AANP AGPCNP PRACTICE EXAM
QUESTIONS AND ANSWERS
When initiating thyroid hormone replacement in the older adult, care must be taken to
evaluate the patient's:
1) coronary status.
2) weight
3) renal function
4) mental state - Answer-1) coronary status
Which of the following would be most appropriate to perform in the initial evaluation of a
patient with symptoms of acute prostatitis?
1) Prostate-specific antigen (PSA)
2) Urinalysis and urine culture
3) Scrotal massage and urine sample
4) CBC with diff - Answer-2) urinalysis and urine culture
Which of the following wet-mount results confirms a preliminary diagnosis of bacterial
vaginosis?
1) Organisms about the size of white blood cells with undulating flagellum, occasional
lactobacillus, many white blood cells
2) Squamous epithelial cells with stippling appearance and indistinct borders, no
lactobacillus rods, many white blood cells
3) Squamous epithelial cells with stippling appearance and indistinct borders, many
lactobacillus rods, few white blood cells - Answer-2) Squamous epithelial cells with
stippling appearance and indistinct borders, no lactobacillus rods, many white blood
cells
An 85-year-old female presents with a 2-hour history of diminished vision and severe
pain in the right eye, plus nausea and vomiting. Visual acuity is decreased, the left pupil
reacts to light, the right pupil does not react to light, and the conjunctiva is injected. The
nurse practitioner would:
1) immediately refer to an ophthalmologist.
2) administer steroids
,3) complete a comprehensive eye vision test
4) administer pilotarpine eye drops - Answer-1) immediately refer to an ophthalmologist.
(acute angle closure glaucoma)
Which of the following statements about preventive health care for the elderly is
incorrect?
1) Elderly people usually have adequate insurance coverage.
2) CALORIC needs are reduced in the elderly
3) femoral fractures are caused by uncoordinated muscle action than by the impact of
the fall
4) Exercise EB to reduce mortality from CAD - Answer-1) Elderly people usually have
adequate insurance coverage.
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA? - Answer-LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - Answer-1) pain worse laying down, focal neurological
signs
Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - Answer-2) Gentamicin ophthalmic (Genoptic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step to
be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - Answer-2) palpate structures
, A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She has not missed any doses and uses no other medication. Which
of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - Answer-3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the
following is NOT a current recommendation guideline for preventive care in elderly
female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines - Answer-3) Rubella serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - Answer-1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating - Answer-4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar - Answer-2) continue NSAID, apply
an arch support and encourage wt loss and exercise
QUESTIONS AND ANSWERS
When initiating thyroid hormone replacement in the older adult, care must be taken to
evaluate the patient's:
1) coronary status.
2) weight
3) renal function
4) mental state - Answer-1) coronary status
Which of the following would be most appropriate to perform in the initial evaluation of a
patient with symptoms of acute prostatitis?
1) Prostate-specific antigen (PSA)
2) Urinalysis and urine culture
3) Scrotal massage and urine sample
4) CBC with diff - Answer-2) urinalysis and urine culture
Which of the following wet-mount results confirms a preliminary diagnosis of bacterial
vaginosis?
1) Organisms about the size of white blood cells with undulating flagellum, occasional
lactobacillus, many white blood cells
2) Squamous epithelial cells with stippling appearance and indistinct borders, no
lactobacillus rods, many white blood cells
3) Squamous epithelial cells with stippling appearance and indistinct borders, many
lactobacillus rods, few white blood cells - Answer-2) Squamous epithelial cells with
stippling appearance and indistinct borders, no lactobacillus rods, many white blood
cells
An 85-year-old female presents with a 2-hour history of diminished vision and severe
pain in the right eye, plus nausea and vomiting. Visual acuity is decreased, the left pupil
reacts to light, the right pupil does not react to light, and the conjunctiva is injected. The
nurse practitioner would:
1) immediately refer to an ophthalmologist.
2) administer steroids
,3) complete a comprehensive eye vision test
4) administer pilotarpine eye drops - Answer-1) immediately refer to an ophthalmologist.
(acute angle closure glaucoma)
Which of the following statements about preventive health care for the elderly is
incorrect?
1) Elderly people usually have adequate insurance coverage.
2) CALORIC needs are reduced in the elderly
3) femoral fractures are caused by uncoordinated muscle action than by the impact of
the fall
4) Exercise EB to reduce mortality from CAD - Answer-1) Elderly people usually have
adequate insurance coverage.
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA? - Answer-LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - Answer-1) pain worse laying down, focal neurological
signs
Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - Answer-2) Gentamicin ophthalmic (Genoptic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step to
be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - Answer-2) palpate structures
, A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She has not missed any doses and uses no other medication. Which
of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - Answer-3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the
following is NOT a current recommendation guideline for preventive care in elderly
female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines - Answer-3) Rubella serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - Answer-1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating - Answer-4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar - Answer-2) continue NSAID, apply
an arch support and encourage wt loss and exercise
