AANP TEST SOLUTION 100% CORRECT ANSWERS

AANP TEST SOLUTION 100% CORRECT ANSWERS An 87-year-old obese female presents with complaints of calf pain in her right leg. The patient reports that the pain is increased with ambulation and has been increasing over the past 24 to 48 hours. The patient denies the following: any recent injury to the leg, smoking, or recent surgery. To assess this patient's symptoms, you would initially assess: - ANSWER Correct answer: calf circumference and perform Doppler studies. Which of the following physical findings would best alert a nurse practitioner to the probability of a herniated lumbar disc? - ANSWER Correct answer: Decreased thoracolumbar ROM, positive crossed straight-leg raise, positive straight-leg raise at 30° Which of the following would be most appropriate to perform in the initial evaluation of a patient with symptoms of acute prostatitis - ANSWER Correct answer: Urinalysis and urine culture 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? - ANSWER Correct answer: Palpate structures around the shoulder. Which of the following is considered the most important factor in understanding and predicting an individual's health across the life span? - ANSWER Correct answer: Family history Pulmonary status findings of increased total lung capacity and residual volume in a 74- year-old patient are indicative of: - ANSWER Correct answer: emphysema. A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse practitioner would FIRST: - ANSWER Correct answer: obtain visual screening for the patient. 68-year-old female presents with a 3-week history of itching that increases in intensity at night. Red papules with scale crusts are noted on the axilla, groin, and interdigital webs of the hands. The most likely diagnosis is: - ANSWER Correct answer: scabies. Which of the following wet-mount results confirms a preliminary diagnosis of bacterial vaginosis? - ANSWER Correct answer: Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, many white blood cells The most common fluid and electrolyte imbalance in patients over 65 years of age is: - ANSWER Correct answer: due to dehydration. Over the past 6 months, a nurse practitioner has been treating a 62-year-old construction worker for chronic/recurrent right biceps tendonitis. He has had good and bad days, but seems to respond well to NSAIDs and muscle relaxants. Today he returns to the clinic after feeling a "snapping" sensation in his right upper arm while lifting a cinder block. To aid in diagnosis, the nurse practitioner would evaluate: - ANSWER Correct answer: for the presence of right upper arm bulge ("Popeye muscle") and biceps strength. A manifestation of autonomic neuropathy in a 70-year-old patient with diabetes mellitus is: - ANSWER Correct answer: orthostatic hypotension. A 12-lead EKG shows an undulating baseline with no visible P waves and an irregularly irregular R-R interval. This arrhythmia is: - ANSWER Correct answer: atrial fibrillation. 55-year-old male relates that on the way to his annual physical examination, he suffered a sudden loss of vision in his right eye characterized by "a bunch of lights" and a feeling that "a curtain came down." All of the following would be included in the differential diagnosis EXCEPT - ANSWER Correct answer: diabetic retinopathy. Which class of antihypertensive agents has been associated with acute renal failure, and is absolutely CONTRAINDICATED in patients with bilateral renal artery stenosis? - ANSWER Correct answer: Angiotensin-converting enzyme (ACE) inhibitors A nursing assistant in a long-term care facility asks a nurse practitioner to examine an 87-year-old resident who is drowsy and barely responsive. Vital signs are BP = 110/70; P = 60; R = 10/min; and T = 95°F (35°C). The best course of action at this time is to: - ANSWER Correct answer: initiate passive rewarming. Which of the following statements about preventive health care for the elderly is incorrect? - ANSWER Correct answer: Elderly people usually have adequate insurance coverage. Therapy for temporal arteritis would include: - ANSWER Correct answer: prednisone, 60 mg daily PO and re-evaluate in 1 month. When initiating thyroid hormone replacement in the older adult, care must be taken to evaluate the patient's: - ANSWER Correct answer: coronary status.