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AANP FNP Board Exam Test 2 – Verified Questions & Answers for Certification

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Second installment of AANP FNP board practice. Includes verified Q&As covering core clinical competencies. Great for timed practice.

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AANP TEST 2 FOR BOARDS QUESTIONS & VERIFIED ANSWERS


You are treating a patient with acute anxiety and she is having an acute attack in the oice.
The ANP has knowledge that the fastest relief of symptoms is:



a TCA

a beta-blocker

a benzodizepine

an SSRI

Correct answer: Correct answer:

benzodiazepine



The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices
list agents that will require multiple doses for results. With daily continued use of
benzodiazepines, the anti-anxiety eect may become diminished.



A geriatric patient with cardiovascular disease is in the oice being counseled on lifestyle
changes. The ANP knows that which of the following is the most important to include in this
discussion?




"Control your hypertension, stop smoking, maintain a normal weight, and exercise
regularly."

"Have a yearly physical examination, increase ber in your diet, and exercise regularly."

"Maintain a normal level of serum blood sugar and decrease cholesterol intake."

"Decrease smoking, increase vitamin supplements, and increase protein intake."

Correct answer: Correct answer:

,"Control your hypertension, stop smoking, maintain a normal weight, and exercise
regularly."



All of these are important for the geriatric patient to decrease cardiovascular risk.
Controlling hyperglycemia, high ber intake, and vitamins all assist in maintaining a healthy
lifestyle but do not help to prevent cardiovascular disease.



You are seeing a female with inammatory bowel disease, known as IBD. The Adult Nurse
Practitioner knows that if she orders a hemogram on this patient, which of the following
results would be seen if the patient was anemic?



microcytic, hypochromic type

macrocytic, normochromic type

normocytic, normochromic type

macrocytic, hypochromic type

Correct answer: Correct Answer:

normocytic, normochromic type




Anemia is a common problem in IBD. The etiology is often from multiple causes. The
anemia of chronic disease, a normocytic, normochromic anemia, is a result of
inammation of the IBD without blood loss. Blood loss would result in a microcytic,
hypochromic anemia. The macrocytic anemias are a result of deciency in vitamin B12 or
other causes.



Which of the following is the least likely risk factor for suicide?



physical illness

male

,increasing age

black race

Correct answer: Correct answer:

black race



Being of a white race is more likely to be a factor in suicide. Besides the other three choices
risk factors include: substance abuse, living alone, and less education.



The healthcare provider's required level of expected conduct as established by custom,
law, or professional organizations is called the:



Standard of care.

Breach of duty.

Duty.

Malpractice.

Correct answer: Correct answer:

Standard of care

Standard of care is another term associated with negligence. Standard of care is a
healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations.



A brief account by the patient of any signs or symptoms he or she is experiencing is one
component of:



Review of systems.

Symptom assessment.

Functional assessment.

, Objective assessment.

Correct answer: Correct Answer:

Review of systems



In the review of systems, the patient tells the nurse in his or her own words what signs or
symptoms he or she has experienced in various body systems. It is important that these be
in a patient's own words to perform the most complete and accurate assessment.



All of the following are typical changes to the gastrointestinal system that come with aging
EXCEPT:



decreased liver size

decreased muscle tone in bowel

increased absorption of calcium

atrophy of salivary glands

Correct answer: Correct answer:

increased absorption of calcium



Decreased absorption of calcium is a common change that comes with aging, not
increased absorption. Other gastrointestinal changes include: less eicient cholesterol
stabilization and absorption, atrophy of taste buds, and slowing in esophageal emptying,
among others.



A 28-year-old female patient is in the oice and is to undergo radioactive iodine treatment
for Graves disease. The ANP is counseling her and understands that the mechanism of
action of this treatment therapy is:



alter the thyroid metabolic rate

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