2021 AANP/ANCC QUESTIONS AND
ANSWERS
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns
with fever 102.8, R. pleuretic pain, and green sputum. which of the following would be
an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion - A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed
manipulation the best indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy - c) The child quickly begins
using arm to pick up toy
a 11mo old presents with a rash, runny clear nose, and cough. During assessment you
note tiny white papules with erythema on the buccal mucousa. What is this suggestive
of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles - D)Measles
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal
drainage. what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
d)Erythromycin - A)Augmentin
Leading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung - d)Lung
a 27yo male uncomplicated chlamydia infection may exhibit:
a)urticaria
b)no obvious signs or symptoms
,c) green mucoid penile drainage
d)penile shaft ulcer - b) No obvious signs/symptoms
common practice rule to follow with initiating medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water - b)start lower dose then taper up
12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies
fever. The NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold - b) lower the seizure threshold
According to the American Thoracic Society/Infectious Disease Society of American
(ATS/IDSA) Consensus guidelines on the Management of Community-Acquired
Pneumonia in Adults, which of the following is the most appropriate antimicrobial for tx
of CAP in a:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin - c. doxycyline
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on
the inner left thigh. Chief complaints of headache, fatigue,and generalized muscle pain
for several days. What should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole - c) Doxycycline
During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP
needs to be concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia - b. osteoporosis
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting.
Denies missing doses and is currently not on any other medications. Which is
appropriate?
a)modify usage
b)double her dose x 2 days
, c) change to a different medication
d) provide reassurance - d)provide reassurance
Polymyalgia Rheumatica (PMR) should be managed by:
a)whirlpool tub
b)celebrex
c) analgesic
d)prednisone - d)prednisone
54yo male c/o malaise as well as delayed ejaculation. Current medications: atenolol,
paxil, hctz, claritin. Which med is most likely to cause ED?
a)HCTZ
b)atenolol
c)paxil
d) claritin - c) Paxil (paroxetine)
25yo presents with chief complaint of decreased mobility and pain of the right shoulder
exacerbated with movement. The patient occupation is painting houses. He reports he
recently painted for 24 hours prior to onset of pain. Denies trauma. Passive ROM intact.
No visible signs of injury. What should NP do next?
a) Palpate structures around shoulder
b)obtain MRI
c) Order Xray
d) Order EMG - a) palpate structures around shoulder
17 yo has never had menses. She is at tanner stage III Physical exam normal with
weight appropriate. What is likely diagnosis?
a) ovarian dysfunction
b) dysmenorrhea
c) primary amenorrhea
d)secondary amenorrhea - C. Primary amenorrhea
12 yo patient has a family history of thalessemia and anemia is stage II presentation
and a HCT of 330. What should NP order in addition to CBC?
a) hemoglobin electrophoresis
b) vitamin b12 level
c) 25 hr creatinine clearance
d) serum folic acid - a)hemoglobin electrophoresis
Common bacteria responsible for pneumonia in older patients residing in the community
is:
a) staph aureus
b)pseudomonas
c)strep pneumo
d)tuberculi - c)strep pneumo
ANSWERS
13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns
with fever 102.8, R. pleuretic pain, and green sputum. which of the following would be
an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion - A). Right lower lobe crackles
3yo diagnosed with radial head subluxation (nursemaid elbow). After closed
manipulation the best indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy - c) The child quickly begins
using arm to pick up toy
a 11mo old presents with a rash, runny clear nose, and cough. During assessment you
note tiny white papules with erythema on the buccal mucousa. What is this suggestive
of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles - D)Measles
A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal
drainage. what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
d)Erythromycin - A)Augmentin
Leading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung - d)Lung
a 27yo male uncomplicated chlamydia infection may exhibit:
a)urticaria
b)no obvious signs or symptoms
,c) green mucoid penile drainage
d)penile shaft ulcer - b) No obvious signs/symptoms
common practice rule to follow with initiating medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water - b)start lower dose then taper up
12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies
fever. The NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold - b) lower the seizure threshold
According to the American Thoracic Society/Infectious Disease Society of American
(ATS/IDSA) Consensus guidelines on the Management of Community-Acquired
Pneumonia in Adults, which of the following is the most appropriate antimicrobial for tx
of CAP in a:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin - c. doxycyline
after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on
the inner left thigh. Chief complaints of headache, fatigue,and generalized muscle pain
for several days. What should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole - c) Doxycycline
During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP
needs to be concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia - b. osteoporosis
16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting.
Denies missing doses and is currently not on any other medications. Which is
appropriate?
a)modify usage
b)double her dose x 2 days
, c) change to a different medication
d) provide reassurance - d)provide reassurance
Polymyalgia Rheumatica (PMR) should be managed by:
a)whirlpool tub
b)celebrex
c) analgesic
d)prednisone - d)prednisone
54yo male c/o malaise as well as delayed ejaculation. Current medications: atenolol,
paxil, hctz, claritin. Which med is most likely to cause ED?
a)HCTZ
b)atenolol
c)paxil
d) claritin - c) Paxil (paroxetine)
25yo presents with chief complaint of decreased mobility and pain of the right shoulder
exacerbated with movement. The patient occupation is painting houses. He reports he
recently painted for 24 hours prior to onset of pain. Denies trauma. Passive ROM intact.
No visible signs of injury. What should NP do next?
a) Palpate structures around shoulder
b)obtain MRI
c) Order Xray
d) Order EMG - a) palpate structures around shoulder
17 yo has never had menses. She is at tanner stage III Physical exam normal with
weight appropriate. What is likely diagnosis?
a) ovarian dysfunction
b) dysmenorrhea
c) primary amenorrhea
d)secondary amenorrhea - C. Primary amenorrhea
12 yo patient has a family history of thalessemia and anemia is stage II presentation
and a HCT of 330. What should NP order in addition to CBC?
a) hemoglobin electrophoresis
b) vitamin b12 level
c) 25 hr creatinine clearance
d) serum folic acid - a)hemoglobin electrophoresis
Common bacteria responsible for pneumonia in older patients residing in the community
is:
a) staph aureus
b)pseudomonas
c)strep pneumo
d)tuberculi - c)strep pneumo
