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AANP EXAM /AANP /PSI ACTUAL EXAM REAL EXAM, Exams of Nursing

Johns Hopkins University (JHU)Nursing

AANP EXAM /AANP /PSI ACTUAL EXAM -2025 REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS (100% COMPLETE SOLUTION) NEW UPDATED VERSION | ALREADY GRADED A+

Typology: Exams

2024/2025

Available from 07/06/2025

Prof.-Judith-Bass
Prof.-Judith-Bass šŸ‡ŗšŸ‡ø

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AANP EXAM /AANP /PSI ACTUAL EXAM 2024-2025 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS
(100% COMPLETE SOLUTION) NEW UPDATED VERSION |
ALREADY GRADED A+
The management of COPD in the elderly is best guided by:.
1. spirometry.
2. arterial blood gases.
3. radiologic imaging.
4. symptomatology. - ANSWER ->4. symptomatology.
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 - ANSWER ->1. Preschool contacts in the past 7 days
Which of the follow is a hallmark of spinal stenosis
1. Loss of bowel and bladder control
2. Point tenderness over lumbar spine
3. Leg, buttock or back pain precipitated by walking
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pf16
pf17
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pf19
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pf1b
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Partial preview of the text

Download AANP EXAM /AANP /PSI ACTUAL EXAM REAL EXAM and more Exams Nursing in PDF only on Docsity!

AANP EXAM /AANP /PSI ACTUAL EXAM 2024- 2025 REAL

EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

(100% COMPLETE SOLUTION) NEW UPDATED VERSION |

ALREADY GRADED A+

The management of COPD in the elderly is best guided by:.

  1. spirometry.
  2. arterial blood gases.
  3. radiologic imaging.
  4. symptomatology. - ANSWER - >4. symptomatology. 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?
  5. Preschool contacts in the past 7 days
  6. A friend of the patient's sister who visited after school yesterday
  7. The checkout employee at the grocery store yesterday
  8. Diners at the restaurant during lunch the day the patient ate there - ANSWER - >1. Preschool contacts in the past 7 days Which of the follow is a hallmark of spinal stenosis
  9. Loss of bowel and bladder control
  10. Point tenderness over lumbar spine
  11. Leg, buttock or back pain precipitated by walking
  1. Pain that radiates down one leg - ANSWER - >3. Leg, buttock or back pain precipitated by walking A 46-year-old female presents with a complaint of amenorrhea for 3 months. The first-line diagnostic workup is:
  2. urine pregnancy test.
  3. progesterone challenge.
  4. serum prolactin level.
  5. thyroid-stimulating hormone (TSH). - ANSWER - >1. urine pregnancy test 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:
  6. white blood cell levels.
  7. fecal occult blood test.
  8. hemoglobin levels.
  9. urine dipsticks. - ANSWER - >3. hemoglobin levels. An 86-year-old patient presents with pinguecula, a yellow triangular degenerative tissue thickening of the bulbar conjunctiva. This condition is:
  10. cured by eye drops.
  11. a genetic process.
  12. a malignant growth.
  13. a solar-induced lesion. - ANSWER - >4. a solar-induced lesion.

1.azathioprine (AZA).

  1. belimumab (Benlysta).
  2. ibuprofen (Advil).
  3. cyclophosphamide (Cytoxan). - ANSWER - >3. ibuprofen (Advil). In treating a pregnant female with migraine headaches, which of the following drugs is in Category X?
  4. Ergotamine tartrate (Ergomar)
  5. Sumitriptan succinate (Imitrex)
  6. Frovatriptan (Frova)
  7. Amitriptyline (Elavil) - ANSWER - >1. Ergotamine tartrate (Ergomar) The optimal treatment for latent tuberculosis is:
  8. rifampin (Rifadin) for 5 months.
  9. isoniazid (Nydrazid) for 9 months.
  10. pyrazinamide for 6 months.
  11. ethambutol for 6 months. - ANSWER - >2. isoniazid (Nydrazid) for 9 months. 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?
  12. Stool culture; Immodium AD liquid.
  1. No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.
  2. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup over next 72 hours; Imodium AD liquid, 1 mg/sml
  3. Stool for ova and parasites; advise parents of likely sources of Giardia; prescribe furazolidone (Furoxone) - ANSWER - >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. 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:
  4. Alzheimer's disease.
  5. chronic alcoholism.
  6. cancer.
  7. carotid artery stenosis. - ANSWER - >2. chronic alcoholism.
  1. 1 week.
  2. 3 months.
  3. 6 months. - ANSWER - >2. 1 week. 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?
  4. Oral metronidazole (Flagyl), 500 mg b.i.d., plus metronidazole vaginal gel (MetroGel), for 5 days
  5. Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days
  6. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6 months
  7. Treat patient with metronidazole vaginal gel (MetroGel) b.i.d. and partner(s) with tetracycline, 250 mg q.i.d., for 7 days - ANSWER - >2. Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days 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?
  8. Vocal cord dysfunction
  9. Cystic fibrosis
  1. Gastroesophageal reflux
  2. Allergic rhinitis - ANSWER - >3. Gastroesophageal reflux An 87-year-old patient presents with round, pruritic plaques and small vesicles on the lower legs. The most likely diagnosis is:
  3. allergic contact dermatitis.
  4. plaque psoriasis.
  5. cutaneous T-cell lymphoma.
  6. nummular eczema. - ANSWER - >4. nummular eczema A frail elderly widow presents to the senior clinic with a 3- to 4- day history of confusion that became worse the evening before but currently seems a little better, although her speech is rambling and difficult to follow. During the examination, the patient is anxious and agitated. She is on cardiac medications, an antidepressant, and insulin. The most likely diagnosis is:
  7. mild stroke.
  8. polypharmacy.
  9. electrolyte imbalance.
  10. agitated depression. - ANSWER - >2. polypharmacy. 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?

