FNP AANP EXAM | ALL QUESTIONS
AND CORRECT ANSWERS |
ALREADY GRADED A+ | LATEST
VERSION | JUST RELEASED
The parent of a 13-year-old diagnosed with seizure disorder calls to report
that the child is exhibiting symptoms of a cold, but has no fever. The nurse
practitioner should advise the parent that the development of fever may: ----
-----CORRECT ANSWER-----------------lower the seizure threshold.
A common rule to follow when prescribing many medications for the elderly
is to: ---------CORRECT ANSWER-----------------start at a lower dose than
what is commonly prescribed for adults, and increase the dose slowly.
Which class of antihypertensive agents has been associated with acute
renal failure and is contraindicated in patients with bilateral renal artery
stenosis? ---------CORRECT ANSWER-----------------Angiotensin-converting
enzyme (ACE) inhibitors
After a 3-week camping trip, an 11-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: --------
-CORRECT ANSWER-----------------doxycycline (Doryx).
,An 18-month-old child presents with a bulging, immobile tympanic
membrane; T = 103°F (39.4°C). Assessment also reveals a grade II/VI
systolic murmur at the left sternal border. After initiation of treatment for
otitis media, the most appropriate intervention is to: ---------CORRECT
ANSWER-----------------reevaluate the patient in 10 days.
Research findings have shown that, in order to improve the longevity of a
patient who has COPD, the treatment of choice is: ---------CORRECT
ANSWER-----------------oxygen.
The management of choice for polymyalgia rheumatica includes: ---------
CORRECT ANSWER-----------------prednisone.
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 toilet paper several times a 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? ---------
CORRECT ANSWER-----------------Prescribe bulk-forming agents and
hydrocortisone suppositories.
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: ---------CORRECT ANSWER-----------------
scalp.
An 18-year-old patient presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial
pharmacologic intervention? ---------CORRECT ANSWER-----------------
Amoxicillin-Clavulanate (Augmentin)
,Which of the following would be an appropriate alternative to erythromycin
therapy in an 18-year-old patient with Mycoplasma pneumoniae infection? -
--------CORRECT ANSWER-----------------Azithromycin (Zithromax)
Initial therapy for a 3-week-old infant with uncomplicated symptoms of
gastroesophageal reflux disease includes which of the following positions
and change in diet? ---------CORRECT ANSWER-----------------Smaller,
more frequent feedings while holding infant
A routine laboratory assessment of a 12-year-old patient with a family
history of thalassemia and anemia reveals Tanner stage II presentation and
Hct = 35%. In addition to a complete blood count (CBC), the nurse
practitioner should order which of the following? ---------CORRECT
ANSWER-----------------Hemoglobin electrophoresis
A 67-year-old patient with type 2 diabetes mellitus, congestive heart failure
(CHF), and mild coronary artery disease is currently taking digoxin, 0.25
mg daily; hydrochlorothiazide, 25 mg daily; metformin, 500 mg daily;
glipizide, 10 mg daily; and atorvastatin (Lipitor), 20 mg h.s. Which of the
following is an accurate statement regarding this regimen? ---------
CORRECT ANSWER-----------------The hydrochlorothiazide will predispose
the patient to digoxin toxicity.
A 14-year-old male with bronchitis is being treated with fluids and
expectorants. He returns to the clinic with a fever of 103°F (39.4°C), right
pleuritic chest pain, and green sputum. Which of the following examination
results would be expected? ---------CORRECT ANSWER-----------------Right
lower lobe crackles
, A nurse practitioner orders pulmonary rehabilitation for a 75-year-old with
COPD. Expected outcomes of this program include all of the following
EXCEPT: ---------CORRECT ANSWER-----------------increased lung
capacity.
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: ---------CORRECT ANSWER----
-------------the Somogyi effect.
A 15-year-old patient returns for contraceptive services 2 weeks after a
diagnosis of trichomonas vaginitis and treatment with 2 g of metronidazole
(Flagyl). She reports that discharge and itching are gone, but she is
urinating frequently, accompanied with a lot of burning. The patient has not
resumed sexual activity and has menstruated since her last visit.
Examination reveals mild suprapubic tenderness, no leukorrhea, and a
normal wet mount. Gonococcal culture and chlamydia tests are negative.
Which diagnostic test should be performed immediately? ---------CORRECT
ANSWER-----------------Microscopic examination of urine
A 50-year-old male presents with a chief complaint of malaise. Further
questioning reveals that his primary concern is delayed ejaculation. He is
currently taking the following medications: atenolol (Tenormin), 50 mg daily;
paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and
hydrochlorothiazide (HCTZ), 25 mg daily. The most likely cause of the
patient's concern would be: ---------CORRECT ANSWER-----------------
paroxetine (Paxil).
AND CORRECT ANSWERS |
ALREADY GRADED A+ | LATEST
VERSION | JUST RELEASED
The parent of a 13-year-old diagnosed with seizure disorder calls to report
that the child is exhibiting symptoms of a cold, but has no fever. The nurse
practitioner should advise the parent that the development of fever may: ----
-----CORRECT ANSWER-----------------lower the seizure threshold.
A common rule to follow when prescribing many medications for the elderly
is to: ---------CORRECT ANSWER-----------------start at a lower dose than
what is commonly prescribed for adults, and increase the dose slowly.
Which class of antihypertensive agents has been associated with acute
renal failure and is contraindicated in patients with bilateral renal artery
stenosis? ---------CORRECT ANSWER-----------------Angiotensin-converting
enzyme (ACE) inhibitors
After a 3-week camping trip, an 11-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: --------
-CORRECT ANSWER-----------------doxycycline (Doryx).
,An 18-month-old child presents with a bulging, immobile tympanic
membrane; T = 103°F (39.4°C). Assessment also reveals a grade II/VI
systolic murmur at the left sternal border. After initiation of treatment for
otitis media, the most appropriate intervention is to: ---------CORRECT
ANSWER-----------------reevaluate the patient in 10 days.
Research findings have shown that, in order to improve the longevity of a
patient who has COPD, the treatment of choice is: ---------CORRECT
ANSWER-----------------oxygen.
The management of choice for polymyalgia rheumatica includes: ---------
CORRECT ANSWER-----------------prednisone.
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 toilet paper several times a 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? ---------
CORRECT ANSWER-----------------Prescribe bulk-forming agents and
hydrocortisone suppositories.
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: ---------CORRECT ANSWER-----------------
scalp.
An 18-year-old patient presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial
pharmacologic intervention? ---------CORRECT ANSWER-----------------
Amoxicillin-Clavulanate (Augmentin)
,Which of the following would be an appropriate alternative to erythromycin
therapy in an 18-year-old patient with Mycoplasma pneumoniae infection? -
--------CORRECT ANSWER-----------------Azithromycin (Zithromax)
Initial therapy for a 3-week-old infant with uncomplicated symptoms of
gastroesophageal reflux disease includes which of the following positions
and change in diet? ---------CORRECT ANSWER-----------------Smaller,
more frequent feedings while holding infant
A routine laboratory assessment of a 12-year-old patient with a family
history of thalassemia and anemia reveals Tanner stage II presentation and
Hct = 35%. In addition to a complete blood count (CBC), the nurse
practitioner should order which of the following? ---------CORRECT
ANSWER-----------------Hemoglobin electrophoresis
A 67-year-old patient with type 2 diabetes mellitus, congestive heart failure
(CHF), and mild coronary artery disease is currently taking digoxin, 0.25
mg daily; hydrochlorothiazide, 25 mg daily; metformin, 500 mg daily;
glipizide, 10 mg daily; and atorvastatin (Lipitor), 20 mg h.s. Which of the
following is an accurate statement regarding this regimen? ---------
CORRECT ANSWER-----------------The hydrochlorothiazide will predispose
the patient to digoxin toxicity.
A 14-year-old male with bronchitis is being treated with fluids and
expectorants. He returns to the clinic with a fever of 103°F (39.4°C), right
pleuritic chest pain, and green sputum. Which of the following examination
results would be expected? ---------CORRECT ANSWER-----------------Right
lower lobe crackles
, A nurse practitioner orders pulmonary rehabilitation for a 75-year-old with
COPD. Expected outcomes of this program include all of the following
EXCEPT: ---------CORRECT ANSWER-----------------increased lung
capacity.
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: ---------CORRECT ANSWER----
-------------the Somogyi effect.
A 15-year-old patient returns for contraceptive services 2 weeks after a
diagnosis of trichomonas vaginitis and treatment with 2 g of metronidazole
(Flagyl). She reports that discharge and itching are gone, but she is
urinating frequently, accompanied with a lot of burning. The patient has not
resumed sexual activity and has menstruated since her last visit.
Examination reveals mild suprapubic tenderness, no leukorrhea, and a
normal wet mount. Gonococcal culture and chlamydia tests are negative.
Which diagnostic test should be performed immediately? ---------CORRECT
ANSWER-----------------Microscopic examination of urine
A 50-year-old male presents with a chief complaint of malaise. Further
questioning reveals that his primary concern is delayed ejaculation. He is
currently taking the following medications: atenolol (Tenormin), 50 mg daily;
paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and
hydrochlorothiazide (HCTZ), 25 mg daily. The most likely cause of the
patient's concern would be: ---------CORRECT ANSWER-----------------
paroxetine (Paxil).
