AANP Test 2 for Boards with Questions and Verified
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Terms in this set (100)
You are treating a patient with acute anxiety and she is Correct answer:
having an acute attack in the office. The ANP has benzodiazepine
knowledge that the fastest relief of symptoms is:
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The
a TCA other choices list agents that will require multiple doses for results. With daily
a beta-blocker continued use of benzodiazepines, the anti-anxiety effect may become
a benzodizepine diminished.
an SSRI
A geriatric patient with cardiovascular disease is in the Correct answer:
office being counseled on lifestyle changes. The ANP "Control your hypertension, stop smoking, maintain a normal weight, and
knows that which of the following is the most important exercise regularly."
to include in this discussion?
All of these are important for the geriatric patient to decrease cardiovascular
risk. Controlling hyperglycemia, high fiber intake, and vitamins all assist in
"Control your hypertension, stop smoking, maintain a maintaining a healthy lifestyle but do not help to prevent cardiovascular
normal weight, and exercise regularly." disease.
"Have a yearly physical examination, increase fiber in
your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and
decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and
increase protein intake."
,You are seeing a female with inflammatory bowel Correct Answer:
disease, known as IBD. The Adult Nurse Practitioner normocytic, normochromic type
knows that if she orders a hemogram on this patient,
which of the following results would be seen if the
patient was anemic? Anemia is a common problem in IBD. The etiology is often from multiple
causes. The anemia of chronic disease, a normocytic, normochromic anemia, is
microcytic, hypochromic type a result of inflammation of the IBD without blood loss. Blood loss would result
macrocytic, normochromic type in a microcytic, hypochromic anemia. The macrocytic anemias are a result of
normocytic, normochromic type deficiency in vitamin B12 or other causes.
macrocytic, hypochromic type
Which of the following is the least likely risk factor for Correct answer:
suicide? black race
physical illness Being of a white race is more likely to be a factor in suicide. Besides the other
male three choices risk factors include: substance abuse, living alone, and less
increasing age education.
black race
The healthcare provider's required level of expected Correct answer:
conduct as established by custom, law, or professional Standard of care
organizations is called the: Standard of care is another term associated with negligence. Standard of care
is a healthcare provider's required level of expected conduct as established by
Standard of care. custom, law, or professional organizations.
Breach of duty.
Duty.
Malpractice.
A brief account by the patient of any signs or symptoms Correct Answer:
he or she is experiencing is one component of: Review of systems
Review of systems. In the review of systems, the patient tells the nurse in his or her own words what
Symptom assessment. signs or symptoms he or she has experienced in various body systems. It is
Functional assessment. important that these be in a patient's own words to perform the most complete
Objective assessment. and accurate assessment.
All of the following are typical changes to the Correct answer:
gastrointestinal system that come with aging EXCEPT: increased absorption of calcium
decreased liver size Decreased absorption of calcium is a common change that comes with aging,
decreased muscle tone in bowel not increased absorption. Other gastrointestinal changes include: less efficient
increased absorption of calcium cholesterol stabilization and absorption, atrophy of taste buds, and slowing in
atrophy of salivary glands esophageal emptying, among others.
A 28-year-old female patient is in the office and is to Correct answer:
undergo radioactive iodine treatment for Graves destroy the overactive thyroid tissue
disease. The ANP is counseling her and understands
that the mechanism of action of this treatment therapy Graves disease is the most common form of thyrotoxicosis. Radioactive iodine
is: is used for thyroid ablation to destroy the overactive thyroid tissue that causes
the thyroid hormone dysfunction.
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH
, Which of the following statements about falls in the Correct Answer:
elderly is least accurate? Black women are at higher risk for hip fractures than white women.
Black women are at higher risk for hip fractures than
white women. It is white women, not black women, who are at higher risk for hip fractures.
The majority of deaths from falls are among people Falls are one of the most common adverse events that threaten the quality of
aged 65 years or older. life of older adults. Falls among older adults are not a normal consequence of
Injuries from falls include head injuries, pelvic injuries, aging.
lacerations, and more.
About 90% of hip fractures are due to falls.
Normal age-related changes of the skin may be Correct Answer:
confused with which of the following clinical dehydration
abnormalities?
dehydration Normal age-related changes of the skin may be confused with dehydration.
vitiligo Sebaceous gland activity tends to decrease with age, and the skin's natural
scabies hydrators decline over the years. The skin's ability to regenerate lipids
shingles compromising the protective lipid barrier layer of the Stratum Corneum also
declines with age, as does blood flow to the skin, which may cause a drop in
sebum production.
