AANP AGPCNP PSI TEST 1 & 2 FINAL EXAM
QUESTIONS WITH CORRECT ANSWERS
AnA88-year-oldApresentsAwithAright-
sideAweaknessAafterAbeingAunableAtoAriseAunassistedAfollowingAaAfallAtoAtheAbathroomAfloor.AHistoryAinclu
desAaphasiaAandAnoncomplianceAwithAhypertensionAmedicationAregimen.AWhatAisAtheAmostAlikelyAdiagnos
is?
Left-sidedAorAright-sidedACVA?A-AcorrectAanswer-LEFT-SIDEDACVA
WhichAofAtheAfollowingAsigns/symtpomsAareAoftenAassociatedAwithAheadahcesAdueAtoAintracranialAtumor?
1)ApainAworseAlayingAdown,AfocalAneurologicalAsigns
2)AHyperflexia,ApersonalityAchange
3)AacuteAonset:AhoursAtoAdays
4)ApupillaryAconstriction;AstuporA-AcorrectAanswer-1)ApainAworseAlayingAdown,AfocalAneurologicalAsigns
WhichAofAtheAfollowingApharmacotherapeuticsAwouldAbeAmostAimportantAtoAadministerAtoAaApatientAwhoA
hasAaAcornealAabrasion?A
1)ATimolol
2)AGentamicinAophthalmic
3)ACromolynAoptha
4)AOlopatadineA-AcorrectAanswer-2)AGentamicinAophthalmicA(Genoptic)
AA25-year-
oldApresentsAwithAtheAchiefAcomplaintAofAdecreasedAmobilityAandApainAofAtheArightAshoulderAexacerbatedA
byAmovement.ATheApatientAreportsAthatAheAparticipatedAinAextensiveAhouseApaintingA24AhoursApriorAtoAthe
AonsetAofApain.AHeAdeniesAanyAtrauma.APassiveAROMAisAintact.ANoArednessAorAecchymosisAisApresent.AWh
atAisAtheAnextAstepAtoAbeAtakenAinAorderAtoAmakeAaAdiagnosis?A
1)AXrayAofAshoulder
,2)APalpateAstructuresAaroundAtheAshoulder.A
3)AMRIAofAshoulder
4)AEMGA-AcorrectAanswer-2)ApalpateAstructures
AA16-year-oldAfemaleAinAtheAfirstAmonthAofAtakingAOrtho-
NovumA7/7/7AcomplainsAofAmidcycleAspotting.ASheAhasAnotAmissedAanyAdosesAandAusesAnoAotherAmedicat
ion.AWhichAofAtheAfollowingAisAappropriate?A
1)AChangingAtoAOrtho-NovumA1/35A
2)ADiscontinueAuse
3)AProvidingAreassuranceA
4)ADoubleAdose-forAtwoAdaysA-AcorrectAanswer-3)AprovideAreassurance
AccordingAtoAtheAReportAofAtheAU.S.APreventiveAServicesATaskAForce,AwhichAofAtheAfollowingAisANOTAaA
currentArecommendationAguidelineAforApreventiveAcareAinAelderlyAfemaleApatients?A
1)AMammogramAandAclinicalAbreastAexams
2)AFecalAOccultAbloodAtestAand/orAsig
3)ARubellaAserologyAorAvaccinationAhistory
4)APnuemoAandAinfluenzaAvaccinesA-AcorrectAanswer-3)ARubellaAserologyAorAvaccinationAhistory
87Ay/oANHApatientAisAdrowsyAandAbarelyAresponsive.ATempA95,ABP:A110/70,APulseA60,ARA10.ATheAbestAact
ionAisAto:
1)AinitiateApassiveAwarming
2)AapplyAaArebreather
3)APerformAfluidAreplacement
4)AinitiateAactiveAwarmingA-AcorrectAanswer-1)AinitiateApassiveArewarming
AApatientAisAreferredAwithADM,AHTNAandACAD.AHeAisAonAinsulinAandAaAbetaAblocker.AHowAwouldAyouAed
ucateAthisApatientAonArecognizingAtheAsignsAandAsymptomsAofAhypoglycemia?
