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AANP FNP FAMILY NURSE PRACTITIONER ACTUAL
EXAM QUESTIONS AND ANSWERS GUARANTEED PASS A+
LATEST AND UPDATED
- Mr. Brown is a 65 year old carpenter complaining of morning stiffness and pain in both his hands and right knee upon awakening. He feels some relief after warming up. On exam the nurse notices the presence of Heberden's nodes. Which of the following is most likely? a. osteoporosis b. rheumatoid arthritis c. degenerative joint disease d. Reiter's syndrome: c
- Infections that affect mostly the labia and vagina except?: Chlamydia tra- chomatis
- The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for? a. cholecystitis b. c. inguinal hernia d. gastric ulcer: Acute appendicitis
- Tx for mild preeclampsia includes all except:: Prescription of methyldopa to control BP
- All of the following services are covered under Medicare Part A except: a. inpatient hospitalization b. medicines administered to a patient while hospitalized d. surgeons: nursing home care
- A 28 year old student is seen in the school health clinic with complaints of a hacking cough that is productive of small amounts of sputum and a runny nose. He does not take medications, denies any allergies, and has no significant medical history. Physical exam reveals low-grade temperature of
a. their decisions are legally binding b. it can be used in other areas of a patient's life such as financial issues c. they can decide for the patient who is on life support when it can be terminated d. the patient's spouse has the right to override a durable power of attorney: d
- All of the following are true statements regarding Munchausen syndrome except: a. it is considered a mental illness b. the patient has a medical illness that causes an anxiety reaction and denial c. the patient fakes an illness in order to gain attention from health care providers d. the patient has an inconsistent medical history along with a past history of frequent hospitalizations: b
- Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients with emphysema? a. calcium channel blockers b. ACE inhibitors
c. beta blockers d. diuretics: c
- A 30 year old chef complains of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. SHe reports a family history of allergic rhinitis and asthma. Which of the following interventions is most
d. tingling and numbness in both feet: d
- A second triple screen on a 35 year old primigravida reveals abnormally low levels of the alpha fetoprotein and estriol and high levels of human chori- onic gonadatropin. Which of the following interventions is the best choice for this patient? a. order and ultrasound b. order CT scan of abdomen c. order a 24 hour urine for protein clearance d. assess for history of illicit drug or alcohol use.: a
- All of the following are true statements about diverticula except: a. diverticula are located in the colon b. a low-fiber diet is associated with the condition c. most diverticula in the colon are infected with Gram-negative bacteria d. supplementing with fiber such as psyllium is recommended: c
- Patients who are diagnosed with gonorrhea should also be treated for which of the following infections? a. chancroid
b. chlamydia trachomatis c. herpes genitalis d. PID: b
- Kyphosis is a late sign of: a. old age b. osteopenia c. osteoporosis d. osteoarthritis: c
- A 35 year old primigravida who is at 28 weeks gestation is expecting twins. You would expect her alpha fetoprotein values to be? a. normal b. higher than normal c. lower than normal d. none of the above: b
- Which of the following antihypertensive medications has beneficial effects to an elderly white female with osteoporosis?
