AANP AGPCNP PRACTICE Question and
Answers A+ Review
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? - correct answer ✅✅LEFT-SIDED CVA
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 - correct answer ✅✅1) pain worse laying
down, focal neurological signs
Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - correct answer ✅✅2) Gentamicin ophthalmic (Genoptic)
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?
,AANP AGPCNP PRACTICE Question and
Answers A+ Review
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - correct answer ✅✅2) palpate structures
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
3) Providing reassurance
4) Double dose-for two days - correct answer ✅✅3) provide reassurance
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 - correct answer ✅✅3) Rubella
serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70,
Pulse 60, R 10. The best action is to:
,AANP AGPCNP PRACTICE Question and
Answers A+ Review
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - correct answer ✅✅1) initiate passive
rewarming
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 - correct answer ✅✅4) sweating
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 - correct answer ✅✅2)
continue NSAID, apply an arch support and encourage wt loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
, AANP AGPCNP PRACTICE Question and
Answers A+ Review
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping - correct answer ✅✅1) nicking
of arteriols and viens, and small retinol hemorrages
Which of the following is a common presenting feature of hyperthyroidism in
the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - correct answer ✅✅3) atrial fibrillation
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:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops - correct answer ✅✅3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the
physical examination, the nurse practitioner notes the presence of a gray
band of opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm
wide. This finding is most consistent with a diagnosis of a/an:
1. corneal abrasion
Answers A+ Review
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? - correct answer ✅✅LEFT-SIDED CVA
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 - correct answer ✅✅1) pain worse laying
down, focal neurological signs
Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - correct answer ✅✅2) Gentamicin ophthalmic (Genoptic)
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?
,AANP AGPCNP PRACTICE Question and
Answers A+ Review
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - correct answer ✅✅2) palpate structures
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
3) Providing reassurance
4) Double dose-for two days - correct answer ✅✅3) provide reassurance
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 - correct answer ✅✅3) Rubella
serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70,
Pulse 60, R 10. The best action is to:
,AANP AGPCNP PRACTICE Question and
Answers A+ Review
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - correct answer ✅✅1) initiate passive
rewarming
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 - correct answer ✅✅4) sweating
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 - correct answer ✅✅2)
continue NSAID, apply an arch support and encourage wt loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
, AANP AGPCNP PRACTICE Question and
Answers A+ Review
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping - correct answer ✅✅1) nicking
of arteriols and viens, and small retinol hemorrages
Which of the following is a common presenting feature of hyperthyroidism in
the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - correct answer ✅✅3) atrial fibrillation
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:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops - correct answer ✅✅3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the
physical examination, the nurse practitioner notes the presence of a gray
band of opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm
wide. This finding is most consistent with a diagnosis of a/an:
1. corneal abrasion
