AANP AGPCNP PSI Test 1 & 2
1. An older person presents with excessive abdominal ache. The husband reviews that earlier
inside the afternoon, the patient's abdominal hernia had been corporation and bulged out four
inches (10.2 cm). The patient had him press on the hernia and right now felt burning pain at
some stage in the stomach. Which of the following is the nurse practitioners' NEXT motion?
1. Abdominal CT scan
2. Complete blood matter with differential
3. Abdominal ultrasound
four. Referral to the ED - ANS-four. Referral to the ED
2. A young grownup woman who's 34 weeks pregnant gives with the grievance of urinary
frequency each 1 to 2 hours. The affected person has no fever and denies again pain. A urine
dipstick test is fantastic for leukocyte esterase and nitrites. Microscopic analysis reveals 15-20
WBCs/hpf and a few bacteria. The BEST desire for remedy of this patient's urinary tract
contamination could be:
1. Trimethoprim-sulfamethoxazole (Bactrim), one hundred sixty mg/800 mg two times day by
day for three days.
2. Cephalexin (Keflex), 500 mg 4 instances every day for 7 days.
Three. Ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
Four. Erythromycin, 250 mg three instances daily for five days. - ANS-2. Cephalexin (Keflex),
500 mg 4 times daily for 7 days.
Three. An person male offers with new-onset pain and tenderness within the low again and
ache within the right tremendous toe after a weekend of golfing. He denies experiencing
numbness and tingling. Which of the following would the nurse practitioner anticipate to locate
an research of this patient's low back pain?
1. Exacerbation of extremity signs and symptoms with instantly-leg elevating
2. Loss of bowel and bladder feature
3. Increased ankle jerk on evaluation of deep tendon reflexes
four. Increased lumbar lordosis - ANS-1. Exacerbation of extremity symptoms with instantly-leg
raising
4. A actual assertion approximately essential tremors is that they:
1. Often begin with "pill-rolling" of 1 hand and can affect the legs, toes, and toes.
2. Are often barely visible, speedy tremors.
Three. Are a feature of Parkinson's ailment.
,Four. Are sluggish tremors which might be absent or minimum at rest and commonly contain the
palms. - ANS-4. Are sluggish tremors which are absent or minimal at rest and typically contain
the palms.
Five. Which opioid medication is the MOST strong?
1. Codeine
2. Morphine
3. Oxycodone
four. Hydromorphone - ANS-four. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
three. Menstrual cramps
four. Dyspareunia - ANS-1. Irritability
7. Which of the subsequent is the medication of desire for monotherapy of an older adult with
high blood pressure and
no related comorbid conditions?
1.Alpha-blocker
2.Vasodilator
3.Thiazide diuretic
4.Beta-blocker - ANS-3.Thiazide diuretic
8. An elderly, obese female offers for assessment of a painful rash, first observed 2 weeks in the
past, placed under each breasts. The rash is visible as an area of confluent, beefy-red,
excoriated lesions with smaller satellite lesions extending past the borders of the main lesions.
The KOH prep well-knownshows pseudohyphae. The nurse practitioner
would advocate a/an:
1. Direction of oral steroids and air drying of skin after showers.
2. Topical antifungal and order a fasting blood glucose.
Three. Oral antibiotic and order a hemoglobin A1c.
4. High-potency topical corticosteroid and use of dry dressings. - ANS-2. Topical antifungal and
order a fasting blood glucose.
Nine. An older grownup lady complains of troubles with urination. She reviews that on every
occasion she feels the need to urinate, she is not able to "make it to the bathroom in time," and
wets herself. Which sort of incontinence is MOST possibly?
1. Urge
,2. Overflow
3. Transient
4. Stress - ANS-1. Urge
10. A younger grownup female offers with painful swelling of the right cheek anterior to the TMJ.
The prognosis is sialadenitis. In addition to antibiotics, remedy for this affected person ought to
consist of:
1. Hot soaks and lemon drops.
2. Alternating heat and cold.
3. Cold compresses and massage.
4. Warm soaks and mucolytics. - ANS-1. Hot soaks and lemon drops.
Eleven. Initial therapy for older adult sufferers with arthritic joints is:
1. Naproxen, one thousand mg twice daily.
2. Ibuprofen, six hundred mg 4 instances every day.
3. Glucosamine, 750 mg two times every day.
4. Acetaminophen, 1000 mg 4 times daily. - ANS-4. Acetaminophen, 1000 mg 4 times every
day.
