AANP FNP FAMILY NURSE PRACTITIONER EXAM WITH 150
QESTIONS AND CORRECT VERIFIED ANSWERS 2024/2025, LATEST
GRADED A+
A child has just scalded her index finger with hot water at home. The mother calls the NP within 5
minutes of the injury. All of the following are appropiate instructions for the mother regarding the care of
the patient with a 2nd degree burn EXCEPT:
Applying butter, cooking oil, or lanolin for pain relief. Flushing first or second degree burn with cool
water is appropriate to prevent further thermal injury and to provide pain relief. Oil should NEVER be
applied to a burn injury. Consider consultation for burns in patients who are under 10 years of age and
over 50 years of age. Physician referral is recommended for all 3rd degree burns, for 2nd and 3rd
degree burns involving more than 10% of the body surface area, any deep thickness burns involving
more than 2% of the body surface area, and burns involving the face.
A patient with moderate persistent asthma will probably be most effectively managed with daily: inhaled
steroids and long acting bronchodilators. A patient with moderate persistent asthma has symptoms daily.
He is best managed with daily medications of inhaled corticosteroids and long acting bronchdilators.
Oral leukotriene blockers may be added to this regimen.
Considering mortality statistics for the adolescent age group. Education targeted toward this group should
first focus on:
Alcohol abuse. Alcohol is the most commonly used psychoactive substance in the United States today.
It has been used by about 90% of adolescents by 16 years of age. Motor vehicle accidents related to
driving under the influence of alcohol are the leading cause of death in the 15-24 year old age group.
A PPD is considered positive at 5 millimeters or more for which population?
Confirmed or suspected HIV infection, injecting drug users, close contacts of a TB case, persons with
a chest X-ray suggestive of TB A PPD greater than or equal to 10 mm is considered positive for
injecting drug users known to be HIV negative, occupants of long-term care facilities, age less than 4
years, groups with a high prevalance for TB, the medically underserved, and healthcare workers. A
PPD is considered positive at 15mm or more in those with no known risk factors.
Which of the following medication or medication class that does NOT have dizziness or vertigo as
potential adverse side effects?
Meclizine (Antivert) Dizziness is associated with asensation of body movement when there is no body
movement occurring. (The person is spinning and the room is not). Vertigo is the sensation that the
person is still and the room is spinning. There is no associated muscle weakeness or visual disturbance
with either of these conditions. The most common causes are related to drug ingestion, hypotension, inner
or middle ear pathology, and positional vertigo. Dizziness is an adverse reaction associated with certain
antibiotics (gentomycin and strptomycin) and high-dose salicylates. Vertigo is associated with certain
inner ear pathology such as labyrinthitis and Meniere's disease. Meclizine is a long-acting antihistamine
which is used to treat chronic vertigo.
,A male patient with chronic atrial fibrillation takes a generic brand of Coumadin (warfarin). He should
report all of these to his health care provider EXCEPT
One missed dose of warfarin. This patient takes warfarin for prevention of emboli secondary to chronic
atrial fibrillation. According to the NHLBI and ACCP, warfarin is the standard of care when
anticoagulation is required for this condition. Warfarin is a drug with a narrow therapeutic index. This
means that fluctuation in its level (increased or decreased) can potentiall cause big changes in its
therapeutic effect. Consequently, warfarin levels are checked frequently to maintain therapeutic levels. If
changes such as medication substitutions occur, warfarin levels should be checked in 3-7 days. Levels
should be checked minimally every 4-6 weeks once regulation has occurred. While it is important NOT to
omit doses of warfarin, this is the least important of all the choices because the effect of warfarin lasts
beyond 24 hours.
