AANP (AMERICAN ASSOCIATION OF NURSE PRACTITIONERS)
BOARD - EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: When communicating with a Native American patient,
the GNP knows that:
A. Silence indicates respect for the speaker.
B. Members speak in a loud tone of voice.
C. Eye contact is viewed as a sign of respect. Body language is not
important. -
Answer:
Silence indicates respect for the speaker. With the Native American patient,
silence does indicate respect. Members speak in a low tone of voice and
expect others to be attentive. Eye contact is often viewed as disrespectful and
body language is important.
Question 2: One of the most sensitive tools for diagnosis of
pulmonary emboli that is done through a catheter advanced into
the pulmonary artery is which of the following?
A. MRI
B. CT scan
C. pulmonary angiogram x-ray -
Answer:
Pulmonary angiograms are one of the most sensitive tools for diagnosis of
pulmonary emboli. Through a catheter advanced into the pulmonary artery,
contrast material is injected during rapid filming. Emboli appear as filling
defect, or dark circumscribed areas, within the white vascular images of the
artery.
,Question 3: An older adult complains of sudden onset of dyspnea
and coughing. Cough produces pink-tinged frothy sputum.
tachycardia, pallor, and feelings of impending doom are also
present. Of the following which is the most likely diagnosis?
A. tuberculosis
B. pulmonary embolus
C. bronchitis COPD -
Answer:
Pulmonary embolus is characterized by all of the symptoms set forth in the
question. Any condition that increases risk of blood clots will increase risk of
PE. These patients have a history of atrial fibrillation, estrogens, surgery,
pregnancy, long bone fractures, and prolonged inactivity.
Question 4: pulmonary embolus
A. In terms of blood pressure control, in patients aged 60 years and
older, treatment for hypertension should be started when
B. SBP ≥ 150 and DBP ≥ 90
C. SBP ≥ 120 and DBP ≥ 90
D. SBP ≥ 110 and DBP ≥ 80 SBP ≥ 150 and DBP ≥ 80 -
Answer:
SBP ≥ 150 and DBP ≥ 90
Question 5: A patient has lost weight but swears she has been
eating regularly. Which type of assessment would you use before
making a definitive diagnosis?
A. Nutrition.
B. NGASR.
C. Sleep. Psychosocial. -
Answer:
, Poor body image may be related to a nutrition imbalance. There may also be
other factors that affect the imbalance. A nutrition assessment will help
determine the patient's attitude towards food.
Question 6: Gastric parietal cells secrete which of the following?
A. mucous
B. hydrochloric acid
C. blood cells lymphatic fluid -
Answer:
Gastric parietal cells secrete hydrochloric acid. This is mediated by
histamine2-receptor sites.
Question 7: A cancer in which there is extensive local and regional
spread is in which stage?
A. Stage I
B. Stage II
C. Stage III Stage IV -
Answer:
Staging classifies the clinical aspects of the cancer and the degree of
metastasis at diagnosis. A cancer with extensive local and regional spread is
a Stage III cancer.
Question 8: Which of the following do you NOT use to determine
priorities?
A. Health concerns and strengths.
B. Self-actualization.
C. Maslow's hierarchy. Moral and ethical issues. -
Answer:
, Maslow's hierarchy of needs includes self actualization. Nurses use the other
answer choices to prioritize diagnosis and action.
Question 9: Which potential diagnosis would you give a patient
who wrings his or her hands during the interview?
A. Ineffective coping.
B. Anxiety.
C. Disturbed personal identity. Infection risk. -
Answer:
The patient wringing his or her hands is an objective system. This signals
anxiety even if the patient does not mention feeling anxious. The diagnosis
should be considered with other symptoms.
Question 10: Insensible fluid loss from fever in older adults is often
associated with all but which of the following?
A. dry oral mucosa
B. dry furrowed tongue
C. hyponatremia serum sodium less than 150 mEq/L -
Answer:
Insensible fluid loss from fever is associated with hypernatremia which
presents with thirst. Disorientation, seizures, and coma occur in severe
hypernatremia.
Question 11: Nurse Terri is assessing a female patient with red,
itchy spots on various parts of the body. Her chart shows she isn't
allergic to anything but the patient admits to changing her laundry
detergent recently. Terri believes it is an allergic reaction due to
what?
