AANP Practice Questions
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker
and her hypertension is now adequately controlled with medication. Her mother
died at age 40 from a heart attack. The fasting lipid profile shows cholesterol =
240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic
Lifestyle Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - CORRECT ANSWER-A statin drug
The most commonly prescribed medication for mild systemic lupus
erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - CORRECT ANSWER-ibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - CORRECT ANSWER-postcoital bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
,4. discontinue amitriptyline and begin gabapentin (Neurontin). - CORRECT
ANSWER-discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and
gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - CORRECT ANSWER-associated with the
omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - CORRECT ANSWER-ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis
and presents for a follow-up examination after a recent hospitalization. It is most
important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - CORRECT ANSWER-hemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that
everything is fine, but the nurse practitioner notes that she has poor hygiene and
bruises on her trunk. The neighbor is concerned that the patient often has no
money to buy food, despite income from social security and a coal miner's
pension. The nurse practitioner suspects abuse. Which of the following is the
nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
, 2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. - CORRECT
ANSWER-report the case to proper authorities
In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. - CORRECT ANSWER-decrease in short-term
memory
The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
3. pyrazinamide for 6 months.
4. ethambutol for 6 months. - CORRECT ANSWER-osioniazid (nydrazid) for 9
months
Unilateral spontaneous serous or serosanguineous discharge from a single duct
of a breast is most often caused by:
1. intraductal papilloma.
2. mucinous breast lesions.
3. Paget's disease.
4. ductal carcinoma in situ. - CORRECT ANSWER-intraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous
changes in medications and doses, the parents report that the child continues to
have difficulty with coughing, especially during the night. Which of the following
conditions would be the most likely cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker
and her hypertension is now adequately controlled with medication. Her mother
died at age 40 from a heart attack. The fasting lipid profile shows cholesterol =
240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic
Lifestyle Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - CORRECT ANSWER-A statin drug
The most commonly prescribed medication for mild systemic lupus
erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - CORRECT ANSWER-ibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - CORRECT ANSWER-postcoital bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
,4. discontinue amitriptyline and begin gabapentin (Neurontin). - CORRECT
ANSWER-discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and
gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - CORRECT ANSWER-associated with the
omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - CORRECT ANSWER-ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis
and presents for a follow-up examination after a recent hospitalization. It is most
important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - CORRECT ANSWER-hemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that
everything is fine, but the nurse practitioner notes that she has poor hygiene and
bruises on her trunk. The neighbor is concerned that the patient often has no
money to buy food, despite income from social security and a coal miner's
pension. The nurse practitioner suspects abuse. Which of the following is the
nurse practitioner obligated to do next?
1. Report the case to the proper authorities.
, 2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns. - CORRECT
ANSWER-report the case to proper authorities
In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory. - CORRECT ANSWER-decrease in short-term
memory
The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
3. pyrazinamide for 6 months.
4. ethambutol for 6 months. - CORRECT ANSWER-osioniazid (nydrazid) for 9
months
Unilateral spontaneous serous or serosanguineous discharge from a single duct
of a breast is most often caused by:
1. intraductal papilloma.
2. mucinous breast lesions.
3. Paget's disease.
4. ductal carcinoma in situ. - CORRECT ANSWER-intraductal papilloma
A young child with asthma presents for follow-up evaluation. After numerous
changes in medications and doses, the parents report that the child continues to
have difficulty with coughing, especially during the night. Which of the following
conditions would be the most likely cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
