AANP Adult Gerontology Primary Care
Nurse Practiotioner Test with Correct
Questions and Answers 2025/2026
Pheochromocytoma - Correct Answers-small vascular tumor of the adrenal medulla,
causing irregular secretion of epinephrine and norepinephrine, leading to attacks of
raised blood pressure, palpitations, and headache. Tx with Alpha blockers
Rovsing's Sign - Correct Answers-Palpation in LLQ ilicits pain in RLQ indicates
appendicitis
NYHA classes of Heart Failure - Correct Answers-I No limitation of physical activity.
Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea
(shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity
results in fatigue, palpitation, dyspnea (shortness of breath).
III Marked limitation of physical activity. Comfortable at rest. Less than ordinary
activity causes fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms of heart
failure at rest. If any physical activity is undertaken, discomfort increases.
Step-wise Approach to Asthma Diagnosis & Treatment - Correct Answers-Step 1- Mild
Intermitten FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as
needed.
Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week.
Albuterol as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil,
theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus
low dose ICS or med dose ICS or low dose with leukotriene inhibitor (singulair,
theophylline, zileuton).
Step 4- Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day.
High dose ICS plus long acting B2 agonist plus oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - Correct Answers-PEF based on Height Age Gender. Blow
hard using spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
, 50-80% expected volume Yellow Zone increase maintenance therapy. Or Having
exacerbation.
Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - Correct Answers-Neg- No firm bump forms at the test site, or a bump forms that
is smaller than 5 mm (0.2 in.).
A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a
high-risk group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in
a moderate-risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in
a low-risk group no risk for tb.
Digoxin (Cardiac Glycosides) - Correct Answers-Therapuetic 0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge
vision- scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
Thiazide Diuretics - Correct Answers-Pt with both htn and osteoporosis have an extra
benefit from thiazides. thiazide diuretics decrease calcium excretion by the kidneys and
stimulate osteoclasts formation. Patients with serious sulfa allergies should avoid
thiazide diuretics. Potassium sparing diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide
(lozol), metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive,
effective, useful in severe hypertension, effective orally, enhances other
antihypertensives; adverse reactions: hypokalemia symptoms, hyperuricemia, glucose
tolerance, hypercholesterolemia, sexual dysfunction; observe for postural hypotension,
caution with renal failure gout and client taking lithium; hypokalemia increases risk for
digitalis toxicity, administer postassium supplements.
Avoid with Gout, Best fist line for elderly w/ systolic htn.
Coumadin (Warfarin) - Correct Answers-an anticoagulant administered to prevent
blood clots from forming or growing larger
Prophylaxis and/or treatment of venous thrombosis, pulmonary embolus, a fib, valve
replacement, recurrent MI, stroke; also immobile pt
Nurse Practiotioner Test with Correct
Questions and Answers 2025/2026
Pheochromocytoma - Correct Answers-small vascular tumor of the adrenal medulla,
causing irregular secretion of epinephrine and norepinephrine, leading to attacks of
raised blood pressure, palpitations, and headache. Tx with Alpha blockers
Rovsing's Sign - Correct Answers-Palpation in LLQ ilicits pain in RLQ indicates
appendicitis
NYHA classes of Heart Failure - Correct Answers-I No limitation of physical activity.
Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea
(shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity
results in fatigue, palpitation, dyspnea (shortness of breath).
III Marked limitation of physical activity. Comfortable at rest. Less than ordinary
activity causes fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms of heart
failure at rest. If any physical activity is undertaken, discomfort increases.
Step-wise Approach to Asthma Diagnosis & Treatment - Correct Answers-Step 1- Mild
Intermitten FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as
needed.
Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week.
Albuterol as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil,
theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus
low dose ICS or med dose ICS or low dose with leukotriene inhibitor (singulair,
theophylline, zileuton).
Step 4- Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day.
High dose ICS plus long acting B2 agonist plus oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - Correct Answers-PEF based on Height Age Gender. Blow
hard using spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
, 50-80% expected volume Yellow Zone increase maintenance therapy. Or Having
exacerbation.
Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - Correct Answers-Neg- No firm bump forms at the test site, or a bump forms that
is smaller than 5 mm (0.2 in.).
A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a
high-risk group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in
a moderate-risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in
a low-risk group no risk for tb.
Digoxin (Cardiac Glycosides) - Correct Answers-Therapuetic 0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge
vision- scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
Thiazide Diuretics - Correct Answers-Pt with both htn and osteoporosis have an extra
benefit from thiazides. thiazide diuretics decrease calcium excretion by the kidneys and
stimulate osteoclasts formation. Patients with serious sulfa allergies should avoid
thiazide diuretics. Potassium sparing diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide
(lozol), metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive,
effective, useful in severe hypertension, effective orally, enhances other
antihypertensives; adverse reactions: hypokalemia symptoms, hyperuricemia, glucose
tolerance, hypercholesterolemia, sexual dysfunction; observe for postural hypotension,
caution with renal failure gout and client taking lithium; hypokalemia increases risk for
digitalis toxicity, administer postassium supplements.
Avoid with Gout, Best fist line for elderly w/ systolic htn.
Coumadin (Warfarin) - Correct Answers-an anticoagulant administered to prevent
blood clots from forming or growing larger
Prophylaxis and/or treatment of venous thrombosis, pulmonary embolus, a fib, valve
replacement, recurrent MI, stroke; also immobile pt
