Download AANP Practice Questions And Answers Accurate 100% and more Exams Nursing in PDF only on Docsity!
AANP Practice Questions And Answers Accurate 100%
- A 65-year-old woman presents for a follow-up examination after a new patient visit.
She has not seen a healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on Ans
- bile acid sequestrant.
- a statin drug.
- a cholesterol absorption inhibitor.
- low-dose aspirin.
Ans A statin drug
- The most commonly prescribed medication for mild systemic lupus erythe- matosus
(SLE) is Ans
- azathioprine (AZA).
- belimumab (Benlysta).
- ibuprofen (Advil).
- cyclophosphamide (Cytoxan). Ans ibuprofen (advil)
- The most common sign of cervical cancer is Ans
- postcoital bleeding.
- strong odor from vaginal discharge.
- itching in the vaginal area.
- molluscum contagiosum. Ans postcoital bleeding
- The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The practitioner would Ans
- discontinue amitriptyline and begin ibuprofen (Motrin).
- refer to physical therapy.
- start methocarbamol (Robaxin).
- discontinue amitriptyline and begin gabapentin (Neurontin). Ans discontinue amitriptyline and begin gabapentin (neurontin)
- A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are most likely Ans
2. related to the underlying condition. 3. the result of the NSAID. 4. caused by viral gastroenteritis. Ans associated with the omeprazole
- The medication of choice for the initial treatment of juvenile rheumatoid arthritis is Ans 1. acetaminophen. 2. prednisone. 3. aspirin. 4. ibuprofen. Ans ibuprofen
- A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a follow-up examination after a recent hospitalization. It is most important to continue monitoring growth, development, and Ans 1. white blood cell levels. 2. fecal occult blood test. 3. hemoglobin levels. 4. urine dipsticks. Ans hemoglobin levels
- A 90-year-old female is brought to the clinic by her neighbor. She states that everything
is fine, but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the patient often has no money to buy food, despite income from social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
1. Report the case to the proper authorities. 2. Tell the neighbor to check on the woman daily and report back. 3. Document the data and report the information to risk management. 4. Call the patient's family and inquire about the concerns. Ans report the case to proper authorities
- In most cases, the first manifestation of Alzheimer's disease is Ans 1. impaired judgment. 2. decrease in short-term memory. 3. disorientation in time and place. 4. decrease in long-term memory. Ans decrease in short-term memory
- The optimal treatment for latent tuberculosis is Ans 1. rifampin (Rifadin) for 5 months. 2. isoniazid (Nydrazid) for 9 months.
optimal therapy is to start daily dosing Ans
1. post amniocentesis. 2. after 14 weeks of gestation. 3. if premature rupture of membranes occurs. 4. if maternal viral loads are greater than 10,000. Ans after 14 weeks gestation
- T-wave inversion with a normal ST segment on a 12-lead EKG may repre- sent Ans 1. acute coronary ischemia. 2. right ventricular hypertrophy. 3. atrial hypertrophy. 4. hyperkalemia. Ans acute coronary ischemia
- The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very irritable and does not feed well. During physical examination, the child's head drops back and the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the following diagnostic
tests should be ordered?
1. Skull X-rays 2. MRI 3. CT scan 4. Pet scan Ans CT scan
- The most important diagnostic factor in evaluating angina pectoris is the patient's Ans 1. King of Heart's monitor. 2. physical examination. 3. history. 4. echocardiogram. Ans history
- There are three reasons for latex allergies. Which of the following does NOT cause the problem? 1. Immediate hypersensitivity 2. Irritant contact of dermatitis 3. Cytotoxic hypersensitivity 4. Immune complex reaction Ans cytotoxic hypersensitivity
- A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombo- sis
- A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery stools without blood or mucus, and 2 episodes of vomiting in the past 48 hours. Assessment reveals no current antibiotic therapy, dehydration <5%, soft abdomen with hyperactive bowel sounds, no masses or organomegaly; other physical findings are normal. Which of the following is the most appro- priate management plan? 1. Stool culture; Immodium AD liquid. 2. No laboratory workup; instruct parents on signs and symptoms of dehydra- tion; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup. 3. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup over next 72 hours; Imodium AD liquid, 1 mg/sml 4. Stool for ova and parasites; advise parents of likely sources of Giardia; prescribe furazolidone (Furoxone) Ans No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.
- A mother presents her 12-month-old child with concern because the child does not yet say "mama" or "dada." The mother reports that in the first months of life, the child loved listening to music and being talked to. The past medical history is negative for ear infections. The nurse practitioner should Ans 1. evaluate for hearing loss. 2. refer to speech therapy. 3. re-evaluate in 3 months.
