AANP Study Questions with 100% Answers

Most kidney stones are composed of which of the following? a. uric acid b. calcium c. cystine d. struvite - ANSWER-b. calcium You have a 22-year-old female patient with severe acne. She tells you that she wants to get pregnant. Which of the following acne drugs would you NOT prescribe for this woman who wants to get pregnant? a. Accutane b. benzoyl peroxide cream c. Tretinoin d. erythromycin - ANSWER-a. Accutane You are a proponent of the theory that learners are unique persons who learn optimally when they are treated with positive regard and are involved in decision making. This is which of the following learning theories? a. behaviorist b. cognitive c. humanistic d. andragogy - ANSWER-c. humanistic Of the following, which would be considered a third-generation cephalosporin? a. Cefalexin b. Cefaclor c. Amoxicillin d. Cefdinir - ANSWER-d. Cefdinir Cefaclor is a second-generation cephalosporin antibiotic and cefalexin is a first-generation cephalosporin antibiotic. You have a 50-year-old patient who has a fibroid tumor. Which of the following factors is most likely to support this diagnosis? a. multiparity b. active lifestyle c. black ethnicity d. smoker - ANSWER-c. black ethnicity Others include sedentary lifestyle; obesity; nulliparity; nonsmoker; age older than 35 years; family history; history of infertility; oral contraceptive use; and intrauterine device use. Mrs. Ross is a 65-year-old patient who has been diagnosed with degenerative joint disease (DJD). You might prescribe all of the following medications to address this disease EXCEPT: a. systemic oral steroids b. NSAIDs c. analgesics d. steroid injection on inflamed joints - ANSWER-a. systemic oral steroids Nurse Grace is speaking with the family of an Alzheimer's patient. The patient is showing signs of increased confusion and even depression. Grace suggests which of the following options for the family to try first? a. Recommend she join a club or organization. b. Buy her a notepad to write things down. c. Prescribe an anti-depressant medication. d. Recommend family members bring pictures to the patient often. - ANSWER-d. Recommend family members bring pictures to the patient often. Alzheimer's patients are at an increased risk for confusion, depression and general forgetfulness. These patients are encouraged to have regular interaction with family and friends, as well as have mementos such as photos or keepsakes nearby. This helps to stimulate the patient's mind and memory and can actually help reduce confusion and other symptoms. Which of the following cranial nerves would be responsible for the sense of smell? a. CN VI b. CN IX c. CN I d. CN III - ANSWER-c. CN I CN VI would be associated with abducens. CN IX would be associated with Glossopharyngeal. CN III would be associated with Oculomotor. Jenny is a 30-year-old female patient who suffers from primary dysmenorrhea. What treatment of choice will you prescribe for this condition? a. NSAIDs b. acetaminophen c. aspirin d. magnesium - ANSWER-a. NSAIDs A 65-year-old female patient comes to you complaining of bowel and bladder incontinence and a numbness of the buttocks area. You might suspect that his patient has which of the following diseases/conditions? a. supraspinatus tendonitis b. osteoarthritis c. rheumatoid arthritis d. cauda equina syndrome - ANSWER-d. cauda equina syndrome You are seeing an uncircumcised client that presents with a complaint of not being able to retract the foreskin over the glans penis. What is the likely diagnosis? a. phimosis b. paraphimosis c. lateral phimosis d. Peyronie's disease - ANSWER-a. phimosis At which age does a child develop a pincer grasp? a. 3 months b. 6 months c. 9 months d. 12 months - ANSWER-c. 9 months The child should also be able to pull himself or herself up to stand, as well as crawl and bear weight well. According to the American Cancer Society Guidelines for the Early Detection of Cancer, yearly mammograms are recommended for women who are: a. in good health and are 35 years of age or over b. 45 years of age at average risk c. in good health and are 35 years of age or over and continuing every 2 or 3 years if the mammogram is negative d. in good health and are 40 years of age or over and continuing every 2 or 3 years if the mammogram is negative - ANSWER-b. 45 years of age at average risk Carol is a 19-year-old female patient who comes to you because she has not had a menstrual period for several months. She is extremely thin for her height and you have determined that she is not pregnant. You suspect anorexia nervosa. Which of the following symptoms would NOT be consistent with this diagnosis? a. dizziness b. obsession with exercise c. profuse sweating d. gastrointestinal disorders - ANSWER-c. profuse sweating You are examining Gerald, an older patient who has a history of smoking and high cholesterol. Gerald is having pain when he walks that has become worse over time. If, as you suspect, this patient has peripheral arterial disease you might see all of the following in your examination of