AANP EXAM AANP PSI ACTUAL EXAM - REAL

AANP EXAM /AANP /PSI ACTUAL EXAM - REAL

EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

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The management of COPD in the elderly is best guided by:.

• spirometry.
• arterial blood gases.
• radiologic imaging.
• symptomatology. - ANSWER ->4. symptomatology.

A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool daily at a local church day care program. The day before her diagnosis, she ate lunch with her mother at a local restaurant. For which contact(s) would chemoprophylaxis with rifampin be recommended?

• Preschool contacts in the past 7 days
• A friend of the patient's sister who visited after school

yesterday

• The checkout employee at the grocery store yesterday
• Diners at the restaurant during lunch the day the patient ate

there - ANSWER ->1. Preschool contacts in the past 7 days

Which of the follow is a hallmark of spinal stenosis

• Loss of bowel and bladder control
• Point tenderness over lumbar spine
• Leg, buttock or back pain precipitated by walking 1 / 3

• Pain that radiates down one leg - ANSWER ->3. Leg, buttock

or back pain precipitated by walking

A 46-year-old female presents with a complaint of amenorrhea

for 3 months. The first-line diagnostic workup is:

• urine pregnancy test.
• progesterone challenge.
• serum prolactin level.
• thyroid-stimulating hormone (TSH). - ANSWER ->1. urine

pregnancy test

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:

• white blood cell levels.
• fecal occult blood test.
• hemoglobin levels.
• urine dipsticks. - ANSWER ->3. hemoglobin levels.

An 86-year-old patient presents with pinguecula, a yellow triangular degenerative tissue thickening of the bulbar

conjunctiva. This condition is:

• cured by eye drops.
• a genetic process.
• a malignant growth.
• a solar-induced lesion. - ANSWER ->4. a solar-induced lesion.
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The symptoms of benign prostatic hypertrophy are often

overlooked because the older male:

• understands that surgery is the only cure for this condition.
• considers urinary problems to be a normal part of aging.
• is fearful of the side effects of additional medication.
• is concerned that he will no longer be able to obtain an

erection. - ANSWER ->2. considers urinary problems to be a normal part of aging.

Congenital dysplasia of the hip:

• more commonly affects both hips.
• occurs more commonly in females.
• is correctable at any age.
• typically self-corrects by 12 weeks of age. - ANSWER ->2.

occurs more commonly in females.

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:

• discontinue amitriptyline and begin ibuprofen (Motrin).
• refer to physical therapy.
• start methocarbamol (Robaxin).
• discontinue amitriptyline and begin gabapentin (Neurontin). -

ANSWER ->4. discontinue amitriptyline and begin gabapentin (Neurontin).

The most commonly prescribed medication for mild systemic

lupus erythematosus (SLE) is:

• / 3