AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024, Exams of Nursing

Download AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 and more Exams Nursing in PDF only on Docsity! AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 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: 1.bile acid sequestrant. 2. a statin drug. 3. a cholesterol absorption inhibitor. 4. low-dose aspirin. - Correct Answer A statin drug The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is: 1. azathioprine (AZA). 2. belimumab (Benlysta). 3. ibuprofen (Advil). 4. cyclophosphamide (Cytoxan). - Correct Answer ibuprofen (advil) AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ The most common sign of cervical cancer is: 1. postcoital bleeding. 2. strong odor from vaginal discharge. 3. itching in the vaginal area. 4. molluscum contagiosum. - Correct Answer 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: 1. discontinue amitriptyline and begin ibuprofen (Motrin). 2. refer to physical therapy. 3. start methocarbamol (Robaxin). 4. discontinue amitriptyline and begin gabapentin (Neurontin). - Correct Answer discontinue amitriptyline and begin gabapentin (neurontin) AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ In most cases, the first manifestation of Alzheimer's disease is: 1. impaired judgment. 2. decrease in short-term memory. 3. disorientation in time and place. 4. decrease in long-term memory. - Correct Answer decrease in short-term memory The optimal treatment for latent tuberculosis is: 1. rifampin (Rifadin) for 5 months. 2. isoniazid (Nydrazid) for 9 months. 3. pyrazinamide for 6 months. 4. ethambutol for 6 months. - Correct Answer osioniazid (nydrazid) for 9 months Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is most often caused by: AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 1. intraductal papilloma. 2. mucinous breast lesions. 3. Paget's disease. 4. ductal carcinoma in situ. - Correct Answer intraductal papilloma A young child with asthma presents for follow-up evaluation. After numerous changes in medications and doses, the parents report that the child continues to have difficulty with coughing, especially during the night. Which of the following conditions would be the most likely cause of the continued asthma symptoms? 1. Vocal cord dysfunction 2. Cystic fibrosis 3. Gastroesophageal reflux 4. Allergic rhinitis - Correct Answer gastroesophageal reflux A pregnant woman with known HIV infection can reduce the risk of perinatal transmission through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start daily dosing: AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 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. - Correct Answer after 14 weeks gestation T-wave inversion with a normal ST segment on a 12-lead EKG may represent: 1. acute coronary ischemia. 2. right ventricular hypertrophy. 3. atrial hypertrophy. 4. hyperkalemia. - Correct Answer 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? AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 3. cutaneous T-cell lymphoma. 4. nummular eczema - Correct Answer nummular eczema 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 appropriate management plan? 1. Stool culture; Immodium AD liquid. 2. No laboratory workup; instruct parents on signs and symptoms of dehydration; 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) - Correct Answer No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup. AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 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: 1. evaluate for hearing loss. 2. refer to speech therapy. 3. re-evaluate in 3 months. 4. check for cerumen impaction. - Correct Answer evaluate for hearing loss The most common side effect of the oral ribavirin used in the treatment of hepatitis C is: 1. hemolytic anemia. 2. weight loss. 3. depression. 4. hypothyroidism. - Correct Answer hemolytic anemia AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ An 86-year-old patient presents with pinguecula, a yellow triangular degenerative tissue thickening of the bulbar conjunctiva. This condition is: 1. cured by eye drops. 2. a genetic process. 3. a malignant growth. 4. a solar-induced lesion - Correct Answer a solar-induced lesion During a well-child examination of an 18-month-old, premature tooth decay and inflamed gums, particularly of the maxillary incisors, are noted. The approach to this problem includes: 1. referring the child to a dentist, assessing for bottle feeding and fluoride in local water. 2. teaching the mother to brush the child's teeth, encouraging vitamin supplements. 3. recommending fluoride mouthwash and toothpaste, suggesting celery sticks for snacks. AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 4. anterior acute myocardial infarction. - Correct Answer 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: 1. alcoholic liver disease. 2. acute mesenteric ischemia. 3. viral hepatitis. 4. acute pancreatitis. - Correct Answer 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 order all of the following EXCEPT: AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 1. wet mount and potassium hydroxide. 2. dark-field microscopy of fluid from the lesion. 3. nucleic acid amplification testing for gonorrhea. 4. serology for Haemophilus ducreyi. - Correct Answer dark-field microscopy of fluid from lesion A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool daily at a local church day care program. The day before her diagnosis, she ate lunch with her mother at a local restaurant. For which contact(s) would chemoprophylaxis with rifampin be recommended? 1. Preschool contacts in the past 7 days 2. A friend of the patient's sister who visited after school yesterday 3. The checkout employee at the grocery store yesterday 4. Diners at the restaurant during lunch the day the patient ate there - Correct Answer preschool contacts in past 7 days Congenital dysplasia of the hip: AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 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. - Correct Answer more commonly affects both hips Anticholinergic agents such as ipratropium (Atrovent) and tiotropium (Spiriva) are used in COPD primarily to: 1. induce bronchodilation. 2. decrease airway inflammation. 3. expand the lung fields. 4. treat hypoxemia. - Correct Answer induce bronchodilation The clinical presentation of placenta previa that develops during the third trimester includes: 1. intermittent dark-red spotting. 2. occult bleeding with abdominal or back pain. AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 4. periorbital cellulitis. - Correct Answer orbital rim fractures A 7-year-old child presents with group A streptococcal infection confirmed by throat culture. Past history includes treatment for positive streptococcal infection with erythromycin (EryPed oral suspension) 3 weeks ago. What is the most appropriate next intervention? 1. Treat with amoxicillin for 10 days. 2. Obtain culture for all household members. 3. Treat with azithromycin (Zithromax) for 10 days. 4. Intramuscular Penicillin. - Correct Answer 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 AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 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. Electrolyt - Correct Answer 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 - Correct Answer conjunctivitis AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 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: 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. - Correct Answer 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 medication at the scheduled times. The practitioner should: 1. discontinue the issue with the patient's daughter. 2. change the dose to extended release 30 mg daily. 3. reinforce the importance of taking the medication. AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 2. Physical activity for 30 minutes daily, 7 days a week 3. Physical activity for 30 minutes daily, for a minimum of 5 days a week 4. Physical activity for 60 minutes daily, 7 days a week - Correct Answer physical activity for 30 minutes daily, for a minimum of 5 days a week The management of COPD in the elderly is best guided by: 1. spirometry. 2. arterial blood gases. 3. radiologic imaging. 4. symptomatology. - Correct Answer symptomatology A young, athletic adult presents with shoulder pain and inability to raise the arm above the shoulder. The most likely diagnosis is: 1. frozen shoulder syndrome. 2. cervical radiculopathy. 3. rotator cuff tear. 4. polymyositis. - Correct Answer rotator cuff tear AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ A 50-year-old male presents with bruises and abrasions on the left leg and forearm, claiming to have had a number of minor accidents at home and at work. The patient reports general feelings of depression, forgetfulness, and, despite the fact that he is regularly employed, a mounting collection of unpaid and overdue bills. In taking the patient's history, a significant pattern of parental alcohol abuse, stroke, TIA, and MI emerges. During questioning to elicit a more thorough diagnosis, the patient becomes hostile and leaves the clinic without further treatment. The most likely explanation for this behavior is: 1. Alzheimer's disease. 2. chronic alcoholism. 3. cancer. 4. carotid artery stenosis. - Correct Answer chronic alcoholism A 28-year-old patient presents with profuse yellow vaginal discharge, odor, and local irritation. She reports completing a 7-day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks ago. She has had multiple recurrences over the last 18 months. Microscopic examination reveals presence of clue cells. What is the most appropriate treatment intervention? AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 1. Oral metronidazole (Flagyl), 500 mg b.i.d., plus metronidazole vaginal gel (MetroGel), for 5 days 2. Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days 3. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6 months 4. Treat patient with metronidazole vaginal gel (MetroGel) b.i.d. and partner(s) with tetracycline, 250 mg q.i.d., for 7 days - Correct Answer Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days An adult female who recently returned from a business trip to Japan presents for a recheck appointment. The only remarkable laboratory result is for thyroid- stimulating hormone (TSH), at 0.3 microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck hurts; examination reveals thyroid tenderness. Which of the following laboratory tests should the nurse practitioner order now? 1. Triiodothyronine (T3) and free thyroxine (FT4) 2. Triiodothyronine (T3) only 3. Triiodothyronine (T3) resin uptake assay 4. Triiodothyronine (T3) and free triiodothyronine (FT3) - Correct Answer Triiodothyronine (T3) and free thyroxine (FT4) AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ The symptoms of benign prostatic hypertrophy are often overlooked because the older male: 1. understands that surgery is the only cure for this condition. 2. considers urinary problems to be a normal part of aging. 3. is fearful of the side effects of additional medication. 4. is concerned that he will no longer be able to obtain an erection. - Correct Answer considers urinary problems to be normal part of aging Upon admission to a nursing home, an 85-year-old patient receives a negative result on the purified protein derivative (PPD) test. To determine TB status in the frail elderly, a second PPD should be performed in: 1. 72 hours. 2. 1 week. 3. 3 months. 4. 6 months. - Correct Answer 1 week Which of the following is NOT used for therapy of an acute attack of gout? AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 1. Colchicine (Colcrys) 2. Indomethacin (Indocin) 3. Methylprednisolone (Solumedrol) 4. Allopurinol (Zyloprim) - Correct Answer allopurinol (zyloprim) A 26-year-old female presents with abdominal distention, bloating, and intermittent crampy abdominal pain relieved by defecation. She has four to six loose stools a day when stressed. Between bouts of diarrhea, she often has constipation. Physical examination results are normal. The CBC was normal. The most likely diagnosis is: 1. diverticulitis. 2. viral gastroenteritis. 3. inflammatory bowel disease. 4. irritable bowel syndrome - Correct Answer irritable bowel syndrome AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ A mother has just noticed that her 15-month-old, 15-kg child has recently ingested an unknown quantity of iron tablets. The mother has ipecac syrup and activated charcoal on hand. The mother should be advised to: 1. take the child to the primary care provider. 2. give ipecac per recommendation on the bottle label. 3. take the child to the emergency room. 4. give the child 30 g of activated charcoal diluted with water - Correct Answer take child to emergency room A 13-year-old is concerned because she has not yet begun to menstruate. Physical examination indicates that the patient is at Tanner stage IV and is of average height and weight. Which of the following would be the most appropriate response to this patient? 1. "We'll need to refer you to an endocrinologist for a complete workup." 2. "We'll need to do some tests to find out why you are not having periods." 3. "I'll give you some pills that will make your periods start." AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 4. cephalohematoma. - Correct Answer cephalohematoma A 65-year-old patient being treated with digoxin (Lanoxin) for chronic heart failure (HF) presents with complaints of palpitations. Three days ago, the patient was placed on clarithromycin (Biaxin) by another provider for community-acquired pneumonia. The appropriate course of action at this point would be to: 1. increase the digoxin dosage by 25%. 2. obtain a digoxin level and change the antibiotic to azithromycin (Zithromax). 3. obtain a chest X-ray. 4. obtain a serum potassium level and perform a 12-lead EKG. - Correct Answer obtain a digoxin level and change the antibiotic to azithromycin (zithromax) A 54-year-old male who is 30 pounds overweight states that he awakens at night with heartburn and the taste of hot acid in his mouth. Stress makes his condition worse, yet baking soda seems to provide some relief. Findings on examination are normal and the stool for occult blood is negative. The preliminary diagnosis(es) should be: 1. esophagitis. AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 2. esophageal spasm. 3. helicobacter pylori. 4. gastroesophageal reflux disease. - Correct Answer GERD A late adolescent patient presents with complaints of acute-onset unilateral right eye pain, visual changes, seeing halos around lights, abdominal pain, and intermittent nausea. Physical findings include an erythematous right eye without discharge, a cloudy cornea, and a moderately dilated right pupil that is nonreactive to light. The nurse practitioner should immediately: 1. apply steroid drops to the right eye. 2. apply mydriatic drops to the eye. 3. refer to the emergency department. 4. make an appointment for him to see an ophthalmologist. - Correct Answer refer to emergency department In a 6-year-old child, which of the following is the preferred drug for stage 1 Lyme disease? AANP Practice Questions Best Study Guide with Certified Solutions Latest Update 2023\2024 Rated A+ 1. Trimethoprim-sulfamethoxazole (Bactrim) 2. Azithromycin (Zithromax) 3. Doxycycline (Doryx) 4. Cefuroxime (Ceftin) - Correct Answer cefuroxime (ceftin) An 86-year-old patient is experiencing radiculopathy-associated lower back pain that has not improved over the past 4 weeks. The medical history includes a lumbar discectomy. The best type of imaging study for evaluating this patient would be a/an: 1. MRI. 2. spinal X-ray. 3. myelography. 4. nuclear bone scan. - Correct Answer MRI A 30-month-old with a history of frequent ear infections was seen in September after a symptom-free summer. Examination revealed bilateral bulging eardrums. After two separate courses of antibiotics, fluid is noted in both ears. The parent reports speech difficulties. The most likely diagnosis is: