AANP FNP FINAL EXAM - EXAMINATION COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: A 26-year-old female presents with abdominal
distention, bloating, and intermittent crampy abdominal pain
relieved with defecation. She has four to six loose stools a day
when stressed. Between bouts of diarrhea, she often has
constipation. PE results are normal. The CBC was normal. The
most likely diagnosis is?
Answer:
IBS
Question 2: A frail elderly widow presents with a 3 to 4 day history
of confusion that became worse the evening before but currently
seems a little better, although her speech is rambling and difficult
to follow. During the exam, the patient is anxious and agitated. She
is on cardiac medications, an antidepressant, and insulin. The most
likely diagnosis is?
Answer:
Polypharmacy
Question 3: A 54-year-old male who is 30 lbs overweight states that
he awakens at night with heartburn and the taste of hot acid in his
mouth. Stress makes his condition worse, yet baking soda seems
to provide some relief. Findings on exam are normal and the stool
for occult blood is negative. The preliminary diagnosis should be?
Answer:
, GERD
Question 4: An NP is evaluating an infant for possible colic. What
could indicate the need for a more extensive eval?
Answer:
3-oz weight gain over the past 2 weeks
Question 5: Type 2 DM is characterized by what?
Answer:
Decreased reabsorption of sodium-glucose transporters
Question 6: The 16-year-old mother of a 2-month-old presents the
infant, reporting that the child is very irritable and does not feed
well. During PE, the child's head drops ack and the child exhibits
sudden flexing of the extremities. As the flexing stops, the child
cries uncontrollably. Funduscopic exam reveals retinal
hemorrhages. What diagnostic test should be ordered?
Answer:
CT scan
Question 7: A 27-year-old male patient, who works as a janitor,
presents with a 6-month history of an intermittent rash on his
hands. History reveals irregularly-distributed scaly maculopapular
erythematous patches extending from the dorsum of the hand
several inches up the forearms, and dry palms with no nail
involvement. The most likely diagnosis is?
Answer:
, Contact dermatitis
Question 8: A pregnant woman with known HIV infection can
reduce the risk of perinatal transmission through zidovudine
(Retrovir) therapy. Based on current research, optimal therapy is to
start daily dosing?
Answer:
After 14 weeks of gestation
Question 9: In treating a pregnant female with migraine headaches,
what drug is in Category X?
Answer:
Ergotamine tartrate (Ergomar)
Question 10: A 46-year-old female presents with a complaint of
amenorrhea for 3 months. The first-line diagnostic workup is?
Answer:
Urine pregnancy test
Question 11: A 70-year-old patient presents to the clinic
complaining of dyspnea, palpitations, and fatigue. The patient
reports a 2-week history of blackened stools. Assessment reveals
BP = 110/60, P = 100, R = 24, Hgb = 4.5, Hct = 16%. What is the most
appropriate intervention?
Answer:
Send to ER
, Question 12: During a well-child exam of an 18-month-old,
premature tooth decay and inflamed gums, particularly of the
maxillary incisors, are noted. The approach to this problem
includes?
Answer:
Referring the child to a dentist, assessing for bottle feeding and fluoride in
local water.
Question 13: A 3-year-old female has been diagnosed with bacterial
meningitis. She attends preschool daily at a local church day care
program. The day before her diagnosis, she ate lunch with her
mother at a local restaurant. For which contact would
chemoprophylaxis with rifampin be recommended?
Answer:
Preschool contacts in the past 7 days
Question 14: A 19-year-old patient who has used OCPs for 3 years
plans to discontinue the pill at the end of her current cycle to
become pregnant. What daily supplement would receive the
highest priority?
Answer:
Folic acid
Question 15: The most commonly prescribed medication for mild
systemic lupus erythematosus is?
Answer:
Ibuprofen
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: A 26-year-old female presents with abdominal
distention, bloating, and intermittent crampy abdominal pain
relieved with defecation. She has four to six loose stools a day
when stressed. Between bouts of diarrhea, she often has
constipation. PE results are normal. The CBC was normal. The
most likely diagnosis is?
Answer:
IBS
Question 2: A frail elderly widow presents with a 3 to 4 day history
of confusion that became worse the evening before but currently
seems a little better, although her speech is rambling and difficult
to follow. During the exam, the patient is anxious and agitated. She
is on cardiac medications, an antidepressant, and insulin. The most
likely diagnosis is?
Answer:
Polypharmacy
Question 3: A 54-year-old male who is 30 lbs overweight states that
he awakens at night with heartburn and the taste of hot acid in his
mouth. Stress makes his condition worse, yet baking soda seems
to provide some relief. Findings on exam are normal and the stool
for occult blood is negative. The preliminary diagnosis should be?
Answer:
, GERD
Question 4: An NP is evaluating an infant for possible colic. What
could indicate the need for a more extensive eval?
Answer:
3-oz weight gain over the past 2 weeks
Question 5: Type 2 DM is characterized by what?
Answer:
Decreased reabsorption of sodium-glucose transporters
Question 6: The 16-year-old mother of a 2-month-old presents the
infant, reporting that the child is very irritable and does not feed
well. During PE, the child's head drops ack and the child exhibits
sudden flexing of the extremities. As the flexing stops, the child
cries uncontrollably. Funduscopic exam reveals retinal
hemorrhages. What diagnostic test should be ordered?
Answer:
CT scan
Question 7: A 27-year-old male patient, who works as a janitor,
presents with a 6-month history of an intermittent rash on his
hands. History reveals irregularly-distributed scaly maculopapular
erythematous patches extending from the dorsum of the hand
several inches up the forearms, and dry palms with no nail
involvement. The most likely diagnosis is?
Answer:
, Contact dermatitis
Question 8: A pregnant woman with known HIV infection can
reduce the risk of perinatal transmission through zidovudine
(Retrovir) therapy. Based on current research, optimal therapy is to
start daily dosing?
Answer:
After 14 weeks of gestation
Question 9: In treating a pregnant female with migraine headaches,
what drug is in Category X?
Answer:
Ergotamine tartrate (Ergomar)
Question 10: A 46-year-old female presents with a complaint of
amenorrhea for 3 months. The first-line diagnostic workup is?
Answer:
Urine pregnancy test
Question 11: A 70-year-old patient presents to the clinic
complaining of dyspnea, palpitations, and fatigue. The patient
reports a 2-week history of blackened stools. Assessment reveals
BP = 110/60, P = 100, R = 24, Hgb = 4.5, Hct = 16%. What is the most
appropriate intervention?
Answer:
Send to ER
, Question 12: During a well-child exam of an 18-month-old,
premature tooth decay and inflamed gums, particularly of the
maxillary incisors, are noted. The approach to this problem
includes?
Answer:
Referring the child to a dentist, assessing for bottle feeding and fluoride in
local water.
Question 13: A 3-year-old female has been diagnosed with bacterial
meningitis. She attends preschool daily at a local church day care
program. The day before her diagnosis, she ate lunch with her
mother at a local restaurant. For which contact would
chemoprophylaxis with rifampin be recommended?
Answer:
Preschool contacts in the past 7 days
Question 14: A 19-year-old patient who has used OCPs for 3 years
plans to discontinue the pill at the end of her current cycle to
become pregnant. What daily supplement would receive the
highest priority?
Answer:
Folic acid
Question 15: The most commonly prescribed medication for mild
systemic lupus erythematosus is?
Answer:
Ibuprofen
