AANP Questions And Answers 100% Guaranteed Success

AANP Questions And Answers 100% Guaranteed Success. A n65-year-old nwoman npresents nfor na nfollow-up nexamination nafter na nnew npatient nvisit. nShe nhas nnot nseen na nhealthcare nprovider nfor nseveral nyears. nShe nis na nsmoker nand nher nhypertension nis nnow nadequately ncontrolled nwith nmedication. nHer nmother ndied nat nage n40 nfrom na nheart nattack. nThe nfasting nlipid nprofile nshows ncholesterol n= n240 nmg/dL, nHDL n= n30, nand nLDL n= n200. nIn naddition nto nstarting nTherapeutic nLifestyle nChanges, nthe nnurse npractitioner nshould nstart nthe npatient non: nacid nsequestrant. 2. na nstatin ndrug. 3. na ncholesterol nabsorption ninhibitor. 4. nlow-dose naspirin. n- n n n ncorrect nanswer.A nstatin ndrug The nmost ncommonly nprescribed nmedication nfor nmild nsystemic nlupus nerythematosus n(SLE) nis: 1. nazathioprine n(AZA). 2. nbelimumab n(Benlysta). 3. nibuprofen n(Advil). 4. ncyclophosphamide n(Cytoxan). n- n n n ncorrect ofen n(advil) The nmost ncommon nsign nof ncervical ncancer nis: 1. npostcoital nbleeding. 2. nstrong nodor nfrom nvaginal ndischarge. 3. nitching nin nthe nvaginal narea. 4. nmolluscum ncontagiosum. n- n n n ncorrect oital nbleeding The nnurse npractitioner nprescribes namitriptyline n(Elavil) nfor na npatient nwith nneuropathic npain nsecondary nto ndiabetes nmellitus. nOn nfollow-up, nthe npatient ncomplains nof nurine nretention nand ndry nmouth. nThe npractitioner nwould: 1. ndiscontinue namitriptyline nand nbegin nibuprofen n(Motrin). 2. nrefer nto nphysical ntherapy. 3. nstart nmethocarbamol n(Robaxin). 4. ndiscontinue namitriptyline nand nbegin ngabapentin n(Neurontin). n- n n n ncorrect ntinue namitriptyline nand nbegin ngabapentin n(neurontin) A n17-year-old nmale nwith nrheumatoid narthritis nis nbeing ntreated nwith nan nNSAID nand nomeprazole n(Prilosec). nThe npatient ncomplains nof nheadache, nabdominal npain, nand ngas. nThese nsymptoms nare nmost nlikely: 1. nassociated nwith nthe nomeprazole. 2. nrelated nto nthe nunderlying ncondition. 3. nthe nresult nof nthe nNSAID. 4. ncaused nby nviral ngastroenteritis. n- n n n ncorrect iated nwith nthe nomeprazole The nmedication nof nchoice nfor nthe ninitial ntreatment nof njuvenile nrheumatoid narthritis nis: 1. nacetaminophen. 2. nprednisone. 3. naspirin. 4. nibuprofen. n- n n n ncorrect ofen A n12-year-old nwith nsickle ncell nanemia nhas nrecently nexperienced na nsickle ncell ncrisis nand npresents nfor na nfollow-up nexamination nafter na nrecent nhospitalization. nIt nis nmost nimportant nto ncontinue nmonitoring ngrowth, ndevelopment, nand: 1. nwhite nblood ncell nlevels. 2. nfecal noccult nblood ntest. 3. nhemoglobin nlevels. 4. nurine ndipsticks. n- n n n ncorrect lobin nlevels A n90-year-old nfemale nis nbrought nto nthe nclinic nby nher nneighbor. nShe nstates nthat neverything nis nfine, nbut nthe nnurse npractitioner nnotes nthat nshe nhas npoor nhygiene nand nbruises non nher ntrunk. nThe nneighbor nis nconcerned nthat nthe npatient noften nhas nno nmoney nto nbuy nfood, ndespite nincome nfrom nsocial nsecurity nand na ncoal nminer's npension. nThe nnurse npractitioner nsuspects nabuse. nWhich nof nthe nfollowing nis nthe nnurse npractitioner nobligated nto ndo nnext? 1. nReport nthe ncase nto nthe nproper nauthorities. 