AANP AGPCNP PRACTICE 2024
QUESTIONS AND ANSWERS.
1. An older adult presents with severe abdominal pain. The husband reports that earlier in
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the afternoon, the patient's abdominal hernia had been firm and bulged out 4 inches (10.2
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
cm). The patient had him press on the hernia and immediately felt burning pain throughout
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the abdomen. Which of the following is the nurse practitioners' NEXT action?
ji ji ji ji ji ji ji ji ji ji ji ji
1. Abdominal CT scan
ji ji ji
2. Complete blood count with differential
ji ji ji ji ji
3. Abdominal ultrasound
ji ji
4. Referral to the ED - (correct answer) -4. Referral to the ED
ji ji ji ji ji ji ji ji ji ji ji ji
2. A young adult female who is 34 weeks pregnant presents with the complaint of urinary
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
frequency every 1 to 2 hours. The patient has no fever and denies back pain. A urine
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
dipstick test is positive for leukocyte esterase and nitrites. Microscopic analysis reveals
ji ji ji ji ji ji ji ji ji ji ji ji
15-20 WBCs/hpf and a few bacteria. The BEST choice for treatment of this patient's
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
urinary tract infection would be:
ji ji ji ji ji
1. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for 3 days.
ji ji ji ji ji ji ji ji ji ji
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
ji ji ji ji ji ji ji ji ji ji
3. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
ji ji ji ji ji ji ji ji ji
4. erythromycin, 250 mg three times daily for 5 days. - (correct answer) -2. cephalexin
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
(Keflex), 500 mg four times daily for 7 days.
ji ji ji ji ji ji ji ji ji
3. An adult male presents with new-onset pain and tenderness in the low back and pain in
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the right great toe after a weekend of golf. He denies experiencing numbness and tingling.
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
Which of the following would the nurse practitioner expect to find an investigation of this
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
patient's low back pain?
ji ji ji ji
1. Exacerbation of extremity symptoms with straight-leg raising
ji ji ji ji ji ji ji
2. Loss of bowel and bladder function
ji ji ji ji ji ji
3. Increased ankle jerk on evaluation of deep tendon reflexes
ji ji ji ji ji ji ji ji ji
4. Increased lumbar lordosis - (correct answer) -1. Exacerbation of extremity symptoms
ji ji ji ji ji ji ji ji ji ji ji
with straight-leg raising
ji ji ji
4. A true statement about essential tremors is that they:
ji ji ji ji ji ji ji ji ji
1. often begin with "pill-rolling" of one hand and may affect the legs, feet, and toes.
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
2. are often barely visible, rapid tremors.
ji ji ji ji ji ji
3. are a characteristic of Parkinson's disease.
ji ji ji ji ji ji
,4. are slow tremors that are absent or minimal at rest and usually involve the hands. -
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
(correct answer) -4. are slow tremors that are absent or minimal at rest and usually involve
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the hands.
ji ji
5. Which opioid medication is the MOST potent?
ji ji ji ji ji ji ji
1. Codeine
ji
2. Morphine
ji
3. Oxycodone
ji
4. Hydromorphone - (correct answer) -4. Hydromorphone
ji ji ji ji ji ji
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
ji ji ji ji ji ji ji ji ji ji ji
1. Irritability
ji
2. Decreased libido
ji ji
3. Menstrual cramps
ji ji
4. Dyspareunia - (correct answer) -1. Irritability
ji ji ji ji ji ji
7. Which of the following is the medication of choice for monotherapy of an older adult with
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
hypertension and
ji ji
no related comorbid conditions?
ji ji ji
1.Alpha-blocker
2.Vasodilator
3.Thiazide diuretic ji
4.Beta-blocker - (correct answer) -3.Thiazide diuretic ji ji ji ji ji
8. An elderly, obese female presents for evaluation of a painful rash, first noticed 2 weeks
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ago, located under both breasts. The rash is visible as an area of confluent, beefy-red,
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
excoriated lesions with smaller satellite lesions extending beyond the borders of the main
ji ji ji ji ji ji ji ji ji ji ji ji ji
lesions. The KOH prep reveals pseudohyphae. The nurse practitioner
ji ji ji ji ji ji ji ji ji
would recommend a/an: ji ji
1. course of oral steroids and air drying of skin after showers.
