AANP FNP CERTIFICATION 2024 LATEST EXAM WITH 500 QUESTIONS AND CORRECT ANSWERS (100% VERIFIED ANSWERS)/ AANP FNP CERTIFICATION REAL EXAM QUESTIONS AND ANSWERS (BRAND NEW!!) A 70 -year-old patient presents to the clinic complaining of dyspnea, palpitations, and fatigue. The patient reports a 2 -week history of blackened stools, which the patient attributes to d rinking berry juice. Assessment reveals vital signs of BP = 110/60, P = 100, R = 24; Hgb = 4.5 g/dL; Hct = 16%. What is the most appropriate immediate intervention? 1. Order serum iron, total iron -binding capacity (TIBC), and ferritin. 2. Refer to a gastr oenterologist. 3. Send to the emergency room. 4. Order a complete blood count (CBC) with differential. - ANSWER -Send to emergency room A 28 -year-old patient presents with profuse yellow vaginal discharge, odor, and local irritation. She reports completing a 7 -day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks ago. She has had multiple recurrences over the last 18 months. Microscopic examination reveals presence of clue cells . What is the most appropriate treatment intervention? 1. Oral metronidazole (Flagyl), 500 mg b.i.d., plus metronidazole vaginal gel (MetroGel), for 5 days 2. Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days 3. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6 months 4. Treat patient with metronidazole vaginal gel (MetroGel) b.i.d. and partner(s) with tetracycline, 250 mg q.i.d., for 7 days - ANSWER -Treat both patient and partner(s) with oral metronid azole (Flagyl), 500 mg b.i.d., for 7 days A pregnant woman with known HIV infection can reduce the risk of perinatal transmission through zidovudine (Retrovir) therapy. Based o n current research, optimal therapy is to start daily dosing: 1. post amniocentesis. 2. after 14 weeks of gestation. 3. if premature rupture of membranes occurs. 4. if maternal viral loads are greater than 10,000. - ANSWER -after 14 weeks gestation An adult female who recently returned from a business trip to Japan presents for a recheck appointment. The only remarkable laboratory result is for thyroid -
stimulating hormone (TSH), at 0.3 microunits/mL (normal = 0.4 -6 microunits/mL). The patient reports that her neck hurts; examination reveals thyroid tenderness. Which of the following laboratory tests should the nurse practitioner order now? 1. Triiodothyronine (T3) and free thyroxine (FT4) 2. Triiodothyronine (T3) only 3. Triiodothyronine (T3) resin uptake assay 4. Triiodothyronine (T3) and free triiodothyronine (FT3) - ANSWER -
Triiodothyronine (T3) and free thyroxine (FT4) In treating a pregnant female with migraine headaches, which of the following drugs is in Category X? 1. Ergotamine tartrate (Ergomar) 2. Sumitriptan succinate (Imitrex) 3. Frovatriptan (Frova) 4. Amitriptyline (Elavil) - ANSWER -ergotamine tartate (ergomar) 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. - ANSWER -A stati n drug The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is: 1. azathioprine (AZA). 2. belimumab (Benlysta). 3. ibuprofen (Advil). 4. cyclophosphamide (Cytoxan). - ANSWER -ibuprofen (advil) The most common sign of cervic al cancer is: 1. postcoital bleeding. 2. strong odor from vaginal discharge. 3. itching in the vaginal area. 4. molluscum contagiosum. - ANSWER -postcoital bleeding The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pa in secondary to diabetes mellitus. On follow -up, the patient complains of urine retention and dry mouth. The practitioner would: 1. discontinue amitriptyline and begin ibuprofen (Motrin). 2. refer to physical therapy. 3. start methocarbamol (Robaxin). 4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANSWER -
discontinue amitriptyline and begin gabapentin (neurontin) A 17 -year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are most likely: 1. associated with the omeprazole. 2. related to the underlying condition. 3. the result of the NSAID. 4. caused by viral gastroenteritis. - ANSWER -associated with the omepraz ole The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
stimulating hormone (TSH), at 0.3 microunits/mL (normal = 0.4 -6 microunits/mL). The patient reports that her neck hurts; examination reveals thyroid tenderness. Which of the following laboratory tests should the nurse practitioner order now? 1. Triiodothyronine (T3) and free thyroxine (FT4) 2. Triiodothyronine (T3) only 3. Triiodothyronine (T3) resin uptake assay 4. Triiodothyronine (T3) and free triiodothyronine (FT3) - ANSWER -
Triiodothyronine (T3) and free thyroxine (FT4) In treating a pregnant female with migraine headaches, which of the following drugs is in Category X? 1. Ergotamine tartrate (Ergomar) 2. Sumitriptan succinate (Imitrex) 3. Frovatriptan (Frova) 4. Amitriptyline (Elavil) - ANSWER -ergotamine tartate (ergomar) 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. - ANSWER -A stati n drug The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is: 1. azathioprine (AZA). 2. belimumab (Benlysta). 3. ibuprofen (Advil). 4. cyclophosphamide (Cytoxan). - ANSWER -ibuprofen (advil) The most common sign of cervic al cancer is: 1. postcoital bleeding. 2. strong odor from vaginal discharge. 3. itching in the vaginal area. 4. molluscum contagiosum. - ANSWER -postcoital bleeding The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pa in secondary to diabetes mellitus. On follow -up, the patient complains of urine retention and dry mouth. The practitioner would: 1. discontinue amitriptyline and begin ibuprofen (Motrin). 2. refer to physical therapy. 3. start methocarbamol (Robaxin). 4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANSWER -
discontinue amitriptyline and begin gabapentin (neurontin) A 17 -year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are most likely: 1. associated with the omeprazole. 2. related to the underlying condition. 3. the result of the NSAID. 4. caused by viral gastroenteritis. - ANSWER -associated with the omepraz ole The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
