AANP AGPCNP PRACTICE Exam
Questions with Correct Solutions
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Therapy for temporal arteritis would include:
1) Tylenol with codiene
2) ibuprofen 800mg TID
3) prednisone, 60 mg daily PO and re-evaluate in 1 month. - ANSWER ✓ 3)
prednisone, 60 mg daily PO and re-evaluate in 1 month.
In addressing suspected domestic violence in an adult relationship, it is
appropriate to:
1) just do a physical assessment, not social
2) make an assessment of battering.
3) avoid making a battering assessment, it is legal - ANSWER ✓ 2) make an
assessment of battering.
Over the past 6 months, a nurse practitioner has been treating a 62-year-old
construction worker for chronic/recurrent right biceps tendonitis. He has had good
and bad days, but seems to respond well to NSAIDs and muscle relaxants. Today
he returns to the clinic after feeling a "snapping" sensation in his right upper arm
while lifting a cinder block. To aid in diagnosis, the nurse practitioner would
evaluate:
1) Right shoulder ROM, and strength
2) for the presence of right upper arm bulge ("Popeye muscle") and biceps
strength.
3) radial pulses and right biceps tendon
4) right supination/pronation - ANSWER ✓ 2) for the presence of right upper arm
bulge ("Popeye muscle") and biceps strength.
,Which of the following accurately describes the phenomenon of isolated systolic
hypertension, as opposed to isolated diastolic or combined systolic/diastolic
hypertension, in the elderly?
1) Considered a significant risk factor for MI or stroke
2) demonstrated to be related to smoking
3) Occurs primarily in men
4) Not considered to be a major risk - ANSWER ✓ 1) Considered a significant risk
factor for MI or stroke
An 87-year-old long-term care facility resident was hospitalized for an abdominal
surgery procedure, and the incision has become infected with methicillin-resistant
Staphylococcus aureus (MRSA). The hospital is planning to return the patient to
the same facility, which has no private rooms. According to CDC guidelines, the
alternative placement would be to:
1) inform the hospital that the patient will have to go to another facility.
2) have the patient share a room with a resident who also has MRSA.
3) have the patient share a room with a resident who has VRSA.
4) Delay discharge until the wound is clear - ANSWER ✓ 2) have the patient share
a room with a resident who also has MRSA.
Which of the following laboratory tests are most widely accepted as indicators of
the progression of HIV infection?
1) CD4 count and viral load
2) CD4 and Western Blot
3) CD4 and ELISA
4) WBC count and viral load - ANSWER ✓ 1) CD4 count and viral load
Which class of antihypertensive agents has been associated with acute renal
failure, and is absolutely CONTRAINDICATED in patients with bilateral renal
artery stenosis?
1) Thiazide diuretics
, 2) Angiotensin-converting enzyme (ACE) inhibitors
3) Calcium channel blockers
4) Potassium sparing diuretics - ANSWER ✓ 2) Angiotensin-converting enzyme
(ACE) inhibitors
In geriatric patients, the polyvalent pneumococcal vaccine:
1) prevents or lessens the severity of 60%-70% of pneumococcal infections.
2) has no affect on immunocompromised patients
3) prevents pneumonia 100% of the time - ANSWER ✓ 1) prevents or lessens the
severity of 60%-70% of pneumococcal infections
A 39-year-old patient was diagnosed with acute bronchitis in the emergency
department and treated with acetaminophen, dextromethorphan, and
metaproterenol (Alupent). The patient's history reveals a smoking habit of 1 pack
per day. He now presents to your office with a fever of 101.2°F (39.4°C) and a
cough productive of thick, yellow-green, foul-smelling sputum. You would
encourage smoking cessation and prescribe:
1) a penicillin antibiotic
2) a macrolide antibiotic.
3) theophylline
4) inhalors - ANSWER ✓ 2) macrolide antibiotic
A 68-year-old female presents with a 3-week history of itching that increases in
intensity at night. Red papules with scale crusts are noted on the axilla, groin, and
interdigital webs of the hands. The most likely diagnosis is:
1) xerosis
2) herpes zoster
3) eczema
4) scabies. - ANSWER ✓ 4) scabies
A 68-year-old male with Parkinson's disease was placed on haloperidol (Haldol), 1
mg PO t.i.d. after presenting in the emergency department with visual and auditory
hallucinations. On a visit to the office 2 days later for follow-up, the immediate
course of action should be to:
Questions with Correct Solutions
Already Graded A+||100%
Guaranteed Pass!!!<<Brand New
Version>>
Therapy for temporal arteritis would include:
1) Tylenol with codiene
2) ibuprofen 800mg TID
3) prednisone, 60 mg daily PO and re-evaluate in 1 month. - ANSWER ✓ 3)
prednisone, 60 mg daily PO and re-evaluate in 1 month.