ji ji ji ji ji ji ji ji ji ji ji
2. topical antifungal and order a fasting blood glucose.
ji ji ji ji ji ji ji ji
3. oral antibiotic and order a hemoglobin A1c.
ji ji ji ji ji ji ji
4. high-potency topical corticosteroid and use of dry dressings. - (correct answer) -2.
ji ji ji ji ji ji ji ji ji ji ji ji
topical antifungal and order a fasting blood glucose.
ji ji ji ji ji ji ji ji
9. An older adult female complains of problems with urination. She reports that whenever
ji ji ji ji ji ji ji ji ji ji ji ji ji
she feels the need to urinate, she is unable to "make it to the bathroom in time," and wets
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
herself. Which type of incontinence is MOST likely?
ji ji ji ji ji ji ji ji
1. Urge
ji
2. Overflow
ji
3. Transient
ji
, 4. Stress - (correct answer) -1. Urge
ji ji ji ji ji ji
10. A young adult female presents with painful swelling of the right cheek anterior to the
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
TMJ. The diagnosis is sialadenitis. In addition to antibiotics, treatment for this patient
ji ji ji ji ji ji ji ji ji ji ji ji ji
should include:
ji ji
1. hot soaks and lemon drops.
ji ji ji ji ji
2. alternating heat and cold.
ji ji ji ji
3. cold compresses and massage.
ji ji ji ji
4. hot soaks and mucolytics. - (correct answer) -1. hot soaks and lemon drops.
ji ji ji ji ji ji ji ji ji ji ji ji ji
11. Initial therapy for older adult patients with arthritic joints is:
ji ji ji ji ji ji ji ji ji ji
1. naproxen, 1000 mg twice daily.
ji ji ji ji ji
2. ibuprofen, 600 mg four times daily.
ji ji ji ji ji ji
3. glucosamine, 750 mg twice daily.
ji ji ji ji ji
4. acetaminophen, 1000 mg four times daily. - (correct answer) -4. acetaminophen, 1000
ji ji ji ji ji ji ji ji ji ji ji ji
mg four times daily.
ji ji ji ji
12. Which of the following is an example of gross negligence?
ji ji ji ji ji ji ji ji ji ji
1. Prescription of a drug that causes a fatal allergic reaction
ji ji ji ji ji ji ji ji ji ji
2. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged hospital stay
ji ji ji ji ji ji ji ji ji ji ji
3. Refusal to return the emergency phone call of a patient who has chest pain evolving into
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
an MI
ji ji
4. Failure to diagnose a problem at an unrelated routine visit - (correct answer) -3. Refusal
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
to return the emergency phone call of a patient who has chest pain evolving into an MI
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
13. What is the correct order of pharmacokinetics of drugs in the body?
ji ji ji ji ji ji ji ji ji ji ji ji
1. absorption, distribution, metabolism, excretion
ji ji ji ji
2. distribution, absorption, metabolism, excretion
ji ji ji ji
3. absorption, metabolism, distribution, excretion
ji ji ji ji
4. metabolism, distribution, absorption, excretion - (correct answer) -1. absorption,
ji ji ji ji ji ji ji ji ji
distribution, metabolism, excretion
ji ji ji
14. An older adult female is brought in by her daughter, who has been visiting her. The
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
daughter reports that her mother seems confused and anxious, and is moving oddly as if
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
she is stiff. The daughter has brought along the mother's medications. She is taking
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
hydrochlorothiazide, levothyroxine (Synthroid), sertraline (Zoloft), baby aspirin, a
ji ji ji ji ji ji ji ji
multivitamin, and St. John's wort. Which condition would the nurse practitioner MOST
ji ji ji ji ji ji ji ji ji ji ji ji
urgently suspect?
ji ji
1. Alzheimer's disease
ji ji
2. Serotonin syndrome
ji ji
3. Vascular dementia
ji ji
QUESTIONS AND ANSWERS.
