AANP AGPCNP PRACTICE EXAM
QUESTIONS AND ANSWERS
1.1. An older adult presents with severe abdominal pain. The husband
reports that earlier in the afternoon, the patient's abdominal hernia had been
firm and bulged out 4 inches (10.2 cm). The patient had him press on the
hernia and immediately felt burning pain throughout the abdomen. Which of
the following is the nurse practitioners' NEXT action?
1. Abdominal CT scan
2. Complete blood count with differential
3. Abdominal ultrasound
4. Referral to the ED
Answer: 4. Referral to the ED
2.2. A young adult female who is 34 weeks pregnant presents with the com-
plaint of urinary frequency every 1 to 2 hours. The patient has no fever and
denies back pain. A urine dipstick test is positive for leukocyte esterase and
nitrites. Microscopic analysis reveals 15-20 WBCs/hpf and a few bacteria.
The BEST choice for treatment of this patient's urinary tract infection would
be:
1. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for
3 days.
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
,3. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
4. erythromycin, 250 mg three times daily for 5 days.
Answer: 2. cephalexin (Keflex), 500 mg four times daily for 7 days.
3.3. An adult male presents with new-onset pain and tenderness in the low
back and pain in the right great toe after a weekend of golf. He denies
experiencing numbness and tingling. Which of the following would the
nurse practitioner expect to find an investigation of this patient's low back
pain?
1. Exacerbation of extremity symptoms with straight-leg raising
2. Loss of bowel and bladder function
3. Increased ankle jerk on evaluation of deep tendon reflexes
4. Increased lumbar lordosis
Answer: 1. Exacerbation of extremity symptoms with straight-leg
raising
4.4. A true statement about essential tremors is that they:
1. often begin with "pill-rolling" of one hand and may affect the legs, feet,
and toes.
2. are often barely visible, rapid tremors.
3. are a characteristic of Parkinson's disease.
4. are slow tremors that are absent or minimal at rest and usually involve the
hands.
Answer: 4. are slow tremors that are absent or minimal at rest and
,usually involve the hands.
5.5. Which opioid medication is the MOST potent?
1. Codeine
2. Morphine
3. Oxycodone
4. Hydromorphone
Answer: 4. Hydromorphone
6.6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia
Answer: 1. Irritability
7.7. Which of the following is the medication of choice for monotherapy of
an older adult with hypertension and
no related comorbid conditions?
1. Alpha-blocker
2. Vasodilator
3. Thiazide diuretic
4. Beta-blocker
, Answer: 3.Thiazide diuretic
8.8. An elderly, obese female presents for evaluation of a painful rash, first
noticed 2 weeks ago, located under both breasts. The rash is visible as an
area of confluent, beefy-red, excoriated lesions with smaller satellite
lesions extending beyond the borders of the main lesions. The KOH prep
reveals pseudohyphae. The nurse practitioner
would recommend a/an:
1. course of oral steroids and air drying of skin after showers.
2. topical antifungal and order a fasting blood glucose.
3. oral antibiotic and order a hemoglobin A1c.
4. high-potency topical corticosteroid and use of dry dressings.
Answer: 2. topical antifungal and order a fasting blood glucose.
9.9. An older adult female complains of problems with urination. She
reports that whenever she feels the need to urinate, she is unable to "make
it to the bathroom in time," and wets herself. Which type of incontinence is
MOST likely?
1. Urge
2. Overflow
3. Transient
4. Stress
Answer: 1. Urge
QUESTIONS AND ANSWERS
1.1. An older adult presents with severe abdominal pain. The husband
reports that earlier in the afternoon, the patient's abdominal hernia had been
firm and bulged out 4 inches (10.2 cm). The patient had him press on the
hernia and immediately felt burning pain throughout the abdomen. Which of
the following is the nurse practitioners' NEXT action?
1. Abdominal CT scan
2. Complete blood count with differential
3. Abdominal ultrasound
4. Referral to the ED
Answer: 4. Referral to the ED
2.2. A young adult female who is 34 weeks pregnant presents with the com-
plaint of urinary frequency every 1 to 2 hours. The patient has no fever and
denies back pain. A urine dipstick test is positive for leukocyte esterase and
nitrites. Microscopic analysis reveals 15-20 WBCs/hpf and a few bacteria.
The BEST choice for treatment of this patient's urinary tract infection would
be:
1. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for
3 days.
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
,3. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
4. erythromycin, 250 mg three times daily for 5 days.
Answer: 2. cephalexin (Keflex), 500 mg four times daily for 7 days.
3.3. An adult male presents with new-onset pain and tenderness in the low
back and pain in the right great toe after a weekend of golf. He denies
experiencing numbness and tingling. Which of the following would the
nurse practitioner expect to find an investigation of this patient's low back
pain?
1. Exacerbation of extremity symptoms with straight-leg raising
2. Loss of bowel and bladder function
3. Increased ankle jerk on evaluation of deep tendon reflexes
4. Increased lumbar lordosis
Answer: 1. Exacerbation of extremity symptoms with straight-leg
raising
4.4. A true statement about essential tremors is that they:
1. often begin with "pill-rolling" of one hand and may affect the legs, feet,
and toes.
2. are often barely visible, rapid tremors.
3. are a characteristic of Parkinson's disease.
4. are slow tremors that are absent or minimal at rest and usually involve the
hands.
Answer: 4. are slow tremors that are absent or minimal at rest and
,usually involve the hands.
5.5. Which opioid medication is the MOST potent?
1. Codeine
2. Morphine
3. Oxycodone
4. Hydromorphone
Answer: 4. Hydromorphone
6.6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia
Answer: 1. Irritability
7.7. Which of the following is the medication of choice for monotherapy of
an older adult with hypertension and
no related comorbid conditions?
1. Alpha-blocker
2. Vasodilator
3. Thiazide diuretic
4. Beta-blocker
, Answer: 3.Thiazide diuretic
8.8. An elderly, obese female presents for evaluation of a painful rash, first
noticed 2 weeks ago, located under both breasts. The rash is visible as an
area of confluent, beefy-red, excoriated lesions with smaller satellite
lesions extending beyond the borders of the main lesions. The KOH prep
reveals pseudohyphae. The nurse practitioner
would recommend a/an:
1. course of oral steroids and air drying of skin after showers.
2. topical antifungal and order a fasting blood glucose.
3. oral antibiotic and order a hemoglobin A1c.
4. high-potency topical corticosteroid and use of dry dressings.
Answer: 2. topical antifungal and order a fasting blood glucose.
9.9. An older adult female complains of problems with urination. She
reports that whenever she feels the need to urinate, she is unable to "make
it to the bathroom in time," and wets herself. Which type of incontinence is
MOST likely?
1. Urge
2. Overflow
3. Transient
4. Stress
Answer: 1. Urge
