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AANP FNP CERTIFICATION ACTUAL EXAM 2024/
Aanp Fnp Test Bank Questions And Correct Answers
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If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following? - ANSWER>> You would find mild upper respiratory symptoms with cough. And mild conjunctival injection. It is really indistinguishable from the common cold. What would NOT be considered a typical finding in a geriatric patient? - ANSWER>> Low frequency hearing loss. A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of the hair cells results in sensorineural hearing loss. Typical findings in a geriatric patient? - ANSWER>> Thinner epidermis, dermis and subcutaneous layers of skin, bright purple-colored patches on the forearms and hands, opaque white ring at the periphery of the cornea Risk factors for age-related macular degeneration - ANSWER>> Tobacco use, aging, sun exposure and family history Underweight BMI - ANSWER>> <18. Normal BMI - ANSWER>> 18.5-24. Overweight BMI - ANSWER>> 25 - 29.
Obese BMI - ANSWER>> 30 - 39. Grossly obese BMI - ANSWER>> > Pregnancy Category A Drugs - ANSWER>> Vitamins and levothyroxine Pregnancy Category B Drugs - ANSWER>> Acetaminophen, ibuprofen, penicillins, cephalosporins, and azithromycin and erythromycin antibiotics. A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg muscles that occurs after walking for 20 minutes. After taking a complete history and performing a physical exam, an NP decides that the most likely diagnosis is? - ANSWER>> Intermittent claudication What is a common cause of acne? - ANSWER>> Increase in androgens In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative agent would be suspected? - ANSWER>> Group A beta-hemolytic Streptococcus When completing the initial assessment for depression in geriatric adults, the NP should evaluate? - ANSWER>> Mental status exam What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? - ANSWER>> Blood incompatibility with the mother
An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in sports, what should be considered? - ANSWER>> Characteristics of the sport Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? - ANSWER>> Cauda equina syndrome The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? - ANSWER>> A 40-year old male who is living in a wooded area raising dogs What condition is associated with the development of type 2 DM? - ANSWER>> Delivery of a neonate weighing 9 lb or greater What condition is a risk factor for development of DVT and PE? - ANSWER>> Visceral malignancy Research studies indicate that ED in geriatric patients is a common complication in? - ANSWER>> Vascular disease What neuro signs are characteristic of the patient with AD? - ANSWER>> Gait disorder and impaired stereognosis A frail elderly male patient complains of difficulty with urination. The International Prostate Symptom Score can assist with decisions regarding the diagnosis of BPH. What symptom is consistent with the items on this scale? - ANSWER>> Nocturia
The best medication for a patient who complains of IBS with cramping is? - ANSWER>> Dicyclomine (Bentyl) Major causes of CKD include? - ANSWER>> Amyloidosis and SLE A risk factor postmeno osteoporosis is? - ANSWER>> History of tobacco use An NP considering referral of a frail elderly patient for hospice care understands that? - ANSWER>> Documentation of limited life expectancy is a prerequisite The sound intensity of a grade III/VI hear murmur is typically described as? - ANSWER>> Medium intensity What is associated with decreased risk of breast cancer? - ANSWER>> Breast feeding An adult patient present with complaints of nausea, fatigue, and myalgia. The patient reports a history of untreated hep B 30 years ago. What hep B serology testing results would indicate that the patient has chronic hepatitis? - ANSWER>> HBsAG = positive, IgM anti-HBc = negative A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be evaluated for? - ANSWER>> Multiple myeloma An older adult female presents with severe pain. She reports malaise, and periodic itching and burning on her chest wall. PE reveals a small
to the bathroom in time," and wets herself. Which type of incontinence is most likely? - ANSWER>> Urge An early adolescent patient who plays football presents to clinic after a football practice complaining of limping due to anterior left knee pain. The pain has gradually increased over the past 2 weeks but is relieved with rest. The patient denies any trauma, prior surgeries, or medical history. PE reveals tenderness and swelling of the tibial tubercle and reproduction of pain with resisted knee extension. The H&P exam findings are most consistent with a diagnosis of? - ANSWER>> OsgoodSchlatter disease A late adolescent male presents with complaint that his left breast appears larger than the right one. He has a recent 10-lb weight gain and admits to MJ use. On exam, the area is diffuse and nontender, The primary diagnosis is? - ANSWER>> Fatty gynecomastia An adult female patient present to the ED for sudden onset of severe lower abdominal pain. She describes the pain as stabbing. She denies nausea, vomiting, fever, or chills. The pain does not radiate. To confirm the diagnosis of an ectopic pregnancy, the NP should order what imaging study? - ANSWER>> US A geriatric male, who is a 30-packs a year smoker, present with wheezing and dyspnea. His CXR shows a flattened diaphragm and an increased retrosternal chest space. There are decreased vascular markings. The most likely diagnosis is? - ANSWER>> COPD