1. An older adult presents with severe abdominal pain. The husband reports that earlier in
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the afternoon, the patient's abdominal hernia had been firm and bulged out 4 inches (10.2
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
cm). The patient had him press on the hernia and immediately felt burning pain throughout
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the abdomen. Which of the following is the nurse practitioners' NEXT action?
ji ji ji ji ji ji ji ji ji ji ji ji
1. Abdominal CT scan
ji ji ji
2. Complete blood count with differential
ji ji ji ji ji
3. Abdominal ultrasound
ji ji
4. Referral to the ED - (correct answer) -4. Referral to the ED
ji ji ji ji ji ji ji ji ji ji ji ji
2. A young adult female who is 34 weeks pregnant presents with the complaint of urinary
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
frequency every 1 to 2 hours. The patient has no fever and denies back pain. A urine
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
dipstick test is positive for leukocyte esterase and nitrites. Microscopic analysis reveals
ji ji ji ji ji ji ji ji ji ji ji ji
15-20 WBCs/hpf and a few bacteria. The BEST choice for treatment of this patient's
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
urinary tract infection would be:
ji ji ji ji ji
1. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for 3 days.
ji ji ji ji ji ji ji ji ji ji
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
ji ji ji ji ji ji ji ji ji ji
3. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
ji ji ji ji ji ji ji ji ji
4. erythromycin, 250 mg three times daily for 5 days. - (correct answer) -2. cephalexin
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
(Keflex), 500 mg four times daily for 7 days.
ji ji ji ji ji ji ji ji ji
3. An adult male presents with new-onset pain and tenderness in the low back and pain in
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the right great toe after a weekend of golf. He denies experiencing numbness and tingling.
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
Which of the following would the nurse practitioner expect to find an investigation of this
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
patient's low back pain?
ji ji ji ji
1. Exacerbation of extremity symptoms with straight-leg raising
ji ji ji ji ji ji ji
2. Loss of bowel and bladder function
ji ji ji ji ji ji
3. Increased ankle jerk on evaluation of deep tendon reflexes
ji ji ji ji ji ji ji ji ji
4. Increased lumbar lordosis - (correct answer) -1. Exacerbation of extremity symptoms
ji ji ji ji ji ji ji ji ji ji ji
with straight-leg raising
ji ji ji
4. A true statement about essential tremors is that they:
ji ji ji ji ji ji ji ji ji
1. often begin with "pill-rolling" of one hand and may affect the legs, feet, and toes.
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
2. are often barely visible, rapid tremors.
ji ji ji ji ji ji
3. are a characteristic of Parkinson's disease.
ji ji ji ji ji ji
,4. are slow tremors that are absent or minimal at rest and usually involve the hands. -
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
(correct answer) -4. are slow tremors that are absent or minimal at rest and usually involve
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
the hands.
ji ji
5. Which opioid medication is the MOST potent?
ji ji ji ji ji ji ji
1. Codeine
ji
2. Morphine
ji
3. Oxycodone
ji
4. Hydromorphone - (correct answer) -4. Hydromorphone
ji ji ji ji ji ji
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
ji ji ji ji ji ji ji ji ji ji ji
1. Irritability
ji
2. Decreased libido
ji ji
3. Menstrual cramps
ji ji
4. Dyspareunia - (correct answer) -1. Irritability
ji ji ji ji ji ji
7. Which of the following is the medication of choice for monotherapy of an older adult with
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
hypertension and
ji ji
no related comorbid conditions?
ji ji ji
1.Alpha-blocker
2.Vasodilator
3.Thiazide diuretic ji
4.Beta-blocker - (correct answer) -3.Thiazide diuretic ji ji ji ji ji
8. An elderly, obese female presents for evaluation of a painful rash, first noticed 2 weeks
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ago, located under both breasts. The rash is visible as an area of confluent, beefy-red,
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
excoriated lesions with smaller satellite lesions extending beyond the borders of the main
ji ji ji ji ji ji ji ji ji ji ji ji ji
lesions. The KOH prep reveals pseudohyphae. The nurse practitioner
ji ji ji ji ji ji ji ji ji
would recommend a/an: ji ji
1. course of oral steroids and air drying of skin after showers.