The nurs practitioner is caring for a 19 year old female college student with iron deficiency anemia
secondary to heavy menstrual bleeding. An appropriate INITIAL treatment for this patient is:
Oral ferrous sulfate. With iron deficiency anemia, iron stores of the bodymust be replenished as well as
the underlying cause corrected. A daily iron supplement is used initially. The most common form is
ferrous sulfate. Intramuscular iron dextran is usually not needed, but may be required in the presence of
a malabsorption disorder, inflammatory bowel disease, intolerance to oral iron, or blood loss too great to
be compensated by oral iron.
An adult female patient is seeking information about her ideal weight. She is 5 feet 7 inches tall. Using
the "height-weight formula" what is her ideal body weight?
135 lbs The height-weight formula is a quick method of determining ideal weight. Females allow 100 lbs
for the first 5 feet of height plus 5 lbs for each additional inch. Males allow 106 lbs for the first 5 feet plus
6 lbs for each additional inch. This method can only be used as an estimate because it does not account
for body composition or age.
The reason beta-adrenergic blockers should be avoided in patients with diabetes is because they may:
Mask symptoms of hypoglycemia. Beta blockers may mask the peripheral signs of hypoglycemia like
jitteriness and tachycardia. However, beta blockers will not mask diaphoresis. Therefore diabetics on
betablockers should be taught to look for this specific symptom as a possible indication of hypoglycemia.
The diagnosis of Meniere's disease is based on:
The exclusion of other pathologies. Most cases of Meniere's disease are idiopathic and the diagnosis is
based on the exclusion of other pathologies. Central vertigo is present with many vestibular problems.
Low frequency hearing loss is more commonly associated with Meniere's disease. MRI is helpful to rule
out acoustic neurome, but not to diagnose Meniere's disease.
, What prophylaxis medication is recommended for the patient under 35 years of age with a positive ppd?
Isoniazid (INH) The CDC recommends administration of isoniazid to persons under 35 years of age with
a positive PPD. The goal of this treatment is to prevent progression from latent infection to active
infection. The other medications are used to treat active TB, but not for prophylaxis.
The most accepted recommendation regarding skin cancer prevention is:
Avoidance of excessive sun exposure. Avoidance of excessive sun exposure is the most accepted
recommendation for prevention of skin cancer. All the other items are recommended by particular
groups, but are not as widely accepted. Clinicians should remain alert for suspicious lesions in fair-
skinned men and women >65 years, those with atypical moles, those with > 50 moles. These groups have
a substantially increased risk for melanoma.
Which laboratory test is useful in the diagnosis of spontaneous abortion?
Serial quantitative beta-huma chorionic gonadotropin levels. Serial quantitative beta-human chorionic
gonadotropin levels are the most useful for diagnosing spontaneous abortion. The levels progressively
decline.
Physical exam findings consistent with emphysema include all of the following EXCEPT:
Pallor and cyanosis of the mucosa and nailbeds. Pallor and cyanosis is typical of chronic bronchitis (type
B COPD, the "blue boater"_. Emphysema (Type ACOPD, the "pink puffer") is not associated with pallor
or cyanosis. Increased AP dianeter produces a "barrel chest". The normal chest is elliptical whereas the
barrel chest is round. The muscles of the thorax appear thin and wasted while the accessory muscles of
respiration are hypertrophied. Breath sounds are minished and cough is weak and ineffective.
Expected spriometry readings when the patient has chronic emphysema include:
Increased total lung capacity (TLC). Residual volume is increased, Volume Capacity is decreased, FEV-1
in decreased, and total lung capacity is increased with emphysema. RV, VC, and FEV-1 spirometry
readings are the same whether COPD is due to chronic emphysema or chronic bronchitis, however, TLC
is normal or only slightly increased with chronic bronchitis.
Which item is NOT implicated in erectile dysfunction (ED)?
Urinary tract infection (UTI) Many systemic disease like diabetes, hypo/hyperthyroidism, Cushing's
syndrome can result in ED> Many medications can cause ED, particularly the antihypertensives
(Vasotec) and the antidepressants (Paxil). Other activities like heavy smoking, drug abuse, and
alcoholism can also lead to ED.
