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AANPCB-FNP American Academy of Nurse Practitioners Certification Board
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lOMoARcPSD| 30878495Nursing
AANPCB-FNP
American Academy of Nurse Practitioners Certification Board: Family Nurse
Practitioner
Questions & Answers PDF
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Question: 1
Recently, the recommendations on treatment for seasonal allergic rhinitis (SAR) were updated to reflect
clinical evidence. The Joint Task Force for Practice Parameters (JTFPP) recommends that nasal allergy
symptoms present in patients older than 12 years should FIRST be treated with:
A. a leukotriene modifier (LTM) alone.
B. an oral antihistamine alone.
C. an intranasal steroid alone.
D. an intranasal corticosteroid and an oral antihistamine.
Answer: C
Explanation:
Correct answer: An intranasal corticosteroid alone
Seasonal allergic rhinitis has been treated for years using a combination approach of intranasal
corticosteroids (INCS) with an oral antihistamine. The most recent recommendations from the JTFPP
have changed based on the most current evidence, and they now recommend monotherapy with an
INCS alone as first-line treatment for patients 12 years or older.
First and second generation oral antihistamines are now considered rescue therapy and are more
effective on symptoms when used along with consistent controller therapy of INCS.
Leukotriene modifiers (LTMs) such as montelukast (Singulair) can be considered as adjunct treatment for
seasonal allergic rhinitis, as they are less effective than INCS.
Reference:
Nurse Practitioner Certification Exam Prep, Sixth Edition. Pgs. 202-204.
Family Nurse Practitioner Certification Intensive Review, Fourth Edition. Pgs. 129-130.
Question: 2
More than 90% of patients with pneumonia will typically present with which of the following symptoms?
A. Dyspnea
B. Sputum production
C. Cough
D. Pleuritic chest pain
Answer: C
Explanation:
Correct answer: Cough
, Pneumonia is the most common cause of death from infectious disease and is the eighth-leading cause
of overall mortality in the United States. The usual presentation of patients with pneumonia includes
cough (more than 90%), dyspnea (66%), sputum production (66%) and pleuritic chest pain (50%).
Nonrespiratory symptoms, including fatigue and gastrointestinal upset, are also commonly reported. As
with other infectious diseases, elderly patients often report fewer symptoms, and present with an
elevated resting respiratory rate and generally feel ill. Altered mental status is also often noted in the
older adult with pneumonia.
Reference:
Nurse Practitioner Certification Exam Prep, Sixth Edition. Pg. 309.
Family Nurse Practitioner Certification Intensive Review, Fourth Edition. Pg. 225.
Question: 3
Of the following types of urinary incontinence, which has the HIGHEST incidence in older adults?
A. Functional incontinence
B. Stress incontinence
C. Mixed incontinence
D. Urge incontinence
Answer: D
Explanation:
Correct answer: Urge incontinence
Urinary incontinence (UI) is the involuntary loss of urine in sufficient amounts to be a problem. This
condition is often thought by many women to be a normal part of aging. In reality, numerous treatment
options are available after the cause of UI is established. Urge incontinence, also called overactive
bladder (OAB), is the most common form of UI in older men and women.
Stress incontinence (involuntary leakage of a small-to-medium volume of urine when laughing, sneezing,
coughing, bending, lifting, etc) has the highest incidence in middle-aged women (peak at 45-49 years).
Functional incontinence affects approximately 25% of women aged 57-85 years, and is associated with
the inability to get to the toilet or lack of awareness of the need to void. Mixed incontinence involves
symptoms that are a mixture of stress and urge incontinence.
Reference:
Nurse Practitioner Certification Exam Prep, Sixth Edition. Pg. 678-679.
Family Nurse Practitioner Certification Intensive Review, Fourth Edition. Pg. 534.
Question: 4
In the course of a follow-up examination for a patient with gastroesophageal reflux disease (GERD),
which outcome would indicate the need for a referral for a specialty consultation?
A. Moderate symptoms following treatment with ranitidine (Zantac) for 6 weeks
B. Symptoms persist after an 8-week course of a proton-pump inhibitor such as omeprazole (Prilosec)
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