AANP Practice Exam Latest 2022/2023

1. A nurse practitioner is suturing a simple laceration on an 11 year-old patient. The use of lidocaine with epinephrine is contraindicated in all of the following areas EXCEPT the: a. Scalp b. Nose c. Fingers d. Earlobe 2. A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History indicates normal prenatal progress to date and the patient denies pain, vaginal itching, or discharge. Which of the following is the most appropriate intervention to aid in the diagnosis of this case? a. Nitrazine test e. Non-stress test f. Ultrasound g. Bimanual cervical examination 3. A 40 year-old male presents with a 2-week history of rectal pain and itching. He reports a past history of constipation and finding spots of bright red blood on the toilet paper several times per week. Rectal examination reveals a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. Which of the following actions should the nurse practitioner take? a. Refer the patient to a gastroenterologist for a malignancy workup. h. Schedule a colonoscopy to rule out colon cancer. i. Repeat the guaiac test three times and obtain a complete blood count (CBC). j. Prescribe bulk-forming agents and hydrocortisone suppositories. 4. A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6 months. She reports recent unintentional weight loss. On physical examination, there is pain on ROM, with no weakness noted. Laboratory studies show a low hemoglobin and an elevated sedimentation rate. Which of the following is the most likely diagnosis? a. Polymyositis k. Osteoarthritis 1 Results Must get 51/75 to be passing Date 2015 l. Polymyalgia rheumatic a. Fibromyalgia 5. A patient with type 1 diabetes mellitus who is on NPH and regular insulin split-dosing presents with complaints of early morning rise in fingerstick blood glucose. A review of an at-home glucose test reveals increased morning levels. After an increase in the evening insulin dose, the problem worsens. This is most likely an example of: