10/15/24, 8:39 AANPAdul3 - Which tw o processes are involved in platelet
AM activation? Cy…
AANP Adult-Gerontology Nurse
Practitioner (AGPCNP) PSI Exam 1 and
2, 2024 Review Questions and Answers
100% Pass
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 - 1) pain worse
Answer>>
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 2) Gentamicin ophthalmic
4) Olopatadine -
Answer>>
(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
about:bl 1/
,10/15/24, 8:39 AANPAdul3 - Which tw o processes are involved in platelet
AM activation? Cy…
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 - 3) provide
Answer>>
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 - 3) Rubella
Answer>>
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
about:bl 2/
,10/15/24, 8:39 AANPAdul3 - Which tw o processes are involved in platelet
AM activation? Cy…
3) Perform fluid replacement
4) initiate active warming - 1) initiate passive
Answer>>
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
4) sweating -
Answer>>
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
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
about:bl 3/
, 10/15/24, 8:39 AANPAdul3 - Which tw o processes are involved in platelet
AM activation? Cy…
Which of the following is a common presenting
feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
3) atrial fibrillation
4) abnormal T3 suppression -
Answer>>
A 35-year-old lawn maintenance worker presents
reporting "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
3) test visual field
4) prescribe eyedrops -
Answer>>
A 72-year-old patient presents with dry, itchy eyes.
During the course of the physical examination, the nurse
practitioner notes the presence of a gray band of opacity
in the cornea that encircles the iris. The band is 1.0-1.5
mm wide. This finding is most consistent with a diagnosis
of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
2) arcus senilis
4. herpetic infection of the eye -
Answer>>
A 26-year-old presents with reports of anorexia, fatigue,
weight loss, malaise, fever, night sweats, and a cough
that has been present for 4 weeks. The diagnostic
study to perform first would be:
about:bl 4/
AM activation? Cy…
AANP Adult-Gerontology Nurse
Practitioner (AGPCNP) PSI Exam 1 and
2, 2024 Review Questions and Answers
100% Pass
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 - 1) pain worse
Answer>>
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 2) Gentamicin ophthalmic
4) Olopatadine -
Answer>>
(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
about:bl 1/
,10/15/24, 8:39 AANPAdul3 - Which tw o processes are involved in platelet
AM activation? Cy…
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 - 3) provide
Answer>>
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 - 3) Rubella
Answer>>
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
about:bl 2/
,10/15/24, 8:39 AANPAdul3 - Which tw o processes are involved in platelet
AM activation? Cy…
3) Perform fluid replacement
4) initiate active warming - 1) initiate passive
Answer>>
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
4) sweating -
Answer>>
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
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
about:bl 3/
, 10/15/24, 8:39 AANPAdul3 - Which tw o processes are involved in platelet
AM activation? Cy…
Which of the following is a common presenting
feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
3) atrial fibrillation
4) abnormal T3 suppression -
Answer>>
A 35-year-old lawn maintenance worker presents
reporting "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
3) test visual field
4) prescribe eyedrops -
Answer>>
A 72-year-old patient presents with dry, itchy eyes.
During the course of the physical examination, the nurse
practitioner notes the presence of a gray band of opacity
in the cornea that encircles the iris. The band is 1.0-1.5
mm wide. This finding is most consistent with a diagnosis
of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
2) arcus senilis
4. herpetic infection of the eye -
Answer>>
A 26-year-old presents with reports of anorexia, fatigue,
weight loss, malaise, fever, night sweats, and a cough
that has been present for 4 weeks. The diagnostic
study to perform first would be:
about:bl 4/
