2) Gentamicin ophthalmic
AANP AGPCNP PSI Test 1 & 2
3) Cromolyn optha
4) Olopatadine - ANS 2) Gentamicin ophthalmic (Genoptic)
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 A 25-year-old presents with the chief complaint of decreased mobility and pain of
noncompliance with hypertension medication regimen. What is the most likely the right shoulder exacerbated by movement. The patient reports that he
diagnosis? 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.
Left-sided or right-sided CVA? - ANS LEFT-SIDED CVA What is the next step to be taken in order to make a diagnosis?
Which of the following signs/symtpoms are often associated with headahces due 1) Xray of shoulder
to intracranial tumor? 2) Palpate structures around the shoulder.
3) MRI of shoulder
1) pain worse laying down, focal neurological signs 4) EMG - ANS 2) palpate structures
2) Hyperflexia, personality change
3) acute onset: hours to days A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of
4) pupillary constriction; stupor - ANS 1) pain worse laying down, focal midcycle spotting. She has not missed any doses and uses no other medication.
neurological signs Which of the following is appropriate?
Which of the following pharmacotherapeutics would be most important to 1) Changing to Ortho-Novum 1/35
administer to a patient who has a corneal abrasion? 2) Discontinue use
3) Providing reassurance
1) Timolol 4) Double dose-for two days - ANS 3) provide reassurance
, 1) Edema
According to the Report of the U.S. Preventive Services Task Force, which of the 2) Tachycardia
following is NOT a current recommendation guideline for preventive care in 3) palpitations
elderly female patients? 4) sweating - ANS 4) sweating
1) Mammogram and clinical breast exams A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy
2) Fecal Occult blood test and/or sig of NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best
3) Rubella serology or vaccination history follow-up plan of care would be to:
4) Pnuemo and influenza vaccines - ANS 3) Rubella serology or vaccination
history 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
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, 3) continue NSAID, xray and add a short-leg night splint
R 10. The best action is to: 4) COntinue NSAID, xray and add a metatarsal bar - ANS 2) continue NSAID,
apply an arch support and encourage wt loss and exercise
1) initiate passive warming
2) apply a rebreather Fundoscopic exam of Hypertensive patient.
3) Perform fluid replacement
4) initiate active warming - ANS 1) initiate passive rewarming 1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. 3) pale macula and swollen disk margins
How would you educate this patient on recognizing the signs and symptoms of 4) microaneurysms and optic disc cupping - ANS 1) nicking of arteriols and
hypoglycemia? viens, and small retinol hemorrages
,Which of the following is a common presenting feature of hyperthyroidism in the 1. corneal abrasion
elderly? 2. arcus senilis
3. corneal ulcer
1) elevated TSH 4. herpetic infection of the eye - ANS 2) arcus senilis
2) Thyroid enlargement
3) atrial fibrillation A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise,
4) abnormal T3 suppression - ANS 3) atrial fibrillation fever, night sweats, and a cough that has been present for 4 weeks. The
diagnostic study to perform first would be:
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, 1) xray
without relief. The patient denies visual disturbances or drainage. In formulating a 2) pulmonary function test
plan of care, the nurse practitioner would FIRST: 3) bronchoscopy
4) H & H - ANS 1) xray (tb-night sweats)
1) send to ophthalmologists
2) florescreen staining A 44-year-old female is complaining of frequent anxiety attacks with chest
3) test visual field discomfort and fatigue. On physical examination, her lungs are clear bilaterally.
4) prescribe eyedrops - ANS 3) test visual field There are a midsystolic click and a grade II/VI systolic murmur at the apex.
Further evaluation would include which of the following?
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 1) EKG, flat plate of the abdomen, lipid profile
finding is most consistent with a diagnosis of a/an: 2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
, 4) EEG, Anxiety Scale, and electrolytes - ANS 2) Echocardiogram, Doppler, EKG 4) helical CT pulmonary angiograph - ANS 4) helical CT pulmonary angiography.
A healthy 84 y/o would like to start an exercise program, what would you do A 12-lead EKG shows an undulating baseline with no visible P waves and an
before this takes place? irregularly irregular R-R interval. This arrhythmia is:
1) physical exam 1) atrial flutter
2) EKG 2) atrial fibrillation
3) knee xrays 3) second degree heart block
4) PT Stress test - ANS 1) Physical Exam 4) Wolff-White Syndrome - ANS 2) atrial fibrillation
29 y/o has uncomplicated Chlamydia infection will exhibit: After a 3-week camping trip, a 17-year-old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache,
1) green penile discharge malaise, fatigue, and generalized musculoskeletal pain for several days.
2) uticartia Pharmacologic management of this condition includes:
3) unremarkable symtpoms
4) penile ulcer - ANS 3) unremarkable symptoms
1) Bactrim
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should 2) azithromycin
be: 3) doxycycline (Doryx).
