AANP Test 2 for Boards /Complete Real Exam With Correct
Answers /solution A+.
The mechanism of action of corticosteroid nasal spray in allergic rhinitis therapy is
prevention of production of inflammatory substances; therefore, corticosteroid and mast
cell stabilizers are effective at preventing symptoms of allergic rhinitis, not giving instant
relief. Symptoms improvement will be seen after a few days to one week.
Which of the following is an ideal candidate for joint replacement surgery?
An 88-year old man in excellent healthy with 75% of the articular cartilage of his knee
worn away.
A 68-year old woman in good health with 90% of the articular cartilage of her knee
worn away.
A 67-year old woman with severe COPD, CHF, and 70% of the cartilage of her knee
worn away.
A 74-year old man with hypertension, profound kyphosis, dementia,and 65% of the
articular cartilage of his knee worn away.
. - CORRECT ANSWERS-The Correct answer is:A 68-year old woman in good health
with 90% of the articular cartilage of her knee worn away.
Choice B is the right answer. For joint replacement, there must be 80% or more of the
articular cartilage worn away. The ideal candidate is able to tolerate a surgical
procedure that last for several hours, followed by an aggressive postoperative course of
rehabilitation
Which of the following drugs is a cholinesterase inhibitor that comes in the form of a pill,
syrup or drug-releasing skin patch?
Galantamine.
Hydrocodone.
Rivastigmine.
Donepezil. - CORRECT ANSWERS-Correct answer: Rivastigmine There are three
cholinesterase inhibitors commonly prescribed by doctors. These are Donepezil,
Galantamine and Rivastigmine. Hydrocodone is a type of medication that treats
moderate to severe pain as well as cough.
Your 89-year-old patient presents with dyspepsia and nausea. After testing, you
determine she is positive for Peptic Ulcer Disease. Of the following, which would LEAST
likely be a differential diagnosis for Peptic Ulcer Disease?
Cholecystitis.
, Migraines.
Gastric carcinoma.
Cardiovascular disease. - CORRECT ANSWERS-Correct Answer:
You prescribe nasal corticosteroid spray for a patient with allergic rhinitis. What is the
anticipated onset of symptom relief with its use?
immediately with the first spray
within 1 to 2 days
after a few days
2 or more weeks - CORRECT ANSWERS-Correct answer:after a few days
Migraines.
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
condition are pancreatitis and biliary tract disease.
Which of the following best tests for irritable bowel syndrome?
colonoscopy
rectal exam
urinalysis
stool examination - CORRECT ANSWERS-Correct Answer:
stool examination
Stool is examined to test for irritable bowel syndrome- negative for blood, ova, parasite,
pathogenic bacteria, and Giardia-specific antigen. CBC, thyroid screen, chemical
analysis- normal. Barium enema- decreased motility; otherwise normal.
Proctosigmoidoscopy- normal.
A 67 year female patient has been diagnosed with chronic obstructive pulmonary
disease. Her arterial blood gases were measured. Partial pressure of oxygen in arterial
blood (PaO2) declines with normal aging. What PaO2 level indicates chronic
hypoxemia?
<55 mm Hg.
<65 mm Hg.
< 75 mm Hg.
Presence of aphasia, apraxia, agnosia and/or disturbance of executive function. -
CORRECT ANSWERS-Correct Answer:
,<55 mm Hg.
A PaO2 level <55 mm Hg indicates chronic hypoxemia. A patient with this
measurement will require continuous oxygen therapy.
The ANP prescribed a Systemic Antifungal for the skin disorder of her 32-year-old
patient. Which of the following would he NOT prescribe?
You are treating a patient with acute anxiety and she is having an acute attack in the
office. The ANP has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI - CORRECT ANSWERS-Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other
choices list agents that will require multiple doses for results. With daily continued use
of benzodiazepines, the anti-anxiety effect may become diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on
lifestyle changes. The ANP knows that which of the following is the most important to
include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise
regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise
regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake." -
CORRECT ANSWERS-Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise
regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk.
Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining a
healthy lifestyle but do not help to prevent cardiovascular disease.
You are seeing a female with inflammatory bowel disease, known as IBD. The Adult
Nurse Practitioner knows that if she orders a hemogram on this patient, which of the
following results would be seen if the patient was anemic?
microcytic, hypochromic type
, macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type - CORRECT ANSWERS-Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The
anemia of chronic disease, a normocytic, normochromic anemia, is a result of
inflammation of the IBD without blood loss. Blood loss would result in a microcytic,
hypochromic anemia. The macrocytic anemias are a result of deficiency in vitamin B12
or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race - CORRECT ANSWERS-Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three
choices risk factors include: substance abuse, living alone, and less education.
The healthcare provider's required level of expected conduct as established by custom,
law, or professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice. - CORRECT ANSWERS-Correct answer:
Standard of care
Standard of care is another term associated with negligence. Standard of care is a
healthcare provider's required level of expected conduct as established by custom, law,
or professional organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing is one
component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment. - CORRECT ANSWERS-Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs
or symptoms he or she has experienced in various body systems. It is important that
