AANP Test 2 for Boards
You are treating a patient with acute anxiety and she is having an acute attack in
the office. The ANP has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI - CORRECT ANSWER-Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The
other choices list agents that will require multiple doses for results. With daily
continued use of benzodiazepines, the anti-anxiety effect may become
diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on
lifestyle changes. The ANP knows that which of the following is the most
important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and
exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise
regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake."
- CORRECT ANSWER-Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and
exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk.
Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining
a healthy lifestyle but do not help to prevent cardiovascular disease.
,You are seeing a female with inflammatory bowel disease, known as IBD. The
Adult Nurse Practitioner knows that if she orders a hemogram on this patient,
which of the following results would be seen if the patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type - CORRECT ANSWER-Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes.
The anemia of chronic disease, a normocytic, normochromic anemia, is a result
of inflammation of the IBD without blood loss. Blood loss would result in a
microcytic, hypochromic anemia. The macrocytic anemias are a result of
deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race - CORRECT ANSWER-Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other
three choices risk factors include: substance abuse, living alone, and less
education.
The healthcare provider's required level of expected conduct as established by
custom, law, or professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice. - CORRECT ANSWER-Correct answer:
Standard of care
,Standard of care is another term associated with negligence. Standard of care is
a healthcare provider's required level of expected conduct as established by
custom, law, or professional organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing
is one component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment. - CORRECT ANSWER-Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what
signs or symptoms he or she has experienced in various body systems. It is
important that these be in a patient's own words to perform the most complete
and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come
with aging EXCEPT:
decreased liver size
decreased muscle tone in bowel
increased absorption of calcium
atrophy of salivary glands - CORRECT ANSWER-Correct answer:
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not
increased absorption. Other gastrointestinal changes include: less efficient
cholesterol stabilization and absorption, atrophy of taste buds, and slowing in
esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine
treatment for Graves disease. The ANP is counseling her and understands that
the mechanism of action of this treatment therapy is:
alter the thyroid metabolic rate
, relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH - CORRECT ANSWER-Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is
used for thyroid ablation to destroy the overactive thyroid tissue that causes the
thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls. - CORRECT ANSWER-Correct
Answer:
Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip fractures. Falls
are one of the most common adverse events that threaten the quality of life of
older adults. Falls among older adults are not a normal consequence of aging.
Normal age-related changes of the skin may be confused with which of the
following clinical abnormalities?
dehydration
vitiligo
scabies
shingles - CORRECT ANSWER-Correct Answer:
dehydration
Normal age-related changes of the skin may be confused with dehydration.
Sebaceous gland activity tends to decrease with age, and the skin's natural
hydrators decline over the years. The skin's ability to regenerate lipids
compromising the protective lipid barrier layer of the Stratum Corneum also
You are treating a patient with acute anxiety and she is having an acute attack in
the office. The ANP has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI - CORRECT ANSWER-Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The
other choices list agents that will require multiple doses for results. With daily
continued use of benzodiazepines, the anti-anxiety effect may become
diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on
lifestyle changes. The ANP knows that which of the following is the most
important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and
exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise
regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake."
- CORRECT ANSWER-Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and
exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk.
Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining
a healthy lifestyle but do not help to prevent cardiovascular disease.
,You are seeing a female with inflammatory bowel disease, known as IBD. The
Adult Nurse Practitioner knows that if she orders a hemogram on this patient,
which of the following results would be seen if the patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type - CORRECT ANSWER-Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes.
The anemia of chronic disease, a normocytic, normochromic anemia, is a result
of inflammation of the IBD without blood loss. Blood loss would result in a
microcytic, hypochromic anemia. The macrocytic anemias are a result of
deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race - CORRECT ANSWER-Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other
three choices risk factors include: substance abuse, living alone, and less
education.
The healthcare provider's required level of expected conduct as established by
custom, law, or professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice. - CORRECT ANSWER-Correct answer:
Standard of care
,Standard of care is another term associated with negligence. Standard of care is
a healthcare provider's required level of expected conduct as established by
custom, law, or professional organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing
is one component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment. - CORRECT ANSWER-Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what
signs or symptoms he or she has experienced in various body systems. It is
important that these be in a patient's own words to perform the most complete
and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come
with aging EXCEPT:
decreased liver size
decreased muscle tone in bowel
increased absorption of calcium
atrophy of salivary glands - CORRECT ANSWER-Correct answer:
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not
increased absorption. Other gastrointestinal changes include: less efficient
cholesterol stabilization and absorption, atrophy of taste buds, and slowing in
esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine
treatment for Graves disease. The ANP is counseling her and understands that
the mechanism of action of this treatment therapy is:
alter the thyroid metabolic rate
, relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH - CORRECT ANSWER-Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is
used for thyroid ablation to destroy the overactive thyroid tissue that causes the
thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls. - CORRECT ANSWER-Correct
Answer:
Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip fractures. Falls
are one of the most common adverse events that threaten the quality of life of
older adults. Falls among older adults are not a normal consequence of aging.
Normal age-related changes of the skin may be confused with which of the
following clinical abnormalities?
dehydration
vitiligo
scabies
shingles - CORRECT ANSWER-Correct Answer:
dehydration
Normal age-related changes of the skin may be confused with dehydration.
Sebaceous gland activity tends to decrease with age, and the skin's natural
hydrators decline over the years. The skin's ability to regenerate lipids
compromising the protective lipid barrier layer of the Stratum Corneum also
