AANPCB FNP Practice V2 Exam Questions
and Verified Answers
Question 1
~ The most appropriate tests for lumbosacral pain with left L5 radiculopathy refractive
to 6 weeks of NSAID administration and physical therapy are:
Select only one option.
A
myelogram and EMG/nerve conduction study of left lower extremity.
B
spine X-ray and bone scan.
C
spine X-ray and MRI.
D
MRI and lower extremity plethysmography.
Correct Answer
C
Question 2
~ A middle adult female who recently returned from a business trip to Japan presents
for a recheck appointment. The only remarkable laboratory result is for thyroid-
stimulating hormone (TSH), at 0.3 microunits/mL (normal = 0.4-6 microunits/mL). The
patient reports that her neck hurts; examination reveals thyroid tenderness. Which of
the following laboratory tests should the nurse practitioner order now?
Select only one option.
A
Triiodothyronine (T3) and free thyroxine (FT4)
B
Triiodothyronine (T3) only
C
Triiodothyronine (T3) resin uptake assay
D
Triiodothyronine (T3) and free triiodothyronine (FT3)
Correct Answer
A
Page 1 of 38
,Question 3
~ A middle adult presents with occasional shortness of breath. A crescendo-
decrescendo systolic ejection murmur is heard. The echocardiogram shows an atrial
septal defect. The next step is to:
Select only one option.
A
perform a transesophageal echocardiogram (TEE).
B
refer the patient to a cardiologist.
C
advise the patient no intervention is needed.
D
order a chest X-ray for further evaluation.
Correct Answer
B
Question 4
~ During the past 24 hours, an older adult has experienced abdominal pain that
radiates to the back. The patient also reports several episodes of nausea and
vomiting, a low-grade temperature, and a history of excessive drinking. Physical
examination reveals a distended abdomen. Laboratory serum values indicate elevated
alkaline phosphatase, amylase, and serum lipase. The most likely diagnosis is:
Select only one option.
A
alcoholic liver disease.
B
acute mesenteric ischemia.
C
viral hepatitis.
D
acute pancreatitis.
Correct Answer
D
Page 2 of 38
,Question 5
~ The most common side effect of the oral ribavirin used in the treatment of hepatitis
C is:
Select only one option.
A
hemolytic anemia.
B
weight gain.
C
depression.
D
hypothyroidism.
Correct Answer
A
Question 6
~ A middle adult male who is 30 pounds overweight states that he awakens at night
with heartburn and the taste of hot acid in his mouth. Stress makes his condition
worse, yet baking soda seems to provide some relief. Findings on examination are
normal and the stool for occult blood is negative. The preliminary diagnosis should
be:
Select only one option.
A
esophagitis.
B
esophageal spasm.
C
helicobacter pylori.
D
gastroesophageal reflux disease.
Correct Answer
D
Page 3 of 38
, Question 7
~ An elder adult 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?
Select only one option.
A
Report the case to the proper authorities.
B
Tell the neighbor to check on the woman daily and report back.
C
Document the data and report the information to risk management.
D
Call the patient's family and inquire about the concerns.
Correct Answer
A
Question 8
~ An elder adult patient presents with pinguecula, a yellow triangular degenerative
tissue thickening of the bulbar conjunctiva. This condition is:
Select only one option.
A
cured by eye drops.
B
a genetic process.
C
a malignant growth.
D
a solar-induced lesion.
Correct Answer
D
Page 4 of 38
and Verified Answers
Question 1
~ The most appropriate tests for lumbosacral pain with left L5 radiculopathy refractive
to 6 weeks of NSAID administration and physical therapy are:
Select only one option.
A
myelogram and EMG/nerve conduction study of left lower extremity.
B
spine X-ray and bone scan.
C
spine X-ray and MRI.
D
MRI and lower extremity plethysmography.
Correct Answer
C
Question 2
~ A middle adult female who recently returned from a business trip to Japan presents
for a recheck appointment. The only remarkable laboratory result is for thyroid-
stimulating hormone (TSH), at 0.3 microunits/mL (normal = 0.4-6 microunits/mL). The
patient reports that her neck hurts; examination reveals thyroid tenderness. Which of
the following laboratory tests should the nurse practitioner order now?
Select only one option.
A
Triiodothyronine (T3) and free thyroxine (FT4)
B
Triiodothyronine (T3) only
C
Triiodothyronine (T3) resin uptake assay
D
Triiodothyronine (T3) and free triiodothyronine (FT3)
Correct Answer
A
Page 1 of 38
,Question 3
~ A middle adult presents with occasional shortness of breath. A crescendo-
decrescendo systolic ejection murmur is heard. The echocardiogram shows an atrial
septal defect. The next step is to:
Select only one option.
A
perform a transesophageal echocardiogram (TEE).
B
refer the patient to a cardiologist.
C
advise the patient no intervention is needed.
D
order a chest X-ray for further evaluation.
Correct Answer
B
Question 4
~ During the past 24 hours, an older adult has experienced abdominal pain that
radiates to the back. The patient also reports several episodes of nausea and
vomiting, a low-grade temperature, and a history of excessive drinking. Physical
examination reveals a distended abdomen. Laboratory serum values indicate elevated
alkaline phosphatase, amylase, and serum lipase. The most likely diagnosis is:
Select only one option.
A
alcoholic liver disease.
B
acute mesenteric ischemia.
C
viral hepatitis.
D
acute pancreatitis.
Correct Answer
D
Page 2 of 38
,Question 5
~ The most common side effect of the oral ribavirin used in the treatment of hepatitis
C is:
Select only one option.
A
hemolytic anemia.
B
weight gain.
C
depression.
D
hypothyroidism.
Correct Answer
A
Question 6
~ A middle adult male who is 30 pounds overweight states that he awakens at night
with heartburn and the taste of hot acid in his mouth. Stress makes his condition
worse, yet baking soda seems to provide some relief. Findings on examination are
normal and the stool for occult blood is negative. The preliminary diagnosis should
be:
Select only one option.
A
esophagitis.
B
esophageal spasm.
C
helicobacter pylori.
D
gastroesophageal reflux disease.
Correct Answer
D
Page 3 of 38
, Question 7
~ An elder adult 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?
Select only one option.
A
Report the case to the proper authorities.
B
Tell the neighbor to check on the woman daily and report back.
C
Document the data and report the information to risk management.
D
Call the patient's family and inquire about the concerns.
Correct Answer
A
Question 8
~ An elder adult patient presents with pinguecula, a yellow triangular degenerative
tissue thickening of the bulbar conjunctiva. This condition is:
Select only one option.
A
cured by eye drops.
B
a genetic process.
C
a malignant growth.
D
a solar-induced lesion.
Correct Answer
D
Page 4 of 38
