AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\20, Exams of Nursing

Download AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\20 and more Exams Nursing in PDF only on Docsity! AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ normal heart anatomy - Correct Answer - base at top, apex at bottom - aortic, pulmonic, tricuspid, mitral - S1 heart sound = closure of AV valves, mitral & tricuspid - S2 heart sound = closure of SL valves, aortic & pulmonic - S3 = extra fluid, HF, preg - S4 = uncontrolled HTN, LV hypertrophy Split S2 - Correct Answer - during inspiration and expiration is bad - normal = only during inspiration where do you hear heart sounds - Correct Answer - S2 at base - S1, S3, S4 at apex Diastolic murmurs - Correct Answer - DOOM! - refer! - MS. ARD 1. mitral senosis AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ 2. aortic regurgitation systolic murmurs - Correct Answer - only systolic murmurs radiate MR. ASS MVP mitral regurg aortic stenosis mitral valve prolapse aortic stenosis - Correct Answer - closest to neck - radiates to neck - systolic Mitral regurgitation - Correct Answer - radiates to armpit - systolic Mitral valve prolapse - Correct Answer - systolic murmur - normally hear a click AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - NEVER prescribe long acting beta agonist by itself (formoterol, salmeterol), always with ICS. Increases risk of asthma related death - all pts need low dose ICS (decrease overall mortality in pts) Peak flow readings - Correct Answer height age gender HAG ASthma meds - Correct Answer - ICS-LABA PRN: intermittent - ICS-LABA daily: mild - ICS-LABA daily OR low dose ICS with LRTA (singulair): moderate - REFER to pulm: severe *budesonide-formoterol = preferred ICS-LABA combo AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ bronchodilators - Correct Answer - "terol" steroids - Correct Answer - "ide" - "zone" COPD Dx - Correct Answer - FEV1/FVC ratio < 0.70 - s/s: barrel chest, clubbing of fingers, chronic caugh - exam: percussion hyperresonance - chronic bronchitis and emphysema chronic bronchitis or emphysema BEFORE COPD - Correct Answer = bronchodilator COPD Tx - Correct Answer - Group A: SABA or LABA - Group B: LABA or LAMA - Group C: LAMA AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - Group D: LAMA or LAMA-ICS *albuterol - formoterol - tiotropium - combo LAMA-ICS (trelegy) Pneumonia - Correct Answer - infiltrates and consolidation in lower lobes - exam: increased tactile fremitis - s/s: cough, fever, chills, rhonchi, wheezes pneumonia tx - Correct Answer - MAD: macrolide, amoxicillin, doxycycline = healthy outpt adults - comorbidities or abx in last 90 days = levaquin or augmentin AND macrolide CURB-65 criteria - Correct Answer - hospital admission criteria for elderly - confusion, BUN > 19, RR > 20/30, BP < 90/60, > 65 yrs AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - do not give PCN, can lead to morbillaform rash - tx = macrolide, cephalosporin, PCN VK acute bronchitis - Correct Answer - s/s: nagging cough, some sputum or not - 95% of cases are viral - tx: only tx with abx if due to pertusis (doesn't decrease s/s but does decrease transmission) - azithromycin - vax: TDAP, DTAP - fever after vax usually due to pertusis component sinusitis - Correct Answer - s/s: recent URI, 7-10 days later roccurance of symptoms, pain bending over, unilateral toothache AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - tx: augmentin allergic rhinitis - Correct Answer - avoid triggers - tx: intra-nasal corticosteroids (flonase), antihistamine (benadryl) - dx: IGE anticholinergic side effects - Correct Answer - cant see, cant pee, cant spit, cant poop Thyroid function - Correct Answer - check TSH first - TSH: 0.5-5.0 hypothyroidism - Correct Answer - high TSH, low T3/T4 - tx: Synthroid -- monitor cardiac affects, start at low dose in elderly - check TSH every 4-6 wks AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ hyperthyroidism - Correct Answer - low TSH, high T3/T4 - tx: propanolol, tapazole, PTU - PTU preferred in 1st trimester of preg then move to tapazole - PTU: frequent lab levels, mult doses per day parathyroid - Correct Answer - located behind thyroid - release PTH: calcium and phosphorus hyperparathyroidism - Correct Answer - calcium is high - phos is low - calcium high is concern for underlying malignancy subclinical hypo or hyperthyroidism - Correct Answer abn TSH and normal ts/t4 - monitor in 6 months, tx once actually hyper or hypo AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - GFR < 30 stop metformin - stop metformin before contrast 2 days prior SGLT2 inhibitors - Correct Answer - cardioprotective - DM meds GLP1 agonist - Correct Answer - injectable only insulin - Correct Answer - start at A1C > 9% acanthrosis nigrans - Correct Answer - darkening of skin behind neck DM meds that cause hypoglycemia - Correct Answer - sulfonoylureas (glipizide) --> avoid in elderly long acting insulin - Correct Answer - lantus, levimir addisons disease - Correct Answer - s/s: hyperpigmentation AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - low everything but high potassium *addisonian crisis: always carry emergency steroids cushings disease - Correct Answer - s/s: moon face, truncal obesity - high everything but low potassium lupus - Correct Answer - dx: pos ANA WITH several s/s - s/s = malar rash, sjogren's syndrome anemia - Correct Answer - normal MCV = 80-100 macrocytic anemia - Correct Answer - MCV > 100 - B12 def - Folate def AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ FAB microcytic anemia - Correct Answer - MCV < 80 - iron def - lead - thalassemia LIT B12 anemia - Correct Answer - macrocytic MCV > 100 - s/s: neuro symptoms, tingling in hands and feet, dizziness, unsteady gait, beefy red tongue (glossitis) Folate Anemia - Correct Answer - macrocytic MCV > 100 - iron def anemia - Correct Answer - microcytic MCV < 80 AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - TD, Tdap - MMR - Hep B - Varicella HIB vaccine - Correct Answer - helps prevent epiglottitis in children epiglottitis - Correct Answer - drooling, resp distress - xray = thumb print sign hemocromotosis - Correct Answer - too much iron in blood - tx: phlebotomy Polycythemia vera - Correct Answer - making too many blood cells, really thick and viscous blood - increased risk of clots - secondary due to: high altitude, COPD - tx: phlebotomy AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ appendicitis signs - Correct Answer - rovsing - markle - blumberg - mcburneys point - obturator -psoas Rovsing Sign - Correct Answer "reverse" - palpate left and hurts on RLQ appendicits Markle Sign - Correct Answer - pain in RLQ when hops on one foot appendicits Blumberg Sign - Correct Answer - reBound tenderness AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ appendicits Mcburney's point - Correct Answer - 2/3s distance b/n belly button and ileac crest appendicits Obturator sign - Correct Answer - internal rotation of right hip at 90 causes abd pain appendicits Psoas - Correct Answer patient rasies leg against resistence appendicits Murphy's sign - Correct Answer Cholecystitis - positive: palpate subcostal area on RUQ and pain on inspiration Cholecystitit - Correct Answer - murphys sign: pain with inspiration - dx = ultrasound - if no gallstones found, then order HIDA scan AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ Hpylori - Correct Answer - tx: triple therapy = CAP clarythromycin amoxicillin PPI quadruple therapy = PPI tetracycline flagyl bismuth salt trichomoniasis - Correct Answer - strawberry cervix, pinpoint hemorrhages - tx: flagyl bacterial vagainosis - Correct Answer Blue cells AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ positive whiff test - tx: flagyl gonorrhea or chlamydia - Correct Answer friable cervix herpes - Correct Answer painful vesicles normal vagaina PH - Correct Answer 3.8-4.5 gonorrhea and chlamydia - Correct Answer - doxycycline and rocephin chalmydia - Correct Answer - azithromycin - 2nd line doxycycline gonorrhea - Correct Answer - rocephin syphillis - Correct Answer - dx: RPR AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ comfirmatory = FTA-ABS test - s/s: *1st painless cancker for 3-6 wks then goes away *2nd rash on palms and soles *3rd neurosyphillis affects brain and spinal cord - Tx: IM bicellin non hormonal contraception - Correct Answer - copper IUD depo provera - Correct Answer - risk of osteoporosis - take calcium and vit d - dont use longer than 5 years breastfeeding