AANP AGPCNP PSI Test 1 & 2 Latest Fall
2023 (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? 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. What 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 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 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 action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer Correct Answer: 3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
2023 (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? 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. What 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 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 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 action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer Correct Answer: 3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