4) metronidazole - ANS 3) doxycycline (Doryx). Rocky Mountain spotted fever
1) spirometry (Lyme disease-test with WEstern Blot)
2) MRI
3) COntract venogra[hy
AANP AGPCNP PSI Test 1 & 2
3) Cromolyn optha
4) Olopatadine - ANS 2) Gentamicin ophthalmic (Genoptic)
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 A 25-year-old presents with the chief complaint of decreased mobility and pain of
noncompliance with hypertension medication regimen. What is the most likely the right shoulder exacerbated by movement. The patient reports that he
diagnosis? 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.
Left-sided or right-sided CVA? - ANS LEFT-SIDED CVA What is the next step to be taken in order to make a diagnosis?
Which of the following signs/symtpoms are often associated with headahces due 1) Xray of shoulder
to intracranial tumor? 2) Palpate structures around the shoulder.
3) MRI of shoulder
1) pain worse laying down, focal neurological signs 4) EMG - ANS 2) palpate structures
2) Hyperflexia, personality change
3) acute onset: hours to days A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of
4) pupillary constriction; stupor - ANS 1) pain worse laying down, focal midcycle spotting. She has not missed any doses and uses no other medication.
neurological signs Which of the following is appropriate?
Which of the following pharmacotherapeutics would be most important to 1) Changing to Ortho-Novum 1/35
administer to a patient who has a corneal abrasion? 2) Discontinue use
3) Providing reassurance
1) Timolol 4) Double dose-for two days - ANS 3) provide reassurance
, 1) Edema
According to the Report of the U.S. Preventive Services Task Force, which of the 2) Tachycardia
following is NOT a current recommendation guideline for preventive care in 3) palpitations
elderly female patients? 4) sweating - ANS 4) sweating
1) Mammogram and clinical breast exams A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy
2) Fecal Occult blood test and/or sig of NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best
3) Rubella serology or vaccination history follow-up plan of care would be to:
4) Pnuemo and influenza vaccines - ANS 3) Rubella serology or vaccination
history 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
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, 3) continue NSAID, xray and add a short-leg night splint
R 10. The best action is to: 4) COntinue NSAID, xray and add a metatarsal bar - ANS 2) continue NSAID,
apply an arch support and encourage wt loss and exercise
1) initiate passive warming
2) apply a rebreather Fundoscopic exam of Hypertensive patient.
3) Perform fluid replacement
4) initiate active warming - ANS 1) initiate passive rewarming 1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. 3) pale macula and swollen disk margins
How would you educate this patient on recognizing the signs and symptoms of 4) microaneurysms and optic disc cupping - ANS 1) nicking of arteriols and
hypoglycemia? viens, and small retinol hemorrages
,Which of the following is a common presenting feature of hyperthyroidism in the 1. corneal abrasion
elderly? 2. arcus senilis
3. corneal ulcer
1) elevated TSH 4. herpetic infection of the eye - ANS 2) arcus senilis
2) Thyroid enlargement
3) atrial fibrillation A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise,
4) abnormal T3 suppression - ANS 3) atrial fibrillation fever, night sweats, and a cough that has been present for 4 weeks. The
diagnostic study to perform first would be:
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, 1) xray
without relief. The patient denies visual disturbances or drainage. In formulating a 2) pulmonary function test
plan of care, the nurse practitioner would FIRST: 3) bronchoscopy
4) H & H - ANS 1) xray (tb-night sweats)
1) send to ophthalmologists
2) florescreen staining A 44-year-old female is complaining of frequent anxiety attacks with chest
3) test visual field discomfort and fatigue. On physical examination, her lungs are clear bilaterally.
4) prescribe eyedrops - ANS 3) test visual field There are a midsystolic click and a grade II/VI systolic murmur at the apex.
Further evaluation would include which of the following?
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 1) EKG, flat plate of the abdomen, lipid profile
finding is most consistent with a diagnosis of a/an: 2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
, 4) EEG, Anxiety Scale, and electrolytes - ANS 2) Echocardiogram, Doppler, EKG 4) helical CT pulmonary angiograph - ANS 4) helical CT pulmonary angiography.
A healthy 84 y/o would like to start an exercise program, what would you do A 12-lead EKG shows an undulating baseline with no visible P waves and an
before this takes place? irregularly irregular R-R interval. This arrhythmia is:
1) physical exam 1) atrial flutter
2) EKG 2) atrial fibrillation
3) knee xrays 3) second degree heart block
4) PT Stress test - ANS 1) Physical Exam 4) Wolff-White Syndrome - ANS 2) atrial fibrillation
29 y/o has uncomplicated Chlamydia infection will exhibit: After a 3-week camping trip, a 17-year-old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache,
1) green penile discharge malaise, fatigue, and generalized musculoskeletal pain for several days.
2) uticartia Pharmacologic management of this condition includes:
3) unremarkable symtpoms
4) penile ulcer - ANS 3) unremarkable symptoms
1) Bactrim
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should 2) azithromycin
be: 3) doxycycline (Doryx).
4) metronidazole - ANS 3) doxycycline (Doryx). Rocky Mountain spotted fever
1) spirometry (Lyme disease-test with WEstern Blot)
2) MRI
3) COntract venogra[hy