contraceptions - Correct Answer - progestin only - mini pill AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ pap smears - Correct Answer - start at age 21, every 3 years - at age 30 every 5 years with HPV cotesting - AS-CUS: get HPV testing, if positive then get colposcopy - LSIL: refer for colposcopy - HSIL: refer for colposcopy - CIN 2 and 3 = bad colposcopy results, scary guardasil - Correct Answer - age 11 - as early as 9 yrs old - prevents HPV 16 & 18 & 6 & 11 geniital worts - Correct Answer - TCA acid menopause - Correct Answer - SSRI paxil helps with hotflashes and nightsweats - oral contraceptives - IUDs AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - vaginal creams - black cohosh, ginkgo (increased bleeding risk) PCOS - Correct Answer - higher risk for: insulin resistance, HLD, cancer - fertility issues - tx: metformin galactorrhea - Correct Answer - milk discharge from breast - typically associated with breast stimulation - order prolactin level to monitor BPH - Correct Answer - symmetrically enlarged rubbery prostate - urinary frequency and hesistancy - tx: alpha blockers, terazosin - take med at bedtime, orthostatic hypotension - finasteride - shrinks prostate down, takes 6 months - saw palmetto AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ PSA cutoff is 4 for referral prostate cancer - Correct Answer - often dont tx unless > 10 years to live epidydimitis - Correct Answer - positive prehn sign - scrotum angry and swollen - unilateral testicular pain - tx: doxycycline or rocephin if < 35 yrs levofloxacin if > 35 yrs testicular torsion - Correct Answer - severe unilateral pain and cremasteric reflex is absent kidney fxn - Correct Answer GFR BUN Creatinine RBC = glomerulonephritis AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - tx: NSAIDs first line (not with HF pts), regular exercise buchards nodes - Correct Answer - proximal interphalangeal joint (PIP) - seen with osteoarthritis and RA Heberden's ndoes - Correct Answer - seen with osteoarthritis only - distal interphalangeal joint (DIP) bouteniere and swan neck deformity - Correct Answer - boutonniere deformity = middle joint of finger wont straighten, PIP joint hyperextension - swan neck deformity = DIP joint, end of finger ankylosing spondilitis - Correct Answer - s/s: pain starts in lower back and works up the back to the neck, autoimmune and chronic inflamm disease AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - dx: Xray, MRI AKA "bamboo spine" scaphoid, navicular fracture - Correct Answer - s/s: snuff box tenderness, - patient reprots falling with hands braced to catch them - dx: doesnt show on xray right away, may show on xray at 2 weeks - tx: even with neg xray, thumb spica cast Carpal tunnel syndrome - Correct Answer - tests = phalens (backwards prayer hands) & tinel's (tap the inner wrist) - affects median nerve AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - tx: splint, brace, rest, steroids morton's neuroma - Correct Answer - "feels like a pebble is in my shoe", b/n 3rd and 4th toe Knee INjury tests - Correct Answer - McMurry = meniscus - Appley test = meniscus - lachman = ACL (most sensitive sign for ACL - anterior drawer test = ACL - Valgus test = ligaments continued popping in knee - Correct Answer meniscal injury straight leg test - Correct Answer - sciatica - positive result = reproduction of s/s b/n 30-70 degrees of elevation AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - dx: xray, degree of severity (around 20 degrees?) - tx: surgery plantar fascitis - Correct Answer - s/s: pain in heel, paini with first thing in morning and gets better throughout the day, precipitated by running - cauda equina syndrome - Correct Answer - s/s: saddle anesthesia (numbness and tingling), severe low back pain, new incontinence - tx: refer to ED - often caused by severe ruptured lumbar disc, spinal cord compression AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ De Quervain's Tenosynovitis - Correct Answer - pain in lower thumb and wrist, pain, tenderness, swelling in radial side of wrist - dx: finklestein test - grab thumb and perform ulnar devaition - tx: NSAIDs, splinting, steroids lateral Epicondylitis - Correct Answer AKA Tennis Elbow - s/s: repetitive forearm and elbow activities, elbow pain during or following elbow flexion and extension - occurs with activities requiring wrist extension or supination - tx: rest, ice, NSAIDs, brae Medial Epicondylitis - Correct Answer AKA golfer's elbow AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - s/s: elbow pain during or following elbow flexion and extension - occurs with wrist flexion/pronation with valgus strain of elbow - tx: rest, ice, NSAIDs, brae epicondylitis - Correct Answer common with: Tennis Fencing Golf Rowing Baseball (pitching) Hammering Typing Meat-cutting Plumbing Painting AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - pre-contemplation: no interest in stopping, nothing bad has happened - contemplation - preparation: cutting down smoking - action - maintenance family systems theory - Correct Answer - family functions as a system, cohesive unit - each family member has a role - unfreeze: before change - change - refreeze transitional care model - Correct Answer - goal is to prevent readmissions and exacerbations AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - hospital, rehab, home with home health, etc. - case management, discharge planners ICD 10 code - Correct Answer - identifies the diagnosis - needs HPI, phys exam, plan CPT code - Correct Answer - procedures done during the visit - diagnostics, labs, xrays, surgical procedures - needs HPI, phys exam, plan swiss cheese model - Correct Answer - when an issues happens, where did the issue continually fall through the cracks and then finally reach the patient - not blaming but root cause analysis incident to billing - Correct Answer - when a physician first sees pt and then we see the same pt for the same dx later AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - bill at 100% for this - normally NPs only bill up to 85% - phys can to be in building state nursing practice act - Correct Answer - determines legal right to practice and scope of pracftice - we can collaborate with MDs, dentists, and DOs medicare - Correct Answer A - inpt hospital B - out pt, dialysis C- advantage plans, subplemental plans, vision, dental D - RX Budget reconocilliaton act - Correct Answer - BRA act came first - allows us to be reimbursed up to 85% when seeing a patient balanced budget act - Correct Answer - came after BRA act - now requires NPs to have NPI number AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ avoids eye contact and loud volumes health is in harmony vietnamese - Correct Answer blood loss is worse than illness - dont like labs - stop rx when feel better hispanics - Correct Answer imbalance b/n environment and individual chinese - Correct Answer disruption b/n yin and yang cupping coining avoid anything cold after birth COBRA - Correct Answer up to 18 months after leaving a job Genetic Information Nondiscrimination Act (GINA) - Correct Answer prohibits using genetic info for employment and healthcare insurance decision AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ Consensus model for APRNs - Correct Answer allows NPs to practice at their fullest extent of training and certification validity vs reliability - Correct Answer - validity: actual accuracy of results - reliability: are these results repeatable? erikson's stages - Correct Answer trust the auto in industry and identify with intimate geniuses with integrity developmental milestones - Correct Answer - 2-3 monthsL posterior fontanell closes - 12-18 months: anterior fontanel closes - 4-6 months: strabismus clears up - 6 months: sit up unassisted, palmar grasp goes away - 9 months: stands, separation anxiety - 12 months: says mama and dada with meaning - 12-17 months: walks AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+ AANP Exam Best Study Guide Verified Solutions200questions & answers Latest Update 2023\2024 Best Rated A+ - 15-18 monoths: holds a spoon - 2-3 yrs: genu varum (bow-legged) goes away - 3 yrs: copy a cicle, throw a ball, ride a tricycle - 4 yrs: Draw a crss - 5-6 yrs: ride a bike premi babies - Correct Answer - catch up by age 2 reflexes at birth - Correct Answer - rooting tonic neck grasp moro stepping birth weight doubles - Correct Answer 6 months birth weight triples - Correct Answer 12 months AANP Exam Best Study Guide Verified Solutions Latest Update 2023\2024 Best Rated A+