AANP Test 2 for Boards Exam Questions And Answers

AANP Test 2 for Boards Exam Questions And Answers You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP has knowledge that the fastest relief of symptoms is: a TCA a beta-blocker a benzodiazepine an SSRI - ANS Correct answer: benzodiazepine The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents that will require multiple doses for results. With daily continued use of benzodiazepines, the anti-anxiety effect may become diminished. A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes. The ANP knows which of the following is the most important to include in this discussion? "Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly." "Have a yearly physical examination, increase fiber in your diet, and exercise regularly." "Maintain a normal level of serum blood sugar and decrease cholesterol intake." "Decrease smoking, increase vitamin supplements, and increase protein intake." - ANS Correct answer: "Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly." All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not help to prevent cardiovascular disease. You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse Practitioner knows that if she orders a hemogram on this patient, which of the following results would be seen if the patient was anemic? microcytic, hypochromic type macrocytic, normochromic type normocytic, normochromic type macrocytic, hypochromic type - ANS Correct Answer: normocytic, normochromic type Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of chronic disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss. Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of deficiency in vitamin B12 or other causes. Which of the following is the least likely risk factor for suicide? physical illness male increasing age black race - ANS Correct answer: black race Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk factors include: substance abuse, living alone, and less education. The healthcare provider's required level of expected conduct as established by custom, law, or professional organizations is called the: Standard of care. Breach of duty. Duty. Malpractice. - ANS Correct answer: Standard of care Standard of care is another term associated with negligence. Standard of care is a healthcare provider's required level of expected conduct as established by custom, law, or professional organizations. A brief account by the patient of any signs or symptoms he or she is experiencing is one component of: Review of systems. Symptom assessment. Functional assessment. Objective assessment. - ANS Correct Answer: Review of systems In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he or she has experienced in various body systems. It is important that these be in a patient's own words to perform the most complete and accurate assessment. All of the following are typical changes to the gastrointestinal system that come with aging EXCEPT: decreased liver size decreased muscle tone in bowel increased absorption of calcium atrophy of salivary glands - ANS Correct answer: increased absorption of calcium Decreased absorption of calcium is a common change that comes with aging, not increased absorption. Other gastrointestinal changes include: less efficient cholesterol stabilization and absorption, atrophy of taste buds, and slowing in esophageal emptying, among others. A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves disease. The ANP is counseling her and understands that the mechanism of action of this treatment therapy is: alter the thyroid metabolic rate relieve distress caused by increased thyroid size destroy the overactive thyroid tissue reduce production of TSH - ANS Correct answer: