AANP AGPCNP PSI TEST WITH QUESTIONS
AND VERIFIED ANSWERS|| ALREADY
GRADED +|| GUARANTEED PASS || LATEST
VERSION 20252
A frail elder who is on total bed rest suddenly develops urinary and fecal
incontinence. This condition is frequently an indication of:
1) dementia.
2) fecal impaction.
3) cholecystitis.
4) parkinsons. - ANSWER-2) fecal impaction.
Which of the following accurately describes the phenomenon of isolated
systolic hypertension, as opposed to isolated diastolic or combined
systolic/diastolic hypertension, in the elderly?
1) Considered a significant risk factor for MI or stroke
2) demonstrated to be related to smoking
3) Occurs primarily in men
4) Not considered to be a major risk - ANSWER-1) Considered a significant
risk factor for MI or stroke
An 87-year-old long-term care facility resident was hospitalized for an
abdominal surgery procedure, and the incision has become infected with
methicillin-resistant Staphylococcus aureus (MRSA). The hospital is planning
,to return the patient to the same facility, which has no private rooms. According
to CDC guidelines, the alternative placement would be to:
1) inform the hospital that the patient will have to go to another facility.
2) have the patient share a room with a resident who also has MRSA.
3) have the patient share a room with a resident who has VRSA.
4) Delay discharge until the wound is clear - ANSWER-2) have the patient
share a room with a resident who also has MRSA.
Which of the following laboratory tests are most widely accepted as indicators
of the progression of HIV infection?
1) CD4 count and viral load
2) CD4 and Western Blot
3) CD4 and ELISA
4) WBC count and viral load - ANSWER-1) CD4 count and viral load
Which class of antihypertensive agents has been associated with acute renal
failure, and is absolutely CONTRAINDICATED in patients with bilateral renal
artery stenosis?
1) Thiazide diuretics
2) Angiotensin-converting enzyme (ACE) inhibitors
3) Calcium channel blockers
4) Potassium sparing diuretics - ANSWER-2) Angiotensin-converting enzyme
(ACE) inhibitors
,In geriatric patients, the polyvalent pneumococcal vaccine:
1) prevents or lessens the severity of 60%-70% of pneumococcal infections.
2) has no affect on immunocompromised patients
3) prevents pneumonia 100% of the time - ANSWER-1) prevents or lessens the
severity of 60%-70% of pneumococcal infections
An older adult female reports pain with intercourse. Following inspection of the
genitalia, the nurse practitioner's initial plan of care would be to:
1. start vaginal hormone cream.
2. start low-dose hormones.
3. advise use of vaginal lubricants.
4. refer to a gynecologist for vaginal evaluation. - ANSWER-3. advise use of
vaginal lubricants
A 65-year-old female with diabetes mellitus presents for a routine follow up. BP
is 142/88, Hgb A1c is 8.4%, fasting blood glucose is 160 mg/dL, and
microalbumin is 60 mg/L (normal < 30 mg/L). In addition to changing the
diabetes medications, the nurse practitioner would also ensure that the patient is
taking:
1) nifedipine 12.5mg daily
2) Amlodipine 10mg daily
3) benazepril, 10 mg daily.
4) atenolol 25mg BID - ANSWER-3) benazepril, 10 mg daily.
A 67-year-old patient with type 2 diabetes mellitus, congestive heart failure
(CHF), and mild coronary artery disease is currently taking digoxin, 0.25 mg
, daily; hydrochlorothiazide, 25 mg daily; glipizide, 10 mg daily; and atorvastatin
(Lipitor), 20 mg h.s. Which of the following is an accurate statement regarding
this regimen?
1) Glipizide will deplete potassium stores
2) The hydrochlorothiazide will predispose the patient to digoxin toxicity.
3) atorvastatin will worsen the diabetes - ANSWER-2) The hydrochlorothiazide
will predispose the patient to digoxin toxicity.
An 18-year-old patient presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial
pharmacologic intervention?
1) Amoxicillin
2) Diphenhydramine
3) Doxycycline
4) erythromycin - ANSWER-1) Amoxicillin
Therapy for temporal arteritis would include:
1) Tylenol with codiene
2) ibuprofen 800mg TID
3) prednisone, 60 mg daily PO and re-evaluate in 1 month. - ANSWER-3)
prednisone, 60 mg daily PO and re-evaluate in 1 month.
In addressing suspected domestic violence in an adult relationship, it is
appropriate to:
1) just do a physical assessment, not social
2) make an assessment of battering.
AND VERIFIED ANSWERS|| ALREADY
GRADED +|| GUARANTEED PASS || LATEST
VERSION 20252
A frail elder who is on total bed rest suddenly develops urinary and fecal
incontinence. This condition is frequently an indication of:
1) dementia.
2) fecal impaction.
3) cholecystitis.
4) parkinsons. - ANSWER-2) fecal impaction.
Which of the following accurately describes the phenomenon of isolated
systolic hypertension, as opposed to isolated diastolic or combined
systolic/diastolic hypertension, in the elderly?
1) Considered a significant risk factor for MI or stroke
2) demonstrated to be related to smoking
3) Occurs primarily in men
4) Not considered to be a major risk - ANSWER-1) Considered a significant
risk factor for MI or stroke
An 87-year-old long-term care facility resident was hospitalized for an
abdominal surgery procedure, and the incision has become infected with
methicillin-resistant Staphylococcus aureus (MRSA). The hospital is planning
,to return the patient to the same facility, which has no private rooms. According
to CDC guidelines, the alternative placement would be to:
1) inform the hospital that the patient will have to go to another facility.
2) have the patient share a room with a resident who also has MRSA.
3) have the patient share a room with a resident who has VRSA.
4) Delay discharge until the wound is clear - ANSWER-2) have the patient
share a room with a resident who also has MRSA.
Which of the following laboratory tests are most widely accepted as indicators
of the progression of HIV infection?
1) CD4 count and viral load
2) CD4 and Western Blot
3) CD4 and ELISA
4) WBC count and viral load - ANSWER-1) CD4 count and viral load
Which class of antihypertensive agents has been associated with acute renal
failure, and is absolutely CONTRAINDICATED in patients with bilateral renal
artery stenosis?
1) Thiazide diuretics
2) Angiotensin-converting enzyme (ACE) inhibitors
3) Calcium channel blockers
4) Potassium sparing diuretics - ANSWER-2) Angiotensin-converting enzyme
(ACE) inhibitors
,In geriatric patients, the polyvalent pneumococcal vaccine:
1) prevents or lessens the severity of 60%-70% of pneumococcal infections.
2) has no affect on immunocompromised patients
3) prevents pneumonia 100% of the time - ANSWER-1) prevents or lessens the
severity of 60%-70% of pneumococcal infections
An older adult female reports pain with intercourse. Following inspection of the
genitalia, the nurse practitioner's initial plan of care would be to:
1. start vaginal hormone cream.
2. start low-dose hormones.
3. advise use of vaginal lubricants.
4. refer to a gynecologist for vaginal evaluation. - ANSWER-3. advise use of
vaginal lubricants
A 65-year-old female with diabetes mellitus presents for a routine follow up. BP
is 142/88, Hgb A1c is 8.4%, fasting blood glucose is 160 mg/dL, and
microalbumin is 60 mg/L (normal < 30 mg/L). In addition to changing the
diabetes medications, the nurse practitioner would also ensure that the patient is
taking:
1) nifedipine 12.5mg daily
2) Amlodipine 10mg daily
3) benazepril, 10 mg daily.
4) atenolol 25mg BID - ANSWER-3) benazepril, 10 mg daily.
A 67-year-old patient with type 2 diabetes mellitus, congestive heart failure
(CHF), and mild coronary artery disease is currently taking digoxin, 0.25 mg
, daily; hydrochlorothiazide, 25 mg daily; glipizide, 10 mg daily; and atorvastatin
(Lipitor), 20 mg h.s. Which of the following is an accurate statement regarding
this regimen?
1) Glipizide will deplete potassium stores
2) The hydrochlorothiazide will predispose the patient to digoxin toxicity.
3) atorvastatin will worsen the diabetes - ANSWER-2) The hydrochlorothiazide
will predispose the patient to digoxin toxicity.
An 18-year-old patient presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial
pharmacologic intervention?
1) Amoxicillin
2) Diphenhydramine
3) Doxycycline
4) erythromycin - ANSWER-1) Amoxicillin
Therapy for temporal arteritis would include:
1) Tylenol with codiene
2) ibuprofen 800mg TID
3) prednisone, 60 mg daily PO and re-evaluate in 1 month. - ANSWER-3)
prednisone, 60 mg daily PO and re-evaluate in 1 month.
In addressing suspected domestic violence in an adult relationship, it is
appropriate to:
1) just do a physical assessment, not social
2) make an assessment of battering.
