AANP AGPCNP PSI Test 1 & 2 Questions With Complete
Solutions
A 12-year-old with sickle cell anemia has recently experienced a
sickle cell crisis and presents for a follow-up examination after a
recent hospitalization. It is most important to continue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. Correct Answers hemoglobin levels
A 13-year-old is concerned because she has not yet begun to
menstruate. Physical examination indicates that the patient is at
Tanner stage IV and is of average height and weight. Which of
the following would be the most appropriate response to this
patient?
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." Correct Answers
"Your development is exactly as expected for your age; you'll
probably begin to have periods within a year."
A 16-year-old female adolescent is brought to the nurse
practitioner's office by her mother, who is concerned about her
,daughter's recent weight loss. History reveals that the daughter
was consistently in the 50th percentile for weight, but is now in
the 10th percentile. The mother states that she is concerned that
her daughter is purging herself after meals since she often goes
to the restroom after eating and remains there for a long period
of time. The daughter denies any self-induced vomiting,
starvation or excessive activity. She does state that she jogs five
miles a day and is in good condition. In addition to a complete
blood count with differential, which of the following laboratory
tests will be most helpful for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt Correct Answers electrolytes, blood urea nitrogen
(BUN)/creatinine, urinalysis
A 17-year-old male with rheumatoid arthritis is being treated
with an NSAID and omeprazole (Prilosec). The patient
complains of headache, abdominal pain, and gas. These
symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. Correct Answers associated
with the omeprazole
A 19-year-old patient who has used oral contraceptives for 3
years plans to discontinue the pill at the end of her current cycle
,to become pregnant. Which of the following daily supplements
would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin Correct Answers folic acid
A 2-year-old male presents for reevaluation. Two days ago, he
had four episodes of vomiting and six diarrheal stools. On
physical examination today, his vital signs reveal P = 120 and
capillary refill of 3 seconds. The patient's eyes are sunken and
his extremities are mottled and cool to the touch. The treatment
plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output.
Correct Answers hospitalization for IV fluid replacement
A 26-year-old female presents with abdominal distention,
bloating, and intermittent crampy abdominal pain relieved by
defecation. She has four to six loose stools a day when stressed.
Between bouts of diarrhea, she often has constipation. Physical
examination results are normal. The CBC was normal. The most
likely diagnosis is:
1. diverticulitis.
2. viral gastroenteritis.
3. inflammatory bowel disease.
, 4. irritable bowel syndrome Correct Answers irritable bowel
syndrome
A 27-year-old male patient, who works as a janitor, presents
with a 6-month history of an intermittent rash on his hands.
History reveals itching and occasional burning. Examination
reveals irregularly-distributed scaly maculopapular
erythematous patches extending from the dorsum of the hand
several inches up the forearms, and dry palms with no nail
involvement. The most likely diagnosis is:
1. contact dermatitis.
2. scabies infestation.
3. psoriasis.
4. eczema. Correct Answers contact dermatitis
A 28-year-old patient presents with profuse yellow vaginal
discharge, odor, and local irritation. She reports completing a 7-
day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks
ago. She has had multiple recurrences over the last 18 months.
Microscopic examination reveals presence of clue cells. What is
the most appropriate treatment intervention?
1. Oral metronidazole (Flagyl), 500 mg b.i.d., plus
metronidazole vaginal gel (MetroGel), for 5 days
2. Treat both patient and partner(s) with oral metronidazole
(Flagyl), 500 mg b.i.d., for 7 days
3. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6
months
4. Treat patient with metronidazole vaginal gel (MetroGel) b.i.d.
and partner(s) with tetracycline, 250 mg q.i.d., for 7 days
Solutions
A 12-year-old with sickle cell anemia has recently experienced a
sickle cell crisis and presents for a follow-up examination after a
recent hospitalization. It is most important to continue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. Correct Answers hemoglobin levels
A 13-year-old is concerned because she has not yet begun to
menstruate. Physical examination indicates that the patient is at
Tanner stage IV and is of average height and weight. Which of
the following would be the most appropriate response to this
patient?
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." Correct Answers
"Your development is exactly as expected for your age; you'll
probably begin to have periods within a year."
A 16-year-old female adolescent is brought to the nurse
practitioner's office by her mother, who is concerned about her
,daughter's recent weight loss. History reveals that the daughter
was consistently in the 50th percentile for weight, but is now in
the 10th percentile. The mother states that she is concerned that
her daughter is purging herself after meals since she often goes
to the restroom after eating and remains there for a long period
of time. The daughter denies any self-induced vomiting,
starvation or excessive activity. She does state that she jogs five
miles a day and is in good condition. In addition to a complete
blood count with differential, which of the following laboratory
tests will be most helpful for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt Correct Answers electrolytes, blood urea nitrogen
(BUN)/creatinine, urinalysis
A 17-year-old male with rheumatoid arthritis is being treated
with an NSAID and omeprazole (Prilosec). The patient
complains of headache, abdominal pain, and gas. These
symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. Correct Answers associated
with the omeprazole
A 19-year-old patient who has used oral contraceptives for 3
years plans to discontinue the pill at the end of her current cycle
,to become pregnant. Which of the following daily supplements
would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin Correct Answers folic acid
A 2-year-old male presents for reevaluation. Two days ago, he
had four episodes of vomiting and six diarrheal stools. On
physical examination today, his vital signs reveal P = 120 and
capillary refill of 3 seconds. The patient's eyes are sunken and
his extremities are mottled and cool to the touch. The treatment
plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output.
Correct Answers hospitalization for IV fluid replacement
A 26-year-old female presents with abdominal distention,
bloating, and intermittent crampy abdominal pain relieved by
defecation. She has four to six loose stools a day when stressed.
Between bouts of diarrhea, she often has constipation. Physical
examination results are normal. The CBC was normal. The most
likely diagnosis is:
1. diverticulitis.
2. viral gastroenteritis.
3. inflammatory bowel disease.
, 4. irritable bowel syndrome Correct Answers irritable bowel
syndrome
A 27-year-old male patient, who works as a janitor, presents
with a 6-month history of an intermittent rash on his hands.
History reveals itching and occasional burning. Examination
reveals irregularly-distributed scaly maculopapular
erythematous patches extending from the dorsum of the hand
several inches up the forearms, and dry palms with no nail
involvement. The most likely diagnosis is:
1. contact dermatitis.
2. scabies infestation.
3. psoriasis.
4. eczema. Correct Answers contact dermatitis
A 28-year-old patient presents with profuse yellow vaginal
discharge, odor, and local irritation. She reports completing a 7-
day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks
ago. She has had multiple recurrences over the last 18 months.
Microscopic examination reveals presence of clue cells. What is
the most appropriate treatment intervention?
1. Oral metronidazole (Flagyl), 500 mg b.i.d., plus
metronidazole vaginal gel (MetroGel), for 5 days
2. Treat both patient and partner(s) with oral metronidazole
(Flagyl), 500 mg b.i.d., for 7 days
3. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6
months
4. Treat patient with metronidazole vaginal gel (MetroGel) b.i.d.
and partner(s) with tetracycline, 250 mg q.i.d., for 7 days