12. Which of the following is an example of gross negligence?
1. Prescription of a drug that causes a deadly allergy
2. Misdiagnosis of appendicitis, ensuing in peritonitis and a prolonged health center stay
3. Refusal to return the emergency cellphone call of a patient who has chest pain evolving into
an MI
4. Failure to diagnose a problem at an unrelated routine visit - ANS-three. Refusal to return the
emergency smartphone name of a affected person who has chest ache evolving into an MI
13. What is the suitable order of pharmacokinetics of drugs within the frame?
1. Absorption, distribution, metabolism, excretion
2. Distribution, absorption, metabolism, excretion
three. Absorption, metabolism, distribution, excretion
4. Metabolism, distribution, absorption, excretion - ANS-1. Absorption, distribution, metabolism,
excretion
14. An older grownup lady is delivered in by her daughter, who has been travelling her. The
daughter reports that her mom appears confused and stressful, and is transferring oddly as if
she is stiff. The daughter has introduced along the mother's medications. She is taking
hydrochlorothiazide, levothyroxine (Synthroid), sertraline (Zoloft), child aspirin, a multivitamin,
and St. John's wort. Which circumstance might the nurse practitioner MOST urgently suspect?
, 1. Alzheimer's ailment
2. Serotonin syndrome
3. Vascular dementia
four. Aspirin toxicity - ANS-2. Serotonin syndrome
15. An adolescent male provides with marked itching inside the inguinal area however not on
the scrotum. Examination shows a peripherally-spreading, sharply-demarcated,
centrally-clearing, erythematous lesion. The MOST in all likelihood analysis is:
1. Bad hygiene.
2. Tinea versicolor.
3. Pediculosis pubis.
Four. Tinea cruris. - ANS-4. Tinea cruris.
Sixteen. A young person provides with a three-day records of a sore throat, fever [102°F
(38.9°C)], and malaise. Physical examination famous posterior cervical lymphadenopathy and
splenomegaly. A whole blood be counted (CBC) well-knownshows a lymphocytosis. Which of
the following affected person care commands is MOST appropriate?
1. Avoid strenuous activity and contact sports activities till counseled.
2. Restrict symptomatic antipyretic therapy to acetaminophen.
Three. Restrict symptomatic antipyretic remedy to NSAIDs.
Four. Avoid near touch with others for 2 weeks. - ANS-1. Avoid strenuous interest and get in
touch with sports activities until suggested.
17. A nurse practitioner is treating an person with iron deficiency anemia. At what factor would
the hematocrit stage be expected to return to baseline?
1. 3 weeks
2. 2 months
3. 6 months
four. 1 12 months - ANS-2. 2 months
18. An older adult complains of fatigue, stiffness inside the shoulders and neck, latest onset of
temporal headache, and an episode of brief visible loss in a single eye. Erythrocyte
sedimentation rate (ESR) is seventy two mm/h [normal value = <15 mm/h]. These findings are
constant with:
1. Migraine headache.
2. Glaucoma.
3. Giant mobile (temporal) arteritis.
4. Sjögren's syndrome. - ANS-three. Massive mobile (temporal) arteritis.
1. An older person presents with excessive abdominal ache. The husband reviews that earlier
inside the afternoon, the patient's abdominal hernia had been corporation and bulged out four
inches (10.2 cm). The patient had him press on the hernia and right now felt burning pain at
some stage in the stomach. Which of the following is the nurse practitioners' NEXT motion?
1. Abdominal CT scan
2. Complete blood matter with differential
3. Abdominal ultrasound
four. Referral to the ED - ANS-four. Referral to the ED
2. A young grownup woman who's 34 weeks pregnant gives with the grievance of urinary
frequency each 1 to 2 hours. The affected person has no fever and denies again pain. A urine
dipstick test is fantastic for leukocyte esterase and nitrites. Microscopic analysis reveals 15-20
WBCs/hpf and a few bacteria. The BEST desire for remedy of this patient's urinary tract
contamination could be:
1. Trimethoprim-sulfamethoxazole (Bactrim), one hundred sixty mg/800 mg two times day by
day for three days.
2. Cephalexin (Keflex), 500 mg 4 instances every day for 7 days.
Three. Ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
Four. Erythromycin, 250 mg three instances daily for five days. - ANS-2. Cephalexin (Keflex),
500 mg 4 times daily for 7 days.
Three. An person male offers with new-onset pain and tenderness within the low again and
ache within the right tremendous toe after a weekend of golfing. He denies experiencing
numbness and tingling. Which of the following would the nurse practitioner anticipate to locate
an research of this patient's low back pain?
1. Exacerbation of extremity signs and symptoms with instantly-leg elevating
2. Loss of bowel and bladder feature
3. Increased ankle jerk on evaluation of deep tendon reflexes
four. Increased lumbar lordosis - ANS-1. Exacerbation of extremity symptoms with instantly-leg
raising
4. A actual assertion approximately essential tremors is that they:
1. Often begin with "pill-rolling" of 1 hand and can affect the legs, toes, and toes.
2. Are often barely visible, speedy tremors.
Three. Are a feature of Parkinson's ailment.
,Four. Are sluggish tremors which might be absent or minimum at rest and commonly contain the
palms. - ANS-4. Are sluggish tremors which are absent or minimal at rest and typically contain
the palms.
Five. Which opioid medication is the MOST strong?
1. Codeine
2. Morphine
3. Oxycodone
four. Hydromorphone - ANS-four. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
three. Menstrual cramps
four. Dyspareunia - ANS-1. Irritability
7. Which of the subsequent is the medication of desire for monotherapy of an older adult with
high blood pressure and
no related comorbid conditions?
1.Alpha-blocker
2.Vasodilator
3.Thiazide diuretic
4.Beta-blocker - ANS-3.Thiazide diuretic
8. An elderly, obese female offers for assessment of a painful rash, first observed 2 weeks in the
past, placed under each breasts. The rash is visible as an area of confluent, beefy-red,
excoriated lesions with smaller satellite lesions extending past the borders of the main lesions.
The KOH prep well-knownshows pseudohyphae. The nurse practitioner
would advocate a/an:
1. Direction of oral steroids and air drying of skin after showers.
2. Topical antifungal and order a fasting blood glucose.
Three. Oral antibiotic and order a hemoglobin A1c.
4. High-potency topical corticosteroid and use of dry dressings. - ANS-2. Topical antifungal and
order a fasting blood glucose.
Nine. An older grownup lady complains of troubles with urination. She reviews that on every
occasion she feels the need to urinate, she is not able to "make it to the bathroom in time," and
wets herself. Which sort of incontinence is MOST possibly?
1. Urge
,2. Overflow
3. Transient
4. Stress - ANS-1. Urge
10. A younger grownup female offers with painful swelling of the right cheek anterior to the TMJ.
The prognosis is sialadenitis. In addition to antibiotics, remedy for this affected person ought to
consist of:
1. Hot soaks and lemon drops.
2. Alternating heat and cold.
3. Cold compresses and massage.
4. Warm soaks and mucolytics. - ANS-1. Hot soaks and lemon drops.
Eleven. Initial therapy for older adult sufferers with arthritic joints is:
1. Naproxen, one thousand mg twice daily.
2. Ibuprofen, six hundred mg 4 instances every day.
3. Glucosamine, 750 mg two times every day.
4. Acetaminophen, 1000 mg 4 times daily. - ANS-4. Acetaminophen, 1000 mg 4 times every
day.
12. Which of the following is an example of gross negligence?
1. Prescription of a drug that causes a deadly allergy
2. Misdiagnosis of appendicitis, ensuing in peritonitis and a prolonged health center stay
3. Refusal to return the emergency cellphone call of a patient who has chest pain evolving into
an MI
4. Failure to diagnose a problem at an unrelated routine visit - ANS-three. Refusal to return the
emergency smartphone name of a affected person who has chest ache evolving into an MI
13. What is the suitable order of pharmacokinetics of drugs within the frame?
1. Absorption, distribution, metabolism, excretion
2. Distribution, absorption, metabolism, excretion
three. Absorption, metabolism, distribution, excretion
4. Metabolism, distribution, absorption, excretion - ANS-1. Absorption, distribution, metabolism,
excretion
14. An older grownup lady is delivered in by her daughter, who has been travelling her. The
daughter reports that her mom appears confused and stressful, and is transferring oddly as if
she is stiff. The daughter has introduced along the mother's medications. She is taking
hydrochlorothiazide, levothyroxine (Synthroid), sertraline (Zoloft), child aspirin, a multivitamin,
and St. John's wort. Which circumstance might the nurse practitioner MOST urgently suspect?
, 1. Alzheimer's ailment
2. Serotonin syndrome
3. Vascular dementia
four. Aspirin toxicity - ANS-2. Serotonin syndrome
15. An adolescent male provides with marked itching inside the inguinal area however not on
the scrotum. Examination shows a peripherally-spreading, sharply-demarcated,
centrally-clearing, erythematous lesion. The MOST in all likelihood analysis is:
1. Bad hygiene.
2. Tinea versicolor.
3. Pediculosis pubis.
Four. Tinea cruris. - ANS-4. Tinea cruris.
Sixteen. A young person provides with a three-day records of a sore throat, fever [102°F
(38.9°C)], and malaise. Physical examination famous posterior cervical lymphadenopathy and
splenomegaly. A whole blood be counted (CBC) well-knownshows a lymphocytosis. Which of
the following affected person care commands is MOST appropriate?
1. Avoid strenuous activity and contact sports activities till counseled.
2. Restrict symptomatic antipyretic therapy to acetaminophen.
Three. Restrict symptomatic antipyretic remedy to NSAIDs.
Four. Avoid near touch with others for 2 weeks. - ANS-1. Avoid strenuous interest and get in
touch with sports activities until suggested.
17. A nurse practitioner is treating an person with iron deficiency anemia. At what factor would
the hematocrit stage be expected to return to baseline?
1. 3 weeks
2. 2 months
3. 6 months
four. 1 12 months - ANS-2. 2 months
18. An older adult complains of fatigue, stiffness inside the shoulders and neck, latest onset of
temporal headache, and an episode of brief visible loss in a single eye. Erythrocyte
sedimentation rate (ESR) is seventy two mm/h [normal value = <15 mm/h]. These findings are
constant with:
1. Migraine headache.
2. Glaucoma.
3. Giant mobile (temporal) arteritis.
4. Sjögren's syndrome. - ANS-three. Massive mobile (temporal) arteritis.
