AANP EXAM QUESTIONS / 200 ACTUAL EXAM
QUESTIONS WITH 100% CORRECT ANSWERS /
GRADE A+ ASSURED / LATEST 2024
1. A patient tells the nurse practitioner that she recently started
taking the supplement St. John's wort after reading about its benefits
online. Which of the following medications, if being actively
consumed, must be immediately stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glucophage)
D. Sumatriptan (Imitrex): D. Sumatriptan (imitrex)
Sumatriptan (Imitrex) (D) is a medication used to treat migraines and
belongs to a drug class known as serotonin agonists. When used in
conjunction with St. John's wort, it may increase the risk of serotonin
syndrome, a potentially life-threatening condition.
2. Which of the following is not a symptom of both major depressive
disorder and post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty: B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major
depressive disorder (MDD) may also include symptoms of depressed
mood, anhedonia, weight loss or gain, and low energy. However,
hypervigilance (B) is not a symptom associated with this diagnosis.
3. A patient with type 1 diabetes presents for a follow-up visit. He has
been stable on his medication regimen but is worried because he is
between jobs and will be without health insurance coverage for a few
months. He asks if there are less expensive insulin options to get him
through this time. Which of the following would be good options for
this patient, given his circumstance? Incorrect
,A. Insulin aspart 70/30
B. Insulin detemir
C. Insulin isophane
D. Insulin degludec: Insulin Isophane
The least expensive insulin type listed in this question is insulin isophane
(C) (neutral protamine Hagedorn insulin). There are also often pharmacy-
specific coupons that can be used on insulin, so helping patients apply for
and navigate these programs can be instrumental in managing their
diabetes. Another inexpensive option is regular insulin.Insulin analogs
(glargine, detemir, degludec, lispro, and aspart) are significantly more
expensive than human insulin (isophane, regular). Insulins modified by
manufacturers, especially when sold as brand-name medications, tend to
be more expensive due to this modification. While analogs offer alternate
lengths of action and convenience, there is no well-documented clinical
evidence that patient outcomes are improved with differing brands.
Therefore, maintaining a patient's blood glucose level through outcome-
focused treatment is more valuable than a process-focused plan based on
medication.
4. A 40-year-old woman with type 2 diabetes presents to the clinic
with concerns of spiking blood sugar between lunch and dinner. She
states she is on a rapid-acting insulin sliding scale and long-acting
insulin. Which change should be implemented to help prevent or curb
this glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner:
A. Add a dose of mealtime insulin aspart (Novolog) at lunch
,Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
dosed with meals and as a sliding scale regimen based on a patient's
glucose prior to eating (preprandial). It is the appropriate insulin to add as
a mealtime dose when patients experience blood glucose spikes between
meals because of its short-acting properties. Peak time action of insulin
aspart is 2 hours with initial effect within the first 30 minutes, making it
an ideal choice to control expected postprandial glycemic spikes 5. Which
of the following conditions is associated with an increased risk for
conductive hearing loss?
A. Acoustic neuroma
B. Ménière disease
C. Otitis media
D. Presbycusis: C. Otitis media
Causes of conductive hearing loss are otitis media (C), otitis externa,
foreign objects in the ear canal, impacted ear wax, tumors, congenital
anomalies, discontinuity of middle ear bones, cholesteatoma, and
tympanic membrane rupture. Sound normally travels down the ear canal
to vibrate the eardrum (tympanic membrane). The eardrum is connected to
three middle ear bones (malleus, incus, and stapes), which transmit the
sound into the inner ear (cochlea). The cochlea is the organ that changes
sound vibrations into a nerve signal that travels to the brain. The four
types of hearing loss are conductive, sensorineural, mixed, and
retrocochlear. Conductive hearing loss occurs when sound cannot
effectively reach the inner ear due to issue in the outer ear and middle ear.
6. A 23-year-old patient who is pregnant at 28 weeks gestation
presents to the clinic for a routine prenatal checkup. Which fundal
height measurement would warrant a more conclusive assessment
with an ultrasound?
26 cm
29 cm
C.
cm
D.
cm: D. 31 cm
After 20 weeks gestation, the fundal height should be measured with a
measuring tape in centimeters and should match the gestational age. It can
, be > or < 2 centimeters and still be within normal limits. A fundal height
of 26-30 cm is a normal finding in a patient who is 28 weeks gestation. A
result of 31 cm (D) is larger than expected and should be further evaluated
with an ultrasound.
7. A 4-year-old boy presents with ear pain and an erythematous,
bulging tympanic membrane on examination. The nurse practitioner
diagnoses him with acute otitis media. Which of the following are the
three most common bacterial pathogens associated with acute otitis
media in children?
A.
Moraxella catarrhalis, Staphylococcus aureus, Streptococcus
pneumoniae
B.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Staphylococcus aureus
C.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Streptococcus pneumoniae
D.
Nontypeable Haemophilus influenzae, Staphylococcus aureus,
Streptococcus pneumoniae: C. Nontypeable Haemophilus influenzae,
Moraxella catarrhalis, Streptococcus pneumoniae
Acute otitis media is commonly encountered by primary care nurse
practitioners. Typically, children present with otalgia and have a bulging
tympanic membrane on examination. Many times, children also have a
preceding viral upper respiratory infection, resulting in the colonization of
bacteria in the middle ear and leading to a bacterial infection. Ear
infections can be caused by bacterial and viral pathogens. The most
common bacterial pathogens isolated from middle ear fluid are
nontypeable Haemophilus influenzae, Moraxella catarrhalis, and
Streptococcus pneumoniae (C). The most common viral pathogens include
respiratory syncytial virus, coronaviruses, influenza viruses, and
adenoviruses. Treatment for acute otitis media should be targeted to
combat the most common bacterial causes, including amoxicillin
(penicillin), amoxicillin-clavulanate (penicillin and combination beta-
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller samuelwachira. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $2.99. You're not tied to anything after your purchase.