A 29-year old woman who is 6 weeks postpartum The Correct answer is:
reports she is having rectal bleeding that she believes is streaks of bright red blood on the stool
related to hemorrhoids. The Adult Nurse Practitioner
knows that this type of rectal bleeding is usually Choice D is the right answer. The color of blood related to hemorrhoids is
described as: described as bright red, eliminating choice A. Amount of blood with
hemorrhoids is usually small or scant, eliminating choices B and C. Internal
dark brown to black blood color with normal- hemorrhoids can occur during or after childbirth. With chronically protruding
appearing stool or prolapsing hemorrhoids, the patient often reports mucous leaking and
significant amounts of bright red blood staining of the undergarments. Other causes are obesity, constipation, and
large blood clots and mucus mixed with stool prolonged sitting.
streaks of bright red blood on the stool
You have a patient with AIDS. You recognize that a low Correct answer:
CD4 T-cell count puts the patient at risk for 600 -1200
opportunistic infections. You are reviewing his lab
reports and see that his CD4 T-cell count is indeed low. The normal CD4 T-cell count is 600 - 1200. A low CD4 T-cell count is below
Which of the following is the normal range for CD4 T- 600. The destruction of the CD4 T-cell causes depletion in the number of CD4
cell count? T-cells and consequently increases the risk of infection. This puts the patient at
risk for infection.
800 -1400
700 -1400
400 - 1000
600 -1200
ou have an adult patient with diabetes whose blood Correct Answer:
pressure is 145/95 mm Hg. Which stage of hypertension Stage I
does this indicate?
normal Stage I hypertension is characterized by a systolic pressure of 140 - 159 mm Hg
pre-hypertension and a diastolic pressure of 90 - 99 mm Hg. The treatment recommendation for
Stage I this stage is usually a thiazide diuretic and for those with diabetes, either ACE
Stage II inhibitors or ARBs, because of their renal protective properties.
Answers| 100% Correct| Grade A/Newest Update
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Diabetic Shoe Fitter Therapeutic Sh... NR 293 Exam 1 Drug Use and Abuse Exam 2 Ca
Teacher 170 terms Teacher 250 terms Teacher 70 terms Te
maxk85791 Preview macrawambui Preview Benjamin_Kithikii Preview
Terms in this set (100)
You are treating a patient with acute anxiety and she is Correct answer:
having an acute attack in the office. The ANP has benzodiazepine
knowledge that the fastest relief of symptoms is:
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The
a TCA other choices list agents that will require multiple doses for results. With daily
a beta-blocker continued use of benzodiazepines, the anti-anxiety effect may become
a benzodizepine diminished.
an SSRI
A geriatric patient with cardiovascular disease is in the Correct answer:
office being counseled on lifestyle changes. The ANP "Control your hypertension, stop smoking, maintain a normal weight, and
knows that which of the following is the most important exercise regularly."
to include in this discussion?
All of these are important for the geriatric patient to decrease cardiovascular
risk. Controlling hyperglycemia, high fiber intake, and vitamins all assist in
"Control your hypertension, stop smoking, maintain a maintaining a healthy lifestyle but do not help to prevent cardiovascular
normal weight, and exercise regularly." disease.
"Have a yearly physical examination, increase fiber in
your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and
decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and
increase protein intake."
,You are seeing a female with inflammatory bowel Correct Answer:
disease, known as IBD. The Adult Nurse Practitioner normocytic, normochromic type
knows that if she orders a hemogram on this patient,
which of the following results would be seen if the
patient was anemic? Anemia is a common problem in IBD. The etiology is often from multiple
causes. The anemia of chronic disease, a normocytic, normochromic anemia, is
microcytic, hypochromic type a result of inflammation of the IBD without blood loss. Blood loss would result
macrocytic, normochromic type in a microcytic, hypochromic anemia. The macrocytic anemias are a result of
normocytic, normochromic type deficiency in vitamin B12 or other causes.
macrocytic, hypochromic type
Which of the following is the least likely risk factor for Correct answer:
suicide? black race
physical illness Being of a white race is more likely to be a factor in suicide. Besides the other
male three choices risk factors include: substance abuse, living alone, and less
increasing age education.
black race
The healthcare provider's required level of expected Correct answer:
conduct as established by custom, law, or professional Standard of care
organizations is called the: Standard of care is another term associated with negligence. Standard of care
is a healthcare provider's required level of expected conduct as established by
Standard of care. custom, law, or professional organizations.
Breach of duty.
Duty.
Malpractice.
A brief account by the patient of any signs or symptoms Correct Answer:
he or she is experiencing is one component of: Review of systems
Review of systems. In the review of systems, the patient tells the nurse in his or her own words what
Symptom assessment. signs or symptoms he or she has experienced in various body systems. It is
Functional assessment. important that these be in a patient's own words to perform the most complete
Objective assessment. and accurate assessment.
All of the following are typical changes to the Correct answer:
gastrointestinal system that come with aging EXCEPT: increased absorption of calcium
decreased liver size Decreased absorption of calcium is a common change that comes with aging,
decreased muscle tone in bowel not increased absorption. Other gastrointestinal changes include: less efficient
increased absorption of calcium cholesterol stabilization and absorption, atrophy of taste buds, and slowing in
atrophy of salivary glands esophageal emptying, among others.
A 28-year-old female patient is in the office and is to Correct answer:
undergo radioactive iodine treatment for Graves destroy the overactive thyroid tissue
disease. The ANP is counseling her and understands
that the mechanism of action of this treatment therapy Graves disease is the most common form of thyrotoxicosis. Radioactive iodine
is: is used for thyroid ablation to destroy the overactive thyroid tissue that causes
the thyroid hormone dysfunction.
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH
, Which of the following statements about falls in the Correct Answer:
elderly is least accurate? Black women are at higher risk for hip fractures than white women.
Black women are at higher risk for hip fractures than
white women. It is white women, not black women, who are at higher risk for hip fractures.
The majority of deaths from falls are among people Falls are one of the most common adverse events that threaten the quality of
aged 65 years or older. life of older adults. Falls among older adults are not a normal consequence of
Injuries from falls include head injuries, pelvic injuries, aging.
lacerations, and more.
About 90% of hip fractures are due to falls.
Normal age-related changes of the skin may be Correct Answer:
confused with which of the following clinical dehydration
abnormalities?
dehydration Normal age-related changes of the skin may be confused with dehydration.
vitiligo Sebaceous gland activity tends to decrease with age, and the skin's natural
scabies hydrators decline over the years. The skin's ability to regenerate lipids
shingles compromising the protective lipid barrier layer of the Stratum Corneum also
declines with age, as does blood flow to the skin, which may cause a drop in
sebum production.
A 29-year old woman who is 6 weeks postpartum The Correct answer is:
reports she is having rectal bleeding that she believes is streaks of bright red blood on the stool
related to hemorrhoids. The Adult Nurse Practitioner
knows that this type of rectal bleeding is usually Choice D is the right answer. The color of blood related to hemorrhoids is
described as: described as bright red, eliminating choice A. Amount of blood with
hemorrhoids is usually small or scant, eliminating choices B and C. Internal
dark brown to black blood color with normal- hemorrhoids can occur during or after childbirth. With chronically protruding
appearing stool or prolapsing hemorrhoids, the patient often reports mucous leaking and
significant amounts of bright red blood staining of the undergarments. Other causes are obesity, constipation, and
large blood clots and mucus mixed with stool prolonged sitting.
streaks of bright red blood on the stool
You have a patient with AIDS. You recognize that a low Correct answer:
CD4 T-cell count puts the patient at risk for 600 -1200
opportunistic infections. You are reviewing his lab
reports and see that his CD4 T-cell count is indeed low. The normal CD4 T-cell count is 600 - 1200. A low CD4 T-cell count is below
Which of the following is the normal range for CD4 T- 600. The destruction of the CD4 T-cell causes depletion in the number of CD4
cell count? T-cells and consequently increases the risk of infection. This puts the patient at
risk for infection.
800 -1400
700 -1400
400 - 1000
600 -1200
ou have an adult patient with diabetes whose blood Correct Answer:
pressure is 145/95 mm Hg. Which stage of hypertension Stage I
does this indicate?
normal Stage I hypertension is characterized by a systolic pressure of 140 - 159 mm Hg
pre-hypertension and a diastolic pressure of 90 - 99 mm Hg. The treatment recommendation for
Stage I this stage is usually a thiazide diuretic and for those with diabetes, either ACE
Stage II inhibitors or ARBs, because of their renal protective properties.
