AANP Adult gerontology
primary care nurse
practiotioner Study Guide 2026
Expert Verifed Ace the Test
Pheochromocytoma - ANSWER ✔✔small vascular tumor of the
adrenal medulla, causing irregular secretion of epinephrine and
norepinephrine, leading to attacks of raised blood pressure, palpitations,
and headache. Tx with Alpha blockers
Rovsing's Sign - ANSWER ✔✔Palpation in LLQ ilicits pain in RLQ
indicates appendicitis
,NYHA classes of Heart Failure - ANSWER ✔✔I No limitation of
physical activity. Ordinary physical activity does not cause undue fatigue,
palpitation, dyspnea (shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary
physical activity results in fatigue, palpitation, dyspnea (shortness of
breath).
III Marked limitation of physical activity. Comfortable at rest. Less than
ordinary activity causes fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms
of heart failure at rest. If any physical activity is undertaken, discomfort
increases.
Step-wise Approach to Asthma Diagnosis & Treatment - ANSWER
✔✔Step 1- Mild Intermitten FEV1/PEF > 80% predicted. Symptoms <2
days/week. Albuterol as needed.
Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms
> 2 days/week. Albuterol as needed. Low dose ICS ex Flovent. Alt
cromolyn, montelukast, nedocromil, theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily
Symptoms. SABA plus low dose ICS or med dose ICS or low dose with
leukotriene inhibitor (singulair, theophylline, zileuton).
, Step 4- Severe presistent asthma (FEV1/PEF <60% predicted.
Symptoms most of day. High dose ICS plus long acting B2 agonist plus
oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - ANSWER ✔✔PEF based on Height Age
Gender. Blow hard using spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
50-80% expected volume Yellow Zone increase maintenance therapy. Or
Having exacerbation.
Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - ANSWER ✔✔Neg- No firm bump forms at the test site, or a
bump forms that is smaller than 5 mm (0.2 in.).
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
primary care nurse
practiotioner Study Guide 2026
Expert Verifed Ace the Test
Pheochromocytoma - ANSWER ✔✔small vascular tumor of the
adrenal medulla, causing irregular secretion of epinephrine and
norepinephrine, leading to attacks of raised blood pressure, palpitations,
and headache. Tx with Alpha blockers
Rovsing's Sign - ANSWER ✔✔Palpation in LLQ ilicits pain in RLQ
indicates appendicitis
,NYHA classes of Heart Failure - ANSWER ✔✔I No limitation of
physical activity. Ordinary physical activity does not cause undue fatigue,
palpitation, dyspnea (shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary
physical activity results in fatigue, palpitation, dyspnea (shortness of
breath).
III Marked limitation of physical activity. Comfortable at rest. Less than
ordinary activity causes fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms
of heart failure at rest. If any physical activity is undertaken, discomfort
increases.
Step-wise Approach to Asthma Diagnosis & Treatment - ANSWER
✔✔Step 1- Mild Intermitten FEV1/PEF > 80% predicted. Symptoms <2
days/week. Albuterol as needed.
Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms
> 2 days/week. Albuterol as needed. Low dose ICS ex Flovent. Alt
cromolyn, montelukast, nedocromil, theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily
Symptoms. SABA plus low dose ICS or med dose ICS or low dose with
leukotriene inhibitor (singulair, theophylline, zileuton).
, Step 4- Severe presistent asthma (FEV1/PEF <60% predicted.
Symptoms most of day. High dose ICS plus long acting B2 agonist plus
oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - ANSWER ✔✔PEF based on Height Age
Gender. Blow hard using spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
50-80% expected volume Yellow Zone increase maintenance therapy. Or
Having exacerbation.
Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - ANSWER ✔✔Neg- No firm bump forms at the test site, or a
bump forms that is smaller than 5 mm (0.2 in.).
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
