AANP PRACTICE EXAM| WITH 75
QUESTIONS AND RIGHT CHOICE>S RATED
A+
A mother has just noticed that her 15-month-old, 15-kg kid has recently
ingested an unknown quantity of iron tablets. The mother has ipecac syrup and
activated charcoal on hand. The mother should be advised to:
1. take the kid to the primary care provider.
2. give ipecac per recommendation on the bottle label.
3. take the kid to the emergency room.
4. give the kid 30 g of activated charcoal diluted with water - *RIGHT
CHOICE> ✔* take kid to emergency room
A 13-year-old is concerned because she has not yet begun to menstruate. Physical
examination indicates that the client is at Tanner stage IV and is of average height
and weight. Which of the following would be the most appropriate response to
this client?
1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
,4. "Your development is exactly as expected for your age; you'll probably begin to
have periods within a year." - *RIGHT CHOICE> ✔* "Your development is exactly
as expected for your age; you'll probably begin to have periods within a year."
The most common bacterial cause of cellulitis in clients with diabetes mellitus is:
1. Pseudomonas aeruginosa.
2. group B beta-hemolytic Streptococcus.
3. Staphylococcus aureus.
4. Staphylococcus saprophyticus. - *RIGHT CHOICE> ✔* Staphylococcus aureus
A 46-year-old female found a lump in her breast this morning. History includes: no
prior breast disease; G2P2 (first birth, age 22); maternal aunt diagnosed with
breast cancer at age 72; last menstrual period was 2.5 weeks ago. On
examination, a nurse professional palpates a 2-cm round, soft, mobile, tender
lesion in the upper outer quadrant of the right breast. Mammogram is negative.
Which of the following actions is most appropriate?
1. Reassure the client that no further action is necessary.
2. Repeat unilateral right mammogram in 3 months.
3. Schedule a right-breast ultrasound.
,4. Refer for genetic testing if the lump increases in size. -
*RIGHT CHOICE> ✔* schedule a right breast ultrasound
Risk factors for genital herpes include:
1. multiple sexual partners and years of sexual activity.
2. genetic transmission.
3. infection with other sexually transmitted diseases before the age of 12.
4. multiple sexual partners and frequent use of public spas. -
*RIGHT CHOICE> ✔* multiple sexual partners and years of sexual
activity
On physically assessing a newborn's head, you note an enlarged, fluid-filled area
that is subperiosteal and does not cross suture lines. This finding indicates the
presence of:
1. macrocephaly.
2. subgaleal hemorrhage.
3. congenital hypothyroidism.
4. cephalohematoma. - *RIGHT CHOICE> ✔* cephalohematoma
, A 65-year-old client being treated with digoxin (Lanoxin) for chronic heart failure
(HF) presents with complaints of palpitations. Three days ago, the client was
placed on clarithromycin (Biaxin) by another provider for community-acquired
pneumonia. The appropriate course of action at this point would be to:
1. increase the digoxin dosage by 25%.
2. obtain a digoxin level and change the antibiotic to azithromycin (Zithromax).
3. obtain a chest X-ray.
4. obtain a serum potassium level and perform a 12-lead EKG. - *RIGHT
CHOICE> ✔* obtain a digoxin level and change the antibiotic to
azithromycin(zithromax)
A 54-year-old male who is 30 pounds overweight states that he awakens at night
with heartburn and the taste of hot acid in his mouth. Stress makes his condition
worse, yet baking soda seems to provide some relief. Findings on examination are
normal and the stool for occult blood is negative. The preliminary diagnosis(es)
should be:
1. esophagitis.
2. esophageal spasm.
3. helicobacter pylori.
QUESTIONS AND RIGHT CHOICE>S RATED
A+
A mother has just noticed that her 15-month-old, 15-kg kid has recently
ingested an unknown quantity of iron tablets. The mother has ipecac syrup and
activated charcoal on hand. The mother should be advised to:
1. take the kid to the primary care provider.
2. give ipecac per recommendation on the bottle label.
3. take the kid to the emergency room.
4. give the kid 30 g of activated charcoal diluted with water - *RIGHT
CHOICE> ✔* take kid to emergency room
A 13-year-old is concerned because she has not yet begun to menstruate. Physical
examination indicates that the client is at Tanner stage IV and is of average height
and weight. Which of the following would be the most appropriate response to
this client?
1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
,4. "Your development is exactly as expected for your age; you'll probably begin to
have periods within a year." - *RIGHT CHOICE> ✔* "Your development is exactly
as expected for your age; you'll probably begin to have periods within a year."
The most common bacterial cause of cellulitis in clients with diabetes mellitus is:
1. Pseudomonas aeruginosa.
2. group B beta-hemolytic Streptococcus.
3. Staphylococcus aureus.
4. Staphylococcus saprophyticus. - *RIGHT CHOICE> ✔* Staphylococcus aureus
A 46-year-old female found a lump in her breast this morning. History includes: no
prior breast disease; G2P2 (first birth, age 22); maternal aunt diagnosed with
breast cancer at age 72; last menstrual period was 2.5 weeks ago. On
examination, a nurse professional palpates a 2-cm round, soft, mobile, tender
lesion in the upper outer quadrant of the right breast. Mammogram is negative.
Which of the following actions is most appropriate?
1. Reassure the client that no further action is necessary.
2. Repeat unilateral right mammogram in 3 months.
3. Schedule a right-breast ultrasound.
,4. Refer for genetic testing if the lump increases in size. -
*RIGHT CHOICE> ✔* schedule a right breast ultrasound
Risk factors for genital herpes include:
1. multiple sexual partners and years of sexual activity.
2. genetic transmission.
3. infection with other sexually transmitted diseases before the age of 12.
4. multiple sexual partners and frequent use of public spas. -
*RIGHT CHOICE> ✔* multiple sexual partners and years of sexual
activity
On physically assessing a newborn's head, you note an enlarged, fluid-filled area
that is subperiosteal and does not cross suture lines. This finding indicates the
presence of:
1. macrocephaly.
2. subgaleal hemorrhage.
3. congenital hypothyroidism.
4. cephalohematoma. - *RIGHT CHOICE> ✔* cephalohematoma
, A 65-year-old client being treated with digoxin (Lanoxin) for chronic heart failure
(HF) presents with complaints of palpitations. Three days ago, the client was
placed on clarithromycin (Biaxin) by another provider for community-acquired
pneumonia. The appropriate course of action at this point would be to:
1. increase the digoxin dosage by 25%.
2. obtain a digoxin level and change the antibiotic to azithromycin (Zithromax).
3. obtain a chest X-ray.
4. obtain a serum potassium level and perform a 12-lead EKG. - *RIGHT
CHOICE> ✔* obtain a digoxin level and change the antibiotic to
azithromycin(zithromax)
A 54-year-old male who is 30 pounds overweight states that he awakens at night
with heartburn and the taste of hot acid in his mouth. Stress makes his condition
worse, yet baking soda seems to provide some relief. Findings on examination are
normal and the stool for occult blood is negative. The preliminary diagnosis(es)
should be:
1. esophagitis.
2. esophageal spasm.
3. helicobacter pylori.
