow rise of the carotid upstroke. Additional heart sounds, such as an S4, may be heard secondary to hypertrophy of the left ventricle
  3. Diastolic Murmur (Relaxation)---Always Refer Pt Ans ARMS Aortic Regurgitation Mitral Stenosis -Heard 5th ICS mid clav; does not change w/position
  • Apex Send to ER if symptomatic
  1. Mitral Valve Prolapse Ans Mitral valve prolapse

A systolic murmur that is accompanied by a midsystolic click located at the apical area is a classic finding of MVP. Most cases of MVP are asymptomatic. To detect MVP, order an echocardiogram with Doppler imaging.

  1. Which labs do you check in a patient on atypical antipsychotics? Ans Fasting glucose and fasting lipids Patients on atypical antipsychotics commonly gain weight and are at risk for obesity, hyperglycemia, and type 2 diabetes. Zyprexa will increase lipids (cholesterol, LDL, and triglycerides). Meds- quetiapine, olanzapine, clozapine, risperidone, aripiprazole
  2. PAD Ans ABI <0.9 or > 1. Divide BP of ankle/ Highest systolic BP of arm -Sparse hair growth on lower legs
  • Smoker