AANP BOARD EXAM 2023-2024 ACTUAL EXAM 120
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+ (NEWEST VERSION)
You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP has
knowledge that the fastest relief of symptoms is:
a TCA a beta-blocker a
benzodizepine an SSRI - ANSWER-
Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents
that will require multiple doses for results. With daily continued use of benzodiazepines, the anti-anxiety
effect may become diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes. The
ANP knows that which of the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake." - ANSWER-Correct
answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling
hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not help
to prevent cardiovascular disease.
You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse Practitioner
knows that if she orders a hemogram on this patient, which of the following results would be seen if the
patient was anemic?
microcytic, hypochromic type
,macrocytic, normochromic type normocytic,
normochromic type macrocytic, hypochromic type -
ANSWER-Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of chronic
disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss.
Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of
deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness male increasing age
black race - ANSWER-Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk factors
include: substance abuse, living alone, and less education.
The healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice. - ANSWER-Correct answer:
Standard of care
Standard of care is another term associated with negligence. Standard of care is a healthcare provider's
required level of expected conduct as established by custom, law, or professional organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing is one component of:
Review of systems.
Symptom assessment.
Functional assessment.
,Objective assessment. - ANSWER-Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he
or she has experienced in various body systems. It is important that these be in a patient's own words to
perform the most complete and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come with aging EXCEPT:
decreased liver size decreased muscle tone in bowel increased absorption of calcium atrophy of
salivary glands - ANSWER-Correct answer:
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not increased absorption.
Other gastrointestinal changes include: less efficient cholesterol stabilization and absorption, atrophy of
taste buds, and slowing in esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves
disease. The ANP is counseling her and understands that the mechanism of action of this treatment
therapy is:
alter the thyroid metabolic rate relieve distress
caused by increased thyroid size destroy the
overactive thyroid tissue reduce production of TSH -
ANSWER-Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid
ablation to destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls. - ANSWER-Correct Answer:
Black women are at higher risk for hip fractures than white women.
, It is white women, not black women, who are at higher risk for hip fractures. Falls are one of the most
common adverse events that threaten the quality of life of older adults. Falls among older adults are not
a normal consequence of aging.
Normal age-related changes of the skin may be confused with which of the following clinical
abnormalities? dehydration
vitiligo
scabies shingles - ANSWER-Correct
Answer:
dehydration
Normal age-related changes of the skin may be confused with dehydration. Sebaceous gland activity
tends to decrease with age, and the skin's natural hydrators decline over the years. The skin's ability to
regenerate lipids compromising the protective lipid barrier layer of the Stratum Corneum also declines
with age, as does blood flow to the skin, which may cause a drop in sebum production.
A 29-year old woman who is 6 weeks postpartum reports she is having rectal bleeding that she believes
is related to hemorrhoids. The Adult Nurse Practitioner knows that this type of rectal bleeding is usually
described as:
dark brown to black blood color with normal-appearing stool significant
amounts of bright red blood large blood clots and mucus mixed with
stool streaks of bright red blood on the stool - ANSWER-The Correct
answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to hemorrhoids is described as bright red,
eliminating choice A. Amount of blood with hemorrhoids is usually small or scant, eliminating choices B
and C. Internal hemorrhoids can occur during or after childbirth. With chronically protruding or
prolapsing hemorrhoids, the patient often reports mucous leaking and staining of the undergarments.
Other causes are obesity, constipation, and prolonged sitting.