this patient EXCEPT: a. shiny hairless ankles b. decreased capillary refill time c. cool ankles d. decreased dorsal pedal pulse - ANSWER-b. decreased capillary refill time In terms of burn victims, a surgical procedure that is done to eliminate a scar contracture is which of the following? a. allograft b. Z-plasty c. escharotomy d. sheet graft - ANSWER-b. Z-plasty An incision is made in the shape of a "Z." This allows the contracture to change configuration and lengthen the scar. A patient has come to you with a fever of 103° F, pharyngitis, a headache and backache. She has been vomiting and has had diarrhea. Your physical exam revels 1 mm vesicles and ulcers on the anterior tonsillar pillars. Which of the following diseases/conditions is most likely responsible for these symptoms? a. influenza b. herpangina c. Lyme disease d. rubella - ANSWER-b. herpangina Herpangina is an acute viral illness causing fever, ulcerative mouth lesions, cough, coryza, and pharyngitis. It is seen more frequently in temperate climates (summer and fall). The patient may have a fever as high as 106° F, malaise, headache, backache, anorexia, drooling, vomiting, and diarrhea. Peter suspects his patient may have pneumonia, but the X-ray did not confirm this. What other test can Peter order to ensure his diagnosis? a. A sputum test. b. A CT scan. c. A urinalysis. d. An ultrasound. - ANSWER-b. A CT scan. The Moro reflex usually disappears by what age? a. 1 - 2 months b. 3 - 4 months c. 6 - 12 months d. 12 - 24 months - ANSWER-b. 3 - 4 months Your patient has had an acute onset of painful red nodules and pustules under her left axilla. She reports that they have begun to drain a pus-like liquid. Your most likely diagnosis of the following choices is: a. impetigo b. pityriasis rosea c. scabies d. hidradenitis suppurativa - ANSWER-d. hidradenitis suppurativa Hidradenitis suppurativa is a bacterial infection of the sebaceous glands of the axilla by Gram-positive S. aureus. It is marked by flare-ups and resolution. In doing a neurological examination the Romberg test would be associated with which of the following? a. mental status b. cerebellar system c. sensory system d. motor exam - ANSWER-b. cerebellar system You have a 35-year-old male patient who comes to you with a raised yellow plaque on his upper eyelid. You diagnose xanthelasma. You know that in a person of his age, this could indicate which of the following? a. hyperlipidemia b. glaucoma c. melanoma d. acne - ANSWER-a. hyperlipidemia Yolanda is an adult female patient who complains of feeling facial pressure that worsens when she bends over. She also has pain in her molars and a headache that is centered in the forehead area. The most likely diagnosis for Yolanda is which of the following? a. otitis media b. rhinitis medicamentosa c. acute sinusitis d. cluster headache - ANSWER-c. acute sinusitis Acute sinusitis is an infection of the sinuses by Gram-positive and Gram-negative bacteria. The patient usually complains of unilateral facial pressure that worsens when bending down, along with pain in the upper molar teeth, and possible frontal headache. What is needed to turn a possible nursing diagnosis into a definitive nursing diagnosis? a. Problems. b. Cues. c. Signs and symptoms. d. Causes. - ANSWER-c. Signs and symptoms. The extent of involvement of the body in burns is measured by using the "rule of nines." Which of the following percentages of body involvement according to this rule is NOT accurate? a. torso = 27% b. posterior head = 4.5% c. front of right leg = 9% d. genitalia = 1% - ANSWER-a. torso = 27% Both torso and abdomen, as well as the back are 18%. Another estimate of extent of involvement is to equate the patient's palm size as 1% of total body size. You have a patient who complains of a "stuffy nose." She has been using a nasal decongestant spray for several weeks. As an FNP you understand that prolonged use of topical nasal decongestants can cause which of the following conditions? a. chronic sinusitis b. rhinitis c. rhinitis medicamentosa d. asthma - ANSWER-c. rhinitis medicamentosa It causes rebound effects that result in severe and chronic nasal congestion. When prescribing drugs for a pregnant patient you would consider the risk category of the drug. Which of the following is the category with the lowest risk? a. 0 b. A c. X d. C - ANSWER-b. A Of the following, what is the target dosage for an adult patient on Norpramin (desipramine)? a. 75 - 300 mg q hs. b. 75 - 150 mg qd or divided. c. 50 - 150 mg divided. d. 75 - 300 mg qd. - ANSWER-d. 75 - 300 mg qd. The following dosages are associated with: Elavil (amitriptyline): 50 - 150 mg divided; Norpramin (desipramine): 75 - 300 mg qd; Tofranil (imipramine): 75 - 300 mg q hs; Pamelor (nortriptyline): 75 - 150 mg qd or divided Complications from Rocky Mountain Spotted Fever (RMSF) could include which of the following? a. Hair loss b. Neuropathy c. Hearing loss d. Both B and C - ANSWER-d. Both B and C Some of the complications from RMSF would include:Neuropathy, Hearing loss, Paraparesis, Death, Others You con