Test Bank
AANP Cer fica on Nursing Exam Prac ce
Ques ons And Answers With Solu ons +A Graded
Ques on 1
A 58-year-old man with hypertension presents for rou ne follow-up. His blood
pressure is 152/94 mm Hg despite lifestyle modifica on. Which medica on is
recommended as first-line therapy for most adults without compelling
indica ons?
A. Clonidine
B. Hydrochlorothiazide
C. Hydralazine
D. Doxazosin
Answer: B. Hydrochlorothiazide
Ra onale:
Thiazide diure cs are considered first-line an hypertensive agents along with
ACE inhibitors, ARBs, and calcium channel blockers.
Ques on 2
A pa ent presents with sudden crushing chest pain radia ng to the le arm. The
priority interven on is:
A. Obtain lipid panel
B. Administer aspirin immediately
C. Schedule stress tes ng
,D. Recommend outpa ent follow-up
Answer: B. Administer aspirin immediately
Ra onale:
Early aspirin administra on significantly reduces mortality in suspected acute
coronary syndrome.
Ques on 3
Which finding is most consistent with iron-deficiency anemia?
A. Elevated MCV
B. Microcy c hypochromic RBCs
C. Macrocy c anemia
D. Normal ferri n level
Answer: B. Microcy c hypochromic RBCs
Ra onale:
Iron deficiency causes decreased hemoglobin produc on, resul ng in small, pale
red blood cells.
Ques on 4
A pa ent with type 2 diabetes has an HbA1c of 9.5% despite me ormin therapy.
The NP should:
A. Con nue current treatment
B. Add another an hyperglycemic agent
C. Stop me ormin
D. Repeat HbA1c in one year
Answer: B. Add another an hyperglycemic agent
, Ra onale:
An HbA1c above target despite monotherapy warrants intensifica on of
treatment.
Ques on 5
The most common cause of hypothyroidism in the United States is:
A. Graves disease
B. Hashimoto thyroidi s
C. Thyroid cancer
D. Pituitary adenoma
Answer: B. Hashimoto thyroidi s
Ra onale:
Hashimoto thyroidi s is the leading cause of primary hypothyroidism.
Ques on 6
Which medica on is contraindicated during pregnancy?
A. Methyldopa
B. Labetalol
C. Lisinopril
D. Nifedipine
Answer: C. Lisinopril
Ra onale:
ACE inhibitors are teratogenic and should be avoided during pregnancy.
AANP Cer fica on Nursing Exam Prac ce
Ques ons And Answers With Solu ons +A Graded
Ques on 1
A 58-year-old man with hypertension presents for rou ne follow-up. His blood
pressure is 152/94 mm Hg despite lifestyle modifica on. Which medica on is
recommended as first-line therapy for most adults without compelling
indica ons?
A. Clonidine
B. Hydrochlorothiazide
C. Hydralazine
D. Doxazosin
Answer: B. Hydrochlorothiazide
Ra onale:
Thiazide diure cs are considered first-line an hypertensive agents along with
ACE inhibitors, ARBs, and calcium channel blockers.
Ques on 2
A pa ent presents with sudden crushing chest pain radia ng to the le arm. The
priority interven on is:
A. Obtain lipid panel
B. Administer aspirin immediately
C. Schedule stress tes ng
,D. Recommend outpa ent follow-up
Answer: B. Administer aspirin immediately
Ra onale:
Early aspirin administra on significantly reduces mortality in suspected acute
coronary syndrome.
Ques on 3
Which finding is most consistent with iron-deficiency anemia?
A. Elevated MCV
B. Microcy c hypochromic RBCs
C. Macrocy c anemia
D. Normal ferri n level
Answer: B. Microcy c hypochromic RBCs
Ra onale:
Iron deficiency causes decreased hemoglobin produc on, resul ng in small, pale
red blood cells.
Ques on 4
A pa ent with type 2 diabetes has an HbA1c of 9.5% despite me ormin therapy.
The NP should:
A. Con nue current treatment
B. Add another an hyperglycemic agent
C. Stop me ormin
D. Repeat HbA1c in one year
Answer: B. Add another an hyperglycemic agent
, Ra onale:
An HbA1c above target despite monotherapy warrants intensifica on of
treatment.
Ques on 5
The most common cause of hypothyroidism in the United States is:
A. Graves disease
B. Hashimoto thyroidi s
C. Thyroid cancer
D. Pituitary adenoma
Answer: B. Hashimoto thyroidi s
Ra onale:
Hashimoto thyroidi s is the leading cause of primary hypothyroidism.
Ques on 6
Which medica on is contraindicated during pregnancy?
A. Methyldopa
B. Labetalol
C. Lisinopril
D. Nifedipine
Answer: C. Lisinopril
Ra onale:
ACE inhibitors are teratogenic and should be avoided during pregnancy.
