AANP FNP FAMILY NURSE PRACTITIONER EXAM 2024 | 2
CURRENTLY TESTING VERSIONS WITH 150 ACCURATE
QESTIONS WITH ANSWERS EACH AND A STUDY GUIDE AT
THE END | ACCURATE AND VERIFIED FOR GUARANTEED
PASS
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to adjust
to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the dose
slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70 before starting
on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm to the
kidneys.
B. Start at a low dose than what is commonly prescribed for adults, and increase the dose slowly.
A 72 year old female presents with a medical history unremarkable except for the occasional
headache. She enjoyed emotional health throughout marriage and childrearing, although her
family history is significant for strokes and nervous breakdowns. Since her husband died a year
ago, however, she has been waking every morning at 3am, is reluctant to go out although she has
family member living nearby, and feels a continual urge to sleep. She cannot discuss her late
husband without crying. Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna
B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that the child is
exhibiting symptoms of a cold, but has no fever. The nurse practitioner should advise the parent
that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold
B. Lower the seizure threshold
After a 3-week camping trip, an 11-year old is seen for a target lesion with central clearing,
located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and
generalized musculoskeletal pain for several days. Pharmacologic management of this condition
includes:
,A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
D. Doxycycline
An 88 year old male presents with concerns about memory loss. He feels good, takes an 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?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test
A. Folstein Mini-mental state examination
During development of a treatment plan for an 84 year old patient with hypothyroidism, the
nurse practitioner has to keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia
B. Osteoporosis
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She hasn't missed any doses and uses no other medication. Which of the following is
appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance
D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex
B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further questioning reveals that
his primary concern is delayed ejaculation. He is currently taking the following medications:
atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1
,tablet daily; and hydrochlorthoriazide (HCTZ), 25 mg daily. The most likely cause of the
patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil)
D. Paroxetine (Paxil)
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a cough.
Which of the following diagnostic tests would be most appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
B. Sputum culture
A 25-year old presents with the chief complaint of decreased mobility and pain of the right
shoulder exacerbated with movement. The patient reports that he participated in extensive house
painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No
redness or ecchymosis is present. What is the next step that should be taken in order to make a
diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG
A. Palpate the structures around the shoulder
A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual development.
Her physical exam in completely normal, and her weight is appropriate for her age and height.
What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea
C. Primary amenorrhea
An 18-month old child presents with a bulging, immobile tympanic membrane; T-103F(39.4C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After initiation
of treatment for otitis media, the most appropriate intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
, C. Reevaluate the patient in 10 days
D. Refer the patient to a cardiologist
C. Reevaluate the patient in 10 days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and hands
D. Headaches
B. Glucosuria
Which of the following pharmacotherapeutics would be most important to administer to a patient
who has a corneal abrasion?
A. Olopatadine (Patanol)
B. Cromolyn opthalmic (Crolom)
C. Timolol (Timoptic)
D. Gentamycin Opthalmic (Genoptic)
D. Gentamycin Opthalmic (Genoptic)
An 88 year old patient presents with right-sided weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
A. Seizure
B. Right-sided Stroke
C. Left-sided stroke
D. Trans ischemic attack
C. Left-sided Stroke
A nurse pracitioner is evaluating a 40 year old patient suspected of having a pulmonary embolus.
The patient complains of anxiety and cough. A stat chest x-ray is normal. Which of the following
tests should the nurse practitioner perform next?
A. Spirometry
B. MRI
C. Contrast venography
D. Helical CT pulmonary angiography
D. Helical CT pulmonary angiography
A routine laboratory assessment of a 12 year old patient with a family history of thalassemia and
anemia reveals Tanner II presentation and Hct=355. In addition to a complete blood count
(CBC), the nurse practitioner should order which of the following?
A. serum folic acid
B. Vitamin B12 level
CURRENTLY TESTING VERSIONS WITH 150 ACCURATE
QESTIONS WITH ANSWERS EACH AND A STUDY GUIDE AT
THE END | ACCURATE AND VERIFIED FOR GUARANTEED
PASS
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to adjust
to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the dose
slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70 before starting
on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm to the
kidneys.
B. Start at a low dose than what is commonly prescribed for adults, and increase the dose slowly.
A 72 year old female presents with a medical history unremarkable except for the occasional
headache. She enjoyed emotional health throughout marriage and childrearing, although her
family history is significant for strokes and nervous breakdowns. Since her husband died a year
ago, however, she has been waking every morning at 3am, is reluctant to go out although she has
family member living nearby, and feels a continual urge to sleep. She cannot discuss her late
husband without crying. Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna
B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that the child is
exhibiting symptoms of a cold, but has no fever. The nurse practitioner should advise the parent
that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold
B. Lower the seizure threshold
After a 3-week camping trip, an 11-year old is seen for a target lesion with central clearing,
located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and
generalized musculoskeletal pain for several days. Pharmacologic management of this condition
includes:
,A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
D. Doxycycline
An 88 year old male presents with concerns about memory loss. He feels good, takes an 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?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test
A. Folstein Mini-mental state examination
During development of a treatment plan for an 84 year old patient with hypothyroidism, the
nurse practitioner has to keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia
B. Osteoporosis
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She hasn't missed any doses and uses no other medication. Which of the following is
appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance
D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex
B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further questioning reveals that
his primary concern is delayed ejaculation. He is currently taking the following medications:
atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1
,tablet daily; and hydrochlorthoriazide (HCTZ), 25 mg daily. The most likely cause of the
patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil)
D. Paroxetine (Paxil)
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a cough.
Which of the following diagnostic tests would be most appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
B. Sputum culture
A 25-year old presents with the chief complaint of decreased mobility and pain of the right
shoulder exacerbated with movement. The patient reports that he participated in extensive house
painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No
redness or ecchymosis is present. What is the next step that should be taken in order to make a
diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG
A. Palpate the structures around the shoulder
A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual development.
Her physical exam in completely normal, and her weight is appropriate for her age and height.
What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea
C. Primary amenorrhea
An 18-month old child presents with a bulging, immobile tympanic membrane; T-103F(39.4C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After initiation
of treatment for otitis media, the most appropriate intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
, C. Reevaluate the patient in 10 days
D. Refer the patient to a cardiologist
C. Reevaluate the patient in 10 days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and hands
D. Headaches
B. Glucosuria
Which of the following pharmacotherapeutics would be most important to administer to a patient
who has a corneal abrasion?
A. Olopatadine (Patanol)
B. Cromolyn opthalmic (Crolom)
C. Timolol (Timoptic)
D. Gentamycin Opthalmic (Genoptic)
D. Gentamycin Opthalmic (Genoptic)
An 88 year old patient presents with right-sided weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
A. Seizure
B. Right-sided Stroke
C. Left-sided stroke
D. Trans ischemic attack
C. Left-sided Stroke
A nurse pracitioner is evaluating a 40 year old patient suspected of having a pulmonary embolus.
The patient complains of anxiety and cough. A stat chest x-ray is normal. Which of the following
tests should the nurse practitioner perform next?
A. Spirometry
B. MRI
C. Contrast venography
D. Helical CT pulmonary angiography
D. Helical CT pulmonary angiography
A routine laboratory assessment of a 12 year old patient with a family history of thalassemia and
anemia reveals Tanner II presentation and Hct=355. In addition to a complete blood count
(CBC), the nurse practitioner should order which of the following?
A. serum folic acid
B. Vitamin B12 level
