AANP AGPCNP PSI TEST 1 & 2 FINAL EXAM
QUESTIONS WITH CORRECT ANSWERS
An 88-year-old presents with right-
side weakness after being unable to rise unassisted following a fall to the bathroom floor. History inclu
des aphasia and noncompliance with hypertension medication regimen. What is the most likely diagnos
is?
Left-sided or right-sided CVA? - correct answer-LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - correct answer-1) pain worse laying down, focal neurological signs
Which of the following pharmacotherapeutics would be most important to administer to a patient who
has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - correct answer-2) Gentamicin ophthalmic (Genoptic)
A 25-year-
old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated
by movement. The patient reports that he participated in extensive house painting 24 hours prior to the
onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. Wh
at is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
,2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - correct answer-2) palpate structures
A 16-year-old female in the first month of taking Ortho-
Novum 7/7/7 complains of midcycle spotting. She has not missed any doses and uses no other medicat
ion. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - correct answer-3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a
current recommendation guideline for preventive care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines - correct answer-3) Rubella serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best act
ion is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - correct answer-1) initiate passive rewarming
Az patientz isz referredz withz DM,z HTNz andz CAD.z Hez isz onz insulinz andz az betaz blocker.z Howz wouldz youz e
d
ucatez thisz patientz onz recognizingz thez signsz andz symptomsz ofz hypoglycemia?
,z
1)z Edema
2)z Tachycardia
3)z palpitations
4)z sweatingz -z correctz answer-4)z sweating
Az 65-year-
oldz overweightz patientz isz diagnosedz withz plantarz fasciitis.z Initialz therapyz ofz NSAIDs,z stretching,z ice,z an
dz restz hasz provenz ineffectivez afterz 3z weeks.z Thez bestz follow-upz planz ofz carez wouldz bez to:
1)z stopz NSAID,z applyz az heelz cupz andz encouragez exercisez andz wtz loss.
2)z continuez NSAID,z applyz anz archz supportz andz encouragez wtz lossz andz exercise
3)z continuez NSAID,z xrayz andz addz az short-legz nightz splint
4)z COntinuez NSAID,z xrayz andz addz az metatarsalz barz -z correctz answer-
2)z continuez NSAID,z applyz anz archz supportz andz encouragez wtz lossz andz exercise
Fundoscopicz examz ofz Hypertensivez patient.
1)z nickingz ofz arteriolsz andz viens,z andz smallz retinolz hemorrages
2)z drusenz bodiesz andz palez retina
3)z palez maculaz andz swollenz diskz margins
4)z microaneurysmsz andz opticz discz cuppingz -z correctz answer-
1)z nickingz ofz arteriolsz andz viens,z andz smallz retinolz hemorrages
Whichz ofz thez followingz isz az commonz presentingz featurez ofz hyperthyroidismz inz thez elderly?
1)z elevatedz TSH
2)z Thyroidz enlargement
3)z atrialz fibrillation
4)z abnormalz T3z suppressionz -z correctz answer-3)z atrialz fibrillation
Az 35-year-
oldz lawnz maintenancez workerz presentsz reportingz "somethingz inz myz eye"z sincez thez previousz day.z Thez e
y
,z
ez wasz rinsedz withz over-the-
counterz eyewash,z withoutz relief.z Thez patientz deniesz visualz disturbancesz orz drainage.z Inz formulatingz az pl
anz ofz care,z thez nursez practitionerz wouldz FIRST:
1)z sendz toz ophthalmologists
2)z florescreenz staining
3)z testz visualz field
4)z prescribez eyedropsz -z correctz answer-3)z testz visualz field
Az 72-year-
oldz patientz presentsz withz dry,z itchyz eyes.z Duringz thez coursez ofz thez physicalz examination,z thez nursez prac
t
0itioner z notes
-1.5z mm z thezzThis
z wide. presence z ofzzais
z finding z grayz band
z most z ofz opacity
z consistent z withzzin thez cornea
az diagnosis z that
z of z encirclesz thez iris.z Thez bandz isz 1
z a/an:
.
1.z cornealz abrasion
2.z arcusz senilis
3.z cornealz ulcer
4.z herpeticz infectionz ofz thez eyez -z correctz answer-2)z arcusz senilis
Az 26-year-
oldz presentsz withz reportsz ofz anorexia,z fatigue,z weightz loss,z malaise,z fever,z nightz sweats,z andz az coughz th
a
tz hasz beenz presentz forz 4z weeks.z Thez diagnosticz studyz toz performz firstz wouldz be:
1)z xray
2)z pulmonaryz functionz test
3)z bronchoscopy
4)z Hz &z Hz -z correctz answer-1)z xrayz (tb-nightz sweats)
Az 44-year-
oldz femalez isz complainingz ofz frequentz anxietyz attacksz withz chestz discomfortz andz fatigue.z Onz physicalz e
xamination,z herz lungsz arez clearz bilaterally.z Therez arez az midsystolicz clickz andz az gradez II/VIz systolicz mu
r
murz atz thez apex.z Furtherz evaluationz wouldz includez whichz ofz thez following?
QUESTIONS WITH CORRECT ANSWERS
An 88-year-old presents with right-
side weakness after being unable to rise unassisted following a fall to the bathroom floor. History inclu
des aphasia and noncompliance with hypertension medication regimen. What is the most likely diagnos
is?
Left-sided or right-sided CVA? - correct answer-LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - correct answer-1) pain worse laying down, focal neurological signs
Which of the following pharmacotherapeutics would be most important to administer to a patient who
has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - correct answer-2) Gentamicin ophthalmic (Genoptic)
A 25-year-
old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated
by movement. The patient reports that he participated in extensive house painting 24 hours prior to the
onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. Wh
at is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
,2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - correct answer-2) palpate structures
A 16-year-old female in the first month of taking Ortho-
Novum 7/7/7 complains of midcycle spotting. She has not missed any doses and uses no other medicat
ion. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - correct answer-3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a
current recommendation guideline for preventive care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines - correct answer-3) Rubella serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best act
ion is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - correct answer-1) initiate passive rewarming
Az patientz isz referredz withz DM,z HTNz andz CAD.z Hez isz onz insulinz andz az betaz blocker.z Howz wouldz youz e
d
ucatez thisz patientz onz recognizingz thez signsz andz symptomsz ofz hypoglycemia?
,z
1)z Edema
2)z Tachycardia
3)z palpitations
4)z sweatingz -z correctz answer-4)z sweating
Az 65-year-
oldz overweightz patientz isz diagnosedz withz plantarz fasciitis.z Initialz therapyz ofz NSAIDs,z stretching,z ice,z an
dz restz hasz provenz ineffectivez afterz 3z weeks.z Thez bestz follow-upz planz ofz carez wouldz bez to:
1)z stopz NSAID,z applyz az heelz cupz andz encouragez exercisez andz wtz loss.
2)z continuez NSAID,z applyz anz archz supportz andz encouragez wtz lossz andz exercise
3)z continuez NSAID,z xrayz andz addz az short-legz nightz splint
4)z COntinuez NSAID,z xrayz andz addz az metatarsalz barz -z correctz answer-
2)z continuez NSAID,z applyz anz archz supportz andz encouragez wtz lossz andz exercise
Fundoscopicz examz ofz Hypertensivez patient.
1)z nickingz ofz arteriolsz andz viens,z andz smallz retinolz hemorrages
2)z drusenz bodiesz andz palez retina
3)z palez maculaz andz swollenz diskz margins
4)z microaneurysmsz andz opticz discz cuppingz -z correctz answer-
1)z nickingz ofz arteriolsz andz viens,z andz smallz retinolz hemorrages
Whichz ofz thez followingz isz az commonz presentingz featurez ofz hyperthyroidismz inz thez elderly?
1)z elevatedz TSH
2)z Thyroidz enlargement
3)z atrialz fibrillation
4)z abnormalz T3z suppressionz -z correctz answer-3)z atrialz fibrillation
Az 35-year-
oldz lawnz maintenancez workerz presentsz reportingz "somethingz inz myz eye"z sincez thez previousz day.z Thez e
y
,z
ez wasz rinsedz withz over-the-
counterz eyewash,z withoutz relief.z Thez patientz deniesz visualz disturbancesz orz drainage.z Inz formulatingz az pl
anz ofz care,z thez nursez practitionerz wouldz FIRST:
1)z sendz toz ophthalmologists
2)z florescreenz staining
3)z testz visualz field
4)z prescribez eyedropsz -z correctz answer-3)z testz visualz field
Az 72-year-
oldz patientz presentsz withz dry,z itchyz eyes.z Duringz thez coursez ofz thez physicalz examination,z thez nursez prac
t
0itioner z notes
-1.5z mm z thezzThis
z wide. presence z ofzzais
z finding z grayz band
z most z ofz opacity
z consistent z withzzin thez cornea
az diagnosis z that
z of z encirclesz thez iris.z Thez bandz isz 1
z a/an:
.
1.z cornealz abrasion
2.z arcusz senilis
3.z cornealz ulcer
4.z herpeticz infectionz ofz thez eyez -z correctz answer-2)z arcusz senilis
Az 26-year-
oldz presentsz withz reportsz ofz anorexia,z fatigue,z weightz loss,z malaise,z fever,z nightz sweats,z andz az coughz th
a
tz hasz beenz presentz forz 4z weeks.z Thez diagnosticz studyz toz performz firstz wouldz be:
1)z xray
2)z pulmonaryz functionz test
3)z bronchoscopy
4)z Hz &z Hz -z correctz answer-1)z xrayz (tb-nightz sweats)
Az 44-year-
oldz femalez isz complainingz ofz frequentz anxietyz attacksz withz chestz discomfortz andz fatigue.z Onz physicalz e
xamination,z herz lungsz arez clearz bilaterally.z Therez arez az midsystolicz clickz andz az gradez II/VIz systolicz mu
r
murz atz thez apex.z Furtherz evaluationz wouldz includez whichz ofz thez following?