QESTIONS AND CORRECT VERIFIED ANSWERS 2024/2025, LATEST
GRADED A+
A child has just scalded her index finger with hot water at home. The mother calls the NP within 5
minutes of the injury. All of the following are appropiate instructions for the mother regarding the care of
the patient with a 2nd degree burn EXCEPT:
Applying butter, cooking oil, or lanolin for pain relief. Flushing first or second degree burn with cool
water is appropriate to prevent further thermal injury and to provide pain relief. Oil should NEVER be
applied to a burn injury. Consider consultation for burns in patients who are under 10 years of age and
over 50 years of age. Physician referral is recommended for all 3rd degree burns, for 2nd and 3rd
degree burns involving more than 10% of the body surface area, any deep thickness burns involving
more than 2% of the body surface area, and burns involving the face.
A patient with moderate persistent asthma will probably be most effectively managed with daily: inhaled
steroids and long acting bronchodilators. A patient with moderate persistent asthma has symptoms daily.
He is best managed with daily medications of inhaled corticosteroids and long acting bronchdilators.
Oral leukotriene blockers may be added to this regimen.
Considering mortality statistics for the adolescent age group. Education targeted toward this group should
first focus on:
Alcohol abuse. Alcohol is the most commonly used psychoactive substance in the United States today.
It has been used by about 90% of adolescents by 16 years of age. Motor vehicle accidents related to
driving under the influence of alcohol are the leading cause of death in the 15-24 year old age group.
A PPD is considered positive at 5 millimeters or more for which population?
Confirmed or suspected HIV infection, injecting drug users, close contacts of a TB case, persons with
a chest X-ray suggestive of TB A PPD greater than or equal to 10 mm is considered positive for
injecting drug users known to be HIV negative, occupants of long-term care facilities, age less than 4
years, groups with a high prevalance for TB, the medically underserved, and healthcare workers. A
PPD is considered positive at 15mm or more in those with no known risk factors.
Which of the following medication or medication class that does NOT have dizziness or vertigo as
potential adverse side effects?
Meclizine (Antivert) Dizziness is associated with asensation of body movement when there is no body
movement occurring. (The person is spinning and the room is not). Vertigo is the sensation that the
person is still and the room is spinning. There is no associated muscle weakeness or visual disturbance
with either of these conditions. The most common causes are related to drug ingestion, hypotension, inner
or middle ear pathology, and positional vertigo. Dizziness is an adverse reaction associated with certain
antibiotics (gentomycin and strptomycin) and high-dose salicylates. Vertigo is associated with certain
inner ear pathology such as labyrinthitis and Meniere's disease. Meclizine is a long-acting antihistamine
which is used to treat chronic vertigo.
,A male patient with chronic atrial fibrillation takes a generic brand of Coumadin (warfarin). He should
report all of these to his health care provider EXCEPT
One missed dose of warfarin. This patient takes warfarin for prevention of emboli secondary to chronic
atrial fibrillation. According to the NHLBI and ACCP, warfarin is the standard of care when
anticoagulation is required for this condition. Warfarin is a drug with a narrow therapeutic index. This
means that fluctuation in its level (increased or decreased) can potentiall cause big changes in its
therapeutic effect. Consequently, warfarin levels are checked frequently to maintain therapeutic levels. If
changes such as medication substitutions occur, warfarin levels should be checked in 3-7 days. Levels
should be checked minimally every 4-6 weeks once regulation has occurred. While it is important NOT to
omit doses of warfarin, this is the least important of all the choices because the effect of warfarin lasts
beyond 24 hours.
The nurs practitioner is caring for a 19 year old female college student with iron deficiency anemia
secondary to heavy menstrual bleeding. An appropriate INITIAL treatment for this patient is:
Oral ferrous sulfate. With iron deficiency anemia, iron stores of the bodymust be replenished as well as
the underlying cause corrected. A daily iron supplement is used initially. The most common form is
ferrous sulfate. Intramuscular iron dextran is usually not needed, but may be required in the presence of
a malabsorption disorder, inflammatory bowel disease, intolerance to oral iron, or blood loss too great to
be compensated by oral iron.
An adult female patient is seeking information about her ideal weight. She is 5 feet 7 inches tall. Using
the "height-weight formula" what is her ideal body weight?
135 lbs The height-weight formula is a quick method of determining ideal weight. Females allow 100 lbs
for the first 5 feet of height plus 5 lbs for each additional inch. Males allow 106 lbs for the first 5 feet plus
6 lbs for each additional inch. This method can only be used as an estimate because it does not account
for body composition or age.
The reason beta-adrenergic blockers should be avoided in patients with diabetes is because they may:
Mask symptoms of hypoglycemia. Beta blockers may mask the peripheral signs of hypoglycemia like
jitteriness and tachycardia. However, beta blockers will not mask diaphoresis. Therefore diabetics on
betablockers should be taught to look for this specific symptom as a possible indication of hypoglycemia.
The diagnosis of Meniere's disease is based on:
The exclusion of other pathologies. Most cases of Meniere's disease are idiopathic and the diagnosis is
based on the exclusion of other pathologies. Central vertigo is present with many vestibular problems.
Low frequency hearing loss is more commonly associated with Meniere's disease. MRI is helpful to rule
out acoustic neurome, but not to diagnose Meniere's disease.
, What prophylaxis medication is recommended for the patient under 35 years of age with a positive ppd?
Isoniazid (INH) The CDC recommends administration of isoniazid to persons under 35 years of age with
a positive PPD. The goal of this treatment is to prevent progression from latent infection to active
infection. The other medications are used to treat active TB, but not for prophylaxis.
The most accepted recommendation regarding skin cancer prevention is:
Avoidance of excessive sun exposure. Avoidance of excessive sun exposure is the most accepted
recommendation for prevention of skin cancer. All the other items are recommended by particular
groups, but are not as widely accepted. Clinicians should remain alert for suspicious lesions in fair-
skinned men and women >65 years, those with atypical moles, those with > 50 moles. These groups have
a substantially increased risk for melanoma.
Which laboratory test is useful in the diagnosis of spontaneous abortion?
Serial quantitative beta-huma chorionic gonadotropin levels. Serial quantitative beta-human chorionic
gonadotropin levels are the most useful for diagnosing spontaneous abortion. The levels progressively
decline.
Physical exam findings consistent with emphysema include all of the following EXCEPT:
Pallor and cyanosis of the mucosa and nailbeds. Pallor and cyanosis is typical of chronic bronchitis (type
B COPD, the "blue boater"_. Emphysema (Type ACOPD, the "pink puffer") is not associated with pallor
or cyanosis. Increased AP dianeter produces a "barrel chest". The normal chest is elliptical whereas the
barrel chest is round. The muscles of the thorax appear thin and wasted while the accessory muscles of
respiration are hypertrophied. Breath sounds are minished and cough is weak and ineffective.
Expected spriometry readings when the patient has chronic emphysema include:
Increased total lung capacity (TLC). Residual volume is increased, Volume Capacity is decreased, FEV-1
in decreased, and total lung capacity is increased with emphysema. RV, VC, and FEV-1 spirometry
readings are the same whether COPD is due to chronic emphysema or chronic bronchitis, however, TLC
is normal or only slightly increased with chronic bronchitis.
Which item is NOT implicated in erectile dysfunction (ED)?
Urinary tract infection (UTI) Many systemic disease like diabetes, hypo/hyperthyroidism, Cushing's
syndrome can result in ED> Many medications can cause ED, particularly the antihypertensives
(Vasotec) and the antidepressants (Paxil). Other activities like heavy smoking, drug abuse, and
alcoholism can also lead to ED.
