AANP Practice Questions
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not
seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medication. Her mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to
starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - ANSA statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - ANSibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - ANSpostcoital bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANSdiscontinue amitriptyline
and begin gabapentin (neurontin)
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. - ANSassociated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - ANSibuprofen
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. - ANShemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine,
but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The
neighbor is concerned that the patient often has no money to buy food, despite income from
social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the
following is the nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. - ANSreport the case to proper
authorities
In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. - ANSdecrease in short-term memory
The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
3. pyrazinamide for 6 months.
4. ethambutol for 6 months. - ANSosioniazid (nydrazid) for 9 months
, Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is
most often caused by:
1. intraductal papilloma.
2. mucinous breast lesions.
3. Paget's disease.
4. ductal carcinoma in situ. - ANSintraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. Which of the following conditions would be the most likely
cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis - ANSgastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission
through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing:
1. post amniocentesis.
2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000. - ANSafter 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia. - ANSacute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very
irritable and does not feed well. During physical examination, the child's head drops back and
the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries
uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the following
diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not
seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medication. Her mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to
starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - ANSA statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - ANSibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - ANSpostcoital bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANSdiscontinue amitriptyline
and begin gabapentin (neurontin)
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. - ANSassociated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - ANSibuprofen
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. - ANShemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine,
but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The
neighbor is concerned that the patient often has no money to buy food, despite income from
social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the
following is the nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. - ANSreport the case to proper
authorities
In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. - ANSdecrease in short-term memory
The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
3. pyrazinamide for 6 months.
4. ethambutol for 6 months. - ANSosioniazid (nydrazid) for 9 months
, Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is
most often caused by:
1. intraductal papilloma.
2. mucinous breast lesions.
3. Paget's disease.
4. ductal carcinoma in situ. - ANSintraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. Which of the following conditions would be the most likely
cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis - ANSgastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission
through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing:
1. post amniocentesis.
2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000. - ANSafter 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia. - ANSacute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very
irritable and does not feed well. During physical examination, the child's head drops back and
the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries
uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the following
diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
