AANP FNP TEST review
AANP FNP TEST Review Study Guide
Questions and Answers
Question 1
ADA screening for DM in Children
Correct Answer
-symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless
of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or
obese (>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Question 2
Statistics
Correct Answer
- leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white
males.
Page 1 of 278
, AANP FNP TEST review
Question 3
Osgood-Schlatter:
Correct Answer
knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at
the tendon's insertion site. The tibial tuberosity. Rule out avulsion fracture if there is
an acute onset and order a lateral xray. RICE. Usually stops when the growth stops.
Question 4
If patient has right sided weakness, etc. the CVA occurred where
Correct Answer
left side
Question 5
initial evaluation of symptoms of acute prostatitis
Correct Answer
Urinalysis and urine culture
Page 2 of 278
, AANP FNP TEST review
Question 6
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.
Correct Answer
A statin drug
Question 7
Ortolani's Click
Correct Answer
a click is heard or felt as dislocation is reduced (developmental dysplasia of hip)
(good until one year)
Question 8
Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis?
Correct Answer
Erythrocyte sedimentation rate (ESR)
Page 3 of 278
, AANP FNP TEST review
Question 9
What are narrow therapeutic index drugs?
Correct Answer
1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium,
calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Question 10
Otitis Externa tx
Correct Answer
Fluoroquinolone & Polymyxin B cortisporin drops
Question 11
An elderly male patient complains of a new-onset, left-sided temporal headache
accompanied by scalp tenderness and indurated temporal artery. The NP suspects
temporal arteritis. What screening test would you order to assist with diagnosis?
Correct Answer
sedimentation rate (expect to be very elevated)
Question 12
Basal Cell Carcinoma
Correct Answer
Pearly domed nodule with overlaying telangiectatic vessels. Could be plaque,
papule, possible central ulceration and crusting. Dx: Biopsy Tx:
Page 4 of 278
AANP FNP TEST Review Study Guide
Questions and Answers
Question 1
ADA screening for DM in Children
Correct Answer
-symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless
of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or
obese (>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Question 2
Statistics
Correct Answer
- leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white
males.
Page 1 of 278
, AANP FNP TEST review
Question 3
Osgood-Schlatter:
Correct Answer
knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at
the tendon's insertion site. The tibial tuberosity. Rule out avulsion fracture if there is
an acute onset and order a lateral xray. RICE. Usually stops when the growth stops.
Question 4
If patient has right sided weakness, etc. the CVA occurred where
Correct Answer
left side
Question 5
initial evaluation of symptoms of acute prostatitis
Correct Answer
Urinalysis and urine culture
Page 2 of 278
, AANP FNP TEST review
Question 6
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.
Correct Answer
A statin drug
Question 7
Ortolani's Click
Correct Answer
a click is heard or felt as dislocation is reduced (developmental dysplasia of hip)
(good until one year)
Question 8
Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis?
Correct Answer
Erythrocyte sedimentation rate (ESR)
Page 3 of 278
, AANP FNP TEST review
Question 9
What are narrow therapeutic index drugs?
Correct Answer
1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium,
calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Question 10
Otitis Externa tx
Correct Answer
Fluoroquinolone & Polymyxin B cortisporin drops
Question 11
An elderly male patient complains of a new-onset, left-sided temporal headache
accompanied by scalp tenderness and indurated temporal artery. The NP suspects
temporal arteritis. What screening test would you order to assist with diagnosis?
Correct Answer
sedimentation rate (expect to be very elevated)
Question 12
Basal Cell Carcinoma
Correct Answer
Pearly domed nodule with overlaying telangiectatic vessels. Could be plaque,
papule, possible central ulceration and crusting. Dx: Biopsy Tx:
Page 4 of 278