A geriatric patient present with a bump on the vulva, associated with pruritis and malodorous drainage. Exam reveals a raised, ulcerated lesion. The most likely diagnosis is? - ANSWER>> Vulvar cancer A pediatric patient presents with a painful, enlarged parotic gland. The most likely diagnosis is? - ANSWER>> Mumps A geriatric female presents with tremors and a 20 lb weight loss over 2 months. An NP's lab eval should include a? - ANSWER>> TSH and free T A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of gestation. What is the most accurate method for confirming this diagnosis? - ANSWER>> Nucleic acid amplification test (NAAT) of urine An adult male presents with intermittent retrosternal burning. He has gained 30 lb in the past year. PE results are unremarkable and the EKG is normal. The most likely diagnosis is? - ANSWER>> GERD A geriatric male patient is being followed for type 2 DM and HTN. He also has a diagnosis of polycythemia vera and has regular phlebotomies to control this. What statement about this patient is true? - ANSWER>> He should avoid dietary iron supplements. An adult patient reports increasingly frequent migraines, especially upon rising in the morning. The headaches have been successfully managed in the past with APAP and Midrin prn, a neurological etiology has been ruled out. Of the following drugs, which would be recommended for prophylactic migraine management in this case? -
15.2. The NP should? - ANSWER>> Prescribe phototherapy for the infant An elderly patient is diagnosed with acute gastritis. The patient stops taking Naproxen and is started on Pepcid. Three weeks later, the patient complains that the anorexia, nausea, and epigastric pain and tenderness have not been relieved. What diagnostic study should be ordered? - ANSWER>> Testing for H. pylori A geriatric female was diagnosed with hypothyroidism and started on levothyroxine, 25 ug 1 week ago. She feels tired and wishes to have her medicine increased. What is the best response? - ANSWER>> Your blood levels should be checked every 6 weeks, as it takes the body several weeks to adjust to the medication An elderly patient with type 2 DM has been well-controlled on glipizide and recently developed stage 1 HTN. After 3 months of lifestyle therapy, the patient is still not at goal BP. What drug class would be the best choice? - ANSWER>> ACE inhibitor Smoking MJ leads to what? - ANSWER>> Increased HR A geriatric male presents late in the day. The NP suspects bacterial PNA, prescribes abx, and sends the patient home. The next day, the patient returns, but has not improved. What finding would be an indication for hospitalization? - ANSWER>> Confused mental status In a mass casualty situation with presumed anthrax exposure, the drug of choice for prophylaxis is? - ANSWER>> Doxycycline
A child with refractory retentive encopresis has been treated with a laxative protocol. What is the next step in this patient's treatment plan?
- ANSWER>> Referral to GI An early adolescent male presents with a history of low-grade fever, headache, and facial rash. Upon exam, the NP finds red papular, vesicular lesions along the right side of the nose. Priority care for this patient should include? - ANSWER>> Referral to an ophthalmologist today The preferred treatment for early syphilis is? - ANSWER>> Benzathine penicillin G 2.4 million units IM once A 12-year-old child diagnosed with mild persistent asthma has a peak expiratory flow (PEF) of less than 80% of predicted. The most appropriate action would be to? - ANSWER>> Add a long-acting beta agonist to the inhaled corticosteroid For treatment of otitis media in a child who is allergic to penicillin, the abx of choice is? - ANSWER>> Cefdinir (Omnicef) What medication is prescribed for the treatment of pinworm? - ANSWER>> Albendazole (Albenza) An adult patient presents with a burning feeling in the eyes and crusty, inflamed eyelids. He is diagnosed with dry eye syndrome. The best treatment for this condition would include initiating? - ANSWER>> Eyelid hygiene with baby shampoo and warm water
abortion. The patient is Rh negative. When should RhoGAM be administered? - ANSWER>> Within 72 hours Solid foods can be introduced into an infant's diet at what age? - ANSWER>> 6 months A mother brings her 8-week-old to the clinic who has been inconsolably crying for the last 3 days. After completing a thorough physical exam with normal findings, what diagnostic tests should the NP order next? - ANSWER>> Urine culture What microorganism is most frequently associated with acute bacterial rhino-sinusitis? - ANSWER>> Streptococcus pneumoniae and H. influenza A patient on warfarin therapy for 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 SQ Lovenox has been ordered for DVT prophylaxis until the resumption of the warfarin. The NP knows that the patient's postoperative warfarin dose should be restarted based on the? - ANSWER>> Baseline PT and INR values In pulmonary function testing, forced vital capacity represents the? - ANSWER>> Maximum volume of air that can be forcefully exhaled after maximum inspiration On physically assessing a newborn's head, you note an enlarged, fluidfilled area that is subperiosteal and does not cross suture lines. This finding indicates the presence of? - ANSWER>> Cephalohematoma
