Verified AANP AGPCNP Exam Questions and Answers. Complete Update Rated A+.

Verified AANP AGPCNP Exam Questions and Answers. Complete Update Rated A+. An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What is the most likely diagnosis? Left-sided or right-sided CVA? --Correct Answer--LEFT-SIDED CVA Which of the following signs/symtpoms are often associated with headaches due to intracranial tumor? Pain worse lying down, focal neurological signs Hyperflexia, personality change Acute onset: hours to days Pupillary constriction; stupor --Correct Answer--1) pain worse laying down, focal neurological signs Which of the following pharmacotherapeutics would be most important to administer to a patient who has a corneal abrasion? Timolol Gentamicin ophthalmic Cromolyn optha Olopatadine --Correct Answer--2) Gentamicin ophthalmic (Genoptic) A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated by movement. The patient reports that he participated in extensive house painting 24 Hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. What is the next step to be taken in order to make a diagnosis? X-ray of shoulder Palpate structures around the shoulder. MRI of shoulder EMG --Correct Answer--2) palpate structures A 16-year-old female in the first month of taking Ortho-Novus 7/7/7 complains of midcycle spotting. She has not missed any doses and uses no other medication. Which of the following is appropriate? Changing to Ortho-Novus 1/35 Discontinue use Providing reassurance Double dose-for two days --Correct Answer--3) provide reassurance According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a current recommendation guideline for preventive care in elderly female patients? Mammogram and clinical breast exams Fecal Occult blood test and/or sig Rubella serology or vaccination history Pnuemo and influenza vaccines --Correct Answer--3) Rubella serology or vaccination history 87 y/o NH patients are drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to: Initiate passive warming Apply a rebreather Perform fluid replacement Initiate active warming --Correct Answer--1) initiate passive rewarming A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate this patient on recognizing the signs and symptoms of hypoglycemia? Edema Tachycardia Palpitations Sweating --Correct Answer--4) sweating A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of nsaids, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to: Stop NSAID, apply a heel cup and encourage exercise and wt loss. Continue NSAID, apply an arch support and encourage wt loss and exercise Continue NSAID, x-ray and add a short-leg night splint Continue NSAID, x-ray and add a metatarsal bar --Correct Answer--2) continues NSAID, apply an arch support and encourage wt loss and exercise Fundoscopic exam of Hypertensive patient. Nicking of arterioles and veins, and small retinol hemorrhages Druse bodies and pale retina Pale macula and swollen disk margins Microaneurysms and optic disc cupping --Correct Answer--1) nicking of arterioles and veins, and small retinol hemorrhages Which of the following is a common presenting feature of hyperthyroidism in the elderly? Elevated TSH Thyroid enlargement Atrial fibrillation Abnormal T3 suppression --Correct Answer--3) atrial fibrillation A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse practitioner would FIRST: Send to ophthalmologists Florescent staining Test visual field Prescribe eye drops --Correct Answer--3) test visual field A 72-year-old patient presents with dry, itchy eyes. During the course of the physical examination, the nurse practitioner notes the presence of a gray band of opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is most consistent with a diagnosis of a/an: Corneal abrasion Arcus senilis Corneal ulcer Herpetic infection of the eye --Correct Answer--2) arcus senilis A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night sweats, and a cough that has been present for 4 weeks. The diagnostic study to perform first would be: X-ray Pulmonary function test Bronchoscopy H & H --Correct Answer--1) x-ray (tb-night sweats) A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort and fatigue. On physical examination, her lungs are clear bilaterally. There are a midsystolic click and a grade II/VI systolic murmur at the apex. Further evaluation would include which of the following? EKG, flat plate of the abdomen, lipid profile Echocardiogram, Doppler, EKG Labs and benzo's EEG, Anxiety Scale, and electrolytes --Correct Answer--2) Echocardiogram, Doppler, EKG A healthy 84 y/o would like to start an exercise program, what would you do before this takes place? Physical exam EKG Knee x-rays PT Stress test --Correct Answer--1) Physical Exam 29 y/o has uncomplicated Chlamydia infection will exhibit: Green penile discharge Uticartia Unremarkable symtpoms Penile ulcer --Correct Answer--3) unremarkable symptoms 37 have suspected PE. C/o anxiety and cough, CXR normal, the next test should be: Spirometry MRI Contract venogra Helical CT pulmonary angiograph --Correct Answer--4) helical CT pulmonary angiography. A 12-lead EKG shows an undulating baseline with no visible P waves and an irregularly irregular R-R interval. This arrhythmia is: Atrial flutter Atrial fibrillation Second degree heart block Wolff-White Syndrome --Correct Answer--2) atrial fibrillation After a 3-week camping trip, a 17-year-old is seen for a target lesion with central clearing, located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized musculoskeletal pain for several days. Pharmacologic management of this condition includes: Bactrim Azithromycin Doxycycline (Doryx). Metronidazole --Correct Answer--3) doxycycline (Doryx). Rocky Mountain spotted fever (Lyme disease-test with Western Blot) According to the American Diabetes Association, the newest standard for determining the presence of diabetes mellitus based on fasting plasma sugar level is a value equal to or greater than: 1) 110 mg/dl. 2) 126 mg/dl. 3) 135 4) Whatever --Correct Answer--2) 126 mg/dl In the elderly, one pathophysiologic mechanism of isolated systolic hypertension involves: Decreased cardiac output. Loss of vascular tissue elasticity. Hyperactive baroreceptors --Correct Answer--2) loss of vascular tissue elasticity A 58-year-old female presents with shoulder and pelvic girdle pain for the past 6 months. She reports recent unintentional weight loss. On physical examination, there is pain on ROM, with no weakness noted. Laboratory studies show low hemoglobin and an elevated sedimentation rate. Which of the following is the most likely diagnosis? Polymyalgia rheumatic