{"id":120466,"date":"2023-09-22T12:26:50","date_gmt":"2023-09-22T12:26:50","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120466"},"modified":"2023-09-22T12:26:52","modified_gmt":"2023-09-22T12:26:52","slug":"aanp-fnp-test-review-questions-answers-updated-a-guide-solution","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/22\/aanp-fnp-test-review-questions-answers-updated-a-guide-solution\/","title":{"rendered":"AANP FNP TEST REVIEW: Questions &amp; Answers: Updated A+ Guide Solution"},"content":{"rendered":"\n<p>AANP FNP TEST REVIEW<br>ADA screening for DM in Children<br>(Ans-<br>-symptomatic children (polyuria, polydipsia, polyphagia, blurred vision)<br>regardless of risk factors<br>-asymptomatic children after puberty or 10 years of age or older if<br>overweight or obese (&gt;85th percentile). Plus 1 of the following:<br>*T2DM in 1st or 2nd degree relative<br>*high risk racial\/ethnic group<br>*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans,<br>PCOS, SGA)<br>*maternal hx of DM or GDM during the child&#8217;s gestation<br>Statistics<br>(Ans-<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>leading causes of death: Heart disease, cancer, lung disease<\/li>\n\n\n\n<li>leading cause of cancer death: lung<\/li>\n\n\n\n<li>leading cause of death in adolescents: accidents<\/li>\n\n\n\n<li>most common cancer: skin.<\/li>\n\n\n\n<li>in males: prostate. in females: breast<br>suicide: males more successful, women more attempts. highest rate is<br>older white males.<br>Osgood-Schlatter:<br>(Ans- knee pain in young adults, overuse. Repetitive stress pain,<br>tenderness, swelling at the tendon&#8217;s insertion site. The tibial tuberosity.<br>Rule out avulsion fracture if there is an acute onset and order a lateral xray.<br>RICE. Usually stops when the growth stops.<br>If patient has right sided weakness, etc. the CVA occurred where<br>(Ans- left side<\/li>\n<\/ul>\n\n\n\n<p>initial evaluation of symptoms of acute prostatitis<br>(Ans- Urinalysis and urine culture<br>A 65-year-old woman presents for a follow-up examination after a new<br>patient visit. She has not seen a healthcare provider for several years. She<br>is a smoker and her hypertension is now adequately controlled with<br>medication. Her mother died at age 40 from a heart attack. The fasting lipid<br>profile shows cholesterol = 240 mg\/dL, HDL = 30, and LDL = 200. In<br>addition to starting Therapeutic Lifestyle Changes, the nurse practitioner<br>should start the patient on:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>bile acid sequestrant.<\/li>\n\n\n\n<li>a statin drug.<\/li>\n\n\n\n<li>a cholesterol absorption inhibitor.<\/li>\n\n\n\n<li>low-dose aspirin.<br>(Ans- A statin drug<br>Ortolani&#8217;s Click<br>(Ans- a click is heard or felt as dislocation is reduced (developmental<br>dysplasia of hip) (good until one year)<br>Which of the following laboratory tests should a nurse practitioner order<br>when the suspected diagnosis is temporal arteritis?<br>(Ans- Erythrocyte sedimentation rate (ESR)<br>What are narrow therapeutic index drugs?<br>(Ans1. Warfarin sodium (Coumadin): monitor INR<\/li>\n\n\n\n<li>Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium,<br>magnesium, calcium)<\/li>\n\n\n\n<li>Theophylline: monitor blood levels<\/li>\n\n\n\n<li>Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood<br>levels<\/li>\n\n\n\n<li>Levothyroxine: Monitor TSH<\/li>\n\n\n\n<li>Lithium: Monitor blood levels, TSH (risk of hypothyroidism)<br>Otitis Externa tx<br>(Ans- Fluoroquinolone &amp; Polymyxin B cortisporin drops<br>An elderly male patient complains of a new-onset, left-sided temporal<br>headache accompanied by scalp tenderness and indurated temporal<br>artery. The NP suspects temporal arteritis. What screening test would you<br>order to assist with diagnosis?<br>(Ans- sedimentation rate (expect to be very elevated)<br>Basal Cell Carcinoma<br>(AnsPearly domed nodule with overlaying telangiectatic vessels. Could be<br>plaque, papule, possible central ulceration and crusting. Dx: Biopsy Tx:<br>Normal, healthy woman of reproductive age<br>(Answhite, clear, flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2<br>(toward acidic), no odor, microscopic shows lactobacilli (gram+bacteria)<br>Multiple infections from bacteria and fungus?<br>(Ans- Screen for HIV<br>Screening Tests<br>(Ans-<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>sensitivity: detect those WITH the disease. higher the sensitivity is higher<br>the false positives<\/li>\n\n\n\n<li>Specificty: detect those who DONT have the disease.<br>to assess pts ability to think abstractly a nurse pract could ask the patient<br>(Ans- the meaning of a common proverb<\/li>\n<\/ul>\n\n\n\n<p>The most commonly prescribed medication for mild systemic lupus<br>erythematosus (SLE) is:<br>1.<br>azathioprine (AZA).<br>2.<br>belimumab (Benlysta).<br>3.<br>ibuprofen (Advil).<br>4.<br>cyclophosphamide (Cytoxan).<br>(Ans- ibuprofen (advil)<br>A 17-year-old female is suspected of having polycystic ovary syndrome. In<br>addition to testosterone, the most appropriate diagnostic tests to order<br>would be:<br>(Ans- follicle-stimulating hormone (FSH), luteinizing hormone (LH),<br>prolactin, and thyroid-stimulating hormone (TSH).<br>Barlow&#8217;s Maneuver<br>(Ans- Feeling of a slip as the femoral head slips away from the acetabulum<br>(toward the butt) (good until 6 mo)<br>Candida vulvovaginitis<br>(Ans- etiology: candida albican (80-90%)<br>white, curdy, &#8220;cottage-cheese&#8221; like, sometimes increased, itching\/burning<br>discharge, pH &lt;4.5, odor is usually absent, microscopic shows mycelia,<br>budding yeast, pseudohyphae w\/KOH prep. Treatment: oral diflucan or<br>vaginal miconazole or terconazole<br>PSEUDOHYPHAE, CLOTRIMAZOLE CREAM<br>Proton Inhibitors<br>(Ans- Increased risk of fractures(postmenopausal women),<\/p>\n","protected":false},"excerpt":{"rendered":"<p>AANP FNP TEST REVIEWADA screening for DM in Children(Ans&#8211;symptomatic children (polyuria, polydipsia, polyphagia, blurred vision)regardless of risk factors-asymptomatic children after puberty or 10 years of age or older ifoverweight or obese (&gt;85th percentile). Plus 1 of the following:*T2DM in 1st or 2nd degree relative*high risk racial\/ethnic group*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans,PCOS, SGA)*maternal [&hellip;]<\/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-120466","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120466","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=120466"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120466\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=120466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=120466"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=120466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}