AANP Board Test 2 (100 Questions) With ll ll ll ll ll ll ll
Verified Answers ll ll
ll
You are treating a patient with acute anxiety and she is having an acute attack in the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
office. The ANP has knowledge that the fastest relief of symptoms is:
ll
ll ll ll ll ll ll ll ll ll ll ll
ll
a TCA a beta-blocker a
ll ll ll ll ll ll ll
benzodizepine an SSRI -
ll ll ll ll ll
Correct answer:
ll ll ll
benzodiazepine ll
ll
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other
ll ll ll ll ll ll ll ll ll ll ll ll
choices list agents that will require multiple doses for results. With daily continued
ll ll ll ll ll ll ll ll ll ll ll ll ll
use of benzodiazepines, the anti-anxiety effect may become diminished.
ll ll ll ll ll ll ll ll ll ll
ll
A geriatric patient with cardiovascular disease is in the office being counseled on
ll ll ll ll ll ll ll ll ll ll ll ll
lifestyle changes. The ANP knows that which of the following is the most important to
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
include in this discussion?
ll ll ll ll ll
ll
ll
"Control your hypertension, stop smoking, maintain a normal weight, and exercise
ll ll ll ll ll ll ll ll ll ll ll
regularly."
ll ll
"Have a yearly physical examination, increase fiber in your diet, and exercise
ll ll ll ll ll ll ll ll ll ll ll ll
regularly."
ll ll
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
ll ll ll ll ll ll ll ll ll ll ll ll ll
"Decrease smoking, increase vitamin supplements, and increase protein intake." -
ll ll ll ll ll ll ll ll ll ll
Correct answer:
ll ll ll
"Control your hypertension, stop smoking, maintain a normal weight, and exercise
ll ll ll ll ll ll ll ll ll ll
regularly."
ll ll ll
ll
All of these are important for the geriatric patient to decrease cardiovascular risk.
ll ll ll ll ll ll ll ll ll ll ll ll
Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining a
ll ll ll ll ll ll ll ll ll ll ll ll
healthy lifestyle but do not help to prevent cardiovascular disease.
ll ll ll ll ll ll ll ll ll ll ll
ll
You are seeing a female with inflammatory bowel disease, known as IBD. The Adult
ll ll ll ll ll ll ll ll ll ll ll ll ll
Nurse Practitioner knows that if she orders a hemogram on this patient, which of the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
following results would be seen if the patient was anemic?
ll ll ll ll ll ll ll ll ll ll ll
ll
microcytic, hypochromic type
ll
ll ll ll
macrocytic, normochromic type
ll
ll
ll ll ll
normocytic, normochromic type
ll ll ll
macrocytic, hypochromic type - Correct Answer:
ll ll ll ll ll ll
normocytic, normochromic type ll ll ll
ll
ll
ll Anemia is a common problem in IBD. The etiology is often from multiple causes. The
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll anemia of chronic disease, a normocytic, normochromic anemia, is a result of
ll ll ll ll ll ll ll ll ll ll ll
ll inflammation of the IBD without blood loss. Blood loss would result in a microcytic,
ll ll ll ll ll ll ll ll ll ll ll ll ll
,ll hypochromic anemia. The macrocytic anemias are a result of deficiency in vitamin ll ll ll ll ll ll ll ll ll ll ll
ll B12 or other causes. ll ll ll ll
ll
Which of the following is the least likely risk factor for suicide?
ll ll ll ll ll ll ll ll ll ll ll ll
ll
physical illness male
ll ll ll ll ll
increasing age black race -
ll ll ll ll ll ll
Correct answer:
ll ll ll
black race ll ll
ll ll
Being of a white race is more likely to be a factor in suicide. Besides the other three
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
choices risk factors include: substance abuse, living alone, and less education.
ll
ll ll ll ll ll ll ll ll ll ll
ll
The healthcare provider's required level of expected conduct as established by
ll ll ll ll ll ll ll ll ll ll ll
custom, law, or professional organizations is called the:
ll
ll ll ll ll ll ll ll
ll
Standard of care.
ll ll ll ll
Breach of duty.
ll ll ll ll
Duty.
ll ll
Malpractice. - Correct answer:
ll ll ll ll ll
Standard of care ll ll ll
Standard of care is another term associated with negligence. Standard of care is a
ll ll ll ll ll ll ll ll ll ll ll ll ll
healthcare provider's required level of expected conduct as established by custom,
ll ll ll ll ll ll ll ll ll ll ll
law, or professional organizations.
ll ll ll ll ll
ll
A brief account by the patient of any signs or symptoms he or she is experiencing is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
one component of:
ll
ll ll
ll
Review of systems.
ll ll ll ll
Symptom assessment.
ll ll ll
Functional assessment.
ll ll ll
Objective assessment. - Correct Answer:
ll ll ll ll ll ll
Review of systems ll ll ll
ll
In the review of systems, the patient tells the nurse in his or her own words what
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
signs or symptoms he or she has experienced in various body systems. It is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
important that these be in a patient's own words to perform the most complete and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
accurate assessment.
ll ll ll
ll
All of the following are typical changes to the gastrointestinal system that come with
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
aging EXCEPT:
ll
ll
ll
ll decreased liver size decreased muscle tone ll ll ll ll ll ll
ll in bowel increased absorption of calcium
ll ll ll ll ll ll ll
ll atrophy of salivary glands - Correct answer: ll ll ll ll ll ll
ll
increased absorption of calcium ll ll ll ll
ll ll
Decreased absorption of calcium is a common change that comes with aging, not ll ll ll ll ll ll ll ll ll ll ll ll ll
increased absorption. Other gastrointestinal changes include: less efficient
ll
ll ll ll ll ll ll ll
, cholesterol stabilization and absorption, atrophy of taste buds, and slowing in
ll
ll ll ll ll ll ll ll ll ll ll
esophageal emptying, among others.
ll
ll ll ll
ll
A 28-year-old female patient is in the office and is to undergo radioactive iodine
ll ll ll ll ll ll ll ll ll ll ll ll ll
treatment for Graves disease. The ANP is counseling her and understands that the
ll ll ll ll ll ll ll ll ll ll ll ll ll
mechanism of action of this treatment therapy is:
ll ll ll ll ll ll ll ll ll
ll
alter the thyroid metabolic rate
ll ll ll ll ll ll
relieve distress caused by increased thyroid size
ll ll ll ll ll ll ll
destroy the overactive thyroid tissue reduce
ll ll ll ll ll ll ll ll
production of TSH - Correct answer:
ll ll ll ll ll ll ll
destroy the overactive thyroid tissue ll ll ll ll ll
ll
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is
ll ll ll ll ll ll ll ll ll ll ll
used for thyroid ablation to destroy the overactive thyroid tissue that causes the
ll ll ll ll ll ll ll ll ll ll ll ll
ll
thyroid hormone dysfunction.
ll
ll ll
ll
Which of the following statements about falls in the elderly is least accurate?
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll
Black women are at higher risk for hip fractures than white women.
ll ll ll ll ll ll ll ll ll ll ll ll ll
The majority of deaths from falls are among people aged 65 years or older.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
ll ll ll ll ll ll ll ll ll ll ll ll
About 90% of hip fractures are due to falls. - Correct Answer:
ll ll ll ll ll ll ll ll ll ll ll ll ll
Black women are at higher risk for hip fractures than white women.
ll ll ll ll ll ll ll ll ll ll ll ll
ll
ll
It is white women, not black women, who are at higher risk for hip fractures. Falls are
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
one of the most common adverse events that threaten the quality of life of older
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
adults. Falls among older adults are not a normal consequence of aging.
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll
Normal age-related changes of the skin may be confused with which of the following
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
clinical abnormalities?
ll
ll
ll
ll dehydration
ll
vitiligo
ll
ll
ll
scabies shingles - Correct
ll ll ll ll ll ll
Answer:
ll ll
dehydration ll ll
ll
ll
Normal age-related changes of the skin may be confused with dehydration.
ll ll ll ll ll ll ll ll ll ll ll
Sebaceous gland activity tends to decrease with age, and the skin's natural hydrators
ll ll ll ll ll ll ll ll ll ll ll ll
decline over the years. The skin's ability to regenerate lipids compromising the
ll ll ll ll ll ll ll ll ll ll ll ll
protective lipid barrier layer of the Stratum Corneum also declines with age, as does
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
blood flow to the skin, which may cause a drop in sebum production.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll
A 29-year old woman who is 6 weeks postpartum reports she is having rectal
ll ll ll ll ll ll ll ll ll ll ll ll ll
bleeding that she believes is related to hemorrhoids. The Adult Nurse Practitioner
ll ll ll ll ll ll ll ll ll ll ll ll
knows that this type of rectal bleeding is usually described as:
ll ll ll ll ll ll ll ll ll ll ll ll
ll