AANP Test 2 for Boards Questions & Answers
1.You are treating a patient with acute anxiety and she is having an acute
attack in the office. The ANP has knowledge that the fastest relief of
symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI
Answer
benzodiazepine
The fastest relief of anxiety symptoms will occur with a
benzodiazepine. The other choices list agents that will require multiple
doses for results. With daily continued use of benzodiazepines, the
anti-anxiety effect may become diminished.
2.A geriatric patient with cardiovascular disease is in the office being coun-
seled on lifestyle changes. The ANP knows that which of the following is
the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and
exercise regularly."
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,"Have a yearly physical examination, increase fiber in your diet, and exercise
regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol
intake."
"Decrease smoking, increase vitamin supplements, and increase protein
intake."
Answer
"Control your hypertension, stop smoking, maintain a normal weight,
and exercise regularly."
All of these are important for the geriatric patient to decrease
cardiovascular risk. Controlling hyperglycemia, high fiber intake, and
vitamins all assist in maintaining a healthy lifestyle but do not help to
prevent cardiovascular disease.
3.You are seeing a female with inflammatory bowel disease, known as IBD.
The Adult Nurse Practitioner knows that if she orders a hemogram on this
patient, which of the following results would be seen if the patient was
anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type
Answer
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,normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple
causes. The anemia of chronic disease, a normocytic, normochromic
anemia, is a result of inflammation of the IBD without blood loss. Blood
loss would result in a microcytic, hypochromic anemia. The macrocytic
anemias are a result of deficiency in vitamin B12 or other causes.
4.Which of the following is the least likely risk factor for suicide?
physical
illness male
increasing age
black race
Answer
black race
Being of a white race is more likely to be a factor in suicide. Besides the
other three choices risk factors include: substance abuse, living alone,
and less education.
5.The healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations is called the:
Standard of care.
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, Breach of duty.
Duty.
Malpractice.
Answer
Standard of care
Standard of care is another term associated with negligence. Standard
of care is a healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations.
6.A brief account by the patient of any signs or symptoms he or she
is experiencing is one component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment.
Answer Review of systems
In the review of systems, the patient tells the nurse in his or her own
words what signs or symptoms he or she has experienced in various
body systems. It is important that these be in a patient's own words to
perform the most complete and accurate assessment.
7.All of the following are typical changes to the gastrointestinal system
that come with aging EXCEPT:
decreased liver size
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69
1.You are treating a patient with acute anxiety and she is having an acute
attack in the office. The ANP has knowledge that the fastest relief of
symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI
Answer
benzodiazepine
The fastest relief of anxiety symptoms will occur with a
benzodiazepine. The other choices list agents that will require multiple
doses for results. With daily continued use of benzodiazepines, the
anti-anxiety effect may become diminished.
2.A geriatric patient with cardiovascular disease is in the office being coun-
seled on lifestyle changes. The ANP knows that which of the following is
the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and
exercise regularly."
1/
69
,"Have a yearly physical examination, increase fiber in your diet, and exercise
regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol
intake."
"Decrease smoking, increase vitamin supplements, and increase protein
intake."
Answer
"Control your hypertension, stop smoking, maintain a normal weight,
and exercise regularly."
All of these are important for the geriatric patient to decrease
cardiovascular risk. Controlling hyperglycemia, high fiber intake, and
vitamins all assist in maintaining a healthy lifestyle but do not help to
prevent cardiovascular disease.
3.You are seeing a female with inflammatory bowel disease, known as IBD.
The Adult Nurse Practitioner knows that if she orders a hemogram on this
patient, which of the following results would be seen if the patient was
anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type
Answer
2/
69
,normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple
causes. The anemia of chronic disease, a normocytic, normochromic
anemia, is a result of inflammation of the IBD without blood loss. Blood
loss would result in a microcytic, hypochromic anemia. The macrocytic
anemias are a result of deficiency in vitamin B12 or other causes.
4.Which of the following is the least likely risk factor for suicide?
physical
illness male
increasing age
black race
Answer
black race
Being of a white race is more likely to be a factor in suicide. Besides the
other three choices risk factors include: substance abuse, living alone,
and less education.
5.The healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations is called the:
Standard of care.
3/
69
, Breach of duty.
Duty.
Malpractice.
Answer
Standard of care
Standard of care is another term associated with negligence. Standard
of care is a healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations.
6.A brief account by the patient of any signs or symptoms he or she
is experiencing is one component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment.
Answer Review of systems
In the review of systems, the patient tells the nurse in his or her own
words what signs or symptoms he or she has experienced in various
body systems. It is important that these be in a patient's own words to
perform the most complete and accurate assessment.
7.All of the following are typical changes to the gastrointestinal system
that come with aging EXCEPT:
decreased liver size
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69
