AANP FNP FAMILY NURSE PRACTITIONER EXAM
QESTIONS WITH ANSWERS
Temporary cyanotic condition, usually in newborns resulting in a bluish color around the
lips, hands and fingernails, feet and toenails. May last for a few hours and disappear
with warming.
NORMAL finding - ANSWER -Acrocyanosis
Smooth edged tan-to-brown pigmentations on the skin (usually flank)
Increase in size with age
Suspect neurofibromatosis w/ >6 spots in child older than 5 - ANSWER -cafe au lait
spots
(suspect which disorder)
areas of deep bluish-gray pigmentation most commonly on the sacral aspect of a
newborn.
Wavy borders/irregular shape
Disappear by puberty - ANSWER -mongolian spots
(Block action of angiotensin II allowing blood vessels to widen) - ANSWER -ARBs
amlodipine, diltizem, verapimil
SE= constipation, palpitation, H/A, flushing LE edema
(Prevent calcium from entering the cells of the heart and blood vessel walls, resulting in
lower BP) - ANSWER -CCBs
atenolol, propanolol, metoprolol
SE= dizziness, bradycardia, fatigue
(Directly relax the heart)
**Avoid use in COPD/asthma - ANSWER -Beta blockers
Toddlers: Onlookers and parallel play
Preschoolers: Associative, cooperative, dramatic, physical play - ANSWER -Play
(psychosocial development for toddlers and preschoolers)
Utensils/spoon introduction @ - ANSWER -15-17 months: introduce what obeject
blue sclera - ANSWER -osteogenesis imperfecta
Primary influencer on the teenager - ANSWER -Parents (not peers)
,Tanner Stage:
Penis elongates - ANSWER -Tanner stage 3 (boys)
Tanner Stage:
Breast enlargement without separate nipple contour - ANSWER -Tanner stage 3 (girls)
Nutritional requirements for teenagers (higher than adults) - ANSWER -45 kcals/day
Strawberry tongue
Acute febrile syndrome causing vasculitis
Treat with high dose ASPIRIN (the only time we use aspirin) - ANSWER -Kawasaki
disease
projectile vomiting after eating
palpable mass (olive) after vomiting
non-bilious vomit
-U/S: "string sign" (narrowed pyloric channel)
surgery - ANSWER -Pyloric stenosis
- ANSWER -Intusussception
- ANSWER -
Tumor arising from neural tissue (adrenal gland)
enlarged abdominal mass
sweating
tachycardia - ANSWER -Neuroblastoma
- ANSWER -Hepatitis
- ANSWER -Meds used for angina
INR normal vs. INR on coumadin - ANSWER -INR: 0.8-1.3 seconds
Coumadin: 2-3
Which culture believes health is a gift from god (God's will/evil influences--AA) (reward
for good behavior-H) - ANSWER -African American & Hispanic cultural considerations
Highest incidence of prostate cancer is seen in - ANSWER -Jamaican ancestry
, Hot and cold illnesses/opposite treatment - ANSWER -Hispanic and Chinese cultural
considerations
Which culture believes: Eye contact may be sign of disrespect/ Use herbal remedies -
ANSWER -Asians cultural considerations
Prefer female health provider, not male (same with other Asian cultures) - ANSWER -
Japanese cultural consideration
Which culture believes Yin (cold) and yang (hot) are forces that rule the world -
ANSWER -Chinese cultural considerations
Which culture believes Illness=imbalance between spiritual, mental, physical, & social
interactions b/t the individual and his family/clan - ANSWER -Native American cultural
considerations
Intolerant to pain
Eye contact= interest & honesty
Males are dominant force/decision maker
Meds used to cure/manage disease - ANSWER -Caucasians cultural consideration
Diarrhea= cold illness-tx with hot foods
HTN= hot illness- tx with cold foods
PCN=hot...not used with hot illness - ANSWER -Cold/hot illnesses and treatment
(Chinese/Hispanic)
Touch is important to this culture - ANSWER -African American cultural considerations
