American Academy of Nurse
Practitioners||Test
Bank||100%correct questions and
answers||latest update
2023/24||rated A++.
• A nurse practitioner is suturing a simple laceration on an 11 year-old patient. The use of
lidocaine withepinephrine is contraindicated in all of the following areas EXCEPT the:
• Scalp
• Nose
• Fingers
• Earlobe
• A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History
indicates normal prenatal progress to date and the patient denies pain, vaginal itching, or
discharge. Which ofthe following is the most appropriate intervention to aid in the diagnosis
of this case?
• Nitrazine test
• Non-stress test
• Ultrasound
• Bimanual cervical examination
• A 40 year-old male presents with a 2-week history of rectal pain and itching. He reports a past
history of constipation and finding spots of bright red blood on the toilet paper several times
per week. Rectalexamination reveals a tender, swollen, bluish, ovoid mass. The stool guaiac
test is negative. Which of the following actions should the nurse practitioner take?
• Refer the patient to a gastroenterologist for a malignancy workup.
• Schedule a colonoscopy to rule out colon cancer.
• Repeat the guaiac test three times and obtain a complete blood count (CBC).
• Prescribe bulk-forming agents and hydrocortisone suppositories.
• A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6 months. She
reportsrecent unintentional weight loss. On physical examination, there is pain on ROM, with
no weakness noted. Laboratory studies show a low hemoglobin and an elevated sedimentation
rate. Which of the following is the most likely diagnosis?
, • Polymyositis
• Osteoarthritis
• Polymyalgia rheumatic
a. Fibromyalgia
• A patient with type 1 diabetes mellitus who is on NPH and regular insulin split-dosing presents
with complaints of early morning rise in fingerstick blood glucose. A review of an at-home
glucose test reveals increased morning levels. After an increase in the evening insulin dose,
the problem worsens.This is most likely an example of:
• Insulin resistance
• Insulin allergy
• The Somogyi effect
• Hyperglycemia-induced hypoglycemia
• A 66-year-old patient presents with bilateral otitis media with effusion and white patches in
the mouththat do not rub off when wiped with a 4x4. The patient should be evaluated for:
• HIV infection
• Myelodyspastic syndrome
• Congenital lymphoproliferative disease
• Non-Hodgkin’s lymphoma
• A routine laboratory assessment of a 12-year-old patient with a family history of
thalassemia and anemia reveals Tanner stage II presentation and Hct=35%. In addition to a
complete blood count (CBC), the nurse practitioner should order which of the following?
• Serum folic acid
• Vitamin B12 level
• Hemoglobin electrophoresis
• 24-hour urine creatinine
• An 88-year-old male presents with concerns about memory loss. He feels good, takes and
aspirin daily,and has no chronic diseases. He lives alone, drives his own car, and manages his
financial affairs. To evaluate his memory, which of the following tests should the nurse
practitioner choose?
• Folstein Mini-Mental State Exam
• Geriatric Depression Scale
• Minnesota Multiphasic Personality Inventory
, • Myers-Briggs Test
• A 50-year-old male presents with a chief complaint of malaise. Further questioning reveals
that hisprimary concern is delayed ejaculation. He is currently taking the following
medications: atenolol (Tenormin) 50mg daily, paroxetine (Paxil) 20mg daily, loratidine
(Claritin-D) 1 tablet daily, and hydrochlorothiazide (HCTZ) 25mg daily. The most likely
cause of the patient’s concern would be”
• Loratidine (Claritin-D)
• Hydrochlorothiazide (HCTZ)
• Atenolol (Tenormin)aa. Paroxetine (Paxil)
• After a 3-week camping trip, an 11-year-old is seen for a target lesion with central clearing,
located inthe inguinal area. The patient has had a severe headache, fatigue, and generalized
musculoskeletal pain for several days. Pharmacologic management of this condition includes:
• Trimethoprim-
sulfamethoxazole (Bactrim)bb.
Azithromycin (Zithromax)
cc. Metronidazole (Flagyl)
dd. Doxycycline (Doryx)
• A 25-year-old presents with the chief complaint of decreased mobility and pain of the right
shoulderexacerbated by movement. The patient reports that he participated in extensive
house painting 24hours prior to the onset of pain. He denies any trauma. Passive ROM is
intact. No redness of ecchymosis is present. What is the next step that should be taken in
order to make a diagnosis?
• Palpate structures around the shoulder ee. Obtain
an MRI to evaluate the shoulder ff. Order an X-ray of
the shoulder
gg. Request and EMG
• A nurse practitioner is evaluating a 40-year-old patient suspected of having a pulmonary
embolus. Thepatient complains of anxiety and cough. A stat chest x-ray is normal. Which of the
following tests should the nurse practitioner preform next?
• Spirometry
hh. Magnetic resonance imagining (MRI)
ii. Contrast venography
jj. Helical CT pulmonary angiography
Practitioners||Test
Bank||100%correct questions and
answers||latest update
2023/24||rated A++.
