Page 1 of 68
AANP TEST 2 FOR BOARDS REAL EXAM
QUESTIONS WITH CORRECT ANSWERS
NEW UPDATE EXAM TESTED AND
APPROVED
A 68-year-old woman has been admitted to the hospital suffering from
peripheral vascular disease (PVD). You check her medical records for
predisposing factors. You recognize that all of the following are predisposing
factors EXCEPT:
arteriosclerosis advanced age a history of renal problems valvular
incompetence -- ANSWER--Correct answer:
a history of renal problems
A predisposing factor for PVD is a history of deep vein thrombosis (DVT). All
of the other choices are valid predisposing factors.
Which of the following is NOT an indication of impaired skin integrity?
A mole with irregular borders.
Bruises in various stages of healing.
Cuts in various stages of healing.
, Page 2 of 68
A navel piercing more than a year old. -- ANSWER--Correct Answer:
A navel piercing more than a year old.
Unless the piercing is marked by scabbing or other evidence of trauma, it is not
evidence of impaired skin integrity. Tattoos and other body modifications
should be noted in the patient's assessment, but they are not in themselves cause
for concern.
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 -- 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.
, Page 3 of 68
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
declines with age, as does blood flow to the skin, which may cause a drop in
sebum production.
A 29-year old woman who is 6 weeks postpartum reports she is having rectal
bleeding that she believes is related to hemorrhoids. The Adult Nurse
Practitioner knows that this type of rectal bleeding is usually described as:
dark brown to black blood color with normal-appearing stool significant
amounts of bright red blood large blood clots and mucus mixed with stool
streaks of bright red blood on the stool -- ANSWER--The Correct answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to hemorrhoids is
described as bright red, eliminating choice A. Amount of blood with
hemorrhoids is usually small or scant, eliminating choices B and C. Internal
hemorrhoids can occur during or after childbirth. With chronically protruding or
prolapsing hemorrhoids, the patient often reports mucous leaking and staining
of the undergarments. Other causes are obesity, constipation, and prolonged
sitting.
, Page 4 of 68
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 -- 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:
AANP TEST 2 FOR BOARDS REAL EXAM
QUESTIONS WITH CORRECT ANSWERS
NEW UPDATE EXAM TESTED AND
APPROVED
A 68-year-old woman has been admitted to the hospital suffering from
peripheral vascular disease (PVD). You check her medical records for
predisposing factors. You recognize that all of the following are predisposing
factors EXCEPT:
arteriosclerosis advanced age a history of renal problems valvular
incompetence -- ANSWER--Correct answer:
a history of renal problems
A predisposing factor for PVD is a history of deep vein thrombosis (DVT). All
of the other choices are valid predisposing factors.
Which of the following is NOT an indication of impaired skin integrity?
A mole with irregular borders.
Bruises in various stages of healing.
Cuts in various stages of healing.
, Page 2 of 68
A navel piercing more than a year old. -- ANSWER--Correct Answer:
A navel piercing more than a year old.
Unless the piercing is marked by scabbing or other evidence of trauma, it is not
evidence of impaired skin integrity. Tattoos and other body modifications
should be noted in the patient's assessment, but they are not in themselves cause
for concern.
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 -- 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.
, Page 3 of 68
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
declines with age, as does blood flow to the skin, which may cause a drop in
sebum production.
A 29-year old woman who is 6 weeks postpartum reports she is having rectal
bleeding that she believes is related to hemorrhoids. The Adult Nurse
Practitioner knows that this type of rectal bleeding is usually described as:
dark brown to black blood color with normal-appearing stool significant
amounts of bright red blood large blood clots and mucus mixed with stool
streaks of bright red blood on the stool -- ANSWER--The Correct answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to hemorrhoids is
described as bright red, eliminating choice A. Amount of blood with
hemorrhoids is usually small or scant, eliminating choices B and C. Internal
hemorrhoids can occur during or after childbirth. With chronically protruding or
prolapsing hemorrhoids, the patient often reports mucous leaking and staining
of the undergarments. Other causes are obesity, constipation, and prolonged
sitting.
, Page 4 of 68
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 -- 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:
