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AANP Practice Exam Questions and
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Answers||Latest Update 2024 g g g
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Ag65-year-oldgwomangpresentsgforgagfollow-
upgexaminationgaftergagnewgpatientgvisit.gSheghasgnotgseengaghealthcaregprovidergforgse
veralgyears.gShegisgagsmokergandgherghypertensiongisgnowgadequatelygcontrolledgwithgm
edication.gHergmothergdiedgatgageg40gfromgagheartgattack.gThegfastingglipidgprofilegshow
sgcholesterolg=g240gmg/dL,gHDLg=g30,gandgLDLg=g200.gIngadditiongtogstartinggTherapeuti
cgLifestylegChanges,gthegnursegpractitionergshouldgstartgthegpatientgon:g
1. bilegacidgsequestrant.g
2. agstatingdrug.g
3. agcholesterolgabsorptionginhibitor.g
4. low-dosegaspirin.g-gAnswergAgstatingdrugg
g
Thegmostgcommonlygprescribedgmedicationgforgmildgsystemicglupusgerythematosusg(SL
E)gis:g
g
1. azathioprineg(AZA).g
2. belimumabg(Benlysta).g
3. ibuprofeng(Advil).g
4. cyclophosphamideg(Cytoxan).g-gAnswergibuprofeng(advil)g
Thegmostgcommongsigngofgcervicalgcancergis:g
1. postcoitalgbleeding.g
2. stronggodorgfromgvaginalgdischarge.g
3. itchinggingthegvaginalgarea.g
4. molluscumgcontagiosum.g-gAnswergpostcoitalgbleedingg
g
Thegnursegpractitionergprescribesgamitriptylineg(Elavil)gforgagpatientgwithgneuropathicgpai
ngsecondarygtogdiabetesgmellitus.gOngfollow-
up,gthegpatientgcomplainsgofgurinegretentiongandgdrygmouth.gThegpractitionergwould:g
g
1. discontinuegamitriptylinegandgbegingibuprofeng(Motrin).g
2. refergtogphysicalgtherapy.g
3. startgmethocarbamolg(Robaxin).g
4. discontinuegamitriptylinegandgbeginggabapenting(Neurontin).g-
gAnswergdiscontinuegamitriptylinegandgbeginggabapenting(neurontin)g
Ag17-year-
oldgmalegwithgrheumatoidgarthritisgisgbeinggtreatedgwithgangNSAIDgandgomeprazoleg(Pril
osec).gThegpatientgcomplainsgofgheadache,gabdominalgpain,gandggas.gThesegsymptomsg
aregmostglikely:g
Whizznurse@2024guytrewg
,g trewqg
g
1. associatedgwithgthegomeprazole.g
2. relatedgtogthegunderlyinggcondition.g
3. thegresultgofgthegNSAID.g
4. causedgbygviralggastroenteritis.g-gAnswergassociatedgwithgthegomeprazoleg
g
Thegmedicationgofgchoicegforgtheginitialgtreatmentgofgjuvenilegrheumatoidgarthritisgis:g
g
1. acetaminophen.g
2. prednisone.g
3. aspirin.g
4. ibuprofen.g-gAnswergibuprofeng
g
Ag12-year-
oldgwithgsicklegcellganemiaghasgrecentlygexperiencedgagsicklegcellgcrisisgandgpresentsgfor
gagfollow-
upgexaminationgaftergagrecentghospitalization.gItgisgmostgimportantgtogcontinuegmonitorin
gggrowth,gdevelopment,gand:g
g
1. whitegbloodgcellglevels.g
2. fecalgoccultgbloodgtest.g
3. hemoglobinglevels.g
4. urinegdipsticks.g-gAnswerghemoglobinglevelsg
g
Ag90-year-
oldgfemalegisgbroughtgtogthegclinicgbyghergneighbor.gShegstatesgthatgeverythinggisgfine,gb
