AANP AGPCNP PSI TEST 1 & 2 2025
WITH CORRECT ANSWER
An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the
c c c c c c c c c c c c c c c c c
bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What
c c c c c c c c c c c c
is the most likely diagnosis?
c c c c
Left-sided or right-sided CVA? - correct answer LEFT-SIDED CVA
c c c c c c c c
Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?
c c c c c c c c c c c c c
1) pain worse laying down, focal neurological signs
c c c c c c c
2) Hyperflexia, personality change
c c c
3) acute onset: hours to days
c c c c c
4) pupillary constriction; stupor - correct answer 1) pain worse laying down, focal neurological signs
c c c c c c c c c c c c c c
Which of the following pharmacotherapeutics would be most important to administer to a patient who has a
c c c c c c c c c c c c c c c c c
corneal abrasion? c c
1) Timolol
c
2) Gentamicin ophthalmic
c c
3) Cromolyn optha
c c
4) Olopatadine - correct answer 2) Gentamicin ophthalmic (Genoptic)
c c c c c c c c
,A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder
c c c c c c c c c c c c c c c c
exacerbated by movement. The patient reports that he participated in extensive house painting 24 hours c c c c c c c c c c c c c c c
prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
c c c c c c c c c c c c c c c c c c c c
What is the next step to be taken in order to make a diagnosis?
c c c c c c c c c c c c c c
1) Xray of shoulder
c c c
2) Palpate structures around the shoulder.
c c c c c c
3) MRI of shoulder
c c c
4) EMG - correct answer 2) palpate structures
c c c c c c c
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting. She has
c c c c c c c c c c c c c c c c c
not missed any doses and uses no other medication. Which of the following is appropriate?
c c c c c c c c c c c c c c c
1) Changing to Ortho-Novum 1/35
c c c c c
2) Discontinue use
c c
3) Providing reassurance
c c c
4) Double dose-for two days - correct answer 3) provide reassurance
c c c c c c c c c c
According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a current
c c c c c c c c c c c c c c c c c c c
recommendation guideline for preventive care in elderly female patients? c c c c c c c c c
1) Mammogram and clinical breast exams
c c c c c
2) Fecal Occult blood test and/or sig
c c c c c c
3) Rubella serology or vaccination history
c c c c c
4) Pnuemo and influenza vaccines - correct answer 3) Rubella serology or vaccination history
c c c c c c c c c c c c c
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to:
c c c c c c c c c c c c c c c c c c c c c
1) initiate passive warming
c c c
2) apply a rebreather
c c c
,3) Perform fluid replacement
c c c
4) initiate active warming - correct answer 1) initiate passive rewarming
c c c c c c c c c c
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate this
c c c c c c c c c c c c c c c c c c c c c c
patient on recognizing the signs and symptoms of hypoglycemia?
c c c c c c c c
1) Edema
c
2) Tachycardia
c
3) palpitations
c
4) sweating - correct answer 4) sweating
c c c c c c
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of NSAIDs, stretching, ice,
c c c c c c c c c c c c c c c
and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to:
c c c c c c c c c c c c c c c c
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
c c c c c c c c c c c c
2) continue NSAID, apply an arch support and encourage wt loss and exercise
c c c c c c c c c c c c
3) continue NSAID, xray and add a short-leg night splint
c c c c c c c c c
4) COntinue NSAID, xray and add a metatarsal bar - correct answer 2) continue NSAID, apply an arch support
c c c c c c c c c c c c c c c c c c c
and encourage wt loss and exercise
c c c c c
Fundoscopic exam of Hypertensive patient. c c c c
1) nicking of arteriols and viens, and small retinol hemorrages
c c c c c c c c c
2) drusen bodies and pale retina
c c c c c
3) pale macula and swollen disk margins
c c c c c c
4) microaneurysms and optic disc cupping - correct answer 1) nicking of arteriols and viens, and small retinol
c c c c c c c c c c c c c c c c c c
hemorrages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
c c c c c c c c c c c c c
, 1) elevated TSH
c c
2) Thyroid enlargement
c c
3) atrial fibrillation
c c
4) abnormal T3 suppression - correct answer 3) atrial fibrillation
c c c c c c c c c
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous day.
c c c c c c c c c c c c c c c
The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual disturbances or
c c c c c c c c c c c c c c c
drainage. In formulating a plan of care, the nurse practitioner would FIRST:
c c c c c c c c c c c
1) send to ophthalmologists
c c c
2) florescreen staining
c c
3) test visual field
c c c
4) prescribe eyedrops - correct answer 3) test visual field
c c c c c c c c c
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical examination, the nurse
c c c c c c c c c c c c c c c c c
practitioner notes the presence of a gray band of opacity in the cornea that encircles the iris. The band is 1.0-
c c c c c c c c c c c c c c c c c c c c
1.5 mm wide. This finding is most consistent with a diagnosis of a/an:
c c c c c c c c c c c c
1. corneal abrasion
c c
2. arcus senilis
c c
3. corneal ulcer
c c
4. herpetic infection of the eye - correct answer 2) arcus senilis
c c c c c c c c c c c
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night sweats, and a cough
c c c c c c c c c c c c c c c c c
that has been present for 4 weeks. The diagnostic study to perform first would be:
c c c c c c c c c c c c c c
1) xray c
2) pulmonary function test
c c c
3) bronchoscopy
c
4) H & H - correct answer 1) xray (tb-night sweats)
c c c c c c c c c c
WITH CORRECT ANSWER
An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the
c c c c c c c c c c c c c c c c c
bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What
c c c c c c c c c c c c
is the most likely diagnosis?