Which culture relies on minister's advice/religious rituals - ANSWER -African American
cultural considerations
Which culture may d/c meds once symptoms subside - ANSWER -African American
cultural considerations
Mal de Ojo (evil eye) - ANSWER -Hispanic cultural considerations
Grandmother from husband is primary decision-maker of health issues - ANSWER -
Hispanic cultural considerations
Which culture is concerned ab potential for addiction - ANSWER -Hispanic cultural
considerations
Which culture believes injections are necessary for effective treatment - ANSWER -
Hispanic cultural considerations
, Curanderas= holistic healer. Uses herbs, teas, shrines, medals, candles - ANSWER -
Hispanic cultural considerations
Which culture believes evil is caused by an outside spirit - ANSWER -Asians cultural
considerations
Elders' views wishes=authority/decision-making - ANSWER -Asians cultural
considerations
Which culture values drug safety>effectiveness (may take lower doses than prescribed)
- ANSWER -Japanese cultural consideration
Which culture believes illness diagnosed through pulse and color/texture of tongue -
ANSWER -Chinese cultural considerations
HTN treatment for ________________
1. THiazide-type
2. CCB
3. ACEI
4. ARB - ANSWER -HTN treatment for Non-African American
HTN treatment for _______________
1. Thiazide
2. CCB - ANSWER -HTN treatment for African-American
HTN treatment for adults with _____
1. ACEI
2. ARB
regardless of race/other medical conditions - ANSWER -HTN treatment for adults with
CKD
Lisinopril, captopril, enalipril
SE= dry cough, rash, hyperkalemia
NOT used in pregnancy
(Block production of angiotensin II, which releases aldosterone and norepinephrine,
allowing blood vessels to relax and dilate. Block sodium and water retention) -
ANSWER -ACE Inhibitors
losartan, valsartan, irbesartan
SE= Hyperkalemia, angioedema
QESTIONS WITH ANSWERS
Temporary cyanotic condition, usually in newborns resulting in a bluish color around the
lips, hands and fingernails, feet and toenails. May last for a few hours and disappear
with warming.
NORMAL finding - ANSWER -Acrocyanosis
Smooth edged tan-to-brown pigmentations on the skin (usually flank)
Increase in size with age
Suspect neurofibromatosis w/ >6 spots in child older than 5 - ANSWER -cafe au lait
spots
(suspect which disorder)
areas of deep bluish-gray pigmentation most commonly on the sacral aspect of a
newborn.
Wavy borders/irregular shape
Disappear by puberty - ANSWER -mongolian spots
(Block action of angiotensin II allowing blood vessels to widen) - ANSWER -ARBs
amlodipine, diltizem, verapimil
SE= constipation, palpitation, H/A, flushing LE edema
(Prevent calcium from entering the cells of the heart and blood vessel walls, resulting in
lower BP) - ANSWER -CCBs
atenolol, propanolol, metoprolol
SE= dizziness, bradycardia, fatigue
(Directly relax the heart)
**Avoid use in COPD/asthma - ANSWER -Beta blockers
Toddlers: Onlookers and parallel play
Preschoolers: Associative, cooperative, dramatic, physical play - ANSWER -Play
(psychosocial development for toddlers and preschoolers)
Utensils/spoon introduction @ - ANSWER -15-17 months: introduce what obeject
blue sclera - ANSWER -osteogenesis imperfecta
Primary influencer on the teenager - ANSWER -Parents (not peers)
,Tanner Stage:
Penis elongates - ANSWER -Tanner stage 3 (boys)
Tanner Stage:
Breast enlargement without separate nipple contour - ANSWER -Tanner stage 3 (girls)
Nutritional requirements for teenagers (higher than adults) - ANSWER -45 kcals/day
Strawberry tongue
Acute febrile syndrome causing vasculitis
Treat with high dose ASPIRIN (the only time we use aspirin) - ANSWER -Kawasaki
disease
