AANP AGPCNP PSI Test 1 & 2
1. LEFT-SIDED CVA: An 88-year-old presents with right-side weakness after being
unable to rise unassisted following a fall to the bathroom floor. History includes aphasia
and noncompliance with hypertension medication regimen. What is the most likely
diagnosis?
Left-sided or right-sided CVA?
2. 1) pain worse laying down, focal neurological signs: Which of the following
signs/symtpoms are often associated with headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor
3. 2) Gentamicin ophthalmic (Genoptic): Which of the following pharmacother-
apeutics would be most important to administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine
4. 2) palpate structures: A 25-year-old presents with the chief complaint of de-
creased mobility and pain of the right shoulder exacerbated by movement. The patient
reports that he participated in extensive house painting 24 hours prior to the onset of
pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is
present. What is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG
5. 3) provide reassurance: A 16-year-old female in the first month of taking Or- tho-
Novum 7/7/7 complains of midcycle spotting. She has not missed any doses and uses no
other medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
, AANP AGPCNP PSI Test 1 & 2
3) Providing reassurance
4) Double dose-for two days
6. 3) Rubella serology or vaccination history: According to the Report of the
U.S. Preventive Services Task Force, which of the following is NOT a current
recommendation guideline for preventive care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines
7. 1) initiate passive rewarming: 87 y/o NH patient is drowsy and barely respon- sive.
Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming
8. 4) sweating: A patient is referred with DM, HTN and CAD. He is on insulin and a beta
blocker. How would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating
9. 2) continue NSAID, apply an arch support and encourage wt loss and exercise: A
65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-up
plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
10. 1) nicking of arteriols and viens, and small retinol hemorrages: Fundoscop- ic exam
of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
, AANP AGPCNP PSI Test 1 & 2
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping
11. 3) atrial fibrillation: Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression
12. 3) test visual field: A 35-year-old lawn maintenance worker presents report- ing
"something in my eye" since the previous day. The eye was rinsed with
over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage
In formulating a plan of care, the nurse practitioner would FIRST:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops
13. 2) arcus senilis: A 72-year-old patient presents with dry, itchy eyes. During the course
of the physical examination, the nurse practitioner notes the presence of a gray band of
opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is
most consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye
14. 1) xray (tb-night sweats): A 26-year-old presents with reports of anorexia, fatigue,
weight loss, malaise, fever, night sweats, and a cough that has been present for 4 weeks. The
diagnostic study to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
4) H & H
15. 2) Echocardiogram, Doppler, EKG: A 44-year-old female is complaining of
frequent anxiety attacks with chest discomfort and fatigue. On physical examination, her
lungs are clear bilaterally. There are a midsystolic click and a grade II/VI systolic murmur at
the apex. Further evaluation would include which of the following?
, AANP AGPCNP PSI Test 1 & 2
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes
16. 1) Physical Exam: A healthy 84 y/o would like to start an exercise program, what would
you do before this takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test
17. 3) unremarkable symptoms: 29 y/o has uncomplicated Chlamydia infection will
exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer
18. 4) helical CT pulmonary angiography.: 37 has suspected PE. c/o anxiety and cough,
CXR normal, the next test should be:
1) spirometry
2) MRI
3) COntract venogra[hy
4) helical CT pulmonary angiograph
19. 2) atrial fibrillation: A 12-lead EKG shows an undulating baseline with no visible P
waves and an irregularly irregular R-R interval. This arrhythmia is:
1) atrial flutter
2) atrial fibrillation
3) second degree heart block
4) Wolff-White Syndrome
20. 3) doxycycline (Doryx). Rocky Mountain spotted fever (Lyme disease-test with
WEstern Blot): After a 3-week camping trip, a 17-year-old is seen for a target lesion with
central clearing, located in the inguinal area. The patient has had a severe headache, malaise
fatigue, and generalized musculoskeletal pain for several days. Pharmacologic management
of this condition includes:
1. LEFT-SIDED CVA: An 88-year-old presents with right-side weakness after being
unable to rise unassisted following a fall to the bathroom floor. History includes aphasia
and noncompliance with hypertension medication regimen. What is the most likely
diagnosis?
