AANP/ANCC Exam 2023 With Complete Solution Graded and Already Passed.

13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever 102.8, R. pleuretic pain, and green sputum. which of the following would be an expected finding? a) Right lower lobe crackles B) decreased fremitus c)bilateral wheezing d)normal percussion - CORRECT ANS A). Right lower lobe crackles 3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best indicator of successful procedure is: a) swelling decreases immediately b) pulses return c) the child quickly begins using arm to pick up toy d) a click is felt while the child is attempting to pick up toy - CORRECT ANS c) The child quickly begins using arm to pick up toy a 11mo old presents with a rash, runny clear nose, and cough. During assessment you note tiny white papules with erythema on the buccal mucousa. What is this suggestive of? a)Scarletina b)Rubella c)hand, foot, mouth d) Measles - CORRECT ANS D)Measles A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal drainage. what is an appropriate initial pharmacological intervention? a)Augmentin b)Ceftriaxone(rocephin) c)Levaquin d)Erythromycin - CORRECT ANS A)Augmentin Leading cause of cancer-related death in women? a)cervical b)ovarian c)breast d)lung - CORRECT ANS d)Lung a 27yo male uncomplicated chlamydia infection may exhibit: a)urticaria b)no obvious signs or symptoms c) green mucoid penile drainage d)penile shaft ulcer - CORRECT ANS b) No obvious signs/symptoms common practice rule to follow with initiating medications in the elderly is: a)prescribe meds to take in am b)start lower dose then taper up c)obtain creatinine clearance for baseline data for those over 70 d)give meds with a full glass of water - CORRECT ANS b)start lower dose then taper up 12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies fever. The NP should advise that a fever may: a)make seizure medication less effective b)lower the seizure threshold c)increase the seizure threshold d) have no effect on the seizure threshold - CORRECT ANS b) lower the seizure threshold According to the American Thoracic Society/Infectious Disease Society of American (ATS/IDSA) Consensus guidelines on the Management of Community-Acquired Pneumonia in Adults, which of the following is the most appropriate antimicrobial for tx of CAP in a: 46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant? a. clarithromycin b. amoxicillin c. doxycyline d. fosfomycin - CORRECT ANS c. doxycyline after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on the inner left thigh. Chief complaints of headache, fatigue,and generalized muscle pain for several days. What should NP prescribe? a)bactrim b)azithromycin c) doxycycline d) metronidazole - CORRECT ANS c) Doxycycline During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP needs to be concerned with? a)renal insufficiency b)osteoporosis c)dementia d)anemia - CORRECT ANS b. osteoporosis 16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting. Denies missing doses and is currently not on any other medications. Which is appropriate? a)modify usage b)double her dose x 2 days c) change to a different medication d) provide reassurance - CORRECT ANS d)provide reassurance Polymyalgia Rheumatica (PMR) should be managed by: a)whirlpool tub b)celebrex c) analgesic