utgthegnursegpractitionergnotesgthatgsheghasgpoorghygienegandgbruisesgonghergtrunk.gThe
gneighborgisgconcernedgthatgthegpatientgoftenghasgnogmoneygtogbuygfood,gdespitegincom
egfromgsocialgsecuritygandgagcoalgminer'sgpension.gThegnursegpractitionergsuspectsgabu
se.gWhichgofgthegfollowinggisgthegnursegpractitionergobligatedgtogdognext?g
1. Reportgthegcasegtogthegpropergauthorities.g
2. Tellgthegneighborgtogcheckgongthegwomangdailygandgreportgback.g
3. Documentgthegdatagandgreportgtheginformationgtogriskgmanagement.g
4. Callgthegpatient'sgfamilygandginquiregaboutgthegconcerns.g-
gAnswergreportgthegcasegtogpropergauthoritiesg
Ingmostgcases,gthegfirstgmanifestationgofgAlzheimer'sgdiseasegis:g
g
1. impairedgjudgment.g
2. decreasegingshort-termgmemory.g
3. disorientationgingtimegandgplace.g
4. decreaseginglong-termgmemory.g-gAnswergdecreasegingshort-termgmemoryg
Thegoptimalgtreatmentgforglatentgtuberculosisgis:g
1. rifamping(Rifadin)gforg5gmonths.g
Whizznurse@2024guytrewg
, g trewqg
g
2. isoniazidg(Nydrazid)gforg9gmonths.g
3. pyrazinamidegforg6gmonths.g
4. ethambutolgforg6gmonths.g-gAnswergosioniazidg(nydrazid)gforg9gmonthsg
g
Unilateralgspontaneousgserousgorgserosanguineousgdischargegfromgagsinglegductgofgagbr
eastgisgmostgoftengcausedgby:g
g
1. intraductalgpapilloma.g
2. mucinousgbreastglesions.g
3. Paget'sgdisease.g
4. ductalgcarcinomagingsitu.g-gAnswergintraductalgpapillomag
g
Agyounggchildgwithgasthmagpresentsgforgfollow-
upgevaluation.gAftergnumerousgchangesgingmedicationsgandgdoses,gthegparentsgreportgt
hatgthegchildgcontinuesgtoghavegdifficultygwithgcoughing,gespeciallygduringgthegnight.gWhi
chgofgthegfollowinggconditionsgwouldgbegthegmostglikelygcausegofgthegcontinuedgasthmags
ymptoms?g
g
1. Vocalgcordgdysfunctiong
2. Cysticgfibrosisg
3. Gastroesophagealgrefluxg
4. Allergicgrhinitisg-gAnswerggastroesophagealgrefluxg
g
AgpregnantgwomangwithgknowngHIVginfectiongcangreducegthegriskgofgperinatalgtransmissi
ongthroughgzidovudineg(Retrovir)gtherapy.gBasedgongcurrentgresearch,goptimalgtherapygi
sgtogstartgdailygdosing:g
g
1. postgamniocentesis.g
2. afterg14gweeksgofggestation.g
3. ifgprematuregrupturegofgmembranesgoccurs.g
4. ifgmaternalgviralgloadsgareggreatergthang10,000.g-gAnswergafterg14gweeksggestationg
T-waveginversiongwithgagnormalgSTgsegmentgongag12-leadgEKGgmaygrepresent:g
1. acutegcoronarygischemia.g
2. rightgventricularghypertrophy.g
3. atrialghypertrophy.g
4. hyperkalemia.g-gAnswergacutegcoronarygischemiag
g
Theg16-year-oldgmothergofgag2-month-
oldgpresentsgtheginfant,greportinggthatgthegchildgisgverygirritablegandgdoesgnotgfeedgwell.g
Duringgphysicalgexamination,gthegchild'sgheadgdropsgbackgandgthegchildgexhibitsgsudden
gflexinggofgthegextremities.gAsgthegflexinggstops,gthegchildgcriesguncontrollably.gFundusco
picgexaminationgrevealsgretinalghemorrhages.gWhichgofgthegfollowinggdiagnosticgtestsgsh