A. An external irritant.
BOARD - EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: When communicating with a Native American patient,
the GNP knows that:
A. Silence indicates respect for the speaker.
B. Members speak in a loud tone of voice.
C. Eye contact is viewed as a sign of respect. Body language is not
important. -
Answer:
Silence indicates respect for the speaker. With the Native American patient,
silence does indicate respect. Members speak in a low tone of voice and
expect others to be attentive. Eye contact is often viewed as disrespectful and
body language is important.
Question 2: One of the most sensitive tools for diagnosis of
pulmonary emboli that is done through a catheter advanced into
the pulmonary artery is which of the following?
A. MRI
B. CT scan
C. pulmonary angiogram x-ray -
Answer:
Pulmonary angiograms are one of the most sensitive tools for diagnosis of
pulmonary emboli. Through a catheter advanced into the pulmonary artery,
contrast material is injected during rapid filming. Emboli appear as filling
defect, or dark circumscribed areas, within the white vascular images of the
artery.
,Question 3: An older adult complains of sudden onset of dyspnea
and coughing. Cough produces pink-tinged frothy sputum.
tachycardia, pallor, and feelings of impending doom are also
present. Of the following which is the most likely diagnosis?
A. tuberculosis
B. pulmonary embolus
C. bronchitis COPD -
Answer:
Pulmonary embolus is characterized by all of the symptoms set forth in the
question. Any condition that increases risk of blood clots will increase risk of
PE. These patients have a history of atrial fibrillation, estrogens, surgery,
pregnancy, long bone fractures, and prolonged inactivity.
Question 4: pulmonary embolus
A. In terms of blood pressure control, in patients aged 60 years and
older, treatment for hypertension should be started when
B. SBP ≥ 150 and DBP ≥ 90
C. SBP ≥ 120 and DBP ≥ 90
D. SBP ≥ 110 and DBP ≥ 80 SBP ≥ 150 and DBP ≥ 80 -
Answer:
SBP ≥ 150 and DBP ≥ 90
Question 5: A patient has lost weight but swears she has been
eating regularly. Which type of assessment would you use before
making a definitive diagnosis?
A. Nutrition.
B. NGASR.
C. Sleep. Psychosocial. -
Answer:
, Poor body image may be related to a nutrition imbalance. There may also be
other factors that affect the imbalance. A nutrition assessment will help
determine the patient's attitude towards food.
Question 6: Gastric parietal cells secrete which of the following?
A. mucous
B. hydrochloric acid
C. blood cells lymphatic fluid -
Answer:
Gastric parietal cells secrete hydrochloric acid. This is mediated by
histamine2-receptor sites.
Question 7: A cancer in which there is extensive local and regional
spread is in which stage?
A. Stage I
B. Stage II
C. Stage III Stage IV -
Answer:
Staging classifies the clinical aspects of the cancer and the degree of
metastasis at diagnosis. A cancer with extensive local and regional spread is
a Stage III cancer.
Question 8: Which of the following do you NOT use to determine
priorities?
A. Health concerns and strengths.
B. Self-actualization.
C. Maslow's hierarchy. Moral and ethical issues. -
Answer:
, Maslow's hierarchy of needs includes self actualization. Nurses use the other
answer choices to prioritize diagnosis and action.
Question 9: Which potential diagnosis would you give a patient
who wrings his or her hands during the interview?
A. Ineffective coping.
B. Anxiety.
C. Disturbed personal identity. Infection risk. -
Answer:
The patient wringing his or her hands is an objective system. This signals
anxiety even if the patient does not mention feeling anxious. The diagnosis
should be considered with other symptoms.
Question 10: Insensible fluid loss from fever in older adults is often
associated with all but which of the following?
A. dry oral mucosa
B. dry furrowed tongue
C. hyponatremia serum sodium less than 150 mEq/L -
Answer:
Insensible fluid loss from fever is associated with hypernatremia which
presents with thirst. Disorientation, seizures, and coma occur in severe
hypernatremia.
Question 11: Nurse Terri is assessing a female patient with red,
itchy spots on various parts of the body. Her chart shows she isn't
allergic to anything but the patient admits to changing her laundry
detergent recently. Terri believes it is an allergic reaction due to
what?
A. An external irritant.