- Fetal TORCH infections can cause microcephaly, mental retardation, he- patosplenomegaly, and intrauterine growth retardation. The acronym TORCH stands for? a. toxoplasmosis gondii, other infections, rubella, cytomegalovirus, and her- pes b. toxic shock syndrome, ocular infections, rubella, cytomegalovirus, and herpes zoster c. tetanus, opthalmic infections, roseola, cancer, and head abnormalities d. toxins, other infections, roseola, candidiasis, and head abnormalities: a
- Human papilloma virus HPV infection of the larynx has been associate with? a. laryngeal neoplasm b. esophageal stricture c. cervical cancer d. metaplasia of esophageal squamous cells: a
- A 72 year old woman has been on hydrochlorthiazide 12.5 mg for many years to control her Stage II hypertension. Her BP at this visit is 168/96. She is currently complaining of pain in her right hip and both knees. She has increased her dose of
ibuprofen from 400 mg TID to 800 mg TID. She is still in pain and would like something stronger. Best explanation of the effects of ibuprofen on her disease.: It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
- What does a positive posterior drawer sign in a 10 year old soccer player signify? a. an abnormal knee b. instability of the knee c. a large amount of swelling in the knee d. an injury of the meniscus: b
- A multigravida who is at 28 weeks gestation has a fundal height of 30 cm. Which of the following is the best recommendation for this patient? a. advise the mother that her pregnancy is progressing well b. order an ultrasound of the uterus c. refer her to an obstetrician for an amniocentesis d. recommend bedrest with bathroom privileges: a
- A multigravida who is 34 weeks gestation wants to know at what level her uterine fundal height should be. The best answer is to advise the mother that her fundus is:
a. anhedonia and changes in appetite b. decreased energy and irritability c. apathy and low self-esteem d. apraxia and fatigue: d
- Which of the following is an accurate description of eliciting for Murphy's sign? a. upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen below the costovertebral angle b. bend patient's hips and knees at 90 degrees, then passively rotate hip externally, then internally c. ask the patient to squat, then place the stethoscope on the apical area d. press into the abdomen deeply, then release suddenly: a
- A 28 year old multipara who is at 32 weeks gestation presents to your office complaining of sudden onset of small amounts of bright red vaginal bleeding. she has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely? a. placenta abruptio
b. placenta previa c. acute cervicitis d. molar pregnancy: b
- Epidemiologic studies show that Hashimoto's disease occurs most com- monly in: a. middle-aged to older women b. smokers c. obese individuals d. older men: a
- A 48 year old woman is told by a physician that she is starting menopause. All of the following are possible findings except? a. hot flashes b. irregular menstrual periods c. severe vaginal atrophic changes d. cyclic mood swings: c
a. vaginal bleeding and cramping are present, but the cervix remains closed b. vaginal bleeding and cramping are present along with a dilated cervix c. the fetus and placenta are all expelled d. the products of conception and the placenta remain inside the uterus along with a dilated cervix: a
- A 30 year old female who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred marins. There are very few white blood cells seen. The vaginal pH is 6.0. What is most likely? a. trichomonas infection b. bacterial vaginosis c. candidal infection d. a normal finding: b
- The pap smear result on a 20 year old sexually active student who uses condoms inconsistently shows a large amount of inflammation. Which of the following is the best follow-up action? a. call the patient to return to the clinic so she can get tested for a possible cervical infection b. treat the patient with metronidazole vaginal cream over the phone c. call the patient and tell her she needs to repeat the pap smear in 6 months d. advise her to use a Betadine douche at bed time x 3 days: a
- While performing a pap smear on a postmenopausal patient, several areas of flat white skin lesions that are irregularly shaped are found on the patient's labia. the patient reports that the lesions are extremely itchy and have been present for several years without much change. Which condition is best de- scribed? a. chronic scabies infection b. lichen sclerosus c. chronic candidal vaginitis d. a physiologic variant found in some older women: b
- All of the following patients are at higher risk for suicide except? a. a 66 year old white male whose wife of 40 years recently died b. a high school student with a history of bipolar disorder c. a depressed 45 year old female with a family history of suicide d. a 17 year old teen who has only one close friend at school: d
- A 70 year old patient complains of bright red spot in his left eye for 2 days. He denies eye pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper respiratory infection. The only medicine he is on is Bayer aspirin one tablet a day. Which of the following is most likely? a. corneal abrasion b. acute bacterial conjunctivitis c. acute uveitis d. subconjunctival hemorrhage: d
- Which of the following is appropriate follow-up for this 70 year old patient? a. referral to an optometrist
b. referral to an opthalmologist c. advise the patient it is a benign condition and will resolve spontaneously d. prescribe an opthalmic antibiotic solution: c
- Jason, a 9 year old with type I diabetes, is being seen for a 3 day history of frequency and nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood and nitrites but is positive for a large amount of leukocytes and ketones. He has a trace amount of protein. Which of the following is the best test to order initially? a. urine for culture and sensitivity b. 24 hour urine for proteine and creatinine clearance c. 24 hour urine for microalbumin d. an intravenous pyelogram: a
- All of the following are not recommended for the outpatient treatment of mild preeclampsia except: a. severe sodium restriction
