AANP FNP EXAM | QUESTIONS AND CORRECT ANSWERS | GRADED
A+ | LATEST VERSION | JUST RELEASED | VERIFIED ANSWERS
ADA screening for DM in Children - (CORRECT ANSWER)-symptomatic children (polyuria,
polydipsia, polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese (>85th
percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics - (CORRECT ANSWER)- leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white males.
Osgood-Schlatter: - (CORRECT ANSWER)knee pain in young adults, overuse. Repetitive stress
pain, tenderness, swelling at the tendon's insertion site. The tibial tuberosity. Rule out avulsion
fracture if there is an acute onset and order a lateral xray. RICE. Usually stops when the growth
stops.
If patient has right sided weakness, etc. the CVA occurred where - (CORRECT ANSWER)left
side
initial evaluation of symptoms of acute prostatitis - (CORRECT ANSWER)Urinalysis and urine
culture
1
,A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not
seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medication. Her mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to
starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - (CORRECT ANSWER)A statin drug
Ortolani's Click - (CORRECT ANSWER)a click is heard or felt as dislocation is reduced
(developmental dysplasia of hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when the suspected
diagnosis is temporal arteritis? - (CORRECT ANSWER)Erythrocyte sedimentation rate (ESR)
What are narrow therapeutic index drugs? - (CORRECT ANSWER)1. Warfarin sodium
(Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
2
,Otitis Externa tx - (CORRECT ANSWER)Fluoroquinolone & Polymyxin B cortisporin drops
An elderly male patient complains of a new-onset, left-sided temporal headache accompanied by
scalp tenderness and indurated temporal artery. The NP suspects temporal arteritis. What
screening test would you order to assist with diagnosis? - (CORRECT ANSWER)sedimentation
rate (expect to be very elevated)
Basal Cell Carcinoma - (CORRECT ANSWER)Pearly domed nodule with overlaying
telangiectatic vessels. Could be plaque, papule, possible central ulceration and crusting. Dx:
Biopsy Tx:
Normal, healthy woman of reproductive age - (CORRECT ANSWER)white, clear,
flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward acidic), no odor,
microscopic shows lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? - (CORRECT ANSWER)Screen for HIV
Screening Tests - (CORRECT ANSWER)- sensitivity: detect those WITH the disease. higher the
sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants - (CORRECT ANSWER)...
to assess pts ability to think abstractly a nurse pract could ask the patient - (CORRECT
ANSWER)the meaning of a common proverb
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1.
3
, azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). - (CORRECT ANSWER)ibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - (CORRECT
ANSWER)follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and
thyroid-stimulating hormone (TSH).
Barlow's Maneuver - (CORRECT ANSWER)Feeling of a slip as the femoral head slips away
from the acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis - (CORRECT ANSWER)etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5,
odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH prep.
Treatment: oral diflucan or vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - (CORRECT ANSWER)Increased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption,
atrophic gastritis, and kidney disease
4
A+ | LATEST VERSION | JUST RELEASED | VERIFIED ANSWERS
ADA screening for DM in Children - (CORRECT ANSWER)-symptomatic children (polyuria,
polydipsia, polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese (>85th
percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics - (CORRECT ANSWER)- leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white males.
Osgood-Schlatter: - (CORRECT ANSWER)knee pain in young adults, overuse. Repetitive stress
pain, tenderness, swelling at the tendon's insertion site. The tibial tuberosity. Rule out avulsion
fracture if there is an acute onset and order a lateral xray. RICE. Usually stops when the growth
stops.
If patient has right sided weakness, etc. the CVA occurred where - (CORRECT ANSWER)left
side
initial evaluation of symptoms of acute prostatitis - (CORRECT ANSWER)Urinalysis and urine
culture
1
,A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not
seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medication. Her mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to
starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - (CORRECT ANSWER)A statin drug
Ortolani's Click - (CORRECT ANSWER)a click is heard or felt as dislocation is reduced
(developmental dysplasia of hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when the suspected
diagnosis is temporal arteritis? - (CORRECT ANSWER)Erythrocyte sedimentation rate (ESR)
What are narrow therapeutic index drugs? - (CORRECT ANSWER)1. Warfarin sodium
(Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
2
,Otitis Externa tx - (CORRECT ANSWER)Fluoroquinolone & Polymyxin B cortisporin drops
An elderly male patient complains of a new-onset, left-sided temporal headache accompanied by
scalp tenderness and indurated temporal artery. The NP suspects temporal arteritis. What
screening test would you order to assist with diagnosis? - (CORRECT ANSWER)sedimentation
rate (expect to be very elevated)
Basal Cell Carcinoma - (CORRECT ANSWER)Pearly domed nodule with overlaying
telangiectatic vessels. Could be plaque, papule, possible central ulceration and crusting. Dx:
Biopsy Tx:
Normal, healthy woman of reproductive age - (CORRECT ANSWER)white, clear,
flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward acidic), no odor,
microscopic shows lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? - (CORRECT ANSWER)Screen for HIV
Screening Tests - (CORRECT ANSWER)- sensitivity: detect those WITH the disease. higher the
sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants - (CORRECT ANSWER)...
to assess pts ability to think abstractly a nurse pract could ask the patient - (CORRECT
ANSWER)the meaning of a common proverb
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1.
3
, azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). - (CORRECT ANSWER)ibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - (CORRECT
ANSWER)follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and
thyroid-stimulating hormone (TSH).
Barlow's Maneuver - (CORRECT ANSWER)Feeling of a slip as the femoral head slips away
from the acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis - (CORRECT ANSWER)etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5,
odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH prep.
Treatment: oral diflucan or vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - (CORRECT ANSWER)Increased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption,
atrophic gastritis, and kidney disease
4
