AANP Family
Nurse Practitioner Exam
Questions with Verified Rationalized Answers
100% Guarantee Pass score of 700 points
Consist of 150 Questions with Answers
1. A 40-year-old woman with type 2 diabetes presents to the
clinic with con- cerns of spiking blood sugar between lunch and
dinner. She states she is on a rapid-acting insulin sliding scale
and long-acting insulin. Which change should be implemented
to help prevent or curb this glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with
,dinner
Answer> Add a dose of mealtime insulin aspart (Novolog) at lunch
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
dosed with meals and as a sliding scale regimen based on a patient's
glucose prior to eating (preprandial). It is the appropriate insulin to add
as a mealtime dose when patients experience blood glucose spikes
between meals because of its short-acting proper-
ties. Peak time action of insulin aspart is 2 hours with initial effect within
the first 30
minutes, making it an ideal choice to control expected postprandial
glycemic spikes
2. Which of the following conditions is associated with an
increased risk for conductive hearing loss?
A.
Acoustic neuroma
B.
Ménière disease
C.
Otitis media
D.
Presbycusis
Answer> Otitis media
,Causes of conductive hearing loss are otitis media (C), otitis externa,
foreign objects in the ear canal, impacted ear wax, tumors, congenital
anomalies, discontinuity
of middle ear bones, cholesteatoma, and tympanic membrane rupture.
Sound normally travels down the ear canal to vibrate the eardrum
(tympanic membrane). The eardrum is connected to three middle ear
bones (malleus, incus, and stapes), which transmit the sound into the
inner ear (cochlea). The cochlea is the organ that changes sound
vibrations into a nerve signal that travels to the brain. The four types of
hearing loss are conductive, sensorineural, mixed, and retrocochlear.
Conductive hearing loss occurs when sound cannot effectively reach
the inner ear due to issue in the outer ear and middle ear.
3. A 23-year-old patient who is pregnant at 28 weeks gestation
presents to the clinic for a routine prenatal checkup. Which
fundal height measurement would warrant a more conclusive
assessment with an ultrasound?
A.
26 cm
B.
29 cm
C.
30 cm
, D.
31 cm
Answer> 31 cm
After 20 weeks gestation, the fundal height should be measured with a
measuring tape in centimeters and should match the gestational age. It
can be > or < 2 centimeters and still be within normal limits. A fundal
height of 26-30 cm is a normal finding in a patient who is 28 weeks
gestation. A result of 31 cm (D) is larger than expected and should be
further evaluated with an ultrasound.
4. A 4-year-old boy presents with ear pain and an
erythematous, bulging tympanic membrane on examination.
The nurse practitioner diagnoses him with acute otitis media.
Which of the following are the three most common bacterial
pathogens associated with acute otitis media in children?
A.
Moraxella catarrhalis, Staphylococcus aureus, Streptococcus
pneumoniae
B.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Staphylococcus aureus
C.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Nurse Practitioner Exam
Questions with Verified Rationalized Answers
100% Guarantee Pass score of 700 points
Consist of 150 Questions with Answers
1. A 40-year-old woman with type 2 diabetes presents to the
clinic with con- cerns of spiking blood sugar between lunch and
dinner. She states she is on a rapid-acting insulin sliding scale
and long-acting insulin. Which change should be implemented
to help prevent or curb this glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with
,dinner
Answer> Add a dose of mealtime insulin aspart (Novolog) at lunch
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
dosed with meals and as a sliding scale regimen based on a patient's
glucose prior to eating (preprandial). It is the appropriate insulin to add
as a mealtime dose when patients experience blood glucose spikes
between meals because of its short-acting proper-
ties. Peak time action of insulin aspart is 2 hours with initial effect within
the first 30
minutes, making it an ideal choice to control expected postprandial
glycemic spikes
2. Which of the following conditions is associated with an
increased risk for conductive hearing loss?
A.
Acoustic neuroma
B.
Ménière disease
C.
Otitis media
D.
Presbycusis
Answer> Otitis media
,Causes of conductive hearing loss are otitis media (C), otitis externa,
foreign objects in the ear canal, impacted ear wax, tumors, congenital
anomalies, discontinuity
of middle ear bones, cholesteatoma, and tympanic membrane rupture.
Sound normally travels down the ear canal to vibrate the eardrum
(tympanic membrane). The eardrum is connected to three middle ear
bones (malleus, incus, and stapes), which transmit the sound into the
inner ear (cochlea). The cochlea is the organ that changes sound
vibrations into a nerve signal that travels to the brain. The four types of
hearing loss are conductive, sensorineural, mixed, and retrocochlear.
Conductive hearing loss occurs when sound cannot effectively reach
the inner ear due to issue in the outer ear and middle ear.
3. A 23-year-old patient who is pregnant at 28 weeks gestation
presents to the clinic for a routine prenatal checkup. Which
fundal height measurement would warrant a more conclusive
assessment with an ultrasound?
A.
26 cm
B.
29 cm
C.
30 cm
, D.
31 cm
Answer> 31 cm
After 20 weeks gestation, the fundal height should be measured with a
measuring tape in centimeters and should match the gestational age. It
can be > or < 2 centimeters and still be within normal limits. A fundal
height of 26-30 cm is a normal finding in a patient who is 28 weeks
gestation. A result of 31 cm (D) is larger than expected and should be
further evaluated with an ultrasound.
4. A 4-year-old boy presents with ear pain and an
erythematous, bulging tympanic membrane on examination.
The nurse practitioner diagnoses him with acute otitis media.
Which of the following are the three most common bacterial
pathogens associated with acute otitis media in children?
A.
Moraxella catarrhalis, Staphylococcus aureus, Streptococcus
pneumoniae
B.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
Staphylococcus aureus
C.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis,