2. nTell nthe nneighbor nto ncheck non nthe nwoman ndaily nand nreport nback. 3. nDocument nthe ndata nand nreport nthe ninformation nto nrisk nmanagement. 4. nCall nthe npatient's nfamily nand ninquire nabout nthe nconcerns. n- n n n ncorrect t nthe ncase nto nproper nauthorities In nmost ncases, nthe nfirst nmanifestation nof nAlzheimer's ndisease nis: 1. nimpaired njudgment. 2. ndecrease nin nshort-term nmemory. 3. ndisorientation nin ntime nand nplace. 4. ndecrease nin nlong-term nmemory. n- n n n ncorrect ase nin nshort-term nmemory The noptimal ntreatment nfor nlatent ntuberculosis nis: 1. nrifampin n(Rifadin) nfor n5 nmonths. 2. nisoniazid n(Nydrazid) nfor n9 nmonths. 3. npyrazinamide nfor n6 nmonths. 4. nethambutol nfor n6 nmonths. n- n n n ncorrect iazid n(nydrazid) nfor n9 nmonths Unilateral nspontaneous nserous nor nserosanguineous ndischarge nfrom na nsingle nduct nof na nbreast nis nmost noften ncaused nby: 1. nintraductal npapilloma. 2. nmucinous nbreast nlesions. 3. nPaget's ndisease. 4. nductal ncarcinoma nin nsitu. n- n n n ncorrect ductal npapilloma A nyoung nchild nwith nasthma npresents nfor nfollow-up nevaluation. nAfter nnumerous nchanges nin nmedications nand ndoses, nthe nparents nreport nthat nthe nchild ncontinues nto nhave ndifficulty nwith ncoughing, nespecially nduring nthe nnight. nWhich nof nthe nfollowing nconditions nwould nbe nthe nmost nlikely ncause nof nthe ncontinued nasthma nsymptoms? 1. nVocal ncord ndysfunction 2. nCystic nfibrosis 3. nGastroesophageal nreflux 4. nAllergic nrhinitis n- n n n ncorrect oesophageal nreflux A npregnant nwoman nwith nknown nHIV ninfection ncan nreduce nthe nrisk nof nperinatal ntransmission nthrough nzidovudine n(Retrovir) ntherapy. nBased non ncurrent nresearch, noptimal ntherapy nis nto nstart ndaily ndosing: 1. npost namniocentesis. 2. nafter n14 nweeks nof ngestation. 3. nif npremature nrupture nof nmembranes noccurs. 4. nif nmaternal nviral nloads nare ngreater nthan n10,000. n- n n n ncorrect n14 nweeks ngestation T-wave ninversion nwith na nnormal nST nsegment non na n12-lead nEKG nmay nrepresent: 1. nacute ncoronary nischemia. 2. nright nventricular nhypertrophy. 3. natrial nhypertrophy. 4. nhyperkalemia. n- n n n ncorrect ncoronary nischemia The n16-year-old nmother nof na n2-month-old npresents nthe ninfant, nreporting nthat nthe nchild nis nvery nirritable nand ndoes nnot nfeed nwell. nDuring nphysical nexamination, nthe nchild's nhead ndrops nback nand nthe nchild nexhibits nsudden nflexing nof nthe nextremities. nAs nthe nflexing nstops, nthe nchild ncries nuncontrollably. nFunduscopic nexamination nreveals nretinal nhemorrhages. nWhich nof nthe nfollowing ndiagnostic ntests nshould nbe nordered? 1. nSkull nX-rays 2. nMRI 3. nCT nscan 4. nPet nscan n- n n n ncorrect nanswer.CT nscan The nmost nimportant ndiagnostic nfactor nin nevaluating nangina npectoris nis nthe npatient's: 1. nKing nof nHeart's nmonitor. 2. nphysical nexamination. 3. nhistory. 4. nechocardiogram. n- n n n ncorrect ry There nare nthree nreasons nfor nlatex nallergies. nWhich nof nthe nfollowing ndoes nNOT ncause nthe nproblem? 