AANP Adult gerontology primary care nurse practitioner study guide | Exam Questions & Verified Answers, 2026 | 2027 (Newest Update Rated A)

AANP Adult gerontology primary care nurse practitioner study guide | Exam Questions & Verified Answers, 2026 | 2027 (Newest Update Rated A) Quiz_________________? Ace Inhibitors, ACEI/ARBS - Answers ACTION: prevent the conversion of angiotensin I to angiotensin II in the lungs USES: CHF, HTN , usually end in PRIL Indicated for DM, HTN, CKD pts w/ HTN. Cat C & D. dont give in preg. excereted in breast milk. Dry Cough, angioedema, hyperkalemia. Captopril causes agrunolocytosis monitor cbc. switch from ace to arb if cough persist. Quiz_________________? Advanced Directives - Answers Communicates a client's wishes regarding and end-of-life care should the client become unable to do so. PSDA requires that all health care facilities ask if a patient has advanced directives upon admission. Quiz_________________? Aldosterone Antagonist - Answers causes a decrease in potassium excretion (spares K) and decreases Na reabsorption. (spironolactone) Hirsuitism, htn, sever heart failure. exp spironolactone. Adverse effects are galactorrhea and hyperkalemia. Spironolactone is rarely used to treat htn in primary care due to adverse effects and higher risk of certain cancer. Quiz_________________? Alpha Blockers - Answers Hypertension with coexisting BPH- Hytrin- Terazosin. -blockage of alpha 1 receptor leads to vasodilation, decrease peripheral resistance and venous return. Potent Vasodialator- causes diziness and hypotension. give at beditime low dose titrate up. Careful with frail elderly risk of syncope/falls. Quiz_________________? Antihistamines - Answers Called histamine antagonists or H1 blockers; they compete for receptor sites, thus preventing a histamine response. Benadryl avoid with elderly use claritin instead. Zyrtec more potent and long acting. Quiz_________________? AOM tx - Answers Pathogens: S. pneumo, H. flu (nontypeable), M. catarrhali Quiz_________________? Aortic Area - Answers second ICS to the right side of the upper border of the sternum. Quiz_________________? Aspirin - Answers Irrevesiable supresses platelet function for 7 days. discontinue if c/o tinnitus (toxicity). 81/day for chronic use. Give post MI/Stroke considered tertiary prevention. Avoid in children with viral infections less than 16 years causes Reye's syndrome. Quiz_________________? Beta Blockers - Answers **** DO NOT give with ASTHMA, BRONCHIAL CONSTRICTIVE DISEASE!!!**** HTN, post myocardial infarction(first line), angina, arrhythmias, migraine prophylaxis. Adjunct tretment-hyperthyroidism/thyrotoxicosis (decrease HR, anxiety). Migrain prophylaxis-non-cardioselective(blocks beta 1 and beta 2) propanolo, timolol. Cardio Selective blocks beta-1 only atenolol, metoprolol. Toxicity of these agents include bradycardia, AV blockade, exacerbation of acute CHF; signs of hypoglycemia may be masked (tachycardia, tremor, and anxiety) Adveser effects, ED, Depression, fatigue, bradycardia. Quiz_________________? Biguanindes - Answers Metformin (Glucophage) decreases gluconeogenesis, increases glycolysis and peripheral glucose uptake (increases insulin sensitivity Quiz_________________? Bile Acid Sequestrant - Answers Colesevelam (Welchol) reduces hepatic glucose production and may reduce intestinal absorption of glucose.