ji ji ji ji ji ji ji ji ji ji ji
2. topical antifungal and order a fasting blood glucose.
ji ji ji ji ji ji ji ji
3. oral antibiotic and order a hemoglobin A1c.
ji ji ji ji ji ji ji
4. high-potency topical corticosteroid and use of dry dressings. - (correct answer) -2.
ji ji ji ji ji ji ji ji ji ji ji ji
topical antifungal and order a fasting blood glucose.
ji ji ji ji ji ji ji ji
9. An older adult female complains of problems with urination. She reports that whenever
ji ji ji ji ji ji ji ji ji ji ji ji ji
she feels the need to urinate, she is unable to "make it to the bathroom in time," and wets
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
herself. Which type of incontinence is MOST likely?
ji ji ji ji ji ji ji ji
1. Urge
ji
2. Overflow
ji
3. Transient
ji
, 4. Stress - (correct answer) -1. Urge
ji ji ji ji ji ji
10. A young adult female presents with painful swelling of the right cheek anterior to the
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
TMJ. The diagnosis is sialadenitis. In addition to antibiotics, treatment for this patient
ji ji ji ji ji ji ji ji ji ji ji ji ji
should include:
ji ji
1. hot soaks and lemon drops.
ji ji ji ji ji
2. alternating heat and cold.
ji ji ji ji
3. cold compresses and massage.
ji ji ji ji
4. hot soaks and mucolytics. - (correct answer) -1. hot soaks and lemon drops.
ji ji ji ji ji ji ji ji ji ji ji ji ji
11. Initial therapy for older adult patients with arthritic joints is:
ji ji ji ji ji ji ji ji ji ji
1. naproxen, 1000 mg twice daily.
ji ji ji ji ji
2. ibuprofen, 600 mg four times daily.
ji ji ji ji ji ji
3. glucosamine, 750 mg twice daily.
ji ji ji ji ji
4. acetaminophen, 1000 mg four times daily. - (correct answer) -4. acetaminophen, 1000
ji ji ji ji ji ji ji ji ji ji ji ji
mg four times daily.
ji ji ji ji
12. Which of the following is an example of gross negligence?
ji ji ji ji ji ji ji ji ji ji
1. Prescription of a drug that causes a fatal allergic reaction
ji ji ji ji ji ji ji ji ji ji
2. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged hospital stay
ji ji ji ji ji ji ji ji ji ji ji
3. Refusal to return the emergency phone call of a patient who has chest pain evolving into
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
an MI
ji ji
4. Failure to diagnose a problem at an unrelated routine visit - (correct answer) -3. Refusal
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
to return the emergency phone call of a patient who has chest pain evolving into an MI
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
13. What is the correct order of pharmacokinetics of drugs in the body?
ji ji ji ji ji ji ji ji ji ji ji ji
1. absorption, distribution, metabolism, excretion
ji ji ji ji
2. distribution, absorption, metabolism, excretion
ji ji ji ji
3. absorption, metabolism, distribution, excretion
ji ji ji ji
4. metabolism, distribution, absorption, excretion - (correct answer) -1. absorption,
ji ji ji ji ji ji ji ji ji
distribution, metabolism, excretion
ji ji ji
14. An older adult female is brought in by her daughter, who has been visiting her. The
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
daughter reports that her mother seems confused and anxious, and is moving oddly as if
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
she is stiff. The daughter has brought along the mother's medications. She is taking
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
hydrochlorothiazide, levothyroxine (Synthroid), sertraline (Zoloft), baby aspirin, a
ji ji ji ji ji ji ji ji
multivitamin, and St. John's wort. Which condition would the nurse practitioner MOST
ji ji ji ji ji ji ji ji ji ji ji ji
urgently suspect?
ji ji
1. Alzheimer's disease
ji ji
2. Serotonin syndrome
ji ji
3. Vascular dementia
ji ji
