AANP/ANCC Questions and Answers
(2022/2023) (Verified 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
(2022/2023) (Verified 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