1. nImmediate nhypersensitivity 2. nIrritant ncontact nof ndermatitis 3. nCytotoxic nhypersensitivity 4. nImmune ncomplex nreaction n- n n n ncorrect oxic nhypersensitivity A npatient non nwarfarin n(Coumadin) ntherapy nfor nrecurrent ndeep nvein nthrombosis n(DVT) nis nabout nto nhave nlumbar nspinal nfusion nsurgery. nThe npatient's nwarfarin nis nput non nhold nstarting n5 ndays nprior nto nthe nsurgery nand nsubcutaneous nLovenox nhas nbeen nordered nfor nDVT nprophylaxis nuntil nthe nresumption nof nthe nwarfarin. nThe nnurse npractitioner nknows nthat nthe npatient's npostoperative nwarfarin ndose nshould nbe nrestarted nbased non nthe: 1. nvalue nof nher nmorning nProthrombin ntime. 2. nloading ndose nof n10 nmg, nplus nthe nprevious nwarfarin ndose. 3. nbaseline nPT nand nINR nvalues. 4. ntarget nINR nof n2. n- n n n ncorrect ine nPT nand nINR nvalues An n87-year-old npatient npresents nwith nround, npruritic nplaques nand nsmall nvesicles non nthe nlower nlegs. nThe nmost nlikely ndiagnosis nis: 1. nallergic ncontact ndermatitis. 2. nplaque npsoriasis. 3. ncutaneous nT-cell nlymphoma. 4. nnummular neczema n- n n n ncorrect lar neczema A n3-year-old npresents nwith na n2-day nhistory nof nacute ndiarrhea nwith na ntotal nof n8 nwatery nstools nwithout nblood nor nmucus, nand n2 nepisodes nof nvomiting nin nthe npast n48 nhours. nAssessment nreveals nno ncurrent nantibiotic ntherapy, ndehydration n5%, nsoft nabdomen nwith nhyperactive nbowel nsounds, nno nmasses nor norganomegaly; nother nphysical nfindings nare nnormal. nWhich nof nthe nfollowing nis nthe nmost nappropriate nmanagement nplan? 1. nStool nculture; nImmodium nAD nliquid. 2. nNo nlaboratory nworkup; ninstruct nparents non nsigns nand nsymptoms nof ndehydration; ndiet nof nclear nliquids, nadvancing nto nbananas, nrice ncereal, nJell-O, nand nsoup. 3. nStart ndiet nof nclear nliquids, nadvancing nto nbananas, nrice ncereal, nJell-O, nand nsoup nover nnext n72 nhours; nImodium nAD nliquid, n1 nmg/sml 4. nStool nfor nova nand nparasites; nadvise nparents nof nlikely nsources nof nGiardia; nprescribe nfurazolidone n(Furoxone) n- n n n ncorrect nanswer.No nlaboratory nworkup; ninstruct nparents non nsigns nand nsymptoms nof ndehydration; ndiet nof nclear nliquids, nadvancing nto nbananas, nrice ncereal, nJell-O, nand nsoup. A nmother npresents nher n12-month-old nchild nwith nconcern nbecause nthe nchild ndoes nnot nyet nsay n"mama" nor n"dada." nThe nmother nreports nthat nin nthe nfirst nmonths nof nlife, nthe nchild nloved nlistening nto nmusic nand nbeing ntalked nto. nThe npast nmedical nhistory nis nnegative nfor near ninfections. nThe nnurse npractitioner nshould: 1. nevaluate nfor nhearing nloss. 2. nrefer nto nspeech ntherapy. 3. nre-evaluate nin n3 nmonths. 4. ncheck nfor ncerumen nimpaction. n- n n n ncorrect ate nfor nhearing nloss The nmost ncommon nside neffect nof nthe noral nribavirin nused nin nthe ntreatment nof nhepatitis nC nis: 1. nhemolytic nanemia. 2. nweight nloss. 3. ndepression. 4. nhypothyroidism. n- n n n ncorrect ytic nanemia An n86-year-old npatient npresents nwith npinguecula, na nyellow ntriangular ndegenerative ntissue nthickening nof nthe nbulbar nconjunctiva. nThis ncondition nis: 1. ncured nby neye ndrops. 2. na ngenetic nprocess. 3. na nmalignant ngrowth. 4. na nsolar-induced nlesion n- n n n ncorrect nanswer.a nsolar-induced nlesion During na nwell-child nexamination nof nan n18-month-old, npremature ntooth ndecay nand ninflamed ngums, nparticularly nof nthe nmaxillary nincisors, nare nnoted. nThe napproach nto nthis nproblem nincludes: 1. nreferring nthe nchild nto na ndentist, nassessing nfor nbottle nfeeding nand nfluoride nin nlocal nwater. 2. nteaching nthe nmother nto nbrush nthe nchild's nteeth, nencouraging nvitamin nsupplements. 3. nrecommending nfluoride nmouthwash nand ntoothpaste, nsuggesting ncelery nsticks nfor nsnacks. 4. nproviding nfluoride ntreatment, nteaching ndental nhygiene, nand neating nfoods nhigh nin ncalcium. n- n n n ncorrect ring nthe nchild nto na ndentist, nassessing nfor nbottle nfeeding nand nfluoride nin nlocal nwater Which nof nthe nfollowing nis ntypically nobserved nin nthe nGI nsystem nupon nstimulation nof nthe nparasympathetic nnervous nsystem? 1. nNo noverall neffect 2. nIncreased nsphincter ntone 3. nIncreased nperistalsis 4. nDecreased nsecretions n- n n n ncorrect ased nperistalsis Type n2 ndiabetes nmellitus nis ncharacterized nby nwhich nof nthe nfollowing? 1. nDecreased nproduction nof nexogenous nglucagon-like npeptide 2. nAutoimmune nbeta-cell ndestruction 3. nRelative ndeficiency nof ndipeptidyl npeptidase-4 4. nDecreased nreabsorption nof nsodium-glucose ntransporters n- n n n ncorrect ased nreabsorption nof nsodium-glucose ntransporters In npulmonary nfunction ntesting, nforced nvital ncapacity nrepresents nthe: 1. nmaximum nvolume nof nair nthat ncan nbe nforcefully nexhaled nafter nmaximum ninspiration. 2. ntotal nvolume nof nair nthat nis nexhaled nafter nnormal ninspiration. 3. ntotal nvolume nof nair nthat nthe nlungs ncan nhold, nminus nthe nexpiratory nreserve nvolume. 4. nvolume nof nair nthat ncan nbe nforcefully nexhaled nin n1 nsecond. n- n n n ncorrect um nvolume nof nair nthat ncan nbe nforcefully nexhaled nafter nmaximum ninspiration An nadult nmale npresents nas nfirst npatient nof nthe nday nafter nawaking nabout n5:00 nAM nwith nindigestion nand nchest npressure. nOn nchecking nhis npulse, nhe nfound nno nchange nfrom nprevious nmeasurements. nHe nstates nthat, nwhile nwaiting nfor nthe nnurse npractitioner nto narrive, nhe nbegan nto nfeel na nlittle nclammy. nA n12-lead nEKG nrecords nthe nfollowing npatterns. nOn nthe nbasis nof nthese nEKG nreadings, nthe ndiagnosis nis: 1. nanterior-septal nacute nmyocardial ninfarction. 2. nlateral nacute nmyocardial ninfarction. 3. ninferior nacute nmyocardial ninfarction. 4. nanterior nacute nmyocardial ninfarction. n- n n n ncorrect ior nacute nmyocardial ninfarction During nthe npast n24 nhours, na n62-year-old nhas nexperienced nabdominal npain nthat nradiates nto nthe nback. nThe npatient nalso nreports nseveral nepisodes nof nnausea nand nvomiting, na nlow-grade ntemperature, nand na nhistory nof nexcessive ndrinking. nPhysical nexamination nreveals na ndistended nabdomen. nLaboratory nserum nvalues nindicate nelevated nalkaline nphosphatase, namylase, nand nserum nlipase. nThe nmost nlikely ndiagnosis nis: 1. nalcoholic nliver ndisease. 2. nacute nmesenteric nischemia. 3. nviral nhepatitis. 4. nacute npancreatitis. n- n n n ncorrect npancreatitis An notherwise nhealthy nadult nfemale npresents ncomplaining nof nvaginal nburning nand nitching nduring nurination. nShe nhas na nsocial nhistory nof ntwo nsexual npartners. nShe ndenies nfever nor nvaginal ndischarge, nbut nhas nnoted na nlesion non none nlabium. nThe nnurse npractitioner nshould norder nall nof nthe nfollowing nEXCEPT: 1. nwet nmount nand npotassium nhydroxide. 2. ndark-field nmicroscopy nof nfluid nfrom nthe nlesion. 3. nnucleic nacid namplification ntesting nfor ngonorrhea. 4. nserology nfor nHaemophilus nducreyi. n- n n n ncorrect -field nmicroscopy nof nfluid nfrom nlesion A n3-year-old nfemale nhas nbeen ndiagnosed nwith nbacterial nmeningitis. nShe nattends npreschool ndaily nat na nlocal nchurch nday ncare nprogram. nThe nday nbefore nher ndiagnosis, nshe nate nlunch nwith nher nmother nat na nlocal nrestaurant. nFor nwhich ncontact(s) nwould nchemoprophylaxis nwith nrifampin nbe nrecommended? 1. nPreschool ncontacts nin nthe npast n7 ndays 2. nA nfriend nof nthe npatient's nsister nwho nvisited nafter nschool nyesterday 3. nThe ncheckout nemployee nat nthe ngrocery nstore nyesterday 4. nDiners nat nthe nrestaurant nduring nlunch nthe nday nthe npatient nate nthere n- n n n ncorrect hool ncontacts nin npast n7 ndays Congenital ndysplasia nof nthe nhip: 1. nmore ncommonly naffects nboth nhips. 2. noccurs nmore ncommonly nin nfemales. 3. nis ncorrectable nat nany nage. 4. ntypically nself-corrects nby n12 nweeks nof nage. n- n n n ncorrect ncommonly naffects nboth nhips Anticholinergic nagents nsuch nas nipratropium n(Atrovent) nand ntiotropium n(Spiriva) nare nused nin nCOPD nprimarily nto: 1. ninduce nbronchodilation. 2. ndecrease nairway ninflammation. 3. nexpand nthe nlung nfields. 4. ntreat nhypoxemia. n- n n n ncorrect e nbronchodilation The nclinical npresentation nof nplacenta nprevia nthat ndevelops nduring nthe nthird ntrimester nincludes: 1. nintermittent ndark-red nspotting. 2. noccult nbleeding nwith nabdominal nor nback npain. 3. nsudden nonset nof npainless nand nprofuse nbleeding. 4. npainless noccult nbleeding nthat nbecomes nvisible nupon nonset nof nlabor. n- n n n ncorrect n nonset nof npainless nand nprofuse nbleeding A n27-year-old nmale npatient, nwho nworks nas na njanitor, npresents nwith na n6-month nhistory nof nan nintermittent nrash non nhis nhands. nHistory nreveals nitching nand noccasional nburning. nExamination nreveals nirregularly-distributed nscaly nmaculopapular nerythematous npatches nextending nfrom nthe ndorsum nof nthe nhand nseveral ninches nup nthe nforearms, nand ndry npalms nwith nno nnail ninvolvement. nThe nmost nlikely ndiagnosis nis: 1. ncontact ndermatitis. 2. nscabies ninfestation. 3. npsoriasis. 4. neczema. n- n n n ncorrect ct ndermatitis Anorexia nnervosa noccurs nmost ncommonly nin nwhich nof nthe nfollowing? 1. nPainters 2. nOnly nchildren 3. nHigh-level nathletes 4. nIndividuals nfrom nlarge nfamilies n- n n n ncorrect nlevel nathletes A nfrail nelderly npatient npresents nwith nconstipation. nWhich nof nthe nfollowing nnormal nphysiologic nchanges nseen nwith naging nis nthe nmost nlikely ncause? 1. nDecreased nbowel nmuscle ntone 2. nIncreased nbile nsecretion 3. nIncreased nabsorption nof ncalcium 4. nDecreased npancreatic nsecretions n- n n n ncorrect ased nbowel nmuscle ntone A npatient nreports nto nyour noffice, nhaving nbeen nstruck non nthe nright ncheek nwith na nbaseball nbat. nOn nexamination, nyou nnotice ntenderness nand nswelling nover nthe ncheek. nThe npatient nis nunable nto ngaze nlaterally nwith nhis nleft neye, nand nhe ncomplains nof ndouble nvision nwhen nhe nattempts nto ndo nso. nThis nis nmost nlikely nassociated nwith: 1. nretinal nhemorrhage. 2. norbital nrim nfracture. 3. nsubarachnoid nhemorrhage. 4. nperiorbital ncellulitis. n- n n n ncorrect al nrim nfractures A n7-year-old nchild npresents nwith ngroup nA nstreptococcal ninfection nconfirmed nby nthroat nculture. nPast nhistory nincludes ntreatment nfor npositive nstreptococcal ninfection nwith nerythromycin n(EryPed noral nsuspension) n3 nweeks nago. nWhat nis nthe nmost nappropriate nnext nintervention? 1. nTreat nwith namoxicillin nfor n10 ndays. 2. nObtain nculture nfor nall nhousehold nmembers. 3. nTreat nwith nazithromycin n(Zithromax) nfor n10 ndays. 4. nIntramuscular nPenicillin. n- n n n ncorrect nwith namoxicillin nfor n10 ndays A n16-year-old nfemale nadolescent nis nbrought nto nthe nnurse npractitioner's noffice nby nher nmother, nwho nis nconcerned nabout nher ndaughter's nrecent nweight nloss. nHistory nreveals nthat nthe ndaughter nwas nconsistently nin nthe n50th npercentile nfor nweight, nbut nis nnow nin nthe n10th npercentile. nThe nmother nstates nthat nshe nis nconcerned nthat nher ndaughter nis npurging nherself nafter nmeals nsince nshe noften ngoes nto nthe nrestroom nafter neating nand nremains nthere nfor na nlong nperiod nof ntime. nThe ndaughter ndenies nany nself-induced nvomiting, nstarvation nor nexcessive nactivity. nShe ndoes nstate nthat nshe njogs nfive nmiles na nday nand nis nin ngood ncondition. nIn naddition nto na ncomplete nblood ncount nwith ndifferential, nwhich nof nthe nfollowing nlaboratory ntests nwill nbe nmost nhelpful nfor nfurther nassessment? 1. nElectrolytes, nfasting nblood nsugar 2. nCreatine nphosphokinase, nfollicle-stimulating nhormone n(FSH) 3. nElectrolytes, nblood nurea nnitrogen n(BUN)/creatinine, nurinalysis 4. nElectrolyt n- n n n ncorrect rolytes, nblood nurea nnitrogen n(BUN)/creatinine, nurinalysis An nadult nfemale nwho nis nhomeless npresents nfor nan ninitial nobstetric nvisit nat n34 nweeks nof npregnancy. nShe nis ndiagnosed nwith nChlamydia ntrachomatis ninfection. nWhat ncomplication nwill nher nnewborn nbe nmost nat nrisk? 1. nConjunctivitis 2. nHearing nloss 3. nPneumonitis 4. nMeningitis n- n n n ncorrect nctivitis A n2-year-old nmale npresents nfor nreevaluation. nTwo ndays nago, nhe nhad nfour nepisodes nof nvomiting nand nsix ndiarrheal nstools. nOn nphysical nexamination ntoday, nhis nvital nsigns nreveal nP n= n120 nand ncapillary nrefill nof n3 nseconds. nThe npatient's neyes nare nsunken nand nhis nextremities nare nmottled nand ncool nto nthe ntouch. nThe ntreatment nplan nwould ninclude: 1. nstart noral nelectrolyte nmixture nevery nhour. 2. nhospitalization nfor nIV nfluid nreplacement. 3. ngiving nthe nchild nloperamide nfor neach ndiarrheal nstool. 4. ncatheterizing nthe nchild nto nobtain naccurate nurine noutput. n- n n n ncorrect talization nfor nIV nfluid nreplacement A nnurse npractitioner nplaces na n76-year-old npatient non nnifedipine n(Procardia) n10 nmg nt.i.d. nfor nangina. nThe npatient nis nunable nto nremember nto ntake nthe nmedication nat nthe nscheduled ntimes. nThe npractitioner nshould: 1. ndiscontinue nthe nissue nwith nthe npatient's ndaughter. 2. nchange nthe ndose nto nextended nrelease n30 nmg ndaily. 3. nreinforce nthe nimportance nof ntaking nthe nmedication.