AANP PRACTICE STUDY GUIDE /
80 + QUESTIONS AND CORRECTLY
ANSWERED SOLUTIONS
ALREADY GRADED A+ LATEST
UPDATE 2025 .
,1. A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a
healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with
medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner
should start the patient on ANSWER
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. ANSWER A statin drug
2. The most commonly prescribed medication for mild systemic lupus erythe- matosus (SLE) is ANSWER
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). ANSWER ibuprofen (advil)
3. The most common sign of cervical cancer is ANSWER
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. ANSWER postcoital bleeding
4. The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to
diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The practitioner
would ANSWER
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). ANSWER discontinue amitriptyline and
begin gabapentin (neurontin)
5. A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The
patient complains of headache, abdominal pain, and gas. These symptoms are most likely ANSWER
1. associated with the omeprazole.
,2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. ANSWER associated with the omeprazole
6. The medication of choice for the initial treatment of juvenile rheumatoid arthritis is ANSWER
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. ANSWER ibuprofen
7. A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a follow-up
examination after a recent hospitalization. It is most important to continue monitoring growth, development, and
ANSWER
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. ANSWER hemoglobin levels
8. A 90-year-old 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?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. ANSWER report the case to proper authorities
9. In most cases, the first manifestation of Alzheimer's disease is ANSWER
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. ANSWER decrease in short-term memory
10. The optimal treatment for latent tuberculosis is ANSWER
, 1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
80 + QUESTIONS AND CORRECTLY
ANSWERED SOLUTIONS
ALREADY GRADED A+ LATEST
UPDATE 2025 .
,1. A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a
healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with
medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner
should start the patient on ANSWER
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. ANSWER A statin drug
2. The most commonly prescribed medication for mild systemic lupus erythe- matosus (SLE) is ANSWER
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). ANSWER ibuprofen (advil)
3. The most common sign of cervical cancer is ANSWER
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. ANSWER postcoital bleeding
4. The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to
diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The practitioner
would ANSWER
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). ANSWER discontinue amitriptyline and
begin gabapentin (neurontin)
5. A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The
patient complains of headache, abdominal pain, and gas. These symptoms are most likely ANSWER
1. associated with the omeprazole.
,2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. ANSWER associated with the omeprazole
6. The medication of choice for the initial treatment of juvenile rheumatoid arthritis is ANSWER
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. ANSWER ibuprofen
7. A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a follow-up
examination after a recent hospitalization. It is most important to continue monitoring growth, development, and
ANSWER
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. ANSWER hemoglobin levels
8. A 90-year-old 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?
1. Report the case to the proper authorities.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. ANSWER report the case to proper authorities
9. In most cases, the first manifestation of Alzheimer's disease is ANSWER
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. ANSWER decrease in short-term memory
10. The optimal treatment for latent tuberculosis is ANSWER
, 1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