,1)AEdema
2)ATachycardia
3)Apalpitations
4)AsweatingA-AcorrectAanswer-4)Asweating
AA65-year-
oldAoverweightApatientAisAdiagnosedAwithAplantarAfasciitis.AInitialAtherapyAofANSAIDs,Astretching,Aice,Aan
dArestAhasAprovenAineffectiveAafterA3Aweeks.ATheAbestAfollow-upAplanAofAcareAwouldAbeAto:
1)AstopANSAID,AapplyAaAheelAcupAandAencourageAexerciseAandAwtAloss.
2)AcontinueANSAID,AapplyAanAarchAsupportAandAencourageAwtAlossAandAexercise
3)AcontinueANSAID,AxrayAandAaddAaAshort-legAnightAsplint
4)ACOntinueANSAID,AxrayAandAaddAaAmetatarsalAbarA-AcorrectAanswer-
2)AcontinueANSAID,AapplyAanAarchAsupportAandAencourageAwtAlossAandAexercise
FundoscopicAexamAofAHypertensiveApatient.
1)AnickingAofAarteriolsAandAviens,AandAsmallAretinolAhemorrages
2)AdrusenAbodiesAandApaleAretina
3)ApaleAmaculaAandAswollenAdiskAmargins
4)AmicroaneurysmsAandAopticAdiscAcuppingA-AcorrectAanswer-
1)AnickingAofAarteriolsAandAviens,AandAsmallAretinolAhemorrages
WhichAofAtheAfollowingAisAaAcommonApresentingAfeatureAofAhyperthyroidismAinAtheAelderly?
1)AelevatedATSH
2)AThyroidAenlargement
3)AatrialAfibrillation
4)AabnormalAT3AsuppressionA-AcorrectAanswer-3)AatrialAfibrillation
AA35-year-
oldAlawnAmaintenanceAworkerApresentsAreportingA"somethingAinAmyAeye"AsinceAtheApreviousAday.ATheAey
, eAwasArinsedAwithAover-the-
counterAeyewash,AwithoutArelief.ATheApatientAdeniesAvisualAdisturbancesAorAdrainage.AInAformulatingAaApl
anAofAcare,AtheAnurseApractitionerAwouldAFIRST:
1)AsendAtoAophthalmologists
2)AflorescreenAstaining
3)AtestAvisualAfield
4)AprescribeAeyedropsA-AcorrectAanswer-3)AtestAvisualAfield
AA72-year-
oldApatientApresentsAwithAdry,AitchyAeyes.ADuringAtheAcourseAofAtheAphysicalAexamination,AtheAnurseApract
itionerAnotesAtheApresenceAofAaAgrayAbandAofAopacityAinAtheAcorneaAthatAencirclesAtheAiris.ATheAbandAisA1.
0-1.5AmmAwide.AThisAfindingAisAmostAconsistentAwithAaAdiagnosisAofAa/an:
1.AcornealAabrasion
2.AarcusAsenilis
3.AcornealAulcer
4.AherpeticAinfectionAofAtheAeyeA-AcorrectAanswer-2)AarcusAsenilis
AA26-year-
oldApresentsAwithAreportsAofAanorexia,Afatigue,AweightAloss,Amalaise,Afever,AnightAsweats,AandAaAcoughAtha
tAhasAbeenApresentAforA4Aweeks.ATheAdiagnosticAstudyAtoAperformAfirstAwouldAbe:
1)Axray
2)ApulmonaryAfunctionAtest
3)Abronchoscopy
4)AHA&AHA-AcorrectAanswer-1)AxrayA(tb-nightAsweats)
AA44-year-
oldAfemaleAisAcomplainingAofAfrequentAanxietyAattacksAwithAchestAdiscomfortAandAfatigue.AOnAphysicalAe
xamination,AherAlungsAareAclearAbilaterally.AThereAareAaAmidsystolicAclickAandAaAgradeAII/VIAsystolicAmur
murAatAtheAapex.AFurtherAevaluationAwouldAincludeAwhichAofAtheAfollowing?A
QUESTIONS WITH CORRECT ANSWERS
AnA88-year-oldApresentsAwithAright-
sideAweaknessAafterAbeingAunableAtoAriseAunassistedAfollowingAaAfallAtoAtheAbathroomAfloor.AHistoryAinclu
desAaphasiaAandAnoncomplianceAwithAhypertensionAmedicationAregimen.AWhatAisAtheAmostAlikelyAdiagnos
is?
