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Exam (elaborations)

AANP questions answers updated 2026

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2025/2026 Written for academic year
Institution Adult Gerontology
Module Adult gerontology
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AANP questions answers updated 2026

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AANP questions answers updated
2026
AnMelderlyMpatientMpresentsMwithMaMchiefMcomplaintMofMjointMpain.MCurrentMlaboratory
MvaluesMareMallMwithinMnormalMlimitsMexceptMforMtheMsedimentationMrate.MWhichMofM
theMfollowingMstatementsMregardingMthisMresultMisMmostMaccurate?M-
MAnswerMElevationsMareManMexpectedMage-relatedMchange



AnMolderMadultMhadMaMleftMhipMfractureMandMdevelopedMcontralateralMcalfMpainMandM
swelling.MTheMnurseMpractitionerMshouldMorderMan:M-MAnswerMVenousMduplexMUS



OlderMadultsMwhoMpresentMwithMsuddenMonsetMofMblurredMvision,MnauseaMandMvomitin
g,MeyeMpain,MandMheadacheMmostMlikelyMhave:M-MAnswerMclosed-angleMglaucoma



AMyoungMadultMpresentsMwithMviolaceousMpapulesMthatMdevelopedMinMaMring-
likeMfashionMonMtheMhandsMandMlowerMlegs.MSomeMofMtheMringsMcoalescedMintoMaMr
oundMplaque.MTheMmostMlikelyMdiagnosisMisM-MAnswerMgranulomaMannulare



AnMelderlyMpatientMpresentsMwithMsoftMtissueMtendernessMassociatedMwithMpainMinMthe
MfirstMmetatarsophalangealMjoint.MPastMhistoryMincludesMhypertension,MhyperlipidemiaMan
dMalcoholMabuse.MTheMnurseMpractitionerMsuspects:M-MAnswerMgout



AnMadultMfemaleMhasMjustMbeenMdiagnosedMwithMaMmacrocyticMnormochromicManemia.
MWhichMofMtheMfollowingMtestsMwouldMtheMnurseMpractitionerMorderMnext?M-
MAnswerMvitaminMB12MandMfolateMlevels



TheMappropriateMtreatmentMforMaMpatientMwithMtineaMversicolorMis:M-
MAnswerMseleniumMsulfideMshampooMdailyMforMoneMweek



AnMolderMadultMpresentsMwithMcomplaintsMofMincompleteMemptyingMofMtheMbladder,Mu
rinaryMfrequency,MandMsymptomsMconsistentMwithMdiscomfortMwhenMsitting,MbeginningM2
MdaysMearlier.MWhichMofMtheMfollowingMdiagnosesMwouldMtheMnurseMpractitionerMconsi
derMfirst?M-MAnswerMBacterialMprostatitis



AnMolderMadultMdevelopedMdeepMveinMthrombosisMinMtheMleftMcalfMandMwasMtreatedM
withMenoxaparinM(Lovenox)MsubcutaneouslyMandMprescribedMwarfarin,M7.5MmgMPOMdaily.
MTheMlastMdoseMofMenoxaparinMwasMgivenMyesterday.MTheMInternationalMNormalized

, RatioM(INR)MresultMfromMaMsampleMobtainedMtodayMisM5.1M[therapeuticMrangeM=M2.0-
3.0].MTheMpatientMisMasymptomatic.MTheMnurseMpractitionerMshould:M-
MAnswerMholdMwarfarinMandMrepeatMINRMinM2Mdays



AnMolderMadultMpresentsMwithMangina,MdyspneaMonMexertion,MandMsyncope.MExaminatio
nMrevealsMaMdelayMinMcarotidMupstroke,MaMparadoxicallyMsplitMS2MheartMsound,MandMa
MharshMsystolicMmurmur.MWhichMofMtheMfollowingMisMtheMmostMlikelyMdiagnosis?M-
MAnswerMaorticMstenosis



AnMadultMpatientMisMreferredMwithMaMdiagnosisMofMdiabetesMmellitus,Mhypertension,Man
dMcoronaryMarteryMdisease.MTheMpatientMisMtakingMbothMinsulinMandMaMbeta-
blocker.MWhichMsymptomMwouldMbeMmostMindicativeMofMhypoglycemia?M-
MAnswerMsweating



AMyoungMadultMpresentsMwithMprofuseMyellowMvaginalMdischarge,Modor,MandMlocalMirrit
ation.MSheMreportsMcompletingMaM7-
dayMcourseMofMoralMmetronidazoleM(Flagyl),M500MmgMb.i.d.,M4MweeksMago.MMicroscopic
MexaminationMrevealsMpresenceMofMclueMcells.MWhichMisMtheMmostMappropriateMtreatm
entMintervention?M-MAnswerMPOMflagylMforM7MdaysMforMbothMpatientMandMpartner



ANMolderMadultMhasMbeenMtreatedMforMpolymyalgiaMrheumaticaMforM2Mmonths.MTheMp
atientMnowMreportsMcontinuedMfatigue.MWhichMofMtheMfollowingMisMtheMnurseMpractitio
ner'sMbestMresponse?M-
MAnswerManemiaMisMcommonMwithMthisMdiseaseMsoMIMwillMorderMaMbloodMtestMtoMc
heck



AnMolderMadultMwithMcardiovascularMriskMfactorsMhasMaMfollow-
upMfastingMlipidMpanelMobtainedM3MmonthsMafterMmakingMtherapeuticMlifestleMchanges.
MResultsMshowMonlyMaMslightMchangeMfromMtheMpreviousMpanel:MhighMLDL,MnormalMH
DL,MandMnormalMtriglycerides.MTheMpatientMisMstartedMonMstatinMtherapy.MTwoMmonths
Mlater,MtheMpatientMpresentsMforMfollow-
upMandMcomplainsMofMbodyMaches.MWhichMofMtheMfollowingMtestsMshouldMtheMnurseM
practitionerMorder?M-MAnswerMCPK



AnMelderlyMfemaleMpatientMcomesMtoMtheMofficeMforMaM1-monthMfollow-
upMvisitMforMironMdeficiencyManemia.MSheMhasMbeenMgivenMsupplementalMoralMiron,Mfe
rrousMsulfate,M325MmgMPOMt.i.d.MTheMnurseMpractitionerMshouldMexpectMtoMfindMa/an:
M-MAnswerMincreaseMinMserumMferritin

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