Page 1 of 48
AANP EXAM NEWEST
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED/ ALREADY GRADED A+
A 26-year-old female presents with abdominal distention, bloating, and
intermittent crampy abdominal pain relieved by defecation. She has
four to six loose stools a day when stressed. Between bouts of diarrhea,
she often has constipation.
Physical examination results are normal. The CBC was normal. The
D
most likely diagnosis is:
O
N
O
1. diverticulitis.
T
2. viral gastroenteritis.
C
O
3. inflammatory bowel disease. 4. irritable bowel
PY
syndrome
irritable bowel syndrome
An adult male presents as first patient of the day after awaking about
5:00 AM with indigestion and chest pressure. On checking his pulse, he
found no change from previous measurements. He states that, while
waiting for the nurse practitioner to arrive, he began to feel a little
clammy. A 12-lead EKG records the following patterns. On the basis of
these EKG readings, the diagnosis is:
,Page 2 of 48
1. anterior-septal acute myocardial infarction.
2. lateral acute myocardial infarction.
3. inferior acute myocardial infarction. 4. anterior acute myocardial
infarction. inferior acute myocardial infarction
A patient on warfarin (Coumadin) therapy for recurrent deep vein
D
thrombosis (DVT) is about to have lumbar spinal fusion surgery. The
O
patient's warfarin is put on hold starting 5 days prior to the surgery and
N
subcutaneous Lovenox has been ordered for DVT prophylaxis until the
O
resumption of the warfarin. The nurse practitioner knows that the
T
patient's postoperative warfarin dose should be restarted based on the:
C
O
PY
1. value of her morning Prothrombin time.
2. loading dose of 10 mg, plus the previous warfarin dose.
3. baseline PT and INR values.
4. target INR of 2.
caseline PT and INR values
A mother presents her 12-month-old child with concern because the
child does not yet say "mama" or "dada." The mother reports that in the
first months of life, the child loved listening to music and being talked
,Page 3 of 48
to. The past medical history is negative for ear infections. The nurse
practitioner should:
1. evaluate for hearing loss.
2. refer to speech therapy.
3. re-evaluate in 3 months. 4. check for cerumen impaction. evaluate for
hearing loss
D
O
N
An 87-year-old patient presents with round, pruritic plaques and small
O
vesicles on the lower legs. The most likely diagnosis is:
T
C
O
PY
1. allergic contact dermatitis.
2. plaque psoriasis.
3. cutaneous T-cell lymphoma. 4. nummular eczema nummular eczema
A 3-year-old presents with a 2-day history of acute diarrhea with a total
of 8 watery stools without blood or mucus, and 2 episodes of vomiting
in the past 48 hours. Assessment reveals no current antibiotic therapy,
dehydration <5%, soft abdomen with hyperactive bowel sounds, no
, Page 4 of 48
masses or organomegaly; other physical findings are normal. Which of
the following is the most appropriate management plan?
1. Stool culture; Immodium AD liquid.
2. No laboratory workup; instruct parents on signs and symptoms of
dehydration; diet of clear liquids, advancing to bananas, rice cereal,
Jell-O, and soup.
3. Start
diet of clear liquids, advancing to bananas, rice cereal, Jell-O,
and soup over next 72 hours; Imodium AD liquid, 1 mg/sml
D
O
4. Stoolfor ova and parasites; advise parents of likely sources of
Giardia; prescribe furazolidone (Furoxone)
N
O
No laboratory workup; instruct parents on signs and symptoms of
T
dehydration; diet of clear liquids, advancing to bananas, rice cereal,
C
Jell-O, and soup.
O
PY
The most common side effect of the oral ribavirin used in the treatment
of hepatitis C is:
1. hemolytic anemia.
2. weight loss.
3. depression. 4. hypothyroi dism. hemolytic anemia
AANP EXAM NEWEST
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED/ ALREADY GRADED A+
A 26-year-old female presents with abdominal distention, bloating, and
intermittent crampy abdominal pain relieved by defecation. She has
four to six loose stools a day when stressed. Between bouts of diarrhea,
she often has constipation.
Physical examination results are normal. The CBC was normal. The
D
most likely diagnosis is:
O
N
O
1. diverticulitis.
T
2. viral gastroenteritis.
C
O
3. inflammatory bowel disease. 4. irritable bowel
PY
syndrome
irritable bowel syndrome
An adult male presents as first patient of the day after awaking about
5:00 AM with indigestion and chest pressure. On checking his pulse, he
found no change from previous measurements. He states that, while
waiting for the nurse practitioner to arrive, he began to feel a little
clammy. A 12-lead EKG records the following patterns. On the basis of
these EKG readings, the diagnosis is:
,Page 2 of 48
1. anterior-septal acute myocardial infarction.
2. lateral acute myocardial infarction.
3. inferior acute myocardial infarction. 4. anterior acute myocardial
infarction. inferior acute myocardial infarction
A patient on warfarin (Coumadin) therapy for recurrent deep vein
D
thrombosis (DVT) is about to have lumbar spinal fusion surgery. The
O
patient's warfarin is put on hold starting 5 days prior to the surgery and
N
subcutaneous Lovenox has been ordered for DVT prophylaxis until the
O
resumption of the warfarin. The nurse practitioner knows that the
T
patient's postoperative warfarin dose should be restarted based on the:
C
O
PY
1. value of her morning Prothrombin time.
2. loading dose of 10 mg, plus the previous warfarin dose.
3. baseline PT and INR values.
4. target INR of 2.
caseline PT and INR values
A mother presents her 12-month-old child with concern because the
child does not yet say "mama" or "dada." The mother reports that in the
first months of life, the child loved listening to music and being talked
,Page 3 of 48
to. The past medical history is negative for ear infections. The nurse
practitioner should:
1. evaluate for hearing loss.
2. refer to speech therapy.
3. re-evaluate in 3 months. 4. check for cerumen impaction. evaluate for
hearing loss
D
O
N
An 87-year-old patient presents with round, pruritic plaques and small
O
vesicles on the lower legs. The most likely diagnosis is:
T
C
O
PY
1. allergic contact dermatitis.
2. plaque psoriasis.
3. cutaneous T-cell lymphoma. 4. nummular eczema nummular eczema
A 3-year-old presents with a 2-day history of acute diarrhea with a total
of 8 watery stools without blood or mucus, and 2 episodes of vomiting
in the past 48 hours. Assessment reveals no current antibiotic therapy,
dehydration <5%, soft abdomen with hyperactive bowel sounds, no
, Page 4 of 48
masses or organomegaly; other physical findings are normal. Which of
the following is the most appropriate management plan?
1. Stool culture; Immodium AD liquid.
2. No laboratory workup; instruct parents on signs and symptoms of
dehydration; diet of clear liquids, advancing to bananas, rice cereal,
Jell-O, and soup.
3. Start
diet of clear liquids, advancing to bananas, rice cereal, Jell-O,
and soup over next 72 hours; Imodium AD liquid, 1 mg/sml
D
O
4. Stoolfor ova and parasites; advise parents of likely sources of
Giardia; prescribe furazolidone (Furoxone)
N
O
No laboratory workup; instruct parents on signs and symptoms of
T
dehydration; diet of clear liquids, advancing to bananas, rice cereal,
C
Jell-O, and soup.
O
PY
The most common side effect of the oral ribavirin used in the treatment
of hepatitis C is:
1. hemolytic anemia.
2. weight loss.
3. depression. 4. hypothyroi dism. hemolytic anemia