c c c c
Left-sided or right-sided CVA? - correct answer LEFT-SIDED CVA
c c c c c c c c
Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?
c c c c c c c c c c c c c
1) pain worse laying down, focal neurological signs
c c c c c c c
2) Hyperflexia, personality change
c c c
3) acute onset: hours to days
c c c c c
4) pupillary constriction; stupor - correct answer 1) pain worse laying down, focal neurological signs
c c c c c c c c c c c c c c
Which of the following pharmacotherapeutics would be most important to administer to a patient who has a
c c c c c c c c c c c c c c c c c
corneal abrasion? c c
1) Timolol
c
2) Gentamicin ophthalmic
c c
3) Cromolyn optha
c c
4) Olopatadine - correct answer 2) Gentamicin ophthalmic (Genoptic)
c c c c c c c c
,A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder
c c c c c c c c c c c c c c c c
exacerbated by movement. The patient reports that he participated in extensive house painting 24 hours c c c c c c c c c c c c c c c
prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
c c c c c c c c c c c c c c c c c c c c
What is the next step to be taken in order to make a diagnosis?
c c c c c c c c c c c c c c
1) Xray of shoulder
c c c
2) Palpate structures around the shoulder.
c c c c c c
3) MRI of shoulder
c c c
4) EMG - correct answer 2) palpate structures
c c c c c c c
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting. She has
c c c c c c c c c c c c c c c c c
not missed any doses and uses no other medication. Which of the following is appropriate?
c c c c c c c c c c c c c c c
1) Changing to Ortho-Novum 1/35
c c c c c
2) Discontinue use
c c
3) Providing reassurance
c c c
4) Double dose-for two days - correct answer 3) provide reassurance
c c c c c c c c c c
According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a current
c c c c c c c c c c c c c c c c c c c
recommendation guideline for preventive care in elderly female patients? c c c c c c c c c
1) Mammogram and clinical breast exams
c c c c c
2) Fecal Occult blood test and/or sig
c c c c c c
3) Rubella serology or vaccination history
c c c c c
4) Pnuemo and influenza vaccines - correct answer 3) Rubella serology or vaccination history
c c c c c c c c c c c c c
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to:
c c c c c c c c c c c c c c c c c c c c c
1) initiate passive warming
c c c
2) apply a rebreather
c c c
,3) Perform fluid replacement
c c c
4) initiate active warming - correct answer 1) initiate passive rewarming
c c c c c c c c c c
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate this
c c c c c c c c c c c c c c c c c c c c c c
patient on recognizing the signs and symptoms of hypoglycemia?
c c c c c c c c
1) Edema
c
2) Tachycardia
c
3) palpitations
c
4) sweating - correct answer 4) sweating
c c c c c c
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of NSAIDs, stretching, ice,
c c c c c c c c c c c c c c c
and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to:
c c c c c c c c c c c c c c c c
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
c c c c c c c c c c c c
2) continue NSAID, apply an arch support and encourage wt loss and exercise
c c c c c c c c c c c c
3) continue NSAID, xray and add a short-leg night splint
c c c c c c c c c
4) COntinue NSAID, xray and add a metatarsal bar - correct answer 2) continue NSAID, apply an arch support
c c c c c c c c c c c c c c c c c c c
and encourage wt loss and exercise
c c c c c
Fundoscopic exam of Hypertensive patient. c c c c
1) nicking of arteriols and viens, and small retinol hemorrages
c c c c c c c c c
2) drusen bodies and pale retina
c c c c c
3) pale macula and swollen disk margins
c c c c c c
4) microaneurysms and optic disc cupping - correct answer 1) nicking of arteriols and viens, and small retinol
c c c c c c c c c c c c c c c c c c
hemorrages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
c c c c c c c c c c c c c
, 1) elevated TSH
c c
2) Thyroid enlargement
c c
3) atrial fibrillation
c c
4) abnormal T3 suppression - correct answer 3) atrial fibrillation
c c c c c c c c c
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous day.
c c c c c c c c c c c c c c c
The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual disturbances or
c c c c c c c c c c c c c c c
drainage. In formulating a plan of care, the nurse practitioner would FIRST:
c c c c c c c c c c c
1) send to ophthalmologists
c c c
2) florescreen staining
c c
3) test visual field
c c c
4) prescribe eyedrops - correct answer 3) test visual field
c c c c c c c c c
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical examination, the nurse
c c c c c c c c c c c c c c c c c
practitioner notes the presence of a gray band of opacity in the cornea that encircles the iris. The band is 1.0-
c c c c c c c c c c c c c c c c c c c c
1.5 mm wide. This finding is most consistent with a diagnosis of a/an:
c c c c c c c c c c c c
1. corneal abrasion
c c
2. arcus senilis
c c
3. corneal ulcer
c c
4. herpetic infection of the eye - correct answer 2) arcus senilis
c c c c c c c c c c c
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night sweats, and a cough
c c c c c c c c c c c c c c c c c
that has been present for 4 weeks. The diagnostic study to perform first would be:
c c c c c c c c c c c c c c
1) xray c
2) pulmonary function test
c c c
3) bronchoscopy
c
4) H & H - correct answer 1) xray (tb-night sweats)
c c c c c c c c c c
