AANP AGPCNP Questions And Answers Rated A+.

AANP AGPCNP Questions And Answers Rated A+. An k88-year-old kpresents kwith kright-side kweakness kafter kbeing kunable kto krise kunassisted kfollowing ka kfall kto kthe kbathroom kfloor. kHistory kincludes kaphasia kand knoncompliance kwith khypertension kmedication kregimen. kWhat kis kthe kmost klikely kdiagnosis? Left-sided kor kright-sided kCVA? k- k k k kcorrect kanswer.LEFT-SIDED kCVA Which kof kthe kfollowing ksigns/symtpoms kare koften kassociated kwith kheadahces kdue kto kintracranial ktumor? 1) kpain kworse klaying kdown, kfocal kneurological ksigns 2) kHyperflexia, kpersonality kchange 3) kacute konset: khours kto kdays 4) kpupillary kconstriction; kstupor k- k k k kcorrect kanswer.1) kpain kworse klaying kdown, kfocal kneurological ksigns Which kof kthe kfollowing kpharmacotherapeutics kwould kbe kmost kimportant kto kadminister kto ka kpatient kwho khas ka kcorneal kabrasion? k 1) kTimolol 2) kGentamicin kophthalmic 3) kCromolyn koptha 4) kOlopatadine k- k k k kcorrect kanswer.2) kGentamicin kophthalmic k(Genoptic) A k25-year-old kpresents kwith kthe kchief kcomplaint kof kdecreased kmobility kand kpain kof kthe kright kshoulder kexacerbated kby kmovement. kThe kpatient kreports kthat khe kparticipated kin kextensive khouse kpainting k24 khours kprior kto kthe konset kof kpain. kHe kdenies kany ktrauma. kPassive kROM kis kintact. kNo kredness kor kecchymosis kis kpresent. kWhat kis kthe knext kstep kto kbe ktaken kin korder kto kmake ka kdiagnosis? k 1) kXray kof kshoulder 2) kPalpate kstructures karound kthe kshoulder. k 3) kMRI kof kshoulder 4) kEMG k- k k k kcorrect kanswer.2) kpalpate kstructures A k16-year-old kfemale kin kthe kfirst kmonth kof ktaking kOrtho-Novum k7/7/7 kcomplains kof kmidcycle kspotting. kShe khas knot kmissed kany kdoses kand kuses kno kother kmedication. kWhich kof kthe kfollowing kis kappropriate? k 1) kChanging kto kOrtho-Novum k1/35 k 2) kDiscontinue kuse 3) kProviding kreassurance k 4) kDouble kdose-for ktwo kdays k- k k k kcorrect kanswer.3) kprovide kreassurance According kto kthe kReport kof kthe kU.S. kPreventive kServices kTask kForce, kwhich kof kthe kfollowing kis kNOT ka kcurrent krecommendation kguideline kfor kpreventive kcare kin kelderly kfemale kpatients? k 1) kMammogram kand kclinical kbreast kexams 2) kFecal kOccult kblood ktest kand/or ksig 3) kRubella kserology kor kvaccination khistory 4) kPnuemo kand kinfluenza kvaccines k- k k k kcorrect kanswer.3) kRubella kserology kor kvaccination khistory 87 ky/o kNH kpatient kis kdrowsy kand kbarely kresponsive. kTemp k95, kBP: k110/70, kPulse k60, kR k10. kThe kbest kaction kis kto: 1) kinitiate kpassive kwarming 2) kapply ka krebreather 3) kPerform kfluid kreplacement 4) kinitiate kactive kwarming k- k k k kcorrect kanswer.1) kinitiate kpassive krewarming A kpatient kis kreferred kwith kDM, kHTN kand kCAD. kHe kis kon kinsulin kand ka kbeta kblocker. kHow kwould kyou keducate kthis kpatient kon krecognizing kthe ksigns kand ksymptoms kof khypoglycemia? 1) kEdema 2) kTachycardia 3) kpalpitations 4) ksweating k- k k k kcorrect kanswer.4) ksweating A k65-year-old koverweight kpatient kis kdiagnosed kwith kplantar kfasciitis. kInitial ktherapy kof kNSAIDs, kstretching, kice, kand krest khas kproven kineffective kafter k3 kweeks. kThe kbest kfollow-up kplan kof kcare kwould kbe kto: 1) kstop kNSAID, kapply ka kheel kcup kand kencourage kexercise kand kwt kloss. 2) kcontinue kNSAID, kapply kan karch ksupport kand kencourage kwt kloss kand kexercise 3) kcontinue kNSAID, kxray kand kadd ka kshort-leg knight ksplint 4) kCOntinue kNSAID, kxray kand kadd ka kmetatarsal kbar k- k k k kcorrect kanswer.2) kcontinue kNSAID, kapply kan karch ksupport kand kencourage kwt kloss kand kexercise Fundoscopic kexam kof kHypertensive kpatient. 1) knicking kof karteriols kand kviens, kand ksmall kretinol khemorrages 2) kdrusen kbodies kand kpale kretina 3) kpale kmacula kand kswollen kdisk kmargins 4) kmicroaneurysms kand koptic kdisc kcupping k- k k k kcorrect kanswer.1) knicking kof karteriols kand kviens, kand ksmall kretinol khemorrages Which kof kthe kfollowing kis ka kcommon kpresenting kfeature kof khyperthyroidism kin kthe kelderly? 1) kelevated kTSH 2) kThyroid kenlargement 3) katrial kfibrillation 4) kabnormal kT3 ksuppression k- k k k kcorrect kanswer.3) katrial kfibrillation A k35-year-old klawn kmaintenance kworker kpresents kreporting k"something kin kmy keye" ksince kthe kprevious kday. kThe keye kwas krinsed kwith kover-the-counter keyewash, kwithout krelief. kThe kpatient kdenies kvisual kdisturbances kor kdrainage. kIn kformulating ka kplan kof kcare, kthe knurse kpractitioner kwould kFIRST: 1) ksend kto kophthalmologists 2) kflorescreen kstaining 3) ktest kvisual kfield 4) kprescribe keyedrops k- k k k kcorrect kanswer.3) ktest kvisual kfield A k72-year-old kpatient kpresents kwith kdry, kitchy keyes. kDuring kthe kcourse kof kthe kphysical kexamination, kthe knurse kpractitioner knotes kthe kpresence kof ka kgray kband kof kopacity kin kthe kcornea kthat kencircles kthe kiris. kThe kband kis k1.0-1.5 kmm kwide. kThis kfinding kis kmost kconsistent kwith ka kdiagnosis kof ka/an: 1. kcorneal kabrasion 2. karcus ksenilis 3. kcorneal kulcer 4. kherpetic kinfection kof kthe keye k- k k k kcorrect kanswer.2) karcus ksenilis A k26-year-old kpresents kwith kreports kof kanorexia, kfatigue, kweight kloss, kmalaise, kfever, knight ksweats, kand ka kcough kthat khas kbeen kpresent kfor k4 kweeks. kThe kdiagnostic kstudy kto kperform kfirst kwould kbe: 1) kxray 2) kpulmonary kfunction ktest 3) kbronchoscopy 4) kH k& kH k- k k k kcorrect kanswer.1) kxray k(tb-night ksweats) A k44-year-old kfemale kis kcomplaining kof kfrequent kanxiety kattacks kwith kchest kdiscomfort kand kfatigue. kOn kphysical kexamination, kher klungs kare kclear kbilaterally. kThere kare ka kmidsystolic kclick kand ka kgrade kII/VI ksystolic kmurmur kat kthe kapex. kFurther kevaluation kwould kinclude kwhich kof kthe kfollowing? k 1) kEKG, kflat kplate kof kthe kabdomen, klipid kprofile k 2) kEchocardiogram, kDoppler, kEKG k 3) kLabs kand kbenzo's 4) kEEG, kAnxiety kScale, kand kelectrolytes k- k k k kcorrect kanswer.2) kEchocardiogram, kDoppler, kEKG A khealthy k84 ky/o kwould klike kto kstart kan kexercise kprogram, kwhat kwould kyou kdo kbefore kthis ktakes kplace? 1) kphysical kexam 2) kEKG 3) kknee kxrays 4) kPT kStress ktest k- k k k kcorrect kanswer.1) kPhysical kExam 29 ky/o khas kuncomplicated kChlamydia kinfection kwill kexhibit: 1) kgreen kpenile kdischarge 2) kuticartia 3) kunremarkable ksymtpoms 4) kpenile kulcer k- k k k kcorrect kanswer.3) kunremarkable ksymptoms 37 khas ksuspected kPE. kc/o kanxiety kand kcough, kCXR knormal, kthe knext ktest kshould kbe: 1) kspirometry 2) kMRI 3) kCOntract kvenogra[hy 4) khelical kCT kpulmonary kangiograph k- k k k kcorrect kanswer.4) khelical kCT kpulmonary kangiography. A k12-lead kEKG kshows kan kundulating kbaseline kwith kno kvisible kP kwaves kand kan kirregularly kirregular kR-R kinterval. kThis karrhythmia kis: 1) katrial kflutter 2) katrial kfibrillation 3) ksecond kdegree kheart kblock 4) kWolff-White kSyndrome k- k k k kcorrect kanswer.2) katrial kfibrillation After ka k3-week kcamping ktrip, ka k17-year-old kis kseen kfor ka ktarget klesion kwith kcentral kclearing, klocated kin kthe kinguinal karea. kThe kpatient khas khad ka ksevere kheadache, kmalaise, kfatigue, kand kgeneralized kmusculoskeletal kpain kfor kseveral kdays. kPharmacologic kmanagement kof kthis kcondition kincludes: k 1) kBactrim 2) kazithromycin 3) kdoxycycline k(Doryx). k 4) kmetronidazole k- k k k kcorrect kanswer.3) kdoxycycline k(Doryx). kRocky kMountain kspotted kfever k(Lyme kdisease-test kwith kWEstern kBlot) According kto kthe kAmerican kDiabetes kAssociation, kthe knewest kstandard kfor kdetermining kthe kpresence kof kdiabetes kmellitus kbased kon kfasting kplasma ksugar klevel kis ka kvalue kequal kto kor kgreater kthan: k 1) k110 kmg/dL. k 2) k126 kmg/dL. k 3) k135 4) kwhatever k- k k k kcorrect kanswer.2) k126 kmg/dl In kthe kelderly, kone kpathophysiologic kmechanism kof kisolated ksystolic khypertension kinvolves: k 1) kdecreased kcardiac koutput. k 2) kloss kof kvascular ktissue kelasticity. k 3) khyperactive kbaroreceptors k- k k k kcorrect kanswer.2) kloss kof kvascular ktissue kelasticity A k58-year-old kfemale kpresents kwith kshoulder kand kpelvic kgirdle kpain kfor kthe kpast k6 kmonths. kShe kreports krecent kunintentional kweight kloss. kOn kphysical kexamination, kthere kis kpain kon kROM, kwith kno kweakness knoted. kLaboratory kstudies kshow ka klow khemoglobin kand kan kelevated ksedimentation krate. kWhich kof kthe kfollowing kis kthe kmost klikely kdiagnosis? k 1) kPolymyalgia krheumatica k 2) kpolymyositis 3) kosteoarthritis 4) kFibromyalgia k- k k k kcorrect kanswer.1) kpolymyalgia krheumatica An k85-year-old kmale krelates kthat kon kthe kway kto khis kannual kphysical kexamination, khe ksuffered ka ksudden kloss kof kvision kin khis kright keye kcharacterized kby k"a kbunch kof klights" kand ka kfeeling kthat k"a kcurtain kcame kdown." kAll kof kthe kfollowing kwould kbe kincluded kin kthe kdifferential kdiagnosis kEXCEPT: k 1) kopthalmolic kmigraine 2) kretinal kdetachment. k 3) kdiabetic kretinopathy. 4) kTIA k- k k k kcorrect kanswer.3) kdiabetic kretinopathy A kpatient kwith kdiabetes kmellitus kwho kis kon kNPH kand kregular kinsulin ksplit-dosing kpresents kwith kcomplaints kof kearly kmorning krise kin kfingerstick kblood kglucose. kA kreview kof kself kblood kglucose kmonitoring kreveals kincreased kmorning klevels. kAfter kan kincrease kin kthe kevening kinsulin kdose, kthe kproblem kworsens. kThis kis kmost klikely kan kexample kof: k 1) kinsulin kresistance 2) kthe kSomogyi keffect. k 3) kneeding kmore kinsulin kin kthe kmornings 4) kNeed kto kincrease kinsulin kat knight k- k k k kcorrect kanswer.2) kSomogyi keffect In ka khealthy kelder, kwhich kof kthe kfollowing kTRADITIONALLY kdefines ka kpositive kurine kculture? k 1) k≥100,000 kcolonies/mL kof ka ksingle korganism k 2) k≥10,000 kcolonies/mL kof ka ksingle korganism k 3) k≥100,000 kcolonies/mL kof ka ktwo kor kmore korganisms k- k k k kcorrect kanswer.≥100,000 kcolonies/mL kof ka ksingle korganism A k55-year-old kpatient kexhibits ka kverified kserum kcalcium klevel kof k13 kmg/dL k[normal k= k8.9-10.2 kmg/dL]. kThe knext kstep kin kdetermining kthe kpresence kof kpathology kis kto korder ka: k 1) kBUN kand kserum kcreatinine. k 2) k24 khour kurine 3) kparathyroid khormone klevel. k 4) kthyroid kpanel k- k k k kcorrect kanswer.3) kparathyroid khormone klevel An k88-year-old kfemale kpresents kwith ka k3-day khistory kof kvertigo. kThe kpatient khas ka kpast kmedical khistory kof khypertension kcontrolled kwith kmetoprolol, k50 kmg kdaily. kShe kreports kthat kthe kpresenting ksymptoms kare kconstant, ksevere, kand kaccompanied kby knausea kand kvomiting. kShe kdenies kexperiencing kdiplopia, kslurring kof kspeech, kchest kpain, kdyspnea, kor kdiaphoresis. kShe kexhibits kmild kanxiety kand kreluctance kto kchange kposition kor kturn kthe khead. kBP k= k126/76; kP k= k78; kR k= k16/min; kand kT k= k98.2°F k(36.8°C). kHEENT kexamination kreveals k17 kbeats kof khorizontal knystagmus kon kright klateral kgaze; kthe knystagmus kstops kafter kseveral krepetitions kof kthe kmaneuver. kFunduscopic, kcardiac, kpulmonary, kabdominal, kand kneurologic kexamination kresults kare knormal. kThe kmost klikely kdiagnosis kis: k 1) kacoustic kneuroma 2) kvestibular kneuritis. k 3) kvertibailar kinsufficiency 4) kTIA k- k k k kcorrect kanswer.2) kvestibular kneuritis When kinitiating kthyroid khormone kreplacement kin kthe kolder kadult, kcare kmust kbe ktaken kto kevaluate kthe kpatient's: k 1) kcoronary kstatus. k 2) kweight 3) krenal kfunction 4) kmental kstate k- k k k kcorrect kanswer.1) kcoronary kstatus Which kof kthe kfollowing kwould kbe kmost kappropriate kto kperform kin kthe kinitial kevaluation kof ka kpatient kwith ksymptoms kof kacute kprostatitis? k 1) kProstate-specific kantigen k(PSA) k 2) kUrinalysis kand kurine kculture k 3) kScrotal kmassage kand kurine ksample 4) kCBC kwith kdiff k- k k k kcorrect kanswer.2) kurinalysis kand kurine kculture Which kof kthe kfollowing kwet-mount kresults kconfirms ka kpreliminary kdiagnosis kof kbacterial kvaginosis? k 1) kOrganisms kabout kthe ksize kof kwhite kblood kcells kwith kundulating kflagellum, koccasional klactobacillus, kmany kwhite kblood kcells k 2) kSquamous kepithelial kcells kwith kstippling kappearance kand kindistinct kborders, kno klactobacillus krods, kmany kwhite kblood kcells k 3) kSquamous kepithelial kcells kwith kstippling kappearance kand kindistinct kborders, kmany klactobacillus krods, kfew kwhite kblood kcells k- k k k kcorrect kanswer.2) kSquamous kepithelial kcells kwith kstippling kappearance kand kindistinct kborders, kno klactobacillus krods, kmany kwhite kblood kcells Which kof kthe kfollowing kphysical kfindings kwould kbest kalert ka knurse kpractitioner kto kthe kprobability kof ka kherniated klumbar kdisc? k 1) kPositive kPatrick's ksign, kdecreased kthoracolumbar kROM, kpositive kstraight-leg kraise kat k90° k 2) kDecreased kthoracolumbar kROM, kpositive kcrossed kstraight-leg kraise, kpositive kstraight-leg kraise kat k30° k 3) kNegative kPatrick's ksign, kdecreased kthoracolumbar kROM, kpositive kstraight-leg kraise kat k80° k- k k k kcorrect kanswer.2) kDecreased kthoracolumbar kROM, kpositive kcrossed kstraight-leg kraise, kpositive kstraight-leg kraise kat k30° An k87-year-old kobese kfemale kpresents kwith kcomplaints kof kcalf kpain kin kher kright kleg. kThe kpatient kreports kthat kthe kpain kis kincreased kwith kambulation kand khas kbeen kincreasing kover kthe kpast k24 kto k48 khours. kThe kpatient kdenies kthe kfollowing: kany krecent kinjury kto kthe kleg, ksmoking, kor krecent ksurgery. kTo kassess kthis kpatient's ksymptoms, kyou kwould kinitially kassess: k 1) kcalf kcircumference kand kperform kDoppler kstudies. k 2) kpopliteal kpulses kand kDoppler kstudies 3) kFemoral kpulses kand kskin ktemperature 4) kPatrick's ksigns kand kpopliteal kpulses k- k k k kcorrect kanswer.1) kcalf kcircumference kand kperform kDoppler kstudies What ktype kof kexercise kwould kyou krecommend kfor ka k74-year-old kpatient kwith khypertension kand kdegenerative kjoint kdisease k(DJD)? k 1) kStationary kbike 2) kAqua kexercises k 3) kaerobic kwalking k- k k k kcorrect kanswer.2) kAqua kexercises Trigeminal kneuralgia k 1) kelectric kshock klike kunilateral kpain 2) kjaw kpain kextending kto kthe kneck 3) kBilateral kburning kpain k- k k k kcorrect kanswer.1) kelectric kshock klike kunilateral kpain A kmanifestation kof kautonomic kneuropathy kin ka k70-year-old kpatient kwith kdiabetes kmellitus kis: k 1) ktremors. k 2) korthostatic khypotension. k 3) khypertension 4) kcolor kblindness k- k k k kcorrect kanswer.2) korthostatic khypotension The kmost kcommon kfluid kand kelectrolyte kimbalance kin kpatients kover k65 kyears kof kage kis: k 1) khypokalemia 2) kdue kto kdehydration. k 3) kHypercalcemia 4) kdue kto kfluid koverload k- k k k kcorrect kanswer.2) kdue kto kdehydration Office kspirometry kperformed kwith kan kalbuterol knebulizer ktreatment kcan kconfirm ka kdiagnosis kof kasthma kbecause kit kindicates: k 1) ka kpatient khas kpulmonary kfibrosis 2) kchronic kcarbon kdioxide kretension 3) kif ka kpatient khas kreversible kairway kobstruction. k- k k k kcorrect kanswer.3) kif ka kpatient khas kreversible kairway kobstruction. To kassess kability kto kreason kabstractly, kyou kwould kask kthe kpatient kto: 1) kthe kmeaning kof ka kcommon kproverb 2) kask kwhat kthey kwould kdo kif kthere kwas ka kfire kin kthe khouse 3) kcount kbackwards kby k7's k- k k k kcorrect kanswer.1) kthe kmeaning kof ka kcommon kproverb A k66-year-old kpatient kpresents kwith kbilateral kotitis kmedia kwith keffusion kand kwhite kpatches kin kthe kmouth kthat kdo knot krub koff kwhen kwiped kwith ka k4 k× k4. kThe kpatient kshould kbe kevaluated kfor: k 1) klichen kplanus 2) kHIV kinfection. k 3) klymphoma 4) kCandida klingua k- k k k kcorrect kanswer.2) kHIV kinfection k(hairy kluekaplakia-immune) A k70-year-old kpatient kpresents kwith kcomplaints kof kvague kepigastric kpain koccurring kat knight, kcausing kearly kmorning kawakening, kand kdecreased kappetite kwith kearly ksatiety. kSignificant khistory kincludes krecent kuse kof kibuprofen kfor kheadaches. kRectal kexamination kwas knegative. kWhile kawaiting kthe kresults kof kordered kdiagnostic ktests, kthe kpractitioner kshould krecommend kall kof kthe kfollowing kEXCEPT: k 1) kstarting kH2 kblockers. k 2) ktaking koff kfrom kwork kuntil kthe kwork-up kis kcomplete. k 3) kReporting knausea/vomiting k 4) kDiscontinue kNSAIDS k- k k k kcorrect kanswer.2) ktaking koff kwork kuntil kthe kwork-up kis kcomplete A k32-year-old kpatient kreports ka k6-month khistory kof kintermittent ksymmetrical kswelling kof kthe kwrists kand kdaily kmorning kstiffness klasting k1 khour kor kmore kin kand karound kother kjoints. kWhat kis kthe kmost klikely kdiagnosis? k 1) kRheumatoid karthritis k 2) kOsteoarthritis 3) kGouty karthritis k- k k k kcorrect kanswer.1) kRheumatoid karthritis An k18-year-old kcollege kstudent kpresents kfor kan kathletic kphysical. kWhen kasked kabout kcurrent kmedications, kshe kmentions kshe ktakes k"some kherb" kshe kbought kat kthe khealth kfood kstore kfor kmigraines kand kmenstrual kcramps. kWhich kof kthe kfollowing kherbal kremedies khas kbeen kcommonly kused kfor kthese kconditions? k 1) kEchinacea k 2) kSt. kJOhn's kWort 3) kginko kbiloba 4) kFeverfew k- k k k kcorrect kanswer.4) kFeverfew