AANP AGPCNP PSI Test 1 & 2 Latest Fall 2022 (answered
and graded)
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA?
LEFT-SIDED CVA
Which of the following signs/symptoms are often associated with headaches due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperreflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor
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
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. What is the next step to be taken in order to
make a diagnosis?
1) X-ray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG
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 medication. 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
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
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 action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming
1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating
4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-up
plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
2) continue NSAID, apply an arch support and encourage wt loss and exercise
,Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping
1) nicking of arteriols and viens, and small retinol hemorrages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression
3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since
the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The
patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops
3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical
examination, the nurse practitioner notes the presence of a gray band of opacity in the
cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is most consistent
with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye
2) arcus senilis
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night
sweats, and a cough that has been present for 4 weeks. The diagnostic study to perform
first would be:
1) xray
2) pulmonary function test
, 3) bronchoscopy
4) H & H
1) xray (tb-night sweats)
A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort and
fatigue. On physical examination, her lungs are clear bilaterally. There are a midsystolic
click and a grade II/VI systolic murmur at the apex. Further evaluation would include
which of the following?
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes
2) Echocardiogram, Doppler, EKG
A healthy 84 y/o would like to start an exercise program, what would you do before this
takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test
1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer
3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
1) spirometry
2) MRI
3) COntract venogra[hy
4) helical CT pulmonary angiograph
4) helical CT pulmonary angiography.
A 12-lead EKG shows an undulating baseline with no visible P waves and an irregularly
irregular R-R interval. This arrhythmia is:
1) atrial flutter
2) atrial fibrillation
and graded)
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA?
LEFT-SIDED CVA
Which of the following signs/symptoms are often associated with headaches due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperreflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor
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
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. What is the next step to be taken in order to
make a diagnosis?
1) X-ray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG
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 medication. 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
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
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 action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming
1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating
4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-up
plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
2) continue NSAID, apply an arch support and encourage wt loss and exercise
,Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping
1) nicking of arteriols and viens, and small retinol hemorrages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression
3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since
the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The
patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops
3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical
examination, the nurse practitioner notes the presence of a gray band of opacity in the
cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is most consistent
with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye
2) arcus senilis
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night
sweats, and a cough that has been present for 4 weeks. The diagnostic study to perform
first would be:
1) xray
2) pulmonary function test
, 3) bronchoscopy
4) H & H
1) xray (tb-night sweats)
A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort and
fatigue. On physical examination, her lungs are clear bilaterally. There are a midsystolic
click and a grade II/VI systolic murmur at the apex. Further evaluation would include
which of the following?
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes
2) Echocardiogram, Doppler, EKG
A healthy 84 y/o would like to start an exercise program, what would you do before this
takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test
1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer
3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
1) spirometry
2) MRI
3) COntract venogra[hy
4) helical CT pulmonary angiograph
4) helical CT pulmonary angiography.
A 12-lead EKG shows an undulating baseline with no visible P waves and an irregularly
irregular R-R interval. This arrhythmia is:
1) atrial flutter
2) atrial fibrillation
