AANP AGPCNP PSI Test 1 & 2 Questions with Detailed Verified Answers

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AANP AGPCNP PSI Test 1 & 2
Questions with Detailed Verified
Answers


Question: An 88-year-old presents with right-side weakness after being
unable to rise unassisted following a fall to the bathroom floor. History
includes aphasia and noncompliance with hypertension medication regimen.
What is the most likely diagnosis?


Left-sided or right-sided CVA?


Ans: LEFT-SIDED CVA


Question: Which of the following signs/symtpoms are often associated with
headahces due to intracranial tumor?


1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor


Ans: 1) pain worse laying down, focal neurological signs


Question: Which of the following pharmacotherapeutics would be most
important to administer to a patient who has a corneal abrasion?

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1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine


Ans: 2) Gentamicin ophthalmic (Genoptic)


Question: A 25-year-old presents with the chief complaint of decreased
mobility and pain of the right shoulder exacerbated by movement. The patient
reports that he participated in extensive house painting 24 hours prior to the
onset of pain. He denies any trauma. Passive ROM is intact. No redness or
ecchymosis is present. What is the next step to be taken in order to make a
diagnosis?


1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG


Ans: 2) palpate structures


Question: A 16-year-old female in the first month of taking Ortho-Novum
7/7/7 complains of midcycle spotting. She has not missed any doses and uses
no other medication. Which of the following is appropriate?


1) Changing to Ortho-Novum 1/35
2) Discontinue use
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3) Providing reassurance
4) Double dose-for two days


Ans: 3) provide reassurance


Question: According to the Report of the U.S. Preventive Services Task
Force, which of the following is NOT a current recommendation guideline for
preventive care in elderly female patients?


1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines


Ans: 3) Rubella serology or vaccination history


Question: 87 y/o NH patient is drowsy and barely responsive. Temp 95, BP:
110/70, Pulse 60, R 10. The best action is to:


1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming


Ans: 1) initiate passive rewarming




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Question: A patient is referred with DM, HTN and CAD. He is on insulin and a
beta blocker. How would you educate this patient on recognizing the signs
and symptoms of hypoglycemia?


1) Edema
2) Tachycardia
3) palpitations
4) sweating


Ans: 4) sweating


Question: A 65-year-old overweight patient is diagnosed with plantar
fasciitis. Initial therapy of NSAIDs, stretching, ice, and rest has proven
ineffective after 3 weeks. The best follow-up plan of care would be to:


1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar


Ans: 2) continue NSAID, apply an arch support and encourage wt loss and
exercise


Question: Fundoscopic exam of Hypertensive patient.


1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
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