AANP FNP Practice Questions & Answers: Updated Solution

AANP FNP Practice Questions &
Answers
A 65-year-old woman presents for a follow-up examination after a new
patient visit. She has not seen a healthcare provider for several years. She
is a smoker and her hypertension is now adequately controlled with
medication. Her mother died at age 40 from a heart attack. The fasting lipid
profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In
addition to starting Therapeutic Lifestyle Changes, the nurse practitioner
should start the patient on:
1.bile acid sequestrant.

2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
   (Ans- A statin drug
   The most commonly prescribed medication for mild systemic lupus
   erythematosus (SLE) is:
5. azathioprine (AZA).
6. belimumab (Benlysta).
7. ibuprofen (Advil).
8. cyclophosphamide (Cytoxan).
   (Ans- ibuprofen (advil)
   The most common sign of cervical cancer is:
9. postcoital bleeding.
10. strong odor from vaginal discharge.
11. itching in the vaginal area.
12. molluscum contagiosum.
    (Ans- postcoital bleeding

The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:

1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin).
   (Ans- discontinue amitriptyline and begin gabapentin (neurontin)
   A 17-year-old male with rheumatoid arthritis is being treated with an NSAID
   and omeprazole (Prilosec). The patient complains of headache, abdominal
   pain, and gas. These symptoms are most likely:
5. associated with the omeprazole.
6. related to the underlying condition.
7. the result of the NSAID.
8. caused by viral gastroenteritis.
   (Ans- associated with the omeprazole
   The medication of choice for the initial treatment of juvenile rheumatoid
   arthritis is:
9. acetaminophen.
10. prednisone.
11. aspirin.
12. ibuprofen.
    (Ans- ibuprofen
    A 12-year-old with sickle cell anemia has recently experienced a sickle cell
    crisis and presents for a follow-up examination after a recent
    hospitalization. It is most important to continue monitoring growth,
    development, and:
13. white blood cell levels.
14. fecal occult blood test.
15. hemoglobin levels.
16. urine dipsticks.
    (Ans- hemoglobin levels
    A 90-year-old female is brought to the clinic by her neighbor. She states
    that everything is fine, but the nurse practitioner notes that she has poor
    hygiene and bruises on her trunk. The neighbor is concerned that the
    patient often has no money to buy food, despite income from social security
    and a coal miner’s pension. The nurse practitioner suspects abuse. Which
    of the following is the nurse practitioner obligated to do next?
17. Report the case to the proper authorities.
18. Tell the neighbor to check on the woman daily and report back.
19. Document the data and report the information to risk management.
20. Call the patient’s family and inquire about the concerns.
    (Ans- report the case to proper authorities
    In most cases, the first manifestation of Alzheimer’s disease is:
21. impaired judgment.
22. decrease in short-term memory.
23. disorientation in time and place.
24. decrease in long-term memory.
    (Ans- decrease in short-term memory
    The optimal treatment for latent tuberculosis is:
25. rifampin (Rifadin) for 5 months.
26. isoniazid (Nydrazid) for 9 months.
27. pyrazinamide for 6 months.
28. ethambutol for 6 months.
    (Ans- osioniazid (nydrazid) for 9 months