• A nurse practitioner is suturing a simple laceration on an 11 year-old patient. The use of
lidocaine withepinephrine is contraindicated in all of the following areas EXCEPT the:
• Scalp
• Nose
• Fingers
• Earlobe
• A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History
indicates normal prenatal progress to date and the patient denies pain, vaginal itching, or
discharge. Which ofthe following is the most appropriate intervention to aid in the diagnosis
of this case?
• Nitrazine test
• Non-stress test
• Ultrasound
• Bimanual cervical examination
• A 40 year-old male presents with a 2-week history of rectal pain and itching. He reports a past
history of constipation and finding spots of bright red blood on the toilet paper several times
per week. Rectalexamination reveals a tender, swollen, bluish, ovoid mass. The stool guaiac
test is negative. Which of the following actions should the nurse practitioner take?
• Refer the patient to a gastroenterologist for a malignancy workup.
• Schedule a colonoscopy to rule out colon cancer.
• Repeat the guaiac test three times and obtain a complete blood count (CBC).
• Prescribe bulk-forming agents and hydrocortisone suppositories.
• A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6 months. She
reportsrecent unintentional weight loss. On physical examination, there is pain on ROM, with
no weakness noted. Laboratory studies show a low hemoglobin and an elevated sedimentation
rate. Which of the following is the most likely diagnosis?
, • Polymyositis
• Osteoarthritis
• Polymyalgia rheumatic
a. Fibromyalgia
• A patient with type 1 diabetes mellitus who is on NPH and regular insulin split-dosing presents
with complaints of early morning rise in fingerstick blood glucose. A review of an at-home
glucose test reveals increased morning levels. After an increase in the evening insulin dose,
the problem worsens.This is most likely an example of:
• Insulin resistance
• Insulin allergy
• The Somogyi effect
• Hyperglycemia-induced hypoglycemia
• A 66-year-old patient presents with bilateral otitis media with effusion and white patches in
the mouththat do not rub off when wiped with a 4x4. The patient should be evaluated for:
• HIV infection
• Myelodyspastic syndrome
• Congenital lymphoproliferative disease
• Non-Hodgkin’s lymphoma
• A routine laboratory assessment of a 12-year-old patient with a family history of
thalassemia and anemia reveals Tanner stage II presentation and Hct=35%. In addition to a
complete blood count (CBC), the nurse practitioner should order which of the following?
• Serum folic acid
• Vitamin B12 level
• Hemoglobin electrophoresis
• 24-hour urine creatinine
• An 88-year-old male presents with concerns about memory loss. He feels good, takes and
aspirin daily,and has no chronic diseases. He lives alone, drives his own car, and manages his
financial affairs. To evaluate his memory, which of the following tests should the nurse
practitioner choose?
• Folstein Mini-Mental State Exam
• Geriatric Depression Scale
• Minnesota Multiphasic Personality Inventory
, • Myers-Briggs Test
• A 50-year-old male presents with a chief complaint of malaise. Further questioning reveals
that hisprimary concern is delayed ejaculation. He is currently taking the following
medications: atenolol (Tenormin) 50mg daily, paroxetine (Paxil) 20mg daily, loratidine
(Claritin-D) 1 tablet daily, and hydrochlorothiazide (HCTZ) 25mg daily. The most likely
cause of the patient’s concern would be”
• Loratidine (Claritin-D)
• Hydrochlorothiazide (HCTZ)
• Atenolol (Tenormin)aa. Paroxetine (Paxil)
• After a 3-week camping trip, an 11-year-old is seen for a target lesion with central clearing,
located inthe inguinal area. The patient has had a severe headache, fatigue, and generalized
musculoskeletal pain for several days. Pharmacologic management of this condition includes:
• Trimethoprim-
sulfamethoxazole (Bactrim)bb.
Azithromycin (Zithromax)
cc. Metronidazole (Flagyl)
dd. Doxycycline (Doryx)
• A 25-year-old presents with the chief complaint of decreased mobility and pain of the right
shoulderexacerbated by movement. The patient reports that he participated in extensive
house painting 24hours prior to the onset of pain. He denies any trauma. Passive ROM is
intact. No redness of ecchymosis is present. What is the next step that should be taken in
order to make a diagnosis?
• Palpate structures around the shoulder ee. Obtain
an MRI to evaluate the shoulder ff. Order an X-ray of
the shoulder
gg. Request and EMG
• A nurse practitioner is evaluating a 40-year-old patient suspected of having a pulmonary
embolus. Thepatient complains of anxiety and cough. A stat chest x-ray is normal. Which of the
following tests should the nurse practitioner preform next?
• Spirometry
hh. Magnetic resonance imagining (MRI)
ii. Contrast venography
jj. Helical CT pulmonary angiography