ouldgbegordered?g
g
1. SkullgX-raysg
Whizznurse@2024guytrewg
AANP Practice Exam Questions and
g g g g g
Answers||Latest Update 2024 g g g
g
Ag65-year-oldgwomangpresentsgforgagfollow-
upgexaminationgaftergagnewgpatientgvisit.gSheghasgnotgseengaghealthcaregprovidergforgse
veralgyears.gShegisgagsmokergandgherghypertensiongisgnowgadequatelygcontrolledgwithgm
edication.gHergmothergdiedgatgageg40gfromgagheartgattack.gThegfastingglipidgprofilegshow
sgcholesterolg=g240gmg/dL,gHDLg=g30,gandgLDLg=g200.gIngadditiongtogstartinggTherapeuti
cgLifestylegChanges,gthegnursegpractitionergshouldgstartgthegpatientgon:g
1. bilegacidgsequestrant.g
2. agstatingdrug.g
3. agcholesterolgabsorptionginhibitor.g
4. low-dosegaspirin.g-gAnswergAgstatingdrugg
g
Thegmostgcommonlygprescribedgmedicationgforgmildgsystemicglupusgerythematosusg(SL
E)gis:g
g
1. azathioprineg(AZA).g
2. belimumabg(Benlysta).g
3. ibuprofeng(Advil).g
4. cyclophosphamideg(Cytoxan).g-gAnswergibuprofeng(advil)g
Thegmostgcommongsigngofgcervicalgcancergis:g
1. postcoitalgbleeding.g
2. stronggodorgfromgvaginalgdischarge.g
3. itchinggingthegvaginalgarea.g
4. molluscumgcontagiosum.g-gAnswergpostcoitalgbleedingg
g
Thegnursegpractitionergprescribesgamitriptylineg(Elavil)gforgagpatientgwithgneuropathicgpai
ngsecondarygtogdiabetesgmellitus.gOngfollow-
up,gthegpatientgcomplainsgofgurinegretentiongandgdrygmouth.gThegpractitionergwould:g
g
1. discontinuegamitriptylinegandgbegingibuprofeng(Motrin).g
2. refergtogphysicalgtherapy.g
3. startgmethocarbamolg(Robaxin).g
4. discontinuegamitriptylinegandgbeginggabapenting(Neurontin).g-
gAnswergdiscontinuegamitriptylinegandgbeginggabapenting(neurontin)g
Ag17-year-
oldgmalegwithgrheumatoidgarthritisgisgbeinggtreatedgwithgangNSAIDgandgomeprazoleg(Pril
osec).gThegpatientgcomplainsgofgheadache,gabdominalgpain,gandggas.gThesegsymptomsg
aregmostglikely:g
Whizznurse@2024guytrewg
,g trewqg
g
1. associatedgwithgthegomeprazole.g
2. relatedgtogthegunderlyinggcondition.g
3. thegresultgofgthegNSAID.g
4. causedgbygviralggastroenteritis.g-gAnswergassociatedgwithgthegomeprazoleg
g
Thegmedicationgofgchoicegforgtheginitialgtreatmentgofgjuvenilegrheumatoidgarthritisgis:g
g
1. acetaminophen.g
2. prednisone.g
3. aspirin.g
4. ibuprofen.g-gAnswergibuprofeng
g
Ag12-year-
oldgwithgsicklegcellganemiaghasgrecentlygexperiencedgagsicklegcellgcrisisgandgpresentsgfor
gagfollow-
upgexaminationgaftergagrecentghospitalization.gItgisgmostgimportantgtogcontinuegmonitorin
gggrowth,gdevelopment,gand:g
g
1. whitegbloodgcellglevels.g
2. fecalgoccultgbloodgtest.g
3. hemoglobinglevels.g
4. urinegdipsticks.g-gAnswerghemoglobinglevelsg
g
Ag90-year-
oldgfemalegisgbroughtgtogthegclinicgbyghergneighbor.gShegstatesgthatgeverythinggisgfine,gb
utgthegnursegpractitionergnotesgthatgsheghasgpoorghygienegandgbruisesgonghergtrunk.gThe
gneighborgisgconcernedgthatgthegpatientgoftenghasgnogmoneygtogbuygfood,gdespitegincom
egfromgsocialgsecuritygandgagcoalgminer'sgpension.gThegnursegpractitionergsuspectsgabu
se.gWhichgofgthegfollowinggisgthegnursegpractitionergobligatedgtogdognext?g
1. Reportgthegcasegtogthegpropergauthorities.g
2. Tellgthegneighborgtogcheckgongthegwomangdailygandgreportgback.g
3. Documentgthegdatagandgreportgtheginformationgtogriskgmanagement.g
4. Callgthegpatient'sgfamilygandginquiregaboutgthegconcerns.g-
gAnswergreportgthegcasegtogpropergauthoritiesg
Ingmostgcases,gthegfirstgmanifestationgofgAlzheimer'sgdiseasegis:g
g
1. impairedgjudgment.g
2. decreasegingshort-termgmemory.g
3. disorientationgingtimegandgplace.g
4. decreaseginglong-termgmemory.g-gAnswergdecreasegingshort-termgmemoryg
Thegoptimalgtreatmentgforglatentgtuberculosisgis:g
1. rifamping(Rifadin)gforg5gmonths.g
Whizznurse@2024guytrewg
, g trewqg
g
2. isoniazidg(Nydrazid)gforg9gmonths.g
3. pyrazinamidegforg6gmonths.g
4. ethambutolgforg6gmonths.g-gAnswergosioniazidg(nydrazid)gforg9gmonthsg
g
Unilateralgspontaneousgserousgorgserosanguineousgdischargegfromgagsinglegductgofgagbr
eastgisgmostgoftengcausedgby:g
g
1. intraductalgpapilloma.g
2. mucinousgbreastglesions.g
3. Paget'sgdisease.g
4. ductalgcarcinomagingsitu.g-gAnswergintraductalgpapillomag
g
Agyounggchildgwithgasthmagpresentsgforgfollow-
upgevaluation.gAftergnumerousgchangesgingmedicationsgandgdoses,gthegparentsgreportgt
hatgthegchildgcontinuesgtoghavegdifficultygwithgcoughing,gespeciallygduringgthegnight.gWhi
chgofgthegfollowinggconditionsgwouldgbegthegmostglikelygcausegofgthegcontinuedgasthmags
ymptoms?g
g
1. Vocalgcordgdysfunctiong
2. Cysticgfibrosisg
3. Gastroesophagealgrefluxg
4. Allergicgrhinitisg-gAnswerggastroesophagealgrefluxg
g
AgpregnantgwomangwithgknowngHIVginfectiongcangreducegthegriskgofgperinatalgtransmissi
ongthroughgzidovudineg(Retrovir)gtherapy.gBasedgongcurrentgresearch,goptimalgtherapygi
sgtogstartgdailygdosing:g
g
1. postgamniocentesis.g
2. afterg14gweeksgofggestation.g
3. ifgprematuregrupturegofgmembranesgoccurs.g
4. ifgmaternalgviralgloadsgareggreatergthang10,000.g-gAnswergafterg14gweeksggestationg
T-waveginversiongwithgagnormalgSTgsegmentgongag12-leadgEKGgmaygrepresent:g
1. acutegcoronarygischemia.g
2. rightgventricularghypertrophy.g
3. atrialghypertrophy.g
4. hyperkalemia.g-gAnswergacutegcoronarygischemiag
g
Theg16-year-oldgmothergofgag2-month-
oldgpresentsgtheginfant,greportinggthatgthegchildgisgverygirritablegandgdoesgnotgfeedgwell.g
Duringgphysicalgexamination,gthegchild'sgheadgdropsgbackgandgthegchildgexhibitsgsudden
gflexinggofgthegextremities.gAsgthegflexinggstops,gthegchildgcriesguncontrollably.gFundusco
picgexaminationgrevealsgretinalghemorrhages.gWhichgofgthegfollowinggdiagnosticgtestsgsh
ouldgbegordered?g
g
1. SkullgX-raysg
Whizznurse@2024guytrewg
