AANP ADULT GERONTOLOGY PRIMARY CARE NURSE
PRACTITIONER STUDY GUIDE LATEST EXAM 2025
COURSE WITH MULTIPLE CHOICE QUESTIONS AND 100%
VERIFIED ANSWERS A+ GRADE JUST RELEASED!!!!!!
PPD - THE CORRECT ANSWER-Neg- No firm bump forms at the test site, or a bump
forms that is smaller than 5 mm (0.2 in.).
A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a
high-risk group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in a
moderate-risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in a
low-risk group no risk for tb.
Digoxin (Cardiac Glycosides) - THE CORRECT ANSWER-Therapuetic
0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge
vision- scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
Thiazide Diuretics - THE CORRECT ANSWER-Pt with both htn and osteoporosis have
an extra benefit from thiazides. thiazide diuretics decrease calcium excretion by the
kidneys and stimulate osteoclasts formation. Patients with serious sulfa allergies should
avoid thiazide diuretics. Potassium sparing diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide (lozol),
metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive, effective,
useful in severe hypertension, effective orally, enhances other antihypertensives;
,adverse reactions: hypokalemia symptoms, hyperuricemia, glucose tolerance,
hypercholesterolemia, sexual dysfunction; observe for postural hypotension, caution with
renal failure gout and client taking lithium; hypokalemia increases risk for digitalis
toxicity, administer postassium supplements.
Avoid with Gout, Best fist line for elderly w/ systolic htn.
Coumadin (Warfarin) - THE CORRECT ANSWER-an anticoagulant administered to
prevent blood clots from forming or growing larger
Prophylaxis and/or treatment of venous thrombosis, pulmonary embolus, a fib, valve
replacement, recurrent MI, stroke; also immobile pt
Afiib target INR 2-3
If INR 5-9 w/o bleeding hold 2-3 days low dose vit k
avoid leafy veg, broccoli, brussels, canola oil, mayo.
Aldosterone Antagonist - THE CORRECT ANSWER-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.
Postassium Sparing Diuretics - THE CORRECT ANSWER-compete w/ aldosterone at
receptor sites causing increase na and water excretion while conserving k and h ions
, Alt for Sulfa Allergy Pts to tx HTN.
Triameterene (Dyrenium), Amiloride (Midamor). Combo HCTZ. Severe Hyperkalemia,
Avoid renal pts, ace or arbs, do not give potassium supplement or salt subst. Monitor
serum K+ 3.5-5.
high risk elder, severe ill, dm.
Ace Inhibitors, ACEI/ARBS - THE CORRECT ANSWER-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.
Beta Blockers - THE CORRECT ANSWER-**** DO NOT give with
ASTHMA, BRONCHIAL CONSTRICTIVE DISEASE!!!****
HTN, post myocardial infarction(first line), angina, arrhythmias, migraine prophylaxis.
Adjunct tretmenthyperthyroidism/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.
PRACTITIONER STUDY GUIDE LATEST EXAM 2025
COURSE WITH MULTIPLE CHOICE QUESTIONS AND 100%
VERIFIED ANSWERS A+ GRADE JUST RELEASED!!!!!!
PPD - THE CORRECT ANSWER-Neg- No firm bump forms at the test site, or a bump
forms that is smaller than 5 mm (0.2 in.).
A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a
high-risk group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in a
moderate-risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in a
low-risk group no risk for tb.
Digoxin (Cardiac Glycosides) - THE CORRECT ANSWER-Therapuetic
0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge
vision- scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
Thiazide Diuretics - THE CORRECT ANSWER-Pt with both htn and osteoporosis have
an extra benefit from thiazides. thiazide diuretics decrease calcium excretion by the
kidneys and stimulate osteoclasts formation. Patients with serious sulfa allergies should
avoid thiazide diuretics. Potassium sparing diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide (lozol),
metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive, effective,
useful in severe hypertension, effective orally, enhances other antihypertensives;
,adverse reactions: hypokalemia symptoms, hyperuricemia, glucose tolerance,
hypercholesterolemia, sexual dysfunction; observe for postural hypotension, caution with
renal failure gout and client taking lithium; hypokalemia increases risk for digitalis
toxicity, administer postassium supplements.
Avoid with Gout, Best fist line for elderly w/ systolic htn.
Coumadin (Warfarin) - THE CORRECT ANSWER-an anticoagulant administered to
prevent blood clots from forming or growing larger
Prophylaxis and/or treatment of venous thrombosis, pulmonary embolus, a fib, valve
replacement, recurrent MI, stroke; also immobile pt
Afiib target INR 2-3
If INR 5-9 w/o bleeding hold 2-3 days low dose vit k
avoid leafy veg, broccoli, brussels, canola oil, mayo.
Aldosterone Antagonist - THE CORRECT ANSWER-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.
Postassium Sparing Diuretics - THE CORRECT ANSWER-compete w/ aldosterone at
receptor sites causing increase na and water excretion while conserving k and h ions
, Alt for Sulfa Allergy Pts to tx HTN.
Triameterene (Dyrenium), Amiloride (Midamor). Combo HCTZ. Severe Hyperkalemia,
Avoid renal pts, ace or arbs, do not give potassium supplement or salt subst. Monitor
serum K+ 3.5-5.
high risk elder, severe ill, dm.
Ace Inhibitors, ACEI/ARBS - THE CORRECT ANSWER-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.
Beta Blockers - THE CORRECT ANSWER-**** DO NOT give with
ASTHMA, BRONCHIAL CONSTRICTIVE DISEASE!!!****
HTN, post myocardial infarction(first line), angina, arrhythmias, migraine prophylaxis.
Adjunct tretmenthyperthyroidism/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.
