AANP AGPCNP PRACTICE
Question 1.
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
Question 2.
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
Question 3.
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)
Question 4.
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
Question 5.
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
Question 6.
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
, Question 7.
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
Question 8.
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
Question 9.
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
Question 10.
Fundoscopic exam of Hypertensive patient. 1) nicking of arteriols and viens, and small retinol hemorrages 2) drusen bodies and pale
retina 3) pale macula and swollen disk margins 4) microaneurysms and optic disc cupping
ANSWER
1) nicking of arteriols and viens, and small retinol hemorrages
Question 11.
Which of the following is a common presenting feature of hyperthyroidism in the elderly? 1) elevated TSH 2) Thyroid enlargement 3)
atrial fibrillation 4) abnormal T3 suppression
ANSWER
3) atrial fibrillation
Question 12.
A 35-year-old lawn maintenance worker presents re-porting "something in my eye" since the previous day. The eye was rinsed with
over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST: 1) send to ophthalmologists 2) florescreen staining 3) test visual field 4) prescribe eyedrops
ANSWER
3) test visual field
Question 1.
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
Question 2.
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
Question 3.
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)
Question 4.
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
Question 5.
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
Question 6.
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
, Question 7.
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
Question 8.
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
Question 9.
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
Question 10.
Fundoscopic exam of Hypertensive patient. 1) nicking of arteriols and viens, and small retinol hemorrages 2) drusen bodies and pale
retina 3) pale macula and swollen disk margins 4) microaneurysms and optic disc cupping
ANSWER
1) nicking of arteriols and viens, and small retinol hemorrages
Question 11.
Which of the following is a common presenting feature of hyperthyroidism in the elderly? 1) elevated TSH 2) Thyroid enlargement 3)
atrial fibrillation 4) abnormal T3 suppression
ANSWER
3) atrial fibrillation
Question 12.
A 35-year-old lawn maintenance worker presents re-porting "something in my eye" since the previous day. The eye was rinsed with
over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST: 1) send to ophthalmologists 2) florescreen staining 3) test visual field 4) prescribe eyedrops
ANSWER
3) test visual field
