2022 AANP Nursing Diagnosis Practice Exam With Answers (75 Solved Questions)

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AANP Practice Questions And Answers 2022A 65-year-old woman presents for a follow-up examination after a new