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Exam (elaborations)

AANP Board Test 2 (100 Questions) With Verified Answers

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AANP Board Test 2 (100 Questions) With Verified Answers

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AANP Board
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September 4, 2024
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Written in
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AANP Board Test 2 (100 Questions) With ll ll ll ll ll ll ll




Verified Answers ll ll



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You are treating a patient with acute anxiety and she is having an acute attack in the
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office. The ANP has knowledge that the fastest relief of symptoms is:
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a TCA a beta-blocker a
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benzodizepine an SSRI -
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Correct answer:
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benzodiazepine ll

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The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other
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choices list agents that will require multiple doses for results. With daily continued
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use of benzodiazepines, the anti-anxiety effect may become diminished.
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A geriatric patient with cardiovascular disease is in the office being counseled on
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lifestyle changes. The ANP knows that which of the following is the most important to
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include in this discussion?
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"Control your hypertension, stop smoking, maintain a normal weight, and exercise
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regularly."
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"Have a yearly physical examination, increase fiber in your diet, and exercise
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regularly."
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"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
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"Decrease smoking, increase vitamin supplements, and increase protein intake." -
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Correct answer:
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"Control your hypertension, stop smoking, maintain a normal weight, and exercise
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regularly."
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All of these are important for the geriatric patient to decrease cardiovascular risk.
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Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining a
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healthy lifestyle but do not help to prevent cardiovascular disease.
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ll



You are seeing a female with inflammatory bowel disease, known as IBD. The Adult
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Nurse Practitioner knows that if she orders a hemogram on this patient, which of the
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following results would be seen if the patient was anemic?
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microcytic, hypochromic type
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macrocytic, normochromic type
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ll
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normocytic, normochromic type
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macrocytic, hypochromic type - Correct Answer:
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normocytic, normochromic type ll ll ll

ll
ll



ll Anemia is a common problem in IBD. The etiology is often from multiple causes. The
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ll anemia of chronic disease, a normocytic, normochromic anemia, is a result of
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ll inflammation of the IBD without blood loss. Blood loss would result in a microcytic,
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,ll hypochromic anemia. The macrocytic anemias are a result of deficiency in vitamin ll ll ll ll ll ll ll ll ll ll ll



ll B12 or other causes. ll ll ll ll

ll



Which of the following is the least likely risk factor for suicide?
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physical illness male
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increasing age black race -
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Correct answer:
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black race ll ll

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Being of a white race is more likely to be a factor in suicide. Besides the other three
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choices risk factors include: substance abuse, living alone, and less education.
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The healthcare provider's required level of expected conduct as established by
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custom, law, or professional organizations is called the:
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Standard of care.
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Breach of duty.
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Duty.
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Malpractice. - Correct answer:
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Standard of care ll ll ll



Standard of care is another term associated with negligence. Standard of care is a
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healthcare provider's required level of expected conduct as established by custom,
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law, or professional organizations.
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A brief account by the patient of any signs or symptoms he or she is experiencing is
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one component of:
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Review of systems.
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Symptom assessment.
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Functional assessment.
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Objective assessment. - Correct Answer:
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Review of systems ll ll ll

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In the review of systems, the patient tells the nurse in his or her own words what
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signs or symptoms he or she has experienced in various body systems. It is
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important that these be in a patient's own words to perform the most complete and
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accurate assessment.
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All of the following are typical changes to the gastrointestinal system that come with
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aging EXCEPT:
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ll

ll



ll decreased liver size decreased muscle tone ll ll ll ll ll ll



ll in bowel increased absorption of calcium
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ll atrophy of salivary glands - Correct answer: ll ll ll ll ll ll

ll



increased absorption of calcium ll ll ll ll

ll ll



Decreased absorption of calcium is a common change that comes with aging, not ll ll ll ll ll ll ll ll ll ll ll ll ll




increased absorption. Other gastrointestinal changes include: less efficient
ll

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, cholesterol stabilization and absorption, atrophy of taste buds, and slowing in
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esophageal emptying, among others.
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A 28-year-old female patient is in the office and is to undergo radioactive iodine
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treatment for Graves disease. The ANP is counseling her and understands that the
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mechanism of action of this treatment therapy is:
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ll



alter the thyroid metabolic rate
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relieve distress caused by increased thyroid size
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destroy the overactive thyroid tissue reduce
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production of TSH - Correct answer:
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destroy the overactive thyroid tissue ll ll ll ll ll

ll



Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is
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used for thyroid ablation to destroy the overactive thyroid tissue that causes the
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ll



thyroid hormone dysfunction.
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ll ll

ll



Which of the following statements about falls in the elderly is least accurate?
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Black women are at higher risk for hip fractures than white women.
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The majority of deaths from falls are among people aged 65 years or older.
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Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
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About 90% of hip fractures are due to falls. - Correct Answer:
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Black women are at higher risk for hip fractures than white women.
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ll
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It is white women, not black women, who are at higher risk for hip fractures. Falls are
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one of the most common adverse events that threaten the quality of life of older
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adults. Falls among older adults are not a normal consequence of aging.
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Normal age-related changes of the skin may be confused with which of the following
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clinical abnormalities?
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ll dehydration
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vitiligo
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ll

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scabies shingles - Correct
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Answer:
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dehydration ll ll

ll
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Normal age-related changes of the skin may be confused with dehydration.
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Sebaceous gland activity tends to decrease with age, and the skin's natural hydrators
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decline over the years. The skin's ability to regenerate lipids compromising the
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protective lipid barrier layer of the Stratum Corneum also declines with age, as does
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blood flow to the skin, which may cause a drop in sebum production.
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A 29-year old woman who is 6 weeks postpartum reports she is having rectal
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bleeding that she believes is related to hemorrhoids. The Adult Nurse Practitioner
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knows that this type of rectal bleeding is usually described as:
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