AANP Exam Version 1 Actual Exam
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An elderly patient is diagnosed with hyperlipidemia. The NP is prescribing a
medication that may have the following effects on her LDL, HDL and Triglyceride
levels: LDL-5 to 15% decrease, HDL - 14 to 20% increase and Triglyceride - 20 to
50% decrease. Which of the following drugs is the NP MOST likely prescribing?
Atorvastatin
Gemfibrozil.
Nicotinic acid.
Colestipol. - Answer ✓✓Correct answer:
Gemfibrozil
The expected outcomes of the preceding medications are as follows: Atorvastatin:
LDL: 20-60% decrease HDL: 5-15% increase Triglyceride: 10-40% decrease
Gemfibrozil: LDL: 5-15% decrease HDL: 14-20% increase Triglyceride: 20-50%
decrease Nicotinic acid: LDL: 10-25% decrease HDL: 15-35% increase Triglyceride:
20-50% decrease Colestipol: LDL: 10-20% decrease HDL: 3-5% decrease
Triglyceride: May increase
TEST BANK A+ 1
, AANP Exam Version 1 Actual Exam
Which of the following is the appropriate approach to treating continuous pain in
an older adult inpatient?
Around-the-clock analgesics.
Delayed release, long-acting analgesics.
Rapid-onset, short-acting analgesics.
A combination of long-acting and short-acting analgesics. - Answer ✓✓Correct
Answer:
Around-the-clock analgesics.
Patients with continuous pain benefit from around the clock analgesics,
administered intravenously. This helps maintain a steady state of analgesic in the
bloodstream.
When examining a elderly patient suspected of hypothyroidism, the GNP assesses
the patient's vital signs and examines the patient's eyes, skin, cardiovascular
system and throat. With normal aging, the thyroid:
Becomes much larger.
Becomes much smaller.
Lies higher in the neck.
Becomes more fibrotic. - Answer ✓✓Correct answer: Becomes more fibrotic With
aging, the thyroid becomes more fibrotic and lies lower in the neck. The thyroid
usually doesn't change in size with elderly patients and goiter may substernal
and more difficult to palpate with elderly patients.
TEST BANK A+ 2
, AANP Exam Version 1 Actual Exam
When evaluating a 61-year-old patient, you determine that he is experiencing a
type of incontinence in which he is not able to physically go to the bathroom when
he needs to. What type of incontinence is this?
Overflow.
Urge.
Stress.
Functional. - Answer ✓✓Correct answer: Functional There are several types of
incontinence. Overflow incontinence: Urine leaks as a result of forces against the
bladder. Urge incontinence: Patient cannot keep himself from urinating when his
bladder is full. Stress incontinence: Patient always urinates when there is pressure
against his abdomen. Functional incontinence: Cognitive or physical impairments
prevent the patient from urinating when he has the need to go.
Which of these is Ditropan, which can be used to treat incontinence?
Oxybutynin.
Tolterodine.
Trospium.
Solifenacin. - Answer ✓✓Correct answer: Oxybutynin Ditropan is a brand name
for Oxybutynin and Detrol LA, Tolterodine. Trospium is the generic name for
Sanctura and Solifenacin, for Vesicare.
You prescribe a medication for your elderly patient and note it should be p.o.
What does this mean?
Three times a day.
As directed.
In each eye.
TEST BANK A+ 3
, AANP Exam Version 1 Actual Exam
Taken by mouth. - Answer ✓✓Correct answer:
Taken by mouth
O.U. - In each eye; p.o. - Taken by mouth; t.i.d. - Three times a day; ut dict. - As
directed.
The Geriatric Nurse Practitioner is seeing an older female with pendulous breasts.
She complains of a "burning" under her breast and the GNP smells a yeasty odor
and sees a reddened area. What is this?
impetigo
tinea corporis
pityriasis rosea
intertrigo - Answer ✓✓The Correct answer is:
intertrigo
Choice D is the right answer. This is common in females of any age. The areas
affected are any between skin folds, under the breasts, between the scrotum and
inner thigh, or between the toes.
You prescribe nasal corticosteroid spray for a patient with allergic rhinitis. What is
the anticipated onset of symptom relief with its use?
immediately with the first spray
within 1 to 2 days
after a few days
TEST BANK A+ 4