TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
if given a KUB abdominal x-ray, what are they looking for? - ANS✔✔- kidney/renal stones
what field was the first nurse practitioner in? - ANS✔✔- pediatrics
what is the name of the first NP? - ANS✔✔- loretta ford
what is a common side effect of tamoxifen? - ANS✔✔- blood clots
for a crisis intervention, who do you call? - ANS✔✔- security
for a crisis intervention, who do you not call? (2 answers) - ANS✔✔- minister, police
what procedure is indicated in any pt 40 yr and older? - ANS✔✔- tonometry
what is tonometry and what does it assess? - ANS✔✔- intraocular pressure reading; glaucoma
what is normal intraocular pressure? - ANS✔✔- 10-20 mmHg
a 20 year old should have a complete physical exam every ___ years - ANS✔✔- 5
which is the least important vaccine to consider in routine practice in older adults? - ANS✔✔-
menactra = meningococcal
what is the recommended age to stop pap smears? - ANS✔✔- 65-70 yrs
what is the recommended age to stop mammograms when the pt has a hx of normal results -
ANS✔✔- >74 yrs
which population has the lowest risk of suicide? - ANS✔✔- older african american females
which populations have the highest risk of suicide? - ANS✔✔- adolescents, elderly, white males
>45 yo
when should adolescents start having complete physicals? - ANS✔✔- 11-14 years
how often should adolescents have a complete physical before the age of 21 yo? - ANS✔✔- 3
physicals = 1 for 11-14 yrs, 1 for 15-17 yrs, 1 for 18-21 yrs
what does a complete physical include for an adolescent? - ANS✔✔- ht, wt, check for eating
disorders, skin exam, oral cavity (gingivitis, cavities), hearing, abuse/neglect/depression, BP
(normal = <120/80)
which HPV vaccine is not approved for boys? - ANS✔✔- cervarix
what the two HPV vaccines? - ANS✔✔- gardasil, cervarix
gardasil is a ____valent vaccine - ANS✔✔- quadravalent
cervarix is a ____valent vaccine - ANS✔✔- bivalent
what is the age range for gardasil to be given - ANS✔✔- 11-26 yo
what is the age range for cervarix to be given - ANS✔✔- 10-25 yo
what is the immunization schedule for gardasil - ANS✔✔- 3 shots over 6 months: month 0,
month 2, month 6
what is the immunization schedule for cervarix - ANS✔✔- 3 shots over 6 months: month 0,
month 1, month 6
when should you start syphilis screening adolescents? - ANS✔✔- when they start being sexually
active on a PRN basis
what is the number 1 killer in adolescent boys? - ANS✔✔- testicular CA
when should adolescent males start self breast/testicular exams? - ANS✔✔- adolescence
how often should adolescent males do testicular exams - ANS✔✔- monthly
, AGACNP BOARDS EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
when should you start HIV screening in adolescents? - ANS✔✔- depending on level of sexual
activity or IV drug use
when should the first tetanus-diphtheria vaccine be given? - ANS✔✔- as early as age 7 yo
how many doses of Tdap vaccine can be substituted for Td vaccine? - ANS✔✔- 1 dose
how often should a pt receive a Td booster - ANS✔✔- q 10 yrs
when should you recommend a Td booster - ANS✔✔- for wound management
what is the p in Tdap - ANS✔✔- pertussis
who should receive a meningococcal vaccine? - ANS✔✔- adolescents (11-18 yo). not routine
for adults, usually for forming college students
what are the populations who would benefit most from a meningococcal vaccine? - ANS✔✔-
college students, military, traveling to africa, men who have sex with men
flu vaccine should be given every ___ year - ANS✔✔- 1
you should only get the pneumococcal vaccine __ times in your lifetime - ANS✔✔- 3
when to start pneumococcal vaccine - ANS✔✔- age 19-64 who is a smoker, has asthma or is
immunocompromised
OR
>65 if none of above apply
when should PPD screening be started - ANS✔✔- once during adolescence
PPD screening should be done every __ year(s) if at risk or with any exposure to TB - ANS✔✔-
2
what is number 1 killer in USA? - ANS✔✔- cardiac disease/CAD
what is number 2 killer in USA? - ANS✔✔- cancer
what is number 3 killer in USA - ANS✔✔- lower respiratory disease e.g. PNA, asthma, COPD,
flu
what is number 4 killer in USA - ANS✔✔- stroke
what is number 1 killer cancer in both men and women? - ANS✔✔- lung
what is number 2 killer cancer in both men and women? - ANS✔✔- colorectal
which cancer has the higher incidence in women - ANS✔✔- breast
what is the OBGYN cancer that is number 1 killer in women and why? - ANS✔✔- ovarian, no
true screening available
when should pap smear be started and how often - ANS✔✔- age 21, every 3 yrs if no abnormal
findings
when should HPV testing (cytology) be started and how often - ANS✔✔- age 30, every 5 years
if no abnormal findings
when should clinical breast exam be started - ANS✔✔- adolescence, every 3 years
when should clinical breast exam be done annually - ANS✔✔- age 40 and up
what is difference between gardasil and cervarix - ANS✔✔- both HPV but only gardasil can be
given to boys. also age different, gardasil is from 11-26, cervarix is from 10-25
, AGACNP BOARDS EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
