AANP ADULT GERONTOLOGY PRIMARY CARE NURSE
PRACTITIONER STUDY GUIDE LATEST EXAM 2025 WITH
QUESTIONS AND VERIFIED ANSWERS UPDATED 2026
2027 COURSE FINAL COMPLETE PRACTICE QUESTIONS
GRADED A+ 100 PERCENT VERIFIED
Amoxicillin & Ampicillin extended spectrum effective against gram + and some
gram - bacteria. Tx otitis media, sinusitus.
Penicillin V tx strep. Benzathine Penicillin G IM for syphillis.
Dicloaxacillin for cellulitis,ersipelas.
Adverse effects: Diarrhea, Cdiff, Vaginitis candida.
Do not treat mono with amox tx with penicillin vk causes rash.
Fluoroquinolones - THE CORRECT ANSWER-Gram - &
Atypical bacteria.
Ciprofloxacin, norfloxacin, levofloxacin, ofloxacin, moxifloxacin,
gemifloxacin, enoxacin causes tendonitis, tendon rupture, tooth
damage Tx Chlamydia, Mycoplasma, Legionella, utis, pylenephritis,
pna, sinusitus.
High risk achilles tendon rupture. Avoid use with QT prolong drugs
(amiodorone, macrolides, TCA, Antiphsycotics). Risk sudden death from
arrythmia (torsa de pointes). Coadministration with antacids decreases
effectiveness of drug. monitor INR on coumadin.
C/I children less 18 yrs, preg, breast feeding, myasthenia gravis.
Sulfonamides - THE CORRECT ANSWER-
,Trimethoprimsulfamethoxazole (TMP-SMX) Bactrim DS BID- prophylaxis
treatment of PCP, MRSA cellulitis, UTIs, pyelonephritis
Uses 1. Urinary tract infections. 2. Ulcerative colitis and Crohn's disease. 3.
Bowel prep before colon surgery to kill intestinal bacteria. B. Examples of Drugs
(Note the Sulfa and Gant) 1.
Sulfisoxazole (Gantrisin) 2. Sulfasalazine (Azulfidine) a.
Sulfasalazine (Azulfidine)(contains salicylate) 3.
Sulfamethoxazole (Gantanol) is given primarily in combination with
Trimethoprim (Proloprim) as Septra or Bactrim. C. Side effects / nursing care 1.
Photosensitivity- rash 2. Nausea and vomiting 3. Kidney stones- push fluids 4.
Tell patients to avoid direct sunlight while taking sulfonamides. 5. Encourage
fluids to avoid crystal formation and renal dysfunction.
C/I G6PD anemia causes hemolysis, newborns <2 months, preg 3rd tri causes
hyperbilirubenemia/ kernicterus. hypersen to sulfa drugs.
skin rash steven jhonson syndrome, interacts with warfarin increases INR.
NSAIDS - THE CORRECT ANSWER-Inhibit prostaglandin and other chemical
mediator syntheses and other chemical mediator synthesis involved in pain;
antipyretic activity through action on the hypothalamic heat-regulating center
to reduce fever
Mild/moderate pain, fever, arthritis, and blood thinner. Take with food will
cause GI ulcers, Do not give this and aspirin together, stop taking 1 week before
surgery.
Topical Nasal Decongestants - THE CORRECT ANSWEROxymetazoline Nasal
Spray(Afrin), Phenylephrine(Neo-
Synephrine
, Relieve the discomfort of nasal congestion that accompanies the common cold,
sinusitis, and allergic rhinitis
Can cause rebound congestion if used longer than 3 to 4 days.
Antihistamines - THE CORRECT ANSWER-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.
Decongestants - THE CORRECT ANSWER-pseudoephedrine and pheylephrin
robitussin, sudafed, allegra, afrin, nasonex
constrict blood vessels of nasal passages and limit blood flow, which causes
swollen tissues to shrink so that air can pass more freely through the
passageways
CI with HTN, CAD (angina MI). Avoid mixing with stimulants caffeine causes
elevated bp palpitations, anxiety, arrythymias. dont give within 14 days of
MAOI and seligine (eldepryl).
Aspirin - THE CORRECT ANSWER-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.
Steroids Glucocorticoids - THE CORRECT ANSWER-
PRACTITIONER STUDY GUIDE LATEST EXAM 2025 WITH
QUESTIONS AND VERIFIED ANSWERS UPDATED 2026
2027 COURSE FINAL COMPLETE PRACTICE QUESTIONS
GRADED A+ 100 PERCENT VERIFIED
Amoxicillin & Ampicillin extended spectrum effective against gram + and some
gram - bacteria. Tx otitis media, sinusitus.
Penicillin V tx strep. Benzathine Penicillin G IM for syphillis.
Dicloaxacillin for cellulitis,ersipelas.
Adverse effects: Diarrhea, Cdiff, Vaginitis candida.
Do not treat mono with amox tx with penicillin vk causes rash.
Fluoroquinolones - THE CORRECT ANSWER-Gram - &
Atypical bacteria.
Ciprofloxacin, norfloxacin, levofloxacin, ofloxacin, moxifloxacin,
gemifloxacin, enoxacin causes tendonitis, tendon rupture, tooth
damage Tx Chlamydia, Mycoplasma, Legionella, utis, pylenephritis,
pna, sinusitus.
High risk achilles tendon rupture. Avoid use with QT prolong drugs
(amiodorone, macrolides, TCA, Antiphsycotics). Risk sudden death from
arrythmia (torsa de pointes). Coadministration with antacids decreases
effectiveness of drug. monitor INR on coumadin.
C/I children less 18 yrs, preg, breast feeding, myasthenia gravis.
Sulfonamides - THE CORRECT ANSWER-
,Trimethoprimsulfamethoxazole (TMP-SMX) Bactrim DS BID- prophylaxis
treatment of PCP, MRSA cellulitis, UTIs, pyelonephritis
Uses 1. Urinary tract infections. 2. Ulcerative colitis and Crohn's disease. 3.
Bowel prep before colon surgery to kill intestinal bacteria. B. Examples of Drugs
(Note the Sulfa and Gant) 1.
Sulfisoxazole (Gantrisin) 2. Sulfasalazine (Azulfidine) a.
Sulfasalazine (Azulfidine)(contains salicylate) 3.
Sulfamethoxazole (Gantanol) is given primarily in combination with
Trimethoprim (Proloprim) as Septra or Bactrim. C. Side effects / nursing care 1.
Photosensitivity- rash 2. Nausea and vomiting 3. Kidney stones- push fluids 4.
Tell patients to avoid direct sunlight while taking sulfonamides. 5. Encourage
fluids to avoid crystal formation and renal dysfunction.
C/I G6PD anemia causes hemolysis, newborns <2 months, preg 3rd tri causes
hyperbilirubenemia/ kernicterus. hypersen to sulfa drugs.
skin rash steven jhonson syndrome, interacts with warfarin increases INR.
NSAIDS - THE CORRECT ANSWER-Inhibit prostaglandin and other chemical
mediator syntheses and other chemical mediator synthesis involved in pain;
antipyretic activity through action on the hypothalamic heat-regulating center
to reduce fever
Mild/moderate pain, fever, arthritis, and blood thinner. Take with food will
cause GI ulcers, Do not give this and aspirin together, stop taking 1 week before
surgery.
Topical Nasal Decongestants - THE CORRECT ANSWEROxymetazoline Nasal
Spray(Afrin), Phenylephrine(Neo-
Synephrine
, Relieve the discomfort of nasal congestion that accompanies the common cold,
sinusitis, and allergic rhinitis
Can cause rebound congestion if used longer than 3 to 4 days.
Antihistamines - THE CORRECT ANSWER-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.
Decongestants - THE CORRECT ANSWER-pseudoephedrine and pheylephrin
robitussin, sudafed, allegra, afrin, nasonex
constrict blood vessels of nasal passages and limit blood flow, which causes
swollen tissues to shrink so that air can pass more freely through the
passageways
CI with HTN, CAD (angina MI). Avoid mixing with stimulants caffeine causes
elevated bp palpitations, anxiety, arrythymias. dont give within 14 days of
MAOI and seligine (eldepryl).
Aspirin - THE CORRECT ANSWER-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.
Steroids Glucocorticoids - THE CORRECT ANSWER-
