ATI EXAM
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Exam Solution vc
AANP Adult gerontology primary care nurse practiotio
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ner 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS A
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ND VERIFIED ANSWERS (7B202)
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QUESTION 1 vc
Term
ANSWER
Definition
QUESTION 2 vc
Pheochromocytoma
ANSWER
small vascular tumor of the adrenal medulla, causing irregular secretion of epinephrine and norepineph
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rine, leading to attacks of raised blood pressure, palpitations, and headache. Tx with Alpha blockers
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QUESTION 3 vc
Rovsing's Sign vc
ANSWER
Palpation in LLQ ilicits pain in RLQ indicates appendicitis
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QUESTION 4 vc
NYHA classes of Heart Failure
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ANSWER
I No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation,
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dyspnea (shortness of breath). II Slight limitation of physical activity. Comfortable at rest. Ordinary phys
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ical activity results in fatigue, palpitation, dyspnea (shortness of breath). III Marked limitation of physica
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,l activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea. IV Una
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ble to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physic
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al activity is undertaken, discomfort increases.
vc vc vc vc vc
QUESTION 5 vc
Step-wise Approach to Asthma Diagnosis & Treatment vc vc vc vc vc vc
ANSWER
Step 1- vc
Mild Intermitten FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed. Step 2-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week. Albuterol as needed. L
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ow dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil, theophylline. Step 3-
vc vc vc vc vc vc vc vc vc vc vc
Mod presistent (FEV1 or PEF 60-
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80% predicted. Daily Symptoms. SABA plus low dose ICS or med dose ICS or low dose with leukotriene
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inhibitor (singulair, theophylline, zileuton). Step 4-
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Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day. High dose ICS plus long a
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cting B2 agonist plus oral steroid daily (prednisone).
vc vc vc vc vc vc vc
QUESTION 6 vc
Peak Expiratory Flow Rate (HAG): Green Yellow Red Zone:
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ANSWER
PEF based on Height Age Gender. Blow hard using spirometer highest value recorded. 80-
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100% expected volume Green Zone maintain or reduce meds 50-
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80% expected volume Yellow Zone increase maintenance therapy. Or Having exacerbation. Below 50% e
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xpected volume Red Zone call 911 give epinephrine inj.
vc vc vc vc vc vc vc vc
QUESTION 7 vc
PPD
ANSWER
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 t
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hat is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a high-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
risk group. HIV, immunocompromise, exposed. A firm bump that is 10 mm (0.4 in.) in size suggests a TB
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
infection in people who are in a moderate-
vc vc vc vc vc vc vc vc
risk group. healthcare workers, immigrants, homeless. A firm bump that is 15 mm (0.6 in.) in size sugge
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sts a TB infection in people who are in a low-risk group no risk for tb.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 8 vc
Digoxin (Cardiac Glycosides) vc vc
, ANSWER
Therapuetic 0.5- vc
2.0 Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge vision-
vc vc vc vc vc vc vc vc vc vc vc
scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
vc vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
Coumadin (Warfarin) vc
ANSWER
an anticoagulant administered to prevent blood clots from forming or growing larger Prophylaxis and/o
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r treatment of venous thrombosis, pulmonary embolus, a fib, valve replacement, recurrent MI, stroke; al
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
so immobile pt Afiib target INR 2-3 If INR 5-9 w/o bleeding hold 2-
vc vc vc vc vc vc vc vc vc vc vc vc vc
3 days low dose vit k avoid leafy veg, broccoli, brussels, canola oil, mayo.
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 10 vc
Aldosterone Antagonist vc
ANSWER
causes a decrease in potassium excretion (spares K) and decreases Na reabsorption. (spironolactone) Hi
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rsuitism, htn, sever heart failure. exp spironolactone. Adverse effects are galactorrhea and hyperkalemia.
vc vc vc vc vc vc vc vc vc vc vc vc
Spironolactone is rarely used to treat htn in primary care due to adverse effects and higher risk of cert
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ain cancer. vc
QUESTION 11 vc
Postassium Sparing Diuretics vc vc
ANSWER
compete w/ aldosterone at receptor sites causing increase na and water excretion while conserving k a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nd h ions Alt for Sulfa Allergy Pts to tx HTN. Triameterene (Dyrenium), Amiloride (Midamor). Combo H
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
CTZ. Severe Hyperkalemia, Avoid renal pts, ace or arbs, do not give potassium supplement or salt subst.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Monitor serum K+ 3.5-5. high risk elder, severe ill, dm.
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QUESTION 12 vc
Ace Inhibitors, ACEI/ARBS
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ANSWER
ACTION: prevent the conversion of angiotensin I to angiotensin II in the lungs USES: CHF, HTN , usually
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end in PRIL Indicated for DM, HTN, CKD pts w/ HTN. Cat C &
vc vc vc vc vc vc vc vc vc vc vc vc vc
D. dont give in preg. excereted in breast milk. Dry Cough, angioedema, hyperkalemia. Captopril causes a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
grunolocytosis monitor cbc. switch from ace to arb if cough persist. vc vc vc vc vc vc vc vc vc vc
vc
Exam Solution vc
AANP Adult gerontology primary care nurse practiotio
vc vc vc vc vc vc
ner 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS A
vc vc vc vc vc vc vc
ND VERIFIED ANSWERS (7B202)
vc vc vc
QUESTION 1 vc
Term
ANSWER
Definition
QUESTION 2 vc
Pheochromocytoma
ANSWER
small vascular tumor of the adrenal medulla, causing irregular secretion of epinephrine and norepineph
vc vc vc vc vc vc vc vc vc vc vc vc vc
rine, leading to attacks of raised blood pressure, palpitations, and headache. Tx with Alpha blockers
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 3 vc
Rovsing's Sign vc
ANSWER
Palpation in LLQ ilicits pain in RLQ indicates appendicitis
vc vc vc vc vc vc vc vc
QUESTION 4 vc
NYHA classes of Heart Failure
vc vc vc vc
ANSWER
I No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation,
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dyspnea (shortness of breath). II Slight limitation of physical activity. Comfortable at rest. Ordinary phys
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ical activity results in fatigue, palpitation, dyspnea (shortness of breath). III Marked limitation of physica
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
,l activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea. IV Una
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ble to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physic
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
al activity is undertaken, discomfort increases.
