AANP Practice Exam AANP Exam

AANP Practice Exam AANP Exam Latest AANP Practice Actual Exam Questions and Correct Answers Rated A+

The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very irritable and does not feed well. During physical examination, the child's head drops back and the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably. Funduscopic examination reveals retinal hemorrhages.Which of the following diagnostic tests should be ordered?

• Skull X-rays

2. MRI

• CT scan
• Pet scan -ANSWER-CT scan

The most important diagnostic factor in evaluating angina pectoris is

the patient's:

• King of Heart's monitor.
• physical examination.
• history.
• echocardiogram. -ANSWER-history

There are three reasons for latex allergies. Which of the following does NOT cause the problem?

• Immediate hypersensitivity
• Irritant contact of dermatitis
• Cytotoxic hypersensitivity
• Immune complex reaction -ANSWER-cytotoxic hypersensitivity

A patient on warfarin (Coumadin) therapy for recurrent deep vein

thrombosis (DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to the surgery and subcutaneous Lovenox has been ordered for DVT prophylaxis until the resumption of the warfarin. The nurse practitioner knows that the patient's postoperative warfarin dose should be restarted based on

the:

• value of her morning Prothrombin time.
• loading dose of 10 mg, plus the previous warfarin dose.
• baseline PT and INR values.
• target INR of 2. -ANSWER-baseline PT and INR values

An 87-year-old patient presents with round, pruritic plaques and small

vesicles on the lower legs. The most likely diagnosis is:

• allergic contact dermatitis.
• plaque psoriasis.
• cutaneous T-cell lymphoma.
• nummular eczema -ANSWER-nummular eczema

A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery stools without blood or mucus, and 2 episodes of vomiting in the past 48 hours. Assessment reveals no current

Antibiotic therapy, dehydration <5%, soft abdomen with hyperactive bowel sounds, no masses or organomegaly; other physical findings are normal. Which of the following is the most appropriate management plan?

• Stool culture; Immodium AD liquid.
• No laboratory workup; instruct parents on signs and symptoms of

dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.

• Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O,

and soup over next 72 hours; Imodium AD liquid, 1 mg/sml

• Stool for ova and parasites; advise parents of likely sources of

Giardia; prescribe furazolidone (Furoxone) -ANSWER-No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.

A mother presents her 12-month-old child with concern because the child does not yet say "mama" or "dada." The mother reports that in the first months of life, the child loved listening to music and being talked to. The past medical history is negative for ear infections. The

nurse practitioner should:

• evaluate for hearing loss.
• refer to speech therapy.
• re-evaluate in 3 months.
• check for cerumen impaction. -ANSWER-evaluate for hearing loss

The most common side effect of the oral ribavirin used in the

treatment of hepatitis C is:

• hemolytic anemia.
• weight loss.
• depression.
• hypothyroidism. -ANSWER-hemolytic anemia

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-a solar-induced lesion

During a well-child examination of an 18-month-old, premature tooth decay and inflamed gums, particularly of the maxillary incisors, are

noted. The approach to this problem includes:

• referring the child to a dentist, assessing for bottle feeding and

fluoride in local water.

• teaching the mother to brush the child's teeth, encouraging vitamin

supplements.

• recommending fluoride mouthwash and toothpaste, suggesting

celery sticks for snacks.

• providing fluoride treatment, teaching dental hygiene, and eating

foods high in calcium. -ANSWER-referring the child to a dentist, assessing for bottle feeding and fluoride in local water

Which of the following is typically observed in the GI system upon stimulation of the parasympathetic nervous system?

• No overall effect
• Increased sphincter tone
• Increased peristalsis

• Decreased secretions -ANSWER-increased peristalsis

Type 2 diabetes mellitus is characterized by which of the following?

• Decreased production of exogenous glucagon-like peptide
• Autoimmune beta-cell destruction
• Relative deficiency of dipeptidyl peptidase-4
• Decreased reabsorption of sodium-glucose transporters -ANSWER-

decreased reabsorption of sodium-glucose transporters

In pulmonary function testing, forced vital capacity represents the:

• maximum volume of air that can be forcefully exhaled after

maximum inspiration.

• total volume of air that is exhaled after normal inspiration.
• total volume of air that the lungs can hold, minus the expiratory