AANP BOARD EXAM 2023-2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
(NEWEST VERSION)
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls. – ANSWER- Correct Answer:
Black women are at higher risk for hip fractures than white women.
Rationale; It is white women, not black women, who are at higher risk for hip
fractures. Falls are one of the most common adverse events that threaten the
quality of life of older adults. Falls among older adults are not a normal
consequence of aging.
Normal age-related changes of the skin may be confused with which of the
following clinical abnormalities?
dehydration
vitiligo
scabies
shingles – ANSWER- Correct Answer:
dehydration
Rationale; Normal age-related changes of the skin may be confused with
dehydration. Sebaceous gland activity tends to decrease with age, and the skin’s
natural hydrators decline over the years. The skin’s ability to regenerate lipids
compromising the protective lipid barrier layer of the Stratum Corneum also
declines with age, as does blood flow to the skin, which may cause a drop in
sebum production.<\/p>\n\n\n\n
A 29-year old woman who is 6 weeks postpartum reports she is having rectal
bleeding that she believes is related to hemorrhoids. The Adult Nurse Practitioner
knows that this type of rectal bleeding is usually described as:
dark brown to black blood color with normal-appearing stool
significant amounts of bright red blood
large blood clots and mucus mixed with stool
streaks of bright red blood on the stool – ANSWER- The Correct answer is:
streaks of bright red blood on the stool
Rationale; Choice D is the right answer. The color of blood related to hemorrhoids
is described as bright red, eliminating choice A. Amount of blood with
hemorrhoids is usually small or scant, eliminating choices B and C. Internal
hemorrhoids can occur during or after childbirth. With chronically protruding or
prolapsing hemorrhoids, the patient often reports mucous leaking and staining of
the undergarments. Other causes are obesity, constipation, and prolonged sitting.
You have a patient with AIDS. You recognize that a low CD4 T-cell count puts the
patient at risk for opportunistic infections. You are reviewing his lab reports and
see that his CD4 T-cell count is indeed low. Which of the following is the normal
range for CD4 T-cell count?
800 -1400
700 -1400
400 – 1000
600 -1200 – ANSWER- Correct answer:
600 -1200
Rationale; The normal CD4 T-cell count is 600 – 1200. A low CD4 T-cell count is
below 600. The destruction of the CD4 T-cell causes depletion in the number of
CD4 T-cells and consequently increases the risk of infection. This puts the patient
at risk for infection.
ou have an adult patient with diabetes whose blood pressure is 145\/95 mm Hg.
Which stage of hypertension does this indicate?
normal
pre-hypertension
Stage I
Stage II – ANSWER- Correct Answer:<\/p>\n\n\n\n
Stage I
Rationale; Stage I hypertension is characterized by a systolic pressure of 140 – 159
mm Hg and a diastolic pressure of 90 – 99 mm Hg. The treatment recommendation
for this stage is usually a thiazide diuretic and for those with diabetes, either ACE
inhibitors or ARBs, because of their renal protective properties.
Clinical findings that are characteristic of asthma include all of the following
EXCEPT:
wheezing with and without associated respiratory infections
a congested cough worse during the day
recurrent shortness of breath with exercise
a recurrent spasmodic cough that is worse at night – ANSWER- The Correct
answer is:
a congested cough worse during the day
Rationale; Choice B is the right answer. The asthmatic patient complains of a
cough that is worse at night and has little congestion or sputum production. There
is a history of wheezing and chest tightness, shortness of breath with exercise, and
symptoms that worsen after airborne allergen exposure.
Which of the following is an example of objective data used for diagnosis?
Patient reports being more tired than usual.
Patient reports having difficulty breathing.
Patient reports productive cough.
Patient’s cough produces yellow sputum. – ANSWER- Correct Answer: Patient’s
cough produces yellow sputum Rationale; Objective data must be measurable and
verifiable. It is key to collect both objective and subjective data to form correct
differential diagnoses and then to determine the correct diagnosis and course of
further testing or treatment for a patient. The ability to synthesize both objective
and subjective data is a key skill for NPs.
A 68-year-old woman has been admitted to the hospital suffering from peripheral
vascular disease (PVD). You check her medical records for predisposing factors.
You recognize that all of the following are predisposing factors EXCEPT:
arteriosclerosis<\/p>\n\n\n\n
advanced age
a history of renal problems
valvular incompetence – ANSWER- Correct answer:
a history of renal problems
Rationale; A predisposing factor for PVD is a history of deep vein thrombosis
(DVT). All of the other choices are valid predisposing factors.
Which of the following is NOT an indication of impaired skin integrity?
A mole with irregular borders.
Bruises in various stages of healing.
Cuts in various stages of healing.
A navel piercing more than a year old. – ANSWER- Correct Answer:
A navel piercing more than a year old.
Rationale; Unless the piercing is marked by scabbing or other evidence of trauma,
it is not evidence of impaired skin integrity. Tattoos and other body modifications
should be noted in the patient’s assessment, but they are not in themselves cause for
concern.
You are determining the peak expiratory flow (PEF) for a 67-year-old female
patient who suffers from asthma. Which of the following is NOT a factor in
determining peak expiratory flow (PEF) for this patient?
age
height
weight
gender – ANSWER- Correct Answer:
weight
Rationale; Weight is not a factor in determining PEF. The PEF is based on height
(H), age, (A), and gender (G) – HAG.
Upon examination of a patient with a heart murmur, you hear a grade 1-3\/6 late
systolic crescendo murmur with a honking quality. This is most likely indicative of
which of the following?
<\/p>\n","protected":false},"excerpt":{"rendered":"
AANP BOARD EXAM 2023-2024 ACTUAL EXAM 200QUESTIONS AND CORRECT DETAILED ANSWERS WITHRATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+(NEWEST VERSION)Which of the following statements about falls in the elderly is least accurate?Black women are at higher risk for hip fractures than white women.The majority of deaths from falls are among people aged 65 years or older.Injuries from […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112558","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112558"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112558\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}