vc vc vc vc vc
QUESTION 5 vc
Step-wise Approach to Asthma Diagnosis & Treatment vc vc vc vc vc vc
ANSWER
Step 1- vc
Mild Intermitten FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed. Step 2-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week. Albuterol as needed. L
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ow dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil, theophylline. Step 3-
vc vc vc vc vc vc vc vc vc vc vc
Mod presistent (FEV1 or PEF 60-
vc vc vc vc vc vc
80% predicted. Daily Symptoms. SABA plus low dose ICS or med dose ICS or low dose with leukotriene
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
inhibitor (singulair, theophylline, zileuton). Step 4-
vc vc vc vc vc
Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day. High dose ICS plus long a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
cting B2 agonist plus oral steroid daily (prednisone).
vc vc vc vc vc vc vc
QUESTION 6 vc
Peak Expiratory Flow Rate (HAG): Green Yellow Red Zone:
vc vc vc vc vc vc vc vc
ANSWER
PEF based on Height Age Gender. Blow hard using spirometer highest value recorded. 80-
vc vc vc vc vc vc vc vc vc vc vc vc vc
100% expected volume Green Zone maintain or reduce meds 50-
vc vc vc vc vc vc vc vc vc
80% expected volume Yellow Zone increase maintenance therapy. Or Having exacerbation. Below 50% e
vc vc vc vc vc vc vc vc vc vc vc vc vc
xpected volume Red Zone call 911 give epinephrine inj.
vc vc vc vc vc vc vc vc
QUESTION 7 vc
PPD
ANSWER
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 t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hat is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a high-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
risk group. HIV, immunocompromise, exposed. A firm bump that is 10 mm (0.4 in.) in size suggests a TB
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
infection in people who are in a moderate-
vc vc vc vc vc vc vc vc
risk group. healthcare workers, immigrants, homeless. A firm bump that is 15 mm (0.6 in.) in size sugge
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sts a TB infection in people who are in a low-risk group no risk for tb.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 8 vc
Digoxin (Cardiac Glycosides) vc vc
, ANSWER
Therapuetic 0.5- vc
2.0 Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge vision-
vc vc vc vc vc vc vc vc vc vc vc
scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
vc vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
Coumadin (Warfarin) vc
ANSWER
an anticoagulant administered to prevent blood clots from forming or growing larger Prophylaxis and/o
vc vc vc vc vc vc vc vc vc vc vc vc vc
r treatment of venous thrombosis, pulmonary embolus, a fib, valve replacement, recurrent MI, stroke; al
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
so immobile pt Afiib target INR 2-3 If INR 5-9 w/o bleeding hold 2-
vc vc vc vc vc vc vc vc vc vc vc vc vc
3 days low dose vit k avoid leafy veg, broccoli, brussels, canola oil, mayo.
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 10 vc
Aldosterone Antagonist vc
ANSWER
causes a decrease in potassium excretion (spares K) and decreases Na reabsorption. (spironolactone) Hi
vc vc vc vc vc vc vc vc vc vc vc vc vc
rsuitism, htn, sever heart failure. exp spironolactone. Adverse effects are galactorrhea and hyperkalemia.
vc vc vc vc vc vc vc vc vc vc vc vc
Spironolactone is rarely used to treat htn in primary care due to adverse effects and higher risk of cert
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ain cancer. vc
QUESTION 11 vc
Postassium Sparing Diuretics vc vc
ANSWER
compete w/ aldosterone at receptor sites causing increase na and water excretion while conserving k a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nd h ions Alt for Sulfa Allergy Pts to tx HTN. Triameterene (Dyrenium), Amiloride (Midamor). Combo H
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
CTZ. Severe Hyperkalemia, Avoid renal pts, ace or arbs, do not give potassium supplement or salt subst.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Monitor serum K+ 3.5-5. high risk elder, severe ill, dm.
vc vc vc vc vc vc vc vc vc
QUESTION 12 vc
Ace Inhibitors, ACEI/ARBS
vc vc
ANSWER
ACTION: prevent the conversion of angiotensin I to angiotensin II in the lungs USES: CHF, HTN , usually
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
end in PRIL Indicated for DM, HTN, CKD pts w/ HTN. Cat C &
vc vc vc vc vc vc vc vc vc vc vc vc vc
D. dont give in preg. excereted in breast milk. Dry Cough, angioedema, hyperkalemia. Captopril causes a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
grunolocytosis monitor cbc. switch from ace to arb if cough persist. vc vc vc vc vc vc vc vc vc vc