if a mom has hx of breast cancer at 50 yo, what age should her daughter start receiving screening
- ANS✔✔- 35 (15 years prior)
when should mammography be started in women and how often - ANS✔✔- age 40, every 1-2
yrs for women until 50, and then annually from 50-74 or as long as in good health
when should mammography be done annually? - ANS✔✔- starting age 50
which population should PSA screening and digital exam for prostate cancer be started earlier -
ANS✔✔- age 40 IF high risk (family hx or african american), annually
at what age should ALL males have a digital exam and PSA test for prostate cancer screening -
ANS✔✔- age 50, annually
when should FOBT (annual fecal occult blood test) be started - ANS✔✔- 50, annually
when should flexible sigmoidoscopy be started and how often - ANS✔✔- age 50, every 5 years
when should colonoscopy be started and how often - ANS✔✔- age 50, every 10 years
when should tonometry be started? - ANS✔✔- age 40, annually
when should the herpes zoster booster be given? - ANS✔✔- age 50
when should pap smear be discontinued - ANS✔✔- age >65-70 with three normal consecutive
findings and no abnormal tests in past 10 years
what is rampant in nursing homes? - ANS✔✔- STIs... must continue STI screening and HIV
screening if applicable
tetanus booster is given every __ yrs - ANS✔✔- 10
influenza vaccine is given every ___ yr(s) - ANS✔✔- 1
what is recommendation for cholesterol screening - ANS✔✔- start age 20, every 2-5 yrs unless
cholesterol >200
what is recommendation for ECG - ANS✔✔- start age 40 for baseline or w/ cardiac risk factors;
every 2 years with cardiac risk factors
sensitivity - ANS✔✔- true positives, If a person has a disease, how often will the test be positive
SNOUT
specificity - ANS✔✔- true negatives, if a person doesn't have a disease, how often will the test
be negative
SPIN
incidence - ANS✔✔- frequency with which a disease or disorder appears in a particular
population or area at a given time
prevalence - ANS✔✔- the proportion of a population affected by a disease or disorder
top major causes of deaths in adolescents 12-19 - ANS✔✔- motor vehicle crashes, suicide, other
accidents, homicide, malignancy, cardiovascular or congenital disease
top major causes of deaths in young adult 20-39 - ANS✔✔- MVA, homicide, suicide, injuries,
CAD, AIDS
leading killer of african american men in USA <35 yo - ANS✔✔- homicide
leading killer of african american men in USA <40 yo - ANS✔✔- AIDS
, AGACNP BOARDS EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
top major causes of deaths in middle aged adults 40-59 - ANS✔✔- CAD, accidents, lung CA,
CVA, breast/colorectal CA, COPD
top major causes of deaths in elderly adults >60 yrs - ANS✔✔- CAD, CVA, COPD, PNA/flu,
lung and colorectal CA
primary prevention - ANS✔✔- includes measures to promote health prior to onset of
recognizable problems
secondary prevention - ANS✔✔- early identification and treatment of existing problems via
screening tools (e.g. pap smear, prostate cancer screening, cholesterol)
tertiary prevention - ANS✔✔- rehabilation and restoration of health e.g. cardiac rehab
what population need for protein in their diet - ANS✔✔- trauma, sepsis
carbs should be how much of your daily diet - ANS✔✔- 55-60%
fats should be how much of your daily diet - ANS✔✔- <30% total calories with <10% total
calories being saturated fats
protein recommendation - ANS✔✔- 1 gram/kg/day
AHA recommendation for exercise - ANS✔✔- at least 30 minutes or more on most days of the
week
active immunity - ANS✔✔- antibody formation stimulated by a specific antigen such as typhoid
fever immunization and toxoids
passive immunity - ANS✔✔- introduction of antibody proteins such as gamma globulin
injections or maternal immunity to fetus
what is the leading cause of fulminant liver failure - ANS✔✔- hepB
which four herbal agents cause increased risk for bleed - ANS✔✔- ginger, ginseng, gingko
biloba, garlic
which herbal agent should be avoid in diabetes and way - ANS✔✔- evening primrose, it can
elevate blood glucose
what is evening primrose used for in patients - ANS✔✔- improving premenstrual and
menopausal discomfort
what is black cohosh used for in patients - ANS✔✔- improving premenstrual and menopausal
discomfort
what can kava kava do to blood pressure with higher doses and long term use - ANS✔✔-
increase it, HTN
what is gingko biloba used for in patients - ANS✔✔- memory and concentration enhancer
wat is st john's wort used for in pts - ANS✔✔- depression, anxiety
which herbal agent interacts with antidepressants (SSRIs) - ANS✔✔- st john's wort - can lead to
serotonin syndrome, increases effects of narcotics, sedatives
why do chinese patients avoid eye contact with MDs/NPs/PAs - ANS✔✔- its a sign of respect
towards the health care provider
what is "mal de ojo" - ANS✔✔- belief of evil eye bestowing a curse on a person in Latin
America - pts may wear jewelry with blue eye to protect themselves
which religious group does not want blood products - ANS✔✔- jehovah's witnesses