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. - ANSWER - >2.obtain a digoxin level and change the antibiotic to azithromycin (Zithromax). 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?
  5. Conjunctivitis
  6. Hearing loss
  7. Pneumonitis
  8. Meningitis - ANSWER - >1. Conjunctivitis 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.
  2. esophageal spasm.
  3. helicobacter pylori.
  4. gastroesophageal reflux disease. - ANSWER - >4. gastroesophageal reflux disease. 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:
  5. start oral electrolyte mixture every hour.
  6. hospitalization for IV fluid replacement.
  7. giving the child loperamide for each diarrheal stool.
  8. catheterizing the child to obtain accurate urine output. - ANSWER - >2. hospitalization for IV fluid replacement. A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with aging is the most likely cause?
  9. Decreased bowel muscle tone
  10. Increased bile secretion
  11. Increased absorption of calcium
  12. Decreased pancreatic secretions - ANSWER - >1. Decreased bowel muscle tone An adult female who recently returned from a business trip to Japan presents for a recheck appointment. The only remarkable

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."
  4. "Your development is exactly as expected for your age; you'll probably begin to have periods within a year." - ANSWER - >4. "Your development is exactly as expected for your age; you'll probably begin to have periods within a year." T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
  5. acute coronary ischemia.
  6. right ventricular hypertrophy.
  7. atrial hypertrophy.
  8. hyperkalemia. - ANSWER - >1. acute coronary ischemia. The most common bacterial cause of cellulitis in patients with diabetes mellitus is:
  9. Pseudomonas aeruginosa.
  10. group B beta-hemolytic Streptococcus.

Staphylococcus aureus.

Staphylococcus saprophyticus. - ANSWER - >3. Staphylococcus aureus. The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:

  1. acetaminophen.
  2. prednisone.
  3. aspirin.
  4. ibuprofen. - ANSWER - >4. ibuprofen. Which of the following microorganisms are most frequently associated with acute bacterial rhino-sinusitis?
  5. Staphylococcus aureus and Mycoplasma pneumonia
  6. Staphylococcus aureus and Methicillin Resistant Staph aureus
  7. Streptococcus pneumoniae and Haemophilus influenzae
  8. Streptococcus pneumoniae and Pseudomonas aeruginosa - ANSWER - >3. Streptococcus pneumoniae and Haemophilus influenzae 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:
  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. - ANSWER - >1. maximum volume of air that can be forcefully exhaled after maximum inspiration. A pediatric male is present with his mother, who states that he is extremely restless at night and constantly scratches his anal area. Which diagnostic procedure would confirm a diagnosis of pinworm infestation?
  5. The patch test
  6. Examination of bed linens
  7. Examination of transparent tape sample from perianal skin
  8. Blood tests for anemia and eosinophilia - ANSWER - >3. Examination of transparent tape sample from perianal skin The most important diagnostic factor in evaluating angina pectoris is the patient's:
  9. King of Heart's monitor.
  10. physical examination.
  11. history.
  12. echocardiogram. - ANSWER - >3. history A child is being treated with methylphenidate (Ritalin) for attention-deficit disorder. The following are all side effects of Ritalin EXCEPT:
  1. muscle cramps
  2. mild irritability.
  3. increased heart rate.
  4. slight increase in growth velocity. - ANSWER - >4. slight increase in growth velocity Anticholinergic agents such as ipratropium (Atrovent) and tiotropium (Spiriva) are used in COPD primarily to:
  5. induce bronchodilation.
  6. decrease airway inflammation.
  7. expand the lung fields.
  8. treat hypoxemia. - ANSWER - >1. induce bronchodilation. 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 maculopapular 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:
  9. contact dermatitis.
  10. scabies infestation.
  11. psoriasis.
  12. eczema. - ANSWER - >1. contact dermatitis. 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
  1. caused by viral gastroenteritis. - ANSWER - >1. associated with the omeprazole. Risk factors for genital herpes include:
  2. multiple sexual partners and years of sexual activity.
  3. genetic transmission.
  4. infection with other sexually transmitted diseases before the age of 12.
  5. multiple sexual partners and frequent use of public spas. - ANSWER - >1. multiple sexual partners and years of sexual activity. The most common sign of cervical cancer is:
  6. postcoital bleeding.
  7. strong odor from vaginal discharge.
  8. itching in the vaginal area.
  9. molluscum contagiosum. - ANSWER - >1. postcoital bleeding. Which of the following is NOT used for therapy of an acute attack of gout?
  10. Colchicine (Colcrys)
  11. Indomethacin (Indocin)
  12. Methylprednisolone (Solumedrol)
  13. Allopurinol (Zyloprim) - ANSWER - >4. Allopurinol (Zyloprim) 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:

  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. - ANSWER - >2. dark-field microscopy of fluid from the lesion. A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to the surgery and subcutaneous Lovenox has been ordered for DVT prophylaxis until the resumption of the warfarin. The nurse practitioner knows that the patient's postoperative warfarin dose should be restarted based on the:
  5. value of her morning Prothrombin time.
  6. loading dose of 10 mg, plus the previous warfarin dose.
  7. baseline PT and INR values.
  8. target INR of 2. - ANSWER - >3. baseline PT and INR values. 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:
  9. apply steroid drops to the right eye.
  10. apply mydriatic drops to the eye.