Left-sided or right-sided CVA?
2. 1) pain worse laying down, focal neurological signs: Which of the following
signs/symtpoms are often associated with headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor
3. 2) Gentamicin ophthalmic (Genoptic): Which of the following pharmacother-
apeutics would be most important to administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine
4. 2) palpate structures: A 25-year-old presents with the chief complaint of de-
creased mobility and pain of the right shoulder exacerbated by movement. The patient
reports that he participated in extensive house painting 24 hours prior to the onset of
pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is
present. What is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG
5. 3) provide reassurance: A 16-year-old female in the first month of taking Or- tho-
Novum 7/7/7 complains of midcycle spotting. She has not missed any doses and uses no
other medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
, AANP AGPCNP PSI Test 1 & 2
3) Providing reassurance
4) Double dose-for two days
6. 3) Rubella serology or vaccination history: According to the Report of the
U.S. Preventive Services Task Force, which of the following is NOT a current
recommendation guideline for preventive care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines
7. 1) initiate passive rewarming: 87 y/o NH patient is drowsy and barely respon- sive.
Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming
8. 4) sweating: A patient is referred with DM, HTN and CAD. He is on insulin and a beta
blocker. How would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating
9. 2) continue NSAID, apply an arch support and encourage wt loss and exercise: A
65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-up
plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
10. 1) nicking of arteriols and viens, and small retinol hemorrages: Fundoscop- ic exam
of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
, AANP AGPCNP PSI Test 1 & 2
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping
11. 3) atrial fibrillation: Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression
12. 3) test visual field: A 35-year-old lawn maintenance worker presents report- ing
"something in my eye" since the previous day. The eye was rinsed with
over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage
In formulating a plan of care, the nurse practitioner would FIRST:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops
13. 2) arcus senilis: A 72-year-old patient presents with dry, itchy eyes. During the course
of the physical examination, the nurse practitioner notes the presence of a gray band of
opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is
most consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye
14. 1) xray (tb-night sweats): A 26-year-old presents with reports of anorexia, fatigue,
weight loss, malaise, fever, night sweats, and a cough that has been present for 4 weeks. The
diagnostic study to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
4) H & H
15. 2) Echocardiogram, Doppler, EKG: A 44-year-old female is complaining of
frequent anxiety attacks with chest discomfort and fatigue. On physical examination, her
lungs are clear bilaterally. There are a midsystolic click and a grade II/VI systolic murmur at
the apex. Further evaluation would include which of the following?
, AANP AGPCNP PSI Test 1 & 2
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes
16. 1) Physical Exam: A healthy 84 y/o would like to start an exercise program, what would
you do before this takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test
17. 3) unremarkable symptoms: 29 y/o has uncomplicated Chlamydia infection will
exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer
18. 4) helical CT pulmonary angiography.: 37 has suspected PE. c/o anxiety and cough,
CXR normal, the next test should be:
1) spirometry
2) MRI
3) COntract venogra[hy
4) helical CT pulmonary angiograph
19. 2) atrial fibrillation: A 12-lead EKG shows an undulating baseline with no visible P
waves and an irregularly irregular R-R interval. This arrhythmia is:
1) atrial flutter
2) atrial fibrillation
3) second degree heart block
4) Wolff-White Syndrome
20. 3) doxycycline (Doryx). Rocky Mountain spotted fever (Lyme disease-test with
WEstern Blot): After a 3-week camping trip, a 17-year-old is seen for a target lesion with
central clearing, located in the inguinal area. The patient has had a severe headache, malaise
fatigue, and generalized musculoskeletal pain for several days. Pharmacologic management
of this condition includes:
