AANP AGPCNP PRACTICE | QUESTIONS AND ANSWERS |
2025/2026 | LATEST UPDATE
An 88-year-old presents with right-side LEFT-SIDED CVA
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?
Which of the following signs/symtpoms are 1) pain worse laying down, focal neurological signs
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
Which of the following 2) Gentamicin ophthalmic (Genoptic)
pharmacotherapeutics would be most
important to administer to a patient who
has a corneal abrasion?
1) Timolol
2)Gentamicin ophthalmic
3)Cromolyn optha
4) Olopatadine
,A 25-year-old presents with the chief 2) palpate structures
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 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
A 16-year-old female in the first month 3) provide reassurance
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
According to the Report of the U.S. 3) Rubella serology or vaccination history
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
87 y/o NH patient is drowsy and barely 1) initiate passive rewarming
responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2)apply a rebreather
3)Perform fluid replacement
4) initiate active warming
A patient is referred with DM, HTN 4) sweating
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
, A 65-year-old overweight patient is 2) continue NSAID, apply an arch support and encourage wt loss and exercise
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
Fundoscopic exam of Hypertensive patient. 1) nicking of arteriols and viens, and small retinol hemorrages
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
Which of the following is a common 3) atrial fibrillation
presenting feature of hyperthyroidism in the
elderly?
1) elevated TSH
2) Thyroid enlargement
3)atrial fibrillation
4) abnormal T3 suppression
A 35-year-old lawn maintenance worker 3) test visual field
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
4) prescribe eyedrops
A 72-year-old patient presents with dry, 2) arcus senilis
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
4. herpetic infection of the eye
2025/2026 | LATEST UPDATE
An 88-year-old presents with right-side LEFT-SIDED CVA
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?
Which of the following signs/symtpoms are 1) pain worse laying down, focal neurological signs
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
Which of the following 2) Gentamicin ophthalmic (Genoptic)
pharmacotherapeutics would be most
important to administer to a patient who
has a corneal abrasion?
1) Timolol
2)Gentamicin ophthalmic
3)Cromolyn optha
4) Olopatadine
,A 25-year-old presents with the chief 2) palpate structures
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 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
A 16-year-old female in the first month 3) provide reassurance
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
According to the Report of the U.S. 3) Rubella serology or vaccination history
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
87 y/o NH patient is drowsy and barely 1) initiate passive rewarming
responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2)apply a rebreather
3)Perform fluid replacement
4) initiate active warming
A patient is referred with DM, HTN 4) sweating
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
, A 65-year-old overweight patient is 2) continue NSAID, apply an arch support and encourage wt loss and exercise
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
Fundoscopic exam of Hypertensive patient. 1) nicking of arteriols and viens, and small retinol hemorrages
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
Which of the following is a common 3) atrial fibrillation
presenting feature of hyperthyroidism in the
elderly?
1) elevated TSH
2) Thyroid enlargement
3)atrial fibrillation
4) abnormal T3 suppression
A 35-year-old lawn maintenance worker 3) test visual field
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
4) prescribe eyedrops
A 72-year-old patient presents with dry, 2) arcus senilis
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
4. herpetic infection of the eye
