AANP AGPCNP PSI TEST 1 & 2
An 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
,AANP AGPCNP PSI TEST 1 & 2
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?
,AANP AGPCNP PSI TEST 1 & 2
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
, AANP AGPCNP PSI TEST 1 & 2
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
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