AANP AGPCNP PSI TEST 1 & 2 2025 WITH CORRECT ANSWER

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
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bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What
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is the most likely diagnosis?
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Left-sided or right-sided CVA? - correct answer LEFT-SIDED CVA
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Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?
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1) pain worse laying down, focal neurological signs
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2) Hyperflexia, personality change
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3) acute onset: hours to days
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4) pupillary constriction; stupor - correct answer 1) pain worse laying down, focal neurological signs
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Which of the following pharmacotherapeutics would be most important to administer to a patient who has a
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corneal abrasion? c c




1) Timolol
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2) Gentamicin ophthalmic
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3) Cromolyn optha
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4) Olopatadine - correct answer 2) Gentamicin ophthalmic (Genoptic)
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,A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder
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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.
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What is the next step to be taken in order to make a diagnosis?
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1) Xray of shoulder
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2) Palpate structures around the shoulder.
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3) MRI of shoulder
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4) EMG - correct answer 2) palpate structures
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A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting. She has
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not missed any doses and uses no other medication. Which of the following is appropriate?
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1) Changing to Ortho-Novum 1/35
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2) Discontinue use
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3) Providing reassurance
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4) Double dose-for two days - correct answer 3) provide reassurance
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According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a current
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recommendation guideline for preventive care in elderly female patients? c c c c c c c c c




1) Mammogram and clinical breast exams
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2) Fecal Occult blood test and/or sig
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3) Rubella serology or vaccination history
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4) Pnuemo and influenza vaccines - correct answer 3) Rubella serology or vaccination history
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87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to:
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1) initiate passive warming
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2) apply a rebreather
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,3) Perform fluid replacement
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4) initiate active warming - correct answer 1) initiate passive rewarming
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A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate this
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patient on recognizing the signs and symptoms of hypoglycemia?
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1) Edema
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2) Tachycardia
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3) palpitations
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4) sweating - correct answer 4) sweating
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A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of NSAIDs, stretching, ice,
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and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to:
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1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
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2) continue NSAID, apply an arch support and encourage wt loss and exercise
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3) continue NSAID, xray and add a short-leg night splint
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4) COntinue NSAID, xray and add a metatarsal bar - correct answer 2) continue NSAID, apply an arch support
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and encourage wt loss and exercise
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Fundoscopic exam of Hypertensive patient. c c c c




1) nicking of arteriols and viens, and small retinol hemorrages
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2) drusen bodies and pale retina
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3) pale macula and swollen disk margins
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4) microaneurysms and optic disc cupping - correct answer 1) nicking of arteriols and viens, and small retinol
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hemorrages



Which of the following is a common presenting feature of hyperthyroidism in the elderly?
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, 1) elevated TSH
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2) Thyroid enlargement
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3) atrial fibrillation
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4) abnormal T3 suppression - correct answer 3) atrial fibrillation
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A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous day.
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The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual disturbances or
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drainage. In formulating a plan of care, the nurse practitioner would FIRST:
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1) send to ophthalmologists
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2) florescreen staining
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3) test visual field
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4) prescribe eyedrops - correct answer 3) test visual field
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A 72-year-old patient presents with dry, itchy eyes. During the course of the physical examination, the nurse
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practitioner notes the presence of a gray band of opacity in the cornea that encircles the iris. The band is 1.0-
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1.5 mm wide. This finding is most consistent with a diagnosis of a/an:
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1. corneal abrasion
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2. arcus senilis
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3. corneal ulcer
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4. herpetic infection of the eye - correct answer 2) arcus senilis
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A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night sweats, and a cough
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that has been present for 4 weeks. The diagnostic study to perform first would be:
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1) xray c




2) pulmonary function test
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3) bronchoscopy
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4) H & H - correct answer 1) xray (tb-night sweats)
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