AANP FNP EXAM | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ |
LATEST VERSION | JUST RELEASED
| VERIFIED ANSWERS
A 17-year-old female has never had her menses. She is at Tanner stage III
of sexual development. Her physical examination is completely normal, and
her weight is appropriate for her age and height. What is the most likely
diagnosis? ---------CORRECT ANSWER-----------------Primary amenorrhea
A 70-year-old male presents with paresthesia of the lower extremities. On
examination, the patient appears pale and shows a decreased vibratory
sense. Laboratory tests reveal elevated indirect bilirubin; Hct = 30%; mean
corpuscular volume (MCV) = 120 µm3 [normal = 87-103 µm3]. The most
likely diagnosis is: ---------CORRECT ANSWER-----------------pernicious
anemia.
A 47-year-old patient presents with complaints of upper abdominal
discomfort with nausea and burning after eating. The patient does not
currently take any medications. The most likely differential diagnoses would
include: ---------CORRECT ANSWER-----------------gastritis and peptic ulcer
disease.
A patient with a diagnosis of diverticulosis presents with localized left lower
quadrant discomfort, a palpable mass, mild leukocytosis, and T = 100°F
(37.8°C). The patient does not appear toxic and can tolerate fluids. An
appropriate plan should include: ---------CORRECT ANSWER-----------------
clear liquids and oral antibiotics.
,Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion? ---------CORRECT
ANSWER-----------------Gentamicin ophthalmic (Genoptic)
The most common bacteria responsible for pneumonia in older adults
residing in the community is: ---------CORRECT ANSWER-----------------
Streptococcus pneumoniae.
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7
complains of midcycle spotting. She has not missed any doses and uses
no other medication. Which of the following is appropriate? ---------
CORRECT ANSWER-----------------Providing reassurance
What medication may be effective in treating nightmares associated with
PTSD? ---------CORRECT ANSWER-----------------alpha-1 antagonist such
as prazosin
The parent of a 13-year-old diagnosed with seizure disorder calls to report
that the child is exhibiting symptoms of a cold, but has no fever. The nurse
practitioner should advise the parent that the development of fever may: ----
-----CORRECT ANSWER-----------------lower the seizure threshold.
A common rule to follow when prescribing many medications for the elderly
is to: ---------CORRECT ANSWER-----------------start at a lower dose than
what is commonly prescribed for adults, and increase the dose slowly.
,Which class of antihypertensive agents has been associated with acute
renal failure and is contraindicated in patients with bilateral renal artery
stenosis? ---------CORRECT ANSWER-----------------Angiotensin-converting
enzyme (ACE) inhibitors
After a 3-week camping trip, an 11-year-old is seen for a target lesion with
central clearing, located in the inguinal area. The patient has had a severe
headache, malaise, fatigue, and generalized musculoskeletal pain for
several days. Pharmacologic management of this condition includes: --------
-CORRECT ANSWER-----------------doxycycline (Doryx).
An 18-month-old child presents with a bulging, immobile tympanic
membrane; T = 103°F (39.4°C). Assessment also reveals a grade II/VI
systolic murmur at the left sternal border. After initiation of treatment for
otitis media, the most appropriate intervention is to: ---------CORRECT
ANSWER-----------------reevaluate the patient in 10 days.
Research findings have shown that, in order to improve the longevity of a
patient who has COPD, the treatment of choice is: ---------CORRECT
ANSWER-----------------oxygen.
The management of choice for polymyalgia rheumatica includes: ---------
CORRECT ANSWER-----------------prednisone.
A 40-year-old male presents with a 2-week history of rectal pain and
itching. He reports a past history of constipation and finding spots of bright
red blood on toilet paper several times a week. Rectal examination reveals
a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative.
Which of the following actions should the nurse practitioner take? ---------
, CORRECT ANSWER-----------------Prescribe bulk-forming agents and
hydrocortisone suppositories.
A nurse practitioner is suturing a simple laceration on an 11-year-old
patient. The use of lidocaine with epinephrine is contraindicated in all of the
following areas EXCEPT the: ---------CORRECT ANSWER-----------------
scalp.
An 18-year-old patient presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial
pharmacologic intervention? ---------CORRECT ANSWER-----------------
Amoxicillin-Clavulanate (Augmentin)
Which of the following would be an appropriate alternative to erythromycin
therapy in an 18-year-old patient with Mycoplasma pneumoniae infection? -
--------CORRECT ANSWER-----------------Azithromycin (Zithromax)
Initial therapy for a 3-week-old infant with uncomplicated symptoms of
gastroesophageal reflux disease includes which of the following positions
and change in diet? ---------CORRECT ANSWER-----------------Smaller,
more frequent feedings while holding infant
A routine laboratory assessment of a 12-year-old patient with a family
history of thalassemia and anemia reveals Tanner stage II presentation and
Hct = 35%. In addition to a complete blood count (CBC), the nurse
practitioner should order which of the following? ---------CORRECT
ANSWER-----------------Hemoglobin electrophoresis
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