AANP Practice Questions
Study online at https://quizlet.com/_9t968i
1. A 65-year-old woman presents for a follow-up examination after a new
patient visit. She has not seen a healthcare provider for several years. She is
a smoker and her hypertension is now adequately controlled with medication.
Her mother died at age 40 from a heart attack. The fasting lipid profile shows
cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting
Therapeutic Lifestyle Changes, the nurse practitioner should start the patient
on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.: A statin drug
2. The most commonly prescribed medication for mild systemic lupus erythe-
matosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan).: ibuprofen (advil)
3. The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum.: postcoital bleeding
4. The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin).: discontinue
amitriptyline and begin gabapentin (neurontin)
5. A 17-year-old male with rheumatoid arthritis is being treated with an NSAID
and omeprazole (Prilosec). The patient complains of headache, abdominal
pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
, AANP Practice Questions
Study online at https://quizlet.com/_9t968i
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis.: associated with the omeprazole
6. The medication of choice for the initial treatment of juvenile rheumatoid
arthritis is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen.: ibuprofen
7. A 12-year-old with sickle cell anemia has recently experienced a sickle cell
crisis and presents for a follow-up examination after a recent hospitalization.
It is most important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks.: hemoglobin levels
8. A 90-year-old female is brought to the clinic by her neighbor. She states that
everything is fine, but the nurse practitioner notes that she has poor hygiene
and bruises on her trunk. The neighbor is concerned that the patient often has
no money to buy food, despite income from social security and a coal miner's
pension. The nurse practitioner suspects abuse. Which of the following is the
nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns.: report the case to
proper authorities
9. In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory.: decrease in short-term memory
10. The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
, AANP Practice Questions
Study online at https://quizlet.com/_9t968i
3. pyrazinamide for 6 months.
4. ethambutol for 6 months.: osioniazid (nydrazid) for 9 months
11. Unilateral spontaneous serous or serosanguineous discharge from a sin-
gle duct of a breast is most often caused by:
1. intraductal papilloma.
2. mucinous breast lesions.
3. Paget's disease.
4. ductal carcinoma in situ.: intraductal papilloma
12. A young child with asthma presents for follow-up evaluation. After nu-
merous changes in medications and doses, the parents report that the child
continues to have difficulty with coughing, especially during the night. Which
of the following conditions would be the most likely cause of the continued
asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis: gastroesophageal reflux
13. A pregnant woman with known HIV infection can reduce the risk of peri-
natal transmission through zidovudine (Retrovir) therapy. Based on current
research, optimal therapy is to start daily dosing:
1. post amniocentesis.
2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000.: after 14 weeks gestation
14. T-wave inversion with a normal ST segment on a 12-lead EKG may repre-
sent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia.: acute coronary ischemia
15. The 16-year-old mother of a 2-month-old presents the infant, reporting that
the child is very irritable and does not feed well. During physical examination,
the child's head drops back and the child exhibits sudden flexing of the
extremities. As the flexing stops, the child cries uncontrollably. Funduscopic
examination reveals retinal hemorrhages. Which of the following diagnostic
Study online at https://quizlet.com/_9t968i
1. A 65-year-old woman presents for a follow-up examination after a new
patient visit. She has not seen a healthcare provider for several years. She is
a smoker and her hypertension is now adequately controlled with medication.
Her mother died at age 40 from a heart attack. The fasting lipid profile shows
cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting
Therapeutic Lifestyle Changes, the nurse practitioner should start the patient
on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.: A statin drug
2. The most commonly prescribed medication for mild systemic lupus erythe-
matosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan).: ibuprofen (advil)
3. The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum.: postcoital bleeding
4. The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin).: discontinue
amitriptyline and begin gabapentin (neurontin)
5. A 17-year-old male with rheumatoid arthritis is being treated with an NSAID
and omeprazole (Prilosec). The patient complains of headache, abdominal
pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
, AANP Practice Questions
Study online at https://quizlet.com/_9t968i
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis.: associated with the omeprazole
6. The medication of choice for the initial treatment of juvenile rheumatoid
arthritis is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen.: ibuprofen
7. A 12-year-old with sickle cell anemia has recently experienced a sickle cell
crisis and presents for a follow-up examination after a recent hospitalization.
It is most important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks.: hemoglobin levels
8. A 90-year-old female is brought to the clinic by her neighbor. She states that
everything is fine, but the nurse practitioner notes that she has poor hygiene
and bruises on her trunk. The neighbor is concerned that the patient often has
no money to buy food, despite income from social security and a coal miner's
pension. The nurse practitioner suspects abuse. Which of the following is the
nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns.: report the case to
proper authorities
9. In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory.: decrease in short-term memory
10. The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
, AANP Practice Questions
Study online at https://quizlet.com/_9t968i
3. pyrazinamide for 6 months.
4. ethambutol for 6 months.: osioniazid (nydrazid) for 9 months
11. Unilateral spontaneous serous or serosanguineous discharge from a sin-
gle duct of a breast is most often caused by:
1. intraductal papilloma.
2. mucinous breast lesions.
3. Paget's disease.
4. ductal carcinoma in situ.: intraductal papilloma
12. A young child with asthma presents for follow-up evaluation. After nu-
merous changes in medications and doses, the parents report that the child
continues to have difficulty with coughing, especially during the night. Which
of the following conditions would be the most likely cause of the continued
asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis: gastroesophageal reflux
13. A pregnant woman with known HIV infection can reduce the risk of peri-
natal transmission through zidovudine (Retrovir) therapy. Based on current
research, optimal therapy is to start daily dosing:
1. post amniocentesis.
2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000.: after 14 weeks gestation
14. T-wave inversion with a normal ST segment on a 12-lead EKG may repre-
sent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia.: acute coronary ischemia
15. The 16-year-old mother of a 2-month-old presents the infant, reporting that
the child is very irritable and does not feed well. During physical examination,
the child's head drops back and the child exhibits sudden flexing of the
extremities. As the flexing stops, the child cries uncontrollably. Funduscopic
examination reveals retinal hemorrhages. Which of the following diagnostic
