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This document, "AANP FNP Certification Study Guide Exam", covers various topics in nursing practice,
including pharmacology (e.g., osteoporosis management, GERD treatment), dermatology (e.g., atopic
dermatitis, scarlet fever), ophthalmology (e.g., strabismus, retinal detachment), and infectious diseases
(e.g., Chlamydia trachomatis). The document provides 237 questions with correct answers and detailed
explanations, offering a comprehensive review of nursing concepts for FNP certification examination
preparation. Students can utilize this document to study, review, and understand complex nursing
concepts, facilitating a deeper understanding of the material and enhancing exam preparedness.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
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EXAM QUESTIONS
QUESTION 1
to prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and low Hct
CORRECT ANSWER
VITAMIN D 600-800, CALCIUM 1000-1200.
OSTEOPOROSIS BONE ABSORPTION EXCEED BONE FORMATION.
LOW TSH= Hyperthyroidism- BONE DEMINERALIZATION.
NEED CALCIUM for BONE GROWTH
RATIONALE: The correct answer is derived from the understanding that Vitamin D is crucial for calcium absorption,
bone growth, and fracture prevention, making a low Vitamin D level a primary concern. The presence of low Hct and
high TSH levels indicates conditions such as anemia and hypothyroidism, which, when combined with low Vitamin D,
further increase the risk of osteoporosis and bone demineralization.
QUESTION 2
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, Pt with atopic dermatitis, look for what other diseases?
CORRECT ANSWER
Asthma
RATIONALE: The connection between atopic dermatitis and asthma lies in the shared underlying immune system
dysregulation and genetic predispositions that often coexist in individuals with atopic dermatitis, significantly increasing
their likelihood of developing asthma. This association is part of the atopic march, a concept that describes the
progression of allergic diseases from atopic dermatitis to asthma and other conditions, highlighting the importance of
surveillance for these related conditions.
QUESTION 3
German Measles (Rubella)
CORRECT ANSWER
Pink, papular rash (similar to measles but paler) first appears on face, then spreads. Distinguished from
measles by presence of neck lymphadenopathy and absence of Koplik spots.
RATIONALE: The description correctly identifies German Measles (Rubella) by highlighting its unique symptom of neck
lymphadenopathy, which is not typically seen in measles. Additionally, the absence of Koplik spots, which are
characteristic of measles, further supports the correct identification of the disease as German Measles (Rubella).
QUESTION 4
Coarctation of Aorta
CORRECT ANSWER
COA: bounding radial and weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the aorta
-
RATIONALE: Coarctation of Aorta is characterized by a narrowing of the aorta, which restricts blood flow to the lower
body, resulting in weak femoral pulses and bounding radial pulses due to increased blood pressure in the arms and
decreased blood pressure in the lower legs. This condition directly correlates with the symptoms described, making it
the correct answer to the question.
QUESTION 5
Chlamydia trachomatis
CORRECT ANSWER
Doxycycline (+ ceftriaxone for gonorrhea coinfection)
RATIONALE: Doxycycline is a recommended treatment for Chlamydia trachomatis infections because it is a highly
effective antibiotic against this bacterium, targeting its reproductive cycle and preventing further transmission. In cases
of suspected gonorrhea coinfection, which often co-occurs with chlamydia, adding ceftriaxone to doxycycline provides
comprehensive coverage to effectively treat both infections simultaneously.
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, QUESTION 6
Scarlet fever- scarlantina
CORRECT ANSWER
"sandpaper textured-pink rash with sore throat" strawberry tongue, rash starts on head and neck,
spreads to trunk. The skin THEN desquamates. EXAM
RATIONALE: This description correctly identifies scarlet fever by highlighting the distinctive rash progression, which
typically starts on the head and neck, spreads to the trunk, and is accompanied by desquamation. The characteristic
sandpaper-like skin texture, sore throat, and strawberry tongue are also classic symptoms that align with the
presentation of scarlet fever, making this description a comprehensive and accurate match.
QUESTION 7
CN VII Facial
CORRECT ANSWER
BELLS EXAM
RATIONALE: The question "CN VII Facial" is referring to the cranial nerve responsible for controlling facial expressions,
which is the VII cranial nerve or Facial nerve. The correct association of "BELLS EXAM" helps students remember the
key functions of the Facial nerve, each letter standing for a specific cranial nerve function: B - Blink, E - Ear (taste), L -
Lacrimation (tear production), L - Loudness (hearing), S - Smell (olfaction), and S - Salivation, thereby reinforcing the
correct answer.
QUESTION 8
CN IX Glossopharyngeal
CORRECT ANSWER
- Shoulder shrug/ ROMBERG test EXAM
RATIONALE: The "- Shoulder shrug/ ROMBERG test EXAM" is a clinical exam used to assess the integrity of the
accessory nerve, which is responsible for innervating muscles of the sternocleidomastoid and trapezius, including the
sternocleidomastoid's function in elevating the hyoid bone and thus aiding glossopharyngeal nerve in swallowing. Since
the glossopharyngeal nerve (CN IX) is involved in swallowing and not directly related to muscle movement or position,
this test is not a specific assessment for CN IX, but its relationship with accessory nerve makes it sometimes related to
CN IX function indirectly.
QUESTION 9
subungual hematoma tx
CORRECT ANSWER
Make a hole and drain the blood
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, RATIONALE: A subungual hematoma occurs when blood accumulates under the nail, often due to trauma. Draining the
blood through a small incision in the nail plate, a procedure known as a "trephine," allows for the removal of the
accumulated blood, promoting healing and preventing further complications.
QUESTION 10
Koplick spots
CORRECT ANSWER
Measles (rubeola). Grains of salt lesions inside mouth in Measles
RATIONALE: Koplick spots, which are small, white spots inside the mouth, are a characteristic symptom of measles,
particularly in the early stages of the illness. The presence of these spots is often used to differentiate measles from
other viral exanthems, making the connection between measles and Koplick spots a crucial diagnostic clue in pediatric
medicine.
QUESTION 11
IBS (irritable bowel syndrome)
CORRECT ANSWER
An intestinal disorder causing pain in the belly, gas, diarrhea, and constipation.
due to Small intestinal bacterial overgrowth, or SIBO
RATIONALE: IBS (irritable bowel syndrome) is often linked to Small intestinal bacterial overgrowth, or SIBO, because
the symptoms of IBS, such as pain in the belly, gas, diarrhea, and constipation, can be caused by the overgrowth of
bacteria in the small intestine. This connection highlights how SIBO can be a potential underlying factor contributing to
the development of IBS symptoms.
QUESTION 12
a pregnant female at slightly above symphysis pubic and Fundal height is 32cm (above the umbilical).
What should be done
CORRECT ANSWER
Ultrasound
RATIONALE: The correct answer is "Ultrasound" because the fundal height of 32cm, which is above the umbilical level,
suggests that the baby is significantly larger than expected for the gestational age, indicating a possible macrosomia,
making it essential to confirm the fetal size and weight through an ultrasound. This measurement discrepancy often
prompts healthcare providers to perform an ultrasound to accurately assess fetal growth and development.
QUESTION 13
Pt with bleeding after menopause
CORRECT ANSWER
endometrial biopsy, need to screen for cancer
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