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AANP Family Nurse Practitioner Exam Questions with Verified Rationalized Answers

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AANP Family Nurse Practitioner Exam Questions with Verified Rationalized Answers

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AANP Family Nurse Practitioner Exam Questions with
Verified Rationalized Answers

A 34-week pregnant patient presents to the emergency room with sudden onset of
|| || || || || || || || || || || ||



|| abdominal pain and vaginal bleeding. || || || ||



Which condition is most likely?
|| || || ||




a) placental abruption ||




b) ectopic pregnancy ||




c) Miscarriage
d) Placenta previa ||



- answer Placental abruption
|| || || ||




- Placental abruption is the early separation of the placenta from the lining of the uterus.
|| || || || || || || || || || || || || || ||



|| It is a rare but serious complication of the second half of pregnancy.
|| || || || || || || || || || || ||



Placental abruption is an emergency situation that places the well-being of the mother and
|| || || || || || || || || || || || ||



|| fetus at risk. || ||




2. Which is a common causative organism of pelvic inflammatory disease?
|| || || || || || || || ||




a) Neisseria gonorrhoeae ||




b) Trichomonas vaginalis ||




c) Treponema pallidum ||




d) Mycoplasma genitalium ||



- answer Neisseria gonorrhoeae
|| || || ||




1 ||/
||48

,- Gonorrhea and chlamydia are the most common organisms causing pelvic inflam- matory disease.
|| | | | | | | || || | || || ||




3. A middle-aged patient presents to the clinic for evaluation of new-onset
|| || || || || || || || || ||



|| hypertension and occasional flank pain. || || || ||



Thereis a familyhistoryof a maternal grandmother deceasedwith "somekind of kidney
| | | | | | | | | | | | || |



|| problem", and an in-office urinalysis is positive for 3 plus protein.
|| || || || || || || || || ||



In addition to addressing hypertension, which is the next appropriate step in the
|| || || || | || || || || || || ||



|| management of this patient? || || ||




a) refer for genetic testing || || ||




b) restrict all protein in diet || || || ||




c) repeat urinalysis in 3 months || || || ||




d) order a renal US || || ||



- answer Order a renal ultrasound
|| || || || || ||




- This patient has a positive family history of renal disease, flank pain, and pro- teinuria, all
|| || || || || || || || || || || || || || || ||



|| of which are indicators of polycystic kidney disease.The hypertension should be treated and
|| || || || || || || | || || || || ||



|| a renal ultrasound ordered. An ultrasound of the kidneys is the preferred diagnostic test.
|| || || | || || || || || || || || ||




4. A young adult patient presents to the clinic with concerns about a skin
|| || || || || || || || || || || ||



infection.The patient reports no tenderness or drainage and states the rash started
| || || || || || || || || || || ||



|| after participating in a wrestling tournament.
|| || || || ||



Upon examination, the nurse practitioner finds plaques with crusting on the right lower
|| || || || || || || || || || || ||



|| leg.
A culture is done and shows a Staphylococcus aureus infection. Which
|| || || || || || || || || ||



|| bacterial skin infection does the nurse practitioner suspect?
|| || || || || || ||




2 ||/
||48

,a) impetigo
b) folliculitis
c) Herpes gladiatorum ||




d) Hidradenitis suppurativa ||



- answer Impetigo
|| || ||




- Nonbullous impetigo, an S.aureus infection, occurs in a localized area that initially begins as
| || || || | || || || || | || || | || ||



|| papules and progresses to vesicles, pustules, and then honey-colored plaques.
|| || || || || || || || | |




5. In performing a neurological exam and assessing the patient's cranial nerves, the
|| || || || || || || || || || ||



|| nurse practitioner notes fasciculations across the tongue's sur- face.
|| || || || || || || ||



Which nerve is affected? || || ||




a) CNVI (abducens) | ||




b) CN XII (hypoglossal) || ||




c) CN XI (accessory) || ||




d) CN X (vagus) || ||



- answer Cranial nerve XII (hypoglossal)
|| |||| || || ||




- Cranial nerve XII is the hypoglossal nerve and allows motor movement of the tongue
|| || || || || || || || || || || || || ||



|| muscles.This nerve is tested by asking the patient to stick out the tongue and observing for
| || || || || || || || || || || || || || || ||



|| atrophy, fasciculations, and tongue deviation to one side.
|| || || || || || ||




6. An older adult patient with hypertension, depression, and diabetes mellitus type 2 is
|| || || || || || || || || || || ||



|| experiencing periods of intermittent confusion. A cognitive assess- ment does not
|| || || || || || || || || ||



|| demonstrate impairment. ||



Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor), metformin
|| || || | || | || ||



|| (Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as needed for sleep || || || || || || || ||




3 ||/
||48

, || and




4 ||/
||48

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