Left-sidedAorAright-sidedACVA?A-AcorrectAanswer-LEFT-SIDEDACVA
WhichAofAtheAfollowingAsigns/symtpomsAareAoftenAassociatedAwithAheadahcesAdueAtoAintracranialAtumor?
1)ApainAworseAlayingAdown,AfocalAneurologicalAsigns
2)AHyperflexia,ApersonalityAchange
3)AacuteAonset:AhoursAtoAdays
4)ApupillaryAconstriction;AstuporA-AcorrectAanswer-1)ApainAworseAlayingAdown,AfocalAneurologicalAsigns
WhichAofAtheAfollowingApharmacotherapeuticsAwouldAbeAmostAimportantAtoAadministerAtoAaApatientAwhoA
hasAaAcornealAabrasion?A
1)ATimolol
2)AGentamicinAophthalmic
3)ACromolynAoptha
4)AOlopatadineA-AcorrectAanswer-2)AGentamicinAophthalmicA(Genoptic)
AA25-year-
oldApresentsAwithAtheAchiefAcomplaintAofAdecreasedAmobilityAandApainAofAtheArightAshoulderAexacerbatedA
byAmovement.ATheApatientAreportsAthatAheAparticipatedAinAextensiveAhouseApaintingA24AhoursApriorAtoAthe
AonsetAofApain.AHeAdeniesAanyAtrauma.APassiveAROMAisAintact.ANoArednessAorAecchymosisAisApresent.AWh
atAisAtheAnextAstepAtoAbeAtakenAinAorderAtoAmakeAaAdiagnosis?A
1)AXrayAofAshoulder
,2)APalpateAstructuresAaroundAtheAshoulder.A
3)AMRIAofAshoulder
4)AEMGA-AcorrectAanswer-2)ApalpateAstructures
AA16-year-oldAfemaleAinAtheAfirstAmonthAofAtakingAOrtho-
NovumA7/7/7AcomplainsAofAmidcycleAspotting.ASheAhasAnotAmissedAanyAdosesAandAusesAnoAotherAmedicat
ion.AWhichAofAtheAfollowingAisAappropriate?A
1)AChangingAtoAOrtho-NovumA1/35A
2)ADiscontinueAuse
3)AProvidingAreassuranceA
4)ADoubleAdose-forAtwoAdaysA-AcorrectAanswer-3)AprovideAreassurance
AccordingAtoAtheAReportAofAtheAU.S.APreventiveAServicesATaskAForce,AwhichAofAtheAfollowingAisANOTAaA
currentArecommendationAguidelineAforApreventiveAcareAinAelderlyAfemaleApatients?A
1)AMammogramAandAclinicalAbreastAexams
2)AFecalAOccultAbloodAtestAand/orAsig
3)ARubellaAserologyAorAvaccinationAhistory
4)APnuemoAandAinfluenzaAvaccinesA-AcorrectAanswer-3)ARubellaAserologyAorAvaccinationAhistory
87Ay/oANHApatientAisAdrowsyAandAbarelyAresponsive.ATempA95,ABP:A110/70,APulseA60,ARA10.ATheAbestAact
ionAisAto:
1)AinitiateApassiveAwarming
2)AapplyAaArebreather
3)APerformAfluidAreplacement
4)AinitiateAactiveAwarmingA-AcorrectAanswer-1)AinitiateApassiveArewarming
AApatientAisAreferredAwithADM,AHTNAandACAD.AHeAisAonAinsulinAandAaAbetaAblocker.AHowAwouldAyouAed
ucateAthisApatientAonArecognizingAtheAsignsAandAsymptomsAofAhypoglycemia?