projectile vomiting after eating
palpable mass (olive) after vomiting
non-bilious vomit
-U/S: "string sign" (narrowed pyloric channel)
surgery - ANSWER -Pyloric stenosis
- ANSWER -Intusussception
- ANSWER -
Tumor arising from neural tissue (adrenal gland)
enlarged abdominal mass
sweating
tachycardia - ANSWER -Neuroblastoma
- ANSWER -Hepatitis
- ANSWER -Meds used for angina
INR normal vs. INR on coumadin - ANSWER -INR: 0.8-1.3 seconds
Coumadin: 2-3
Which culture believes health is a gift from god (God's will/evil influences--AA) (reward
for good behavior-H) - ANSWER -African American & Hispanic cultural considerations
Highest incidence of prostate cancer is seen in - ANSWER -Jamaican ancestry
, Hot and cold illnesses/opposite treatment - ANSWER -Hispanic and Chinese cultural
considerations
Which culture believes: Eye contact may be sign of disrespect/ Use herbal remedies -
ANSWER -Asians cultural considerations
Prefer female health provider, not male (same with other Asian cultures) - ANSWER -
Japanese cultural consideration
Which culture believes Yin (cold) and yang (hot) are forces that rule the world -
ANSWER -Chinese cultural considerations
Which culture believes Illness=imbalance between spiritual, mental, physical, & social
interactions b/t the individual and his family/clan - ANSWER -Native American cultural
considerations
Intolerant to pain
Eye contact= interest & honesty
Males are dominant force/decision maker
Meds used to cure/manage disease - ANSWER -Caucasians cultural consideration
Diarrhea= cold illness-tx with hot foods
HTN= hot illness- tx with cold foods
PCN=hot...not used with hot illness - ANSWER -Cold/hot illnesses and treatment
(Chinese/Hispanic)
Touch is important to this culture - ANSWER -African American cultural considerations
Which culture relies on minister's advice/religious rituals - ANSWER -African American
cultural considerations
Which culture may d/c meds once symptoms subside - ANSWER -African American
cultural considerations
Mal de Ojo (evil eye) - ANSWER -Hispanic cultural considerations
Grandmother from husband is primary decision-maker of health issues - ANSWER -
Hispanic cultural considerations
Which culture is concerned ab potential for addiction - ANSWER -Hispanic cultural
considerations
Which culture believes injections are necessary for effective treatment - ANSWER -
Hispanic cultural considerations
, Curanderas= holistic healer. Uses herbs, teas, shrines, medals, candles - ANSWER -
Hispanic cultural considerations
Which culture believes evil is caused by an outside spirit - ANSWER -Asians cultural
considerations
Elders' views wishes=authority/decision-making - ANSWER -Asians cultural
considerations
Which culture values drug safety>effectiveness (may take lower doses than prescribed)
- ANSWER -Japanese cultural consideration
Which culture believes illness diagnosed through pulse and color/texture of tongue -
ANSWER -Chinese cultural considerations
HTN treatment for ________________
1. THiazide-type
2. CCB
3. ACEI
4. ARB - ANSWER -HTN treatment for Non-African American
HTN treatment for _______________
1. Thiazide
2. CCB - ANSWER -HTN treatment for African-American
HTN treatment for adults with _____
1. ACEI
2. ARB
regardless of race/other medical conditions - ANSWER -HTN treatment for adults with
CKD
Lisinopril, captopril, enalipril
SE= dry cough, rash, hyperkalemia
NOT used in pregnancy
(Block production of angiotensin II, which releases aldosterone and norepinephrine,
allowing blood vessels to relax and dilate. Block sodium and water retention) -
ANSWER -ACE Inhibitors
losartan, valsartan, irbesartan
SE= Hyperkalemia, angioedema