4. check for cerumen impaction. Ans evaluate for hearing loss
- The most common side effect of the oral ribavirin used in the treatment of hepatitis C is Ans 1. hemolytic anemia. 2. weight loss. 3. depression. 4. hypothyroidism. Ans hemolytic anemia
- An 86-year-old patient presents with pinguecula, a yellow triangular degen- erative tissue thickening of the bulbar conjunctiva. This condition is Ans 1. cured by eye drops. 2. a genetic process. 3. a malignant growth. 4. a solar-induced lesion Ans a solar-induced lesion
2. Autoimmune beta-cell destruction 3. Relative deficiency of dipeptidyl peptidase- 4 4. Decreased reabsorption of sodium-glucose transporters Ans decreased reab- sorption of sodium-glucose transporters
- In pulmonary function testing, forced vital capacity represents the Ans 1. maximum volume of air that can be forcefully exhaled after maximum inspiration. 2. total volume of air that is exhaled after normal inspiration. 3. total volume of air that the lungs can hold, minus the expiratory reserve volume. 4. volume of air that can be forcefully exhaled in 1 second. Ans maximum volume of air that can be forcefully exhaled after maximum inspiration
- An adult male presents as first patient of the day after awaking about 5 Ans00 AM with indigestion and chest pressure. On checking his pulse, he found no change from previous measurements. He states that, while waiting for
the nurse practitioner to arrive, he began to feel a little clammy. A 12-lead EKG records the following patterns. On the basis of these EKG readings, the diagnosis is Ans
1. anterior-septal acute myocardial infarction. 2. lateral acute myocardial infarction. 3. inferior acute myocardial infarction. 4. anterior acute myocardial infarction. Ans inferior acute myocardial infarction
- During the past 24 hours, a 62-year-old has experienced abdominal pain that radiates to the back. The patient also reports several episodes of nausea and vomiting, a low-grade temperature, and a history of excessive drinking. Physical examination reveals a distended abdomen. Laboratory serum values indicate elevated alkaline phosphatase, amylase, and serum lipase. The most likely diagnosis is Ans 1. alcoholic liver disease. 2. acute mesenteric ischemia. 3. viral hepatitis. 4. acute pancreatitis. Ans acute pancreatitis
- An otherwise healthy adult female presents complaining of vaginal burning and itching during urination. She has a social history of two sexual partners. She denies fever or vaginal discharge, but has noted a lesion on one labium. The nurse practitioner should
- Congenital dysplasia of the hip Ans 1. more commonly affects both hips. 2. occurs more commonly in females. 3. is correctable at any age. 4. typically self-corrects by 12 weeks of age. Ans more commonly affects both hips
- Anticholinergic agents such as ipratropium (Atrovent) and tiotropium (Spiriva) are used in COPD primarily to Ans 1. induce bronchodilation. 2. decrease airway inflammation. 3. expand the lung fields. 4. treat hypoxemia. Ans induce bronchodilation
- The clinical presentation of placenta previa that develops during the third trimester includes Ans 1. intermittent dark-red spotting. 2. occult bleeding with abdominal or back pain. 3. sudden onset of painless and profuse bleeding.
4. painless occult bleeding that becomes visible upon onset of labor. Ans sudden onset of painless and profuse bleeding
- A 27-year-old male patient, who works as a janitor, presents with a 6-month history of an intermittent rash on his hands. History reveals itching and occasional burning. Examination reveals irregularly-distributed scaly mac- ulopapular erythematous patches extending from the dorsum of the hand several inches up the forearms, and dry palms with no nail involvement. The most likely diagnosis is Ans 1. contact dermatitis. 2. scabies infestation. 3. psoriasis. 4. eczema. Ans contact dermatitis
- Anorexia nervosa occurs most commonly in which of the following? 1. Painters 2. Only children 3. High-level athletes 4. Individuals from large families Ans high level athletes
- A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with aging is the most likely cause?
3. Treat with azithromycin (Zithromax) for 10 days. 4. Intramuscular Penicillin. Ans treat with amoxicillin for 10 days
- A 16-year-old female adolescent is brought to the nurse practitioner's office by her mother, who is concerned about her daughter's recent weight loss. History reveals that the daughter was consistently in the 50th percentile for weight, but is now in the 10th percentile. The mother states that she is concerned that her daughter is purging herself after meals since she often goes to the restroom after eating and remains there for a long period of time. The daughter denies any self-induced vomiting, starvation or excessive activity. She does state that she jogs five miles a day and is in good condition. In addition to a complete blood count with differential, which of the following laboratory tests will be most helpful for further assessment? 1. Electrolytes, fasting blood sugar 2. Creatine phosphokinase, follicle-stimulating hormone (FSH) 3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolytes, FSH, stool for occult blood Ans electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
- An adult female who is homeless presents for an initial obstetric visit at 34 weeks of pregnancy. She is diagnosed with Chlamydia trachomatis infection. What complication will her newborn be most at risk? 1. Conjunctivitis 2. Hearing loss 3. Pneumonitis 4. Meningitis Ans conjunctivitis
- A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of vomiting and six diarrheal stools. On physical examination today, his vital signs reveal P = 120 and capillary refill of 3 seconds. The patient's eyes are sunken and his extremities are mottled and cool to the touch. The treatment plan would include Ans 1. start oral electrolyte mixture every hour. 2. hospitalization for IV fluid replacement. 3. giving the child loperamide for each diarrheal stool. 4. catheterizing the child to obtain accurate urine output. Ans hospitalization for IV fluid replacement
- A nurse practitioner places a 76-year-old patient on nifedipine (Procardia) 10 mg t.i.d. for angina. The patient is unable to remember to take the medica- tion at the scheduled