In addressing suspected domestic violence in an adult relationship, it is
appropriate to:
1) just do a physical assessment, not social
2) make an assessment of battering.
3) avoid making a battering assessment, it is legal - ANSWER ✓ 2) make an
assessment of battering.
Over the past 6 months, a nurse practitioner has been treating a 62-year-old
construction worker for chronic/recurrent right biceps tendonitis. He has had good
and bad days, but seems to respond well to NSAIDs and muscle relaxants. Today
he returns to the clinic after feeling a "snapping" sensation in his right upper arm
while lifting a cinder block. To aid in diagnosis, the nurse practitioner would
evaluate:
1) Right shoulder ROM, and strength
2) for the presence of right upper arm bulge ("Popeye muscle") and biceps
strength.
3) radial pulses and right biceps tendon
4) right supination/pronation - ANSWER ✓ 2) for the presence of right upper arm
bulge ("Popeye muscle") and biceps strength.
,Which of the following accurately describes the phenomenon of isolated systolic
hypertension, as opposed to isolated diastolic or combined systolic/diastolic
hypertension, in the elderly?
1) Considered a significant risk factor for MI or stroke
2) demonstrated to be related to smoking
3) Occurs primarily in men
4) Not considered to be a major risk - ANSWER ✓ 1) Considered a significant risk
factor for MI or stroke
An 87-year-old long-term care facility resident was hospitalized for an abdominal
surgery procedure, and the incision has become infected with methicillin-resistant
Staphylococcus aureus (MRSA). The hospital is planning to return the patient to
the same facility, which has no private rooms. According to CDC guidelines, the
alternative placement would be to:
1) inform the hospital that the patient will have to go to another facility.
2) have the patient share a room with a resident who also has MRSA.
3) have the patient share a room with a resident who has VRSA.
4) Delay discharge until the wound is clear - ANSWER ✓ 2) have the patient share
a room with a resident who also has MRSA.
Which of the following laboratory tests are most widely accepted as indicators of
the progression of HIV infection?
1) CD4 count and viral load
2) CD4 and Western Blot
3) CD4 and ELISA
4) WBC count and viral load - ANSWER ✓ 1) CD4 count and viral load
Which class of antihypertensive agents has been associated with acute renal
failure, and is absolutely CONTRAINDICATED in patients with bilateral renal
artery stenosis?
1) Thiazide diuretics
, 2) Angiotensin-converting enzyme (ACE) inhibitors
3) Calcium channel blockers
4) Potassium sparing diuretics - ANSWER ✓ 2) Angiotensin-converting enzyme
(ACE) inhibitors
In geriatric patients, the polyvalent pneumococcal vaccine:
1) prevents or lessens the severity of 60%-70% of pneumococcal infections.
2) has no affect on immunocompromised patients
3) prevents pneumonia 100% of the time - ANSWER ✓ 1) prevents or lessens the
severity of 60%-70% of pneumococcal infections
A 39-year-old patient was diagnosed with acute bronchitis in the emergency
department and treated with acetaminophen, dextromethorphan, and
metaproterenol (Alupent). The patient's history reveals a smoking habit of 1 pack
per day. He now presents to your office with a fever of 101.2°F (39.4°C) and a
cough productive of thick, yellow-green, foul-smelling sputum. You would
encourage smoking cessation and prescribe:
1) a penicillin antibiotic
2) a macrolide antibiotic.
3) theophylline
4) inhalors - ANSWER ✓ 2) macrolide antibiotic
A 68-year-old female presents with a 3-week history of itching that increases in
intensity at night. Red papules with scale crusts are noted on the axilla, groin, and
interdigital webs of the hands. The most likely diagnosis is:
1) xerosis
2) herpes zoster
3) eczema
4) scabies. - ANSWER ✓ 4) scabies
A 68-year-old male with Parkinson's disease was placed on haloperidol (Haldol), 1
mg PO t.i.d. after presenting in the emergency department with visual and auditory
hallucinations. On a visit to the office 2 days later for follow-up, the immediate
course of action should be to:
