AANP Test 2 for Boards Questions and
Answers
1. You are treating a patient with acute anxiety and she is having an
acute attack in the office. The ANP has knowledge that the fastest
relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI: Correct
answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents that
will require multiple doses for results. With daily continued use of benzodiazepines, the anti-anxiety effect
may become diminished.
2. A geriatric patient with cardiovascular disease is in the office
being counseled on lifestyle changes. The ANP knows that which of
the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight,
,and exercise regularly."
"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 in- take.": Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling hyperglycemia,
high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not help to prevent
cardiovascular disease.
3. You are seeing a female with inflammatory bowel disease, known as
IBD. The Adult Nurse Practitioner knows that if she orders a hemogram
on this patient, which of the following results would be seen if the
patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type: Correct
Answer:
normocytic, normochromic type
,Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of chronic
disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss.
Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of
deficiency in vitamin B12 or other causes.
4. Which of the following is the least likely risk factor for suicide?
physical
illness male
increasing
age
black race: Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk factors
include: substance abuse, living alone, and less education.
5. The healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations is called
the:
Standard of
care.
Breach of
, duty.
Duty.
Malpractice.: Correct answer:
Standard of care
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 custom, law, or professional organizations.
6. A brief account by the patient of any signs or symptoms he or
she is experi- encing is one component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment.: Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he
or she has experienced in various body systems. It is important that these be in a patient's own words to
perform the most complete and accurate assessment.
7. All of the following are typical changes to the gastrointestinal
system that come with aging EXCEPT:
decreased liver size
decreased muscle tone in bowel
Answers
1. You are treating a patient with acute anxiety and she is having an
acute attack in the office. The ANP has knowledge that the fastest
relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI: Correct
answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents that
will require multiple doses for results. With daily continued use of benzodiazepines, the anti-anxiety effect
may become diminished.
2. A geriatric patient with cardiovascular disease is in the office
being counseled on lifestyle changes. The ANP knows that which of
the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight,
,and exercise regularly."
"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 in- take.": Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling hyperglycemia,
high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not help to prevent
cardiovascular disease.
3. You are seeing a female with inflammatory bowel disease, known as
IBD. The Adult Nurse Practitioner knows that if she orders a hemogram
on this patient, which of the following results would be seen if the
patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type: Correct
Answer:
normocytic, normochromic type
,Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of chronic
disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss.
Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of
deficiency in vitamin B12 or other causes.
4. Which of the following is the least likely risk factor for suicide?
physical
illness male
increasing
age
black race: Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk factors
include: substance abuse, living alone, and less education.
5. The healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations is called
the:
Standard of
care.
Breach of
, duty.
Duty.
Malpractice.: Correct answer:
Standard of care
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 custom, law, or professional organizations.
6. A brief account by the patient of any signs or symptoms he or
she is experi- encing is one component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment.: Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he
or she has experienced in various body systems. It is important that these be in a patient's own words to
perform the most complete and accurate assessment.
7. All of the following are typical changes to the gastrointestinal
system that come with aging EXCEPT:
decreased liver size
decreased muscle tone in bowel
