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AANP Board Test 2 (100 Questions) With Verified Answers
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AANP Board Test 2 (100 Questions) With Verified Answers
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AANP Board Test 2 (100 Questions) With ll ll ll ll ll ll llVerified Answers ll ll
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You are treating a patient with acute anxiety and she is having an acute attack in the
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office. The ANP has knowledge that the fastest relief of symptoms is:
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a TCA a beta-blocker a
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benzodizepine an SSRI -
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Correct answer:
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benzodiazepine ll
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The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other
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choices list agents that will require multiple doses for results. With daily continued
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use of benzodiazepines, the anti-anxiety effect may become diminished.
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A geriatric patient with cardiovascular disease is in the office being counseled on
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lifestyle changes. The ANP knows that which of the following is the most important to
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include in this discussion?
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"Control your hypertension, stop smoking, maintain a normal weight, and exercise
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regularly."
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"Have a yearly physical examination, increase fiber in your diet, and exercise
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regularly."
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"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
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"Decrease smoking, increase vitamin supplements, and increase protein intake." -
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Correct answer:
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"Control your hypertension, stop smoking, maintain a normal weight, and exercise
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regularly."
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All of these are important for the geriatric patient to decrease cardiovascular risk.
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Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining a
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healthy lifestyle but do not help to prevent cardiovascular disease.
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You are seeing a female with inflammatory bowel disease, known as IBD. The Adult
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Nurse Practitioner knows that if she orders a hemogram on this patient, which of the
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following results would be seen if the patient was anemic?
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microcytic, hypochromic type
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macrocytic, normochromic type
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normocytic, normochromic type
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macrocytic, hypochromic type - Correct Answer:
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normocytic, normochromic type ll ll ll
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ll Anemia is a common problem in IBD. The etiology is often from multiple causes. The
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ll anemia of chronic disease, a normocytic, normochromic anemia, is a result of
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ll inflammation of the IBD without blood loss. Blood loss would result in a microcytic,
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,ll hypochromic anemia. The macrocytic anemias are a result of deficiency in vitamin ll ll ll ll ll ll ll ll ll ll ll
ll B12 or other causes. ll ll ll ll
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Which of the following is the least likely risk factor for suicide?
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physical illness male
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increasing age black race -
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Correct answer:
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black race ll ll
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Being of a white race is more likely to be a factor in suicide. Besides the other three
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choices risk factors include: substance abuse, living alone, and less education.
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The healthcare provider's required level of expected conduct as established by
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custom, law, or professional organizations is called the:
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Standard of care.
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Breach of duty.
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Duty.
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Malpractice. - Correct answer:
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Standard of care ll ll ll
Standard of care is another term associated with negligence. Standard of care is a
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healthcare provider's required level of expected conduct as established by custom,
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law, or professional organizations.
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A brief account by the patient of any signs or symptoms he or she is experiencing is
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one component of:
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Review of systems.
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Symptom assessment.
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Functional assessment.
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Objective assessment. - Correct Answer:
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Review of systems ll ll ll
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In the review of systems, the patient tells the nurse in his or her own words what
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signs or symptoms he or she has experienced in various body systems. It is
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important that these be in a patient's own words to perform the most complete and
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accurate assessment.
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All of the following are typical changes to the gastrointestinal system that come with
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aging EXCEPT:
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ll decreased liver size decreased muscle tone ll ll ll ll ll ll
ll in bowel increased absorption of calcium
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ll atrophy of salivary glands - Correct answer: ll ll ll ll ll ll
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increased absorption of calcium ll ll ll ll
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Decreased absorption of calcium is a common change that comes with aging, not ll ll ll ll ll ll ll ll ll ll ll ll ll
increased absorption. Other gastrointestinal changes include: less efficient
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, cholesterol stabilization and absorption, atrophy of taste buds, and slowing in
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esophageal emptying, among others.
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A 28-year-old female patient is in the office and is to undergo radioactive iodine
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treatment for Graves disease. The ANP is counseling her and understands that the
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mechanism of action of this treatment therapy is:
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alter the thyroid metabolic rate
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relieve distress caused by increased thyroid size
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destroy the overactive thyroid tissue reduce
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production of TSH - Correct answer:
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destroy the overactive thyroid tissue ll ll ll ll ll
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Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is
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used for thyroid ablation to destroy the overactive thyroid tissue that causes the
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thyroid hormone dysfunction.
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Which of the following statements about falls in the elderly is least accurate?
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Black women are at higher risk for hip fractures than white women.
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The majority of deaths from falls are among people aged 65 years or older.
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Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
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About 90% of hip fractures are due to falls. - Correct Answer:
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Black women are at higher risk for hip fractures than white women.
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It is white women, not black women, who are at higher risk for hip fractures. Falls are
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one of the most common adverse events that threaten the quality of life of older
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adults. Falls among older adults are not a normal consequence of aging.
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Normal age-related changes of the skin may be confused with which of the following
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clinical abnormalities?
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ll dehydration
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vitiligo
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scabies shingles - Correct
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Answer:
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dehydration ll ll
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Normal age-related changes of the skin may be confused with dehydration.
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Sebaceous gland activity tends to decrease with age, and the skin's natural hydrators
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decline over the years. The skin's ability to regenerate lipids compromising the
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protective lipid barrier layer of the Stratum Corneum also declines with age, as does
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blood flow to the skin, which may cause a drop in sebum production.
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A 29-year old woman who is 6 weeks postpartum reports she is having rectal
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bleeding that she believes is related to hemorrhoids. The Adult Nurse Practitioner
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knows that this type of rectal bleeding is usually described as:
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