AANP TEST PRACTICE ACTUAL
EXAM
A geriatric female presents for her annual examination. She has been on antihypertensive medications
for over 20 years, with good control. Laboratory values are within normal ranges. The nurse practitioner
is concerned about the patient's cardiac health risks, due her to weight and her waist circumference.
According to the AHA guidelines, which of the following goals is expected for this patient?
1. Physical activity for 60 minutes daily, for a minimum of 6 days a week
2. Physical activity for 30 minutes daily, 7 days a week
3. Physical activity for 30 minutes daily, for a minimum of 5 days a week
,4. Physical activity for 60 minutes daily, 7 days a week - ANSWERphysical activity for 30 minutes daily,
for a minimum of 5 days a week
The management of COPD in the elderly is best guided by:
1. spirometry.
2. arterial blood gases.
3. radiologic imaging.
4. symptomatology. - ANSWERsymptomatology
A young, athletic adult presents with shoulder pain and inability to raise the arm above the shoulder.
The most likely diagnosis is:
1. frozen shoulder syndrome.
2. cervical radiculopathy.
3. rotator cuff tear.
4. polymyositis. - ANSWERrotator cuff tear
A 50-year-old male presents with bruises and abrasions on the left leg and forearm, claiming to have
had a number of minor accidents at home and at work. The patient reports general feelings of
depression, forgetfulness, and, despite the fact that he is regularly employed, a mounting collection of
unpaid and overdue bills. In taking the patient's history, a significant pattern of parental alcohol abuse,
stroke, TIA, and MI emerges. During questioning to elicit a more thorough diagnosis, the patient
becomes hostile and leaves the clinic without further treatment. The most likely explanation for this
behavior is:
1. Alzheimer's disease.
2. chronic alcoholism.
3. cancer.
4. carotid artery stenosis. - ANSWERchronic alcoholism
, A 28-year-old patient presents with profuse yellow vaginal discharge, odor, and local irritation. She
reports completing a 7-day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks ago. She has had
multiple recurrences over the last 18 months. Microscopic examination reveals presence of clue cells.
What is the most appropriate treatment intervention?
1. Oral metronidazole (Flagyl), 500 mg b.i.d., plus metronidazole vaginal gel (MetroGel), for 5 days
2. Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days
3. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6 months
4. Treat patient with metronidazole vaginal gel (MetroGel) b.i.d. and partner(s) with tetracycline, 250
mg q.i.d., for 7 days - ANSWERTreat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg
b.i.d., for 7 days
An adult female who recently returned from a business trip to Japan presents for a recheck
appointment. The only remarkable laboratory result is for thyroid-stimulating hormone (TSH), at 0.3
microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck hurts; examination
reveals thyroid tenderness. Which of the following laboratory tests should the nurse practitioner order
now?
1. Triiodothyronine (T3) and free thyroxine (FT4)
2. Triiodothyronine (T3) only
3. Triiodothyronine (T3) resin uptake assay
4. Triiodothyronine (T3) and free triiodothyronine (FT3) - ANSWERTriiodothyronine (T3) and free
thyroxine (FT4)
In treating a pregnant female with migraine headaches, which of the following drugs is in Category X?
1. Ergotamine tartrate (Ergomar)
2. Sumitriptan succinate (Imitrex)
3. Frovatriptan (Frova)
4. Amitriptyline (Elavil) - ANSWERergotamine tartate (ergomar)
A nurse practitioner is evaluating an infant for possible colic. Which of the following could indicate the
need for a more extensive evaluation?
EXAM
A geriatric female presents for her annual examination. She has been on antihypertensive medications
for over 20 years, with good control. Laboratory values are within normal ranges. The nurse practitioner
is concerned about the patient's cardiac health risks, due her to weight and her waist circumference.
According to the AHA guidelines, which of the following goals is expected for this patient?
1. Physical activity for 60 minutes daily, for a minimum of 6 days a week
2. Physical activity for 30 minutes daily, 7 days a week
3. Physical activity for 30 minutes daily, for a minimum of 5 days a week
,4. Physical activity for 60 minutes daily, 7 days a week - ANSWERphysical activity for 30 minutes daily,
for a minimum of 5 days a week
The management of COPD in the elderly is best guided by:
1. spirometry.
2. arterial blood gases.
3. radiologic imaging.
4. symptomatology. - ANSWERsymptomatology
A young, athletic adult presents with shoulder pain and inability to raise the arm above the shoulder.
The most likely diagnosis is:
1. frozen shoulder syndrome.
2. cervical radiculopathy.
3. rotator cuff tear.
4. polymyositis. - ANSWERrotator cuff tear
A 50-year-old male presents with bruises and abrasions on the left leg and forearm, claiming to have
had a number of minor accidents at home and at work. The patient reports general feelings of
depression, forgetfulness, and, despite the fact that he is regularly employed, a mounting collection of
unpaid and overdue bills. In taking the patient's history, a significant pattern of parental alcohol abuse,
stroke, TIA, and MI emerges. During questioning to elicit a more thorough diagnosis, the patient
becomes hostile and leaves the clinic without further treatment. The most likely explanation for this
behavior is:
1. Alzheimer's disease.
2. chronic alcoholism.
3. cancer.
4. carotid artery stenosis. - ANSWERchronic alcoholism
, A 28-year-old patient presents with profuse yellow vaginal discharge, odor, and local irritation. She
reports completing a 7-day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks ago. She has had
multiple recurrences over the last 18 months. Microscopic examination reveals presence of clue cells.
What is the most appropriate treatment intervention?
1. Oral metronidazole (Flagyl), 500 mg b.i.d., plus metronidazole vaginal gel (MetroGel), for 5 days
2. Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days
3. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6 months
4. Treat patient with metronidazole vaginal gel (MetroGel) b.i.d. and partner(s) with tetracycline, 250
mg q.i.d., for 7 days - ANSWERTreat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg
b.i.d., for 7 days
An adult female who recently returned from a business trip to Japan presents for a recheck
appointment. The only remarkable laboratory result is for thyroid-stimulating hormone (TSH), at 0.3
microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck hurts; examination
reveals thyroid tenderness. Which of the following laboratory tests should the nurse practitioner order
now?
1. Triiodothyronine (T3) and free thyroxine (FT4)
2. Triiodothyronine (T3) only
3. Triiodothyronine (T3) resin uptake assay
4. Triiodothyronine (T3) and free triiodothyronine (FT3) - ANSWERTriiodothyronine (T3) and free
thyroxine (FT4)
In treating a pregnant female with migraine headaches, which of the following drugs is in Category X?
1. Ergotamine tartrate (Ergomar)
2. Sumitriptan succinate (Imitrex)
3. Frovatriptan (Frova)
4. Amitriptyline (Elavil) - ANSWERergotamine tartate (ergomar)
A nurse practitioner is evaluating an infant for possible colic. Which of the following could indicate the
need for a more extensive evaluation?
