AANP Test 2 for Boards Latest Version 2023 2024 Guaranteed Success Questions and Correct Answers A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves disease. The ANP is counseling her and understands that the
mechanism of action of this treatment therapy is:
alter the thyroid metabolic rate relieve distress caused by increased thyroid size destroy the overactive thyroid tissue
reduce production of TSH - Correct AnswerCorrect answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid ablation to destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction.
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 - Correct AnswerThe Correct answer is:
streaks of bright red blood on the stool
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.
A 48-year-old male patient complains of a sudden onset of severe "ice pick" pains behind one eye. He tells you that the headache is accompanied by tearing, a clear runny nasal discharge, and a drooping eyelid. What type of headache would you diagnose?
muscle tension headache cluster headache migraine headache
temporal arteritis - Correct AnswerCorrect answer:
cluster headache 1 / 4
Cluster headaches are severe headaches with lancinating pain behind one eye that occurs several times a day, usually at the same times every day. Their cause is unknown and they are more common in adult males in their 30s and 40s.
A 65-year-old Caucasian female is in the office with rosacea. She is asking about treatment options. What is the recommended treatment for her?
topical 5-fluorouracil low-dose tetracycline oral ketoconazole
oral hydrocortisone - Correct AnswerCorrect Answer:
low-dose tetracycline
Treatment with systemic low-dose tetracycline is a very effective measure for rosacea; topical treatment with metronidazole or a low-dose steroid cream may also be helpful.Topical 5-fluorouracil is used to treat actinic keratosis.
A 66-year-old male patient has been diagnosed with Parkinson's disease. You understand that the disease varies from person to person but that the signs and symptoms include all but which of the following?
pill-rolling tremor akathisia muscular rigidity with masked facies
cog-wheel rigidity - Correct AnswerCorrect answer:
akathisia
Akathisia is a movement disorder that is characterized by a feeling of inner restlessness and a need to be in constant motion. Bradykinesia, on the other hand, is a reduction in the ability to initiate voluntary movement which is typical in Parkinson's patients. Cog- wheel rigidity and muscular rigidity with masked facies as well as pill rolling tremors are all symptoms of Parkinson disease.
A 67 year female patient has been diagnosed with chronic obstructive pulmonary disease. Her arterial blood gases were measured. Partial pressure of oxygen in arterial blood (PaO2) declines with normal aging. What PaO2 level indicates chronic hypoxemia?
<55 mm Hg.<65 mm Hg.< 75 mm Hg.Presence of aphasia, apraxia, agnosia and/or disturbance of executive function. -
Correct AnswerCorrect Answer: 2 / 4
<55 mm Hg.
A PaO2 level <55 mm Hg indicates chronic hypoxemia. A patient with this measurement will require continuous oxygen therapy.
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 advanced age a history of renal problems
valvular incompetence - Correct AnswerCorrect answer:
a history of renal problems
A predisposing factor for PVD is a history of deep vein thrombosis (DVT). All of the other choices are valid predisposing factors.
A brief account by the patient of any signs or symptoms he or she is experiencing is
one component of:
Review of systems.Symptom assessment.Functional assessment.
Objective assessment. - Correct AnswerCorrect Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he or she has experienced in various body systems. It is important that these be in a patient's own words to perform the most complete and accurate assessment.
A cancer in which there is extensive local and regional spread is in which stage?
Stage I Stage II Stage III
Stage IV - Correct AnswerCorrect answer:
Stage III
Staging classifies the clinical aspects of the cancer and the degree of metastasis at diagnosis. A cancer with extensive local and regional spread is a Stage III cancer.
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A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes. The ANP knows that which of the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly." "Have a yearly physical examination, increase fiber in your diet, and exercise regularly." "Maintain a normal level of serum blood sugar and decrease cholesterol intake." "Decrease smoking, increase vitamin supplements, and increase protein intake." -
Correct AnswerCorrect answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk.Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not help to prevent cardiovascular disease.
A patient has lost weight but swears she has been eating regularly. Which type of assessment would you use before making a definitive diagnosis?
Nutrition.
NGASR.
Sleep.
Psychosocial. - Correct AnswerCorrect Answer:
Nutrition.
Poor body image may be related to a nutrition imbalance. There may also be other factors that affect the imbalance. A nutrition assessment will help determine the patient's attitude towards food.
A patient has nasopharyngitis - a minor, self-limiting viral infection of the upper respiratory tract. Which of the following is best to treat fever, headache, and nasal congestion?
moderate intensity exercise steam inhalation and salt water gargles steam inhalation and salt water gargles acetaminophen or ibuprofen and topical decongestants low indoor humidity and antihistamines - Correct AnswerHide Explanation
Correct Answer:
steam inhalation and salt water gargles acetaminophen or ibuprofen and topical decongestants
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