The clinical presentation of placenta previa that develops during the third trimester includes? - ANSWER>> Sudden onset of painless and profuse bleeding An adult female who recently returned from a business trip to Japan presents for a recheck appointment. The only remarkable lab result is for TSH, at 0.3 (0.4-6 = normal). The patient reports that her neck hurts; exam reveals thyroid tenderness. What lab tests should the NP order now? - ANSWER>> T3 and free T In most cases, the first manifestation of AD is? - ANSWER>> Decrease in short-term memory 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 NP should? - ANSWER>> Evaluate for hearing loss 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 NP should not order? - ANSWER>> Dark-field microscopy of fluid from the lesion The most important diagnostic factor in evaluating angina pectoris is the patient's? - ANSWER>> History
The most common sign of cervical cancer is? - ANSWER>> Postcoital bleeding An 86-year-old patient presents with pinguecula, a yellow triangular degenerative tissue thickening of the bulbar conjunctiva. This condition is? - ANSWER>> Solar-induced lesion. 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 NP should immediately? - ANSWER>> Refer to ED A 16-year-old female adolescent is brought to the NP'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 the daughter is purging. In addition to a CBC with diff, what lab tests will be most helpful for further assessment? - ANSWER>> Electrolytes, BUN/creatinine, UA A pediatric male is present with his mother, who states that he is extremely restless at night and constantly scratches his anal area. What diagnostic procedure would confirm a diagnosis of pinworm infestation? - ANSWER>> Exam of transparent tape sample from perianal skin An 86-year-old is experiencing radiculopathy-associated lower back pain that has not improved over the past 4 weeks. The medial history
includes a lumbar discectomy. The best type of imaging study for evaluating this patient would be a? - ANSWER>> MRI There are three reasons for latex allergies. What is not a reason? - ANSWER>> Cytotoxic hypersensitivity Risk factors for genital herpes include? - ANSWER>> Multiple sexual partners and years of sexual activity A geriatric female presents for her annual exam. She has been on antihypertensive meds for over 20 years, with good control. Lab values are within normal ranges. The NP is concerned about the patient's cardiac health risks, due to her weight and her waist circumference. According to AHA guidelines, what goal is expected for this patient? - ANSWER>> Physical activity for 30 minutes daily, for a minimum of 5 days a week An 87-year-old patient presents with round, pruritic plaques and small vesicles on the lower legs. The most likely diagnosis is? - ANSWER>> Nummular eczema A 30-month-old with a history of frequent ear infections was seen in September after a symptom-free summer. Exam revealed bilateral bulging eardrums. After two separate courses of abx, fluid is noted in both ears. The parent reports speech difficulties. The most likely diagnosis is? - ANSWER>> Otitis media with effusion 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
she often has constipation. PE results are normal. The CBC was normal. The most likely diagnosis is? - ANSWER>> IBS A frail elderly widow presents 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 exam, the patient is anxious and agitated. She is on cardiac medications, an antidepressant, and insulin. The most likely diagnosis is? - ANSWER>> Polypharmacy A 54 - year-old male who is 30 lbs 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 exam are normal and the stool for occult blood is negative. The preliminary diagnosis should be? - ANSWER>> GERD An NP is evaluating an infant for possible colic. What could indicate the need for a more extensive eval? - ANSWER>> 3 - oz weight gain over the past 2 weeks Type 2 DM is characterized by what? - ANSWER>> Decreased reabsorption of sodium-glucose transporters 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 PE, the child's head drops ack and the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably. Funduscopic exam reveals retinal hemorrhages. What diagnostic test should be ordered? - ANSWER>> CT scan
A 27-year-old male patient, who works as a janitor, presents with a 6month history of an intermittent rash on his hands. History 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? - ANSWER>> Contact dermatitis 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? - ANSWER>> After 14 weeks of gestation In treating a pregnant female with migraine headaches, what drug is in Category X? - ANSWER>> Ergotamine tartrate (Ergomar) A 46-year-old female presents with a complaint of amenorrhea for 3 months. The first-line diagnostic workup is? - ANSWER>> Urine pregnancy test A 70-year-old patient presents to the clinic complaining of dyspnea, palpitations, and fatigue. The patient reports a 2-week history of blackened stools. Assessment reveals BP = 110/60, P = 100, R = 24, Hgb = 4.5, Hct = 16%. What is the most appropriate intervention? - ANSWER>> Send to ER During a well-child exam of an 18-month-old, premature tooth decay and inflamed gums, particularly of the maxillary incisors, are noted. The approach to this problem includes? - ANSWER>> Referring the child to a dentist, assessing for bottle feeding and fluoride in local water.
