AANP FNP CERTIFICATION QUESTION AND ANSWERS

AANP FNP CERTIFICATION QUESTION AND ANSWERS 
Assessment of the optic disc is a component of the evaluation of cranial nerve:
I.
II.
III.
.IV
Cranial II
You examine a 62-year-old woman with a 20-year history of hypertension. She
reports intermittent use of antihypertensive medications, stating, "I feel better
without the medications." Today she presents for a "check-up."On physical
examination, you note the following: PMI with a downward and lateral shift as well
as a Gr II/VI holosystolic murmur with radiation to the axilla.
This patient's health history is most likely to include a report of:
Syncopal episodes.
Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo.
Ans: dyspnea on exertion
Of the following, which should be performed first in assessing a 48-year-old
woman who has a 25-year history of moderate persistent asthma and who now
presents with an acute asthma flare?
Oxygen saturation
Arterial blood gas
FEV1 (forced expiratory volume at 1 second)
Chest x-ray
Ans: FEV (force expiratory volume)
You are setting up a healthcare clinic for migrant farm workers. Which of the
following sites is most desirable?
Community hall of a local church
Local hospital ambulatory care center
Mobile van
Space in a shopping center
Ans: Mobile van
A 58-year-old woman presents for an initial examination in order to become a
patient in your primary care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15
L) glasses of wine per week, and works as an administrative assistant in a law
office. She is without complaint and reports that she is generally in good health.
Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm Hg bilaterally.
The rest of her examination is unremarkable.
Prescribe a low-dose thiazide diuretic.
Arrange for additional blood pressure measurements within the next four weeks.
Order a serum creatinine, urea nitrogen and urinalysis.
Advise restricting sodium intake and limiting alcohol intake to no more than 1
glass of wine per week.
Ans: Arrange for additional blood pressure measurements within the next four weeks.
The NP demonstrates fulfillment of the advanced practice nursing leadership role
by participating in which of the following activities?
Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about
the importance of self-glucose monitoring
Volunteering to teach a class on contraceptive methods to a group of teen
mothers
Discussing barriers to achieving blood pressure control with a 65-year-old
woman with hypertension who "does not want to take any medicine"
Collaborating with the regional public health department on an initiative to
combat obesity through a community-based exercise program
Ans: Collaborating with the regional public health department on an initiative to combat
obesity through a community-based exercise program
You are asked to speak to a group of healthcare executives on the NP role. Which
of the following provides the strongest support for NP practice?
Number of academic credits earned during the NP program
Evidence of NP practice outcomes
The quantity of clinical hours and type of clinical rotations in the NP program
The professional experience of the person prior to entering the NP program
Ans: Evidence of NP practice outcomes
Rank the following from highest (1) to lowest (4) level of research design.
__Case reports
__Meta-analysis
__Randomized controlled trials
__Expert opinion
1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert opinion
Ans:
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
In a 46-year-old woman with hypertension and dyslipidemia, choose the correct
prevention:
Primary prevention
Secondary prevention
Tertiary prevention
Counseling about reducing risk for sexually transmitted infection __
Skin survey for precancerous lesions __
1-Primary prevention 2-Secondary prevention
1-Secondary prevention 2-Primary prevention
1-Primary prevention 2-Tertiary prevention
1-Tertiary prevention 2-Secondary prevention
Ans: 1-Primary prevention 2-Secondary prevention
In a 66-year-old woman with type 2 diabetes mellitus (T2DM), choose the correct
prevention:
Primary prevention
Secondary prevention
Tertiary prevention
1. Administering influenza vaccine __
2. Adjusting therapy to enhance glycemic control __
1-Tertiary prevention 2-Primary prevention
1-Secondary prevention 2-Primary prevention
1-Primary prevention 2-Secondary prevention
1-Primary prevention 2-Tertiary prevention
Ans: 1-Primary prevention 2-Tertiary prevention

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