,1)AEdema
2)ATachycardia
3)Apalpitations
4)AsweatingA-AcorrectAanswer-4)Asweating
AA65-year-
oldAoverweightApatientAisAdiagnosedAwithAplantarAfasciitis.AInitialAtherapyAofANSAIDs,Astretching,Aice,Aan
dArestAhasAprovenAineffectiveAafterA3Aweeks.ATheAbestAfollow-upAplanAofAcareAwouldAbeAto:
1)AstopANSAID,AapplyAaAheelAcupAandAencourageAexerciseAandAwtAloss.
2)AcontinueANSAID,AapplyAanAarchAsupportAandAencourageAwtAlossAandAexercise
3)AcontinueANSAID,AxrayAandAaddAaAshort-legAnightAsplint
4)ACOntinueANSAID,AxrayAandAaddAaAmetatarsalAbarA-AcorrectAanswer-
2)AcontinueANSAID,AapplyAanAarchAsupportAandAencourageAwtAlossAandAexercise
FundoscopicAexamAofAHypertensiveApatient.
1)AnickingAofAarteriolsAandAviens,AandAsmallAretinolAhemorrages
2)AdrusenAbodiesAandApaleAretina
3)ApaleAmaculaAandAswollenAdiskAmargins
4)AmicroaneurysmsAandAopticAdiscAcuppingA-AcorrectAanswer-
1)AnickingAofAarteriolsAandAviens,AandAsmallAretinolAhemorrages
WhichAofAtheAfollowingAisAaAcommonApresentingAfeatureAofAhyperthyroidismAinAtheAelderly?
1)AelevatedATSH
2)AThyroidAenlargement
3)AatrialAfibrillation
4)AabnormalAT3AsuppressionA-AcorrectAanswer-3)AatrialAfibrillation
AA35-year-
oldAlawnAmaintenanceAworkerApresentsAreportingA"somethingAinAmyAeye"AsinceAtheApreviousAday.ATheAey
, eAwasArinsedAwithAover-the-
counterAeyewash,AwithoutArelief.ATheApatientAdeniesAvisualAdisturbancesAorAdrainage.AInAformulatingAaApl
anAofAcare,AtheAnurseApractitionerAwouldAFIRST:
1)AsendAtoAophthalmologists
2)AflorescreenAstaining
3)AtestAvisualAfield
4)AprescribeAeyedropsA-AcorrectAanswer-3)AtestAvisualAfield
AA72-year-
oldApatientApresentsAwithAdry,AitchyAeyes.ADuringAtheAcourseAofAtheAphysicalAexamination,AtheAnurseApract
itionerAnotesAtheApresenceAofAaAgrayAbandAofAopacityAinAtheAcorneaAthatAencirclesAtheAiris.ATheAbandAisA1.
0-1.5AmmAwide.AThisAfindingAisAmostAconsistentAwithAaAdiagnosisAofAa/an:
1.AcornealAabrasion
2.AarcusAsenilis
3.AcornealAulcer
4.AherpeticAinfectionAofAtheAeyeA-AcorrectAanswer-2)AarcusAsenilis
AA26-year-
oldApresentsAwithAreportsAofAanorexia,Afatigue,AweightAloss,Amalaise,Afever,AnightAsweats,AandAaAcoughAtha
tAhasAbeenApresentAforA4Aweeks.ATheAdiagnosticAstudyAtoAperformAfirstAwouldAbe:
1)Axray
2)ApulmonaryAfunctionAtest
3)Abronchoscopy
4)AHA&AHA-AcorrectAanswer-1)AxrayA(tb-nightAsweats)
AA44-year-
oldAfemaleAisAcomplainingAofAfrequentAanxietyAattacksAwithAchestAdiscomfortAandAfatigue.AOnAphysicalAe
xamination,AherAlungsAareAclearAbilaterally.AThereAareAaAmidsystolicAclickAandAaAgradeAII/VIAsystolicAmur
murAatAtheAapex.AFurtherAevaluationAwouldAincludeAwhichAofAtheAfollowing?A