Page 1 of 276
AANP FNP TEST REVIEW QUESTIONS WITH
CORRECT DETAILED ANSWERS
Terms in this set (1060) Q & A
>> ADA screening for DM in Children
- answer- -symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless
of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese
(>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
>> Statistics
- answer- - leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white males.
, Page 2 of 276
>> Osgood-Schlatter:
- answer- knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at
the tendon's insertion site. The tibial tuberosity. Rule out avulsion fracture if there is an acute
onset and order a lateral xray. RICE. Usually stops when the growth stops.
>> If patient has right sided weakness, etc. the CVA occurred where
- answer- left side
>> initial evaluation of symptoms of acute prostatitis
- answer- Urinalysis and urine culture
>> 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.
, Page 3 of 276
4. low-dose aspirin.
- answer- A statin drug
>> Ortolani's Click
- answer- a click is heard or felt as dislocation is reduced (developmental dysplasia of hip)
(good until one year)
>> Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis?
- answer- Erythrocyte sedimentation rate (ESR)
>> What are narrow therapeutic index drugs?
- answer- 1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
>> Otitis Externa tx
- answer- Fluoroquinolone & Polymyxin B cortisporin drops
, Page 4 of 276
>> An elderly male patient complains of a new-onset, left-sided temporal headache
accompanied by scalp tenderness and indurated temporal artery. The NP suspects temporal
arteritis. What screening test would you order to assist with diagnosis?
- answer- sedimentation rate (expect to be very elevated)
>> Basal Cell Carcinoma
- answer- Pearly domed nodule with overlaying telangiectatic vessels. Could be plaque,
papule, possible central ulceration and crusting. Dx: Biopsy Tx:
>> Normal, healthy woman of reproductive age
- answer- white, clear, flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward
acidic), no odor, microscopic shows lactobacilli (gram+bacteria)
>> Multiple infections from bacteria and fungus?
- answer- Screen for HIV
>> Screening Tests
- answer- - sensitivity: detect those WITH the disease. higher the sensitivity is higher the false
positives
- Specificty: detect those who DONT have the disease.
>> erythromycin for chlamydia eye infection in infants
- answer- ...
AANP FNP TEST REVIEW QUESTIONS WITH
CORRECT DETAILED ANSWERS
Terms in this set (1060) Q & A
>> ADA screening for DM in Children
- answer- -symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless
of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese
(>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
>> Statistics
- answer- - leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white males.
, Page 2 of 276
>> Osgood-Schlatter:
- answer- knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at
the tendon's insertion site. The tibial tuberosity. Rule out avulsion fracture if there is an acute
onset and order a lateral xray. RICE. Usually stops when the growth stops.
>> If patient has right sided weakness, etc. the CVA occurred where
- answer- left side
>> initial evaluation of symptoms of acute prostatitis
- answer- Urinalysis and urine culture
>> 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.
, Page 3 of 276
4. low-dose aspirin.
- answer- A statin drug
>> Ortolani's Click
- answer- a click is heard or felt as dislocation is reduced (developmental dysplasia of hip)
(good until one year)
>> Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis?
- answer- Erythrocyte sedimentation rate (ESR)
>> What are narrow therapeutic index drugs?
- answer- 1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
>> Otitis Externa tx
- answer- Fluoroquinolone & Polymyxin B cortisporin drops
, Page 4 of 276
>> An elderly male patient complains of a new-onset, left-sided temporal headache
accompanied by scalp tenderness and indurated temporal artery. The NP suspects temporal
arteritis. What screening test would you order to assist with diagnosis?
- answer- sedimentation rate (expect to be very elevated)
>> Basal Cell Carcinoma
- answer- Pearly domed nodule with overlaying telangiectatic vessels. Could be plaque,
papule, possible central ulceration and crusting. Dx: Biopsy Tx:
>> Normal, healthy woman of reproductive age
- answer- white, clear, flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward
acidic), no odor, microscopic shows lactobacilli (gram+bacteria)
>> Multiple infections from bacteria and fungus?
- answer- Screen for HIV
>> Screening Tests
- answer- - sensitivity: detect those WITH the disease. higher the sensitivity is higher the false
positives
- Specificty: detect those who DONT have the disease.
>> erythromycin for chlamydia eye infection in infants
- answer- ...
