AANP AGPCNP PRACTICE 2023/24 – Qs & As
1. An older adult presents with severe abdominal pain. The husband reports
that earlier in the afternoon, the patient's abdominal hernia had been firm and
bulged out 4 inches (10.2 cm). The patient had him press on the hernia and
immediately felt burning pain throughout the abdomen. Which of the
following is the nurse practitioners' NEXT action?
1. Abdominal CT scan
2. Complete blood count with differential
3. Abdominal ultrasound
4. Referral to the ED ✔️Ans - 4. Referral to the ED
2. A young adult female who is 34 weeks pregnant presents with the
complaint of urinary frequency every 1 to 2 hours. The patient has no fever
and denies back pain. A urine dipstick test is positive for leukocyte esterase
and nitrites. Microscopic analysis reveals 15-20 WBCs/hpf and a few bacteria.
The BEST choice for treatment of this patient's urinary tract infection would
be:
1. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for
3 days.
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
3. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
4. erythromycin, 250 mg three times daily for 5 days. ✔️Ans - 2. cephalexin
(Keflex), 500 mg four times daily for 7 days.
3. An adult male presents with new-onset pain and tenderness in the low back
and pain in the right great toe after a weekend of golf. He denies experiencing
numbness and tingling. Which of the following would the nurse practitioner
expect to find an investigation of this patient's low back pain?
1. Exacerbation of extremity symptoms with straight-leg raising
2. Loss of bowel and bladder function
3. Increased ankle jerk on evaluation of deep tendon reflexes
4. Increased lumbar lordosis ✔️Ans - 1. Exacerbation of extremity
symptoms with straight-leg raising
,4. A true statement about essential tremors is that they:
1. often begin with "pill-rolling" of one hand and may affect the legs, feet, and
toes.
2. are often barely visible, rapid tremors.
3. are a characteristic of Parkinson's disease.
4. are slow tremors that are absent or minimal at rest and usually involve the
hands. ✔️Ans - 4. are slow tremors that are absent or minimal at rest and
usually involve the hands.
5. Which opioid medication is the MOST potent?
1. Codeine
2. Morphine
3. Oxycodone
4. Hydromorphone ✔️Ans - 4. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia ✔️Ans - 1. Irritability
7. Which of the following is the medication of choice for monotherapy of an
older adult with hypertension and
no related comorbid conditions?
1.Alpha-blocker
2.Vasodilator
3.Thiazide diuretic
4.Beta-blocker ✔️Ans - 3.Thiazide diuretic
8. An elderly, obese female presents for evaluation of a painful rash, first
noticed 2 weeks ago, located under both breasts. The rash is visible as an area
of confluent, beefy-red, excoriated lesions with smaller satellite lesions
extending beyond the borders of the main lesions. The KOH prep reveals
pseudohyphae. The nurse practitioner
would recommend a/an:
, 1. course of oral steroids and air drying of skin after showers.
2. topical antifungal and order a fasting blood glucose.
3. oral antibiotic and order a hemoglobin A1c.
4. high-potency topical corticosteroid and use of dry dressings. ✔️Ans - 2.
topical antifungal and order a fasting blood glucose.
9. An older adult female complains of problems with urination. She reports
that whenever she feels the need to urinate, she is unable to "make it to the
bathroom in time," and wets herself. Which type of incontinence is MOST
likely?
1. Urge
2. Overflow
3. Transient
4. Stress ✔️Ans - 1. Urge
10. A young adult female presents with painful swelling of the right cheek
anterior to the TMJ. The diagnosis is sialadenitis. In addition to antibiotics,
treatment for this patient should include:
1. hot soaks and lemon drops.
2. alternating heat and cold.
3. cold compresses and massage.
4. hot soaks and mucolytics. ✔️Ans - 1. hot soaks and lemon drops.
11. Initial therapy for older adult patients with arthritic joints is:
1. naproxen, 1000 mg twice daily.
2. ibuprofen, 600 mg four times daily.
3. glucosamine, 750 mg twice daily.
4. acetaminophen, 1000 mg four times daily. ✔️Ans - 4. acetaminophen,
1000 mg four times daily.
12. Which of the following is an example of gross negligence?
1. Prescription of a drug that causes a fatal allergic reaction
2. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged
hospital stay
1. An older adult presents with severe abdominal pain. The husband reports
that earlier in the afternoon, the patient's abdominal hernia had been firm and
bulged out 4 inches (10.2 cm). The patient had him press on the hernia and
immediately felt burning pain throughout the abdomen. Which of the
following is the nurse practitioners' NEXT action?
1. Abdominal CT scan
2. Complete blood count with differential
3. Abdominal ultrasound
4. Referral to the ED ✔️Ans - 4. Referral to the ED
2. A young adult female who is 34 weeks pregnant presents with the
complaint of urinary frequency every 1 to 2 hours. The patient has no fever
and denies back pain. A urine dipstick test is positive for leukocyte esterase
and nitrites. Microscopic analysis reveals 15-20 WBCs/hpf and a few bacteria.
The BEST choice for treatment of this patient's urinary tract infection would
be:
1. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for
3 days.
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
3. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
4. erythromycin, 250 mg three times daily for 5 days. ✔️Ans - 2. cephalexin
(Keflex), 500 mg four times daily for 7 days.
3. An adult male presents with new-onset pain and tenderness in the low back
and pain in the right great toe after a weekend of golf. He denies experiencing
numbness and tingling. Which of the following would the nurse practitioner
expect to find an investigation of this patient's low back pain?
1. Exacerbation of extremity symptoms with straight-leg raising
2. Loss of bowel and bladder function
3. Increased ankle jerk on evaluation of deep tendon reflexes
4. Increased lumbar lordosis ✔️Ans - 1. Exacerbation of extremity
symptoms with straight-leg raising
,4. A true statement about essential tremors is that they:
1. often begin with "pill-rolling" of one hand and may affect the legs, feet, and
toes.
2. are often barely visible, rapid tremors.
3. are a characteristic of Parkinson's disease.
4. are slow tremors that are absent or minimal at rest and usually involve the
hands. ✔️Ans - 4. are slow tremors that are absent or minimal at rest and
usually involve the hands.
5. Which opioid medication is the MOST potent?
1. Codeine
2. Morphine
3. Oxycodone
4. Hydromorphone ✔️Ans - 4. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia ✔️Ans - 1. Irritability
7. Which of the following is the medication of choice for monotherapy of an
older adult with hypertension and
no related comorbid conditions?
1.Alpha-blocker
2.Vasodilator
3.Thiazide diuretic
4.Beta-blocker ✔️Ans - 3.Thiazide diuretic
8. An elderly, obese female presents for evaluation of a painful rash, first
noticed 2 weeks ago, located under both breasts. The rash is visible as an area
of confluent, beefy-red, excoriated lesions with smaller satellite lesions
extending beyond the borders of the main lesions. The KOH prep reveals
pseudohyphae. The nurse practitioner
would recommend a/an:
, 1. course of oral steroids and air drying of skin after showers.
2. topical antifungal and order a fasting blood glucose.
3. oral antibiotic and order a hemoglobin A1c.
4. high-potency topical corticosteroid and use of dry dressings. ✔️Ans - 2.
topical antifungal and order a fasting blood glucose.
9. An older adult female complains of problems with urination. She reports
that whenever she feels the need to urinate, she is unable to "make it to the
bathroom in time," and wets herself. Which type of incontinence is MOST
likely?
1. Urge
2. Overflow
3. Transient
4. Stress ✔️Ans - 1. Urge
10. A young adult female presents with painful swelling of the right cheek
anterior to the TMJ. The diagnosis is sialadenitis. In addition to antibiotics,
treatment for this patient should include:
1. hot soaks and lemon drops.
2. alternating heat and cold.
3. cold compresses and massage.
4. hot soaks and mucolytics. ✔️Ans - 1. hot soaks and lemon drops.
11. Initial therapy for older adult patients with arthritic joints is:
1. naproxen, 1000 mg twice daily.
2. ibuprofen, 600 mg four times daily.
3. glucosamine, 750 mg twice daily.
4. acetaminophen, 1000 mg four times daily. ✔️Ans - 4. acetaminophen,
1000 mg four times daily.
12. Which of the following is an example of gross negligence?
1. Prescription of a drug that causes a fatal allergic reaction
2. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged
hospital stay
