AGPNP PREP EXAM REVIEW TEST 2023
senile lentigines - ANS-Senile Lentigines (liver spots), which are brown macules found
on the backs of the hands, forearms, and face caused by localized mild epidermal
hyperplasia in association with increased numbers of melanocytes and increased
melanin production.
Sebaceous gland hyperplasia - ANS-Sebaceous gland hyperplasia is found especially
on the forehead and nose, with a raised area from 1 to 3 mm in size with a central pore.
Petechiae - ANS-Petechiae are reddish, purple spots (usually 1-2 mm) of bleeding
under the skin that may occur from numerous causes.
Senile purpura - ANS-Senile purpura is commonly found, characterized by purple
macules (not petechiae) appearing on the backs of the hands or on the forearms that
result from blood that has extravasated through capillaries due to a loss of skin
elasticity.
Chloasma - ANS-Chloasma is hyperpigmentation occurring on the face of a pregnant
woman
Frailty - ANS-Frailty (also known as failure to thrive) is a common clinical syndrome in
older adults. Common findings with the condition of frailty are low grip strength, slowed
walking speed, low physical activity, unintentional weight loss, decreased lean body
mass (sarcopenia), osteopenia, cognitive impairment, and anemia. Frailty can leave a
patient vulnerable to falls, functional decline, disability, disease, and death.
Providing a previsit screening tool or questionnaire to allow the older adolescent to
identify and write down concerns prior to the start of the visit is a helpful open-ended
approach to assist the adult-gerontology primary care nurse practitioner to phrase
questions in an appropriate way to promote a sense of partnership that encourages
communication. - ANS-TRUE
Adolescents may be reluctant to talk, and have a clear need for confidentiality. - ANS-
TRUE
Use of a gentle confrontational approach when the adolescent is silent or unable to
express specific words about physical changes occurring. - ANS-FALSE
A healthy adult patient should be able to repeat a series of how many numbers? - ANS-
When assessing immediate recall or new learning, a healthy adult patient without
cognitive decline should be able to repeat a series of 5-8 numbers.
