FNP NR 506 Exam Tips for Clinical Question AANP Revised
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Thank you all for your support and I a grateful for this page. Keep in mind this is just a resource, you do
have to know your content. I studied for 6 week and took the AANP. My strength is in doing tons of
questions. Find what your strength is and focus on your weakness as well.
1. Leik App questions do it twice and read rationale
2. Leik Book read your areas of weakness including cardiovascular, musculoskeletal, respiratory
heme/onc, peds. The rest you can read the summary.
3. I also did FNP mastery App fo $30 or so. I thought it was better for ANCC exam but still helped a
lot. I did all the questions twice
4. I also did 3 Barkley questions posted on our Facebook page . I got some questions on the exam
similar to this
https://lookaside.fbsbx.com/file/barkley%20questions%20with%20answer179.pdf?token=AWz-
aJjIuAADWW3PGOaDDo24L8KsVV5usj34EGReV_jt5OK2Y2L_nhVV16OFZ9bdWuVsW0K-
1yzpArQCvG8Qy8di-E6jSSCnt8AqrT--P3SyxTL5sazoxtKzlRwYoXtYRXWwdYAzS_gj2B5rrfOLgIm3
5. I am attaching a file from a lightning round
6. I also attached 3 PSI questions. You will see at least 3 of these questions in your exam
file:///C:/Users/Kingsley/Documents/PSI%20adult%20gerontology%20(1).pdf
file:///C:/Users/Kingsley/Documents/PSI%20predictor%20test-2.pdf
file:///C:/Users/Kingsley/Documents/PSIpracticetestFNP.pdf
7. Lastly. Check out the file called Summarization of previous test takers. I have it pasted on here.
You will see a lot of those questions on your exam.
3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order? Iron, TIBC
, 3 months of synthroid, TSH increased, T4 normal, what do you do? Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss….
Mini mental exam
4 month old with strabismus, mom is worried…… tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? Growth chart
6 month old closed anterior fontanel. XRAY
Abnormal cells on PAP, what do you do next? Refer for Colposcopy
CAGE ACRONYM
Causes of tachycardia
Cranial nerves responsible for extraocular eye movements… 3,4,6
Definition of metabolic syndrome- cluster of conditions that increase risk of heart
disease, stroke, diabetes.
Definitive diagnosis of acute bacterial prostatitis: urinalysis and culture!
Diagnose Trich: wet prep
Elederly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? Pelvic US
Elder presents with atrophic vaginitis-add estrogen cream
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where
is this located? Anterior septum
Fingernail hematoma treatment… drill hole, drain blood
GERD treatment: H2 is first line
Grade 3 cells on pap, treatment? Excision
Growth Plate fracture/Salter Harris Fx
Increased risk of ectopic pregnancy…. Salpingitis
Koplick Spots… Measles
Legg-Calve Perthes disease: avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? Pancreatitis
Low HGB, Low HCT, High MCV indicates what? Macrocytic anemia, B12 Def
Man with high BPH, prostate feels on digital exam? Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal…. Arterial Insufficiency
McMurrays Sign- Meniscus tears
Lachmans- ACL
Know heart murmors!!!! MrPASS MVP MsARD
Newborn with foot turned in, what do you do? Refer to orthopedist
Osgood Schlatter disease- Knee pain
Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? Alzheimers
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt
at FNP office wanting refill prescriptions. What do you do? Refer to oncologist
Know labs for diagnosing Hepatitis
Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing
and scaling? Tinea Corporis
Pt presents with “bag of worms:, indicates? Varicocele
, Pt with atopic dermatitis, look for what other diseases? Asthma
Pt with bleeding after menopause- endometrial biopsy
Pt with hx of PID, increased rick for? Infertility
Bacterial vaginosis does not cause PID- trich, gonorrhea, and chlamidia can cause it
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? Vascular
dementia
Pregnant teacher with exposure to 5ths disease, what risk is there to the fetus? Fetal death
and birth defects
Quick assessment of patients fall risk? Timed Get up and Go
Red beefy tongue? Pernicious anemia
Rotator cuff injury presentation: disturbs sleep, arm weakness, dull ache
Shingles near eye- immediate referral to ophthalmology
Signs and symptoms of Roseola? High fever, pink flat or raised rash
Treatment for chronic alcoholism: 12 step program
Treatment for Gonorrhea? Rocpehin IM and Zithromax PO
Young female want birth control, forgets to take pills, does not want to get pregnant for at
least 5 years: IUD
Questions:
few questions about T2DM and appropriate treatment, including insulin.
Know the reason for doing a PSA
When to give a pregnant woman with negative rubella titer the rubella vaccine
Treatment for gonorrhea, and syphilis, including during pregnancy
What meds you can't take while ingesting grapefruit juice
Bells palsy s/S
S/s of serotonin syndrome
Kawasaki disease presentation
Lab test for "slapped face"
Treatment for shin splints
What to do with thyroid meds based on lab values
What heart sound would be expected in CHF
What antihypertensive meds to avoid in GERD
Who gets hep C screening
Definition of AIDS
No hepatitis a or b on mine
The cheapest treatment of shingles -acyclovir
T2DM has foot laceration, what would u monitor them for- osteomylitis
Acute GAD treatment-ssri
Know which murmurs are diastolic and where they're located
, What pts would need to go to ED with pneumonia... CURB65
Presentation of allergic conjunctivitis- bilateral eye symptoms
Treatment of mild persistent asthma
Parents have heterozygous disorder, what % of children are homozygous-25%
Weber and Rinne
No CN questions for me
Darcosytosis s/s
Cotton wool on fundoscopic exam means??
Chronic use of afrin causes...medicamentosa
Vascular dementia most commonly occurs with people who had stroke and htn
S/s of strep a pharyngitis
Questions:
Some of the questions I still remember from this morning exam:
Signs and symptoms of definitive HF
Description of Molluscum contagiosum
Management of fall with extended arm but no fracture seen on the xray
2 questions about Hepatitis
Dacryocystitis
Evaluation of fall for the elderly
Know your labs for anemia, hypo & hyperthyroidism, hyperparathyroidism
Systolic murmurs
Carotid bruits
Primary amenorrhea
Acquired hypothyroidism
Drugs for OM and alternatives
Drugs for gono and chlamydia and alternatives
Autosomal recessive and dominant
AV nicking
Pediatric asthma management
Infant dehydration assessment
Trichomonas
Grades of HF, bruits and thrills
A lot of questions about Weber and Rinnes test
Erysipelas
12 weeks just above SP
Intussuception
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