Exam (elaborations)
AANP AGPCNP PSI Test 1 & 2 QUESTION AND ANSWERS| A+ RATED
- Course
- Institution
AANP AGPCNP PSI Test 1 & 2
[Show more]
1 review
By: youen1229 • 1 year ago
Seller
Follow
ElonMusk
Reviews received
Content preview
AANP AGPCNP PSI Test 1 & 2An 88-year-old presents with right-side 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?
Left-sided or right-sided CVA? Correct Answer: LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor Correct Answer: 1) pain worse laying down, focal neurological signs
Which of the following pharmacotherapeutics would be most important to administer to a patient who
has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine Correct Answer: 2) Gentamicin ophthalmic (Genoptic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder
exacerbated by 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 to be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG Correct Answer: 2) palpate structures
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting.
She has not missed any doses and uses no other medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days Correct Answer: 3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a
current recommendation guideline for preventive care in elderly female patients?
1) Mammogram and clinical breast exams
,2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines Correct Answer: 3) Rubella serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best action
is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming Correct Answer: 1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate
this patient on recognizing the signs and symptoms of hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating Correct Answer: 4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of NSAIDs, stretching,
ice, and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar Correct Answer: 2) continue NSAID, apply an arch
support and encourage wt loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping Correct Answer: 1) nicking of arteriols and viens, and small
retinol hemorrages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression Correct Answer: 3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous
day. The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual
disturbances or drainage. In formulating a plan of care, the nurse practitioner would FIRST:
, 1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops Correct Answer: 3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical examination, the
nurse practitioner notes the presence of a gray band of opacity in the cornea that encircles the iris. The
band is 1.0-1.5 mm wide. This finding is most consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye Correct Answer: 2) arcus senilis
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night sweats, and a
cough that has been present for 4 weeks. The diagnostic study to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
4) H & H Correct Answer: 1) xray (tb-night sweats)
A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort and fatigue. On
physical examination, her lungs are clear bilaterally. There are a midsystolic click and a grade II/VI
systolic murmur at the apex. Further evaluation would include which of the following?
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes Correct Answer: 2) Echocardiogram, Doppler, EKG
A healthy 84 y/o would like to start an exercise program, what would you do before this takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test Correct Answer: 1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer Correct Answer: 3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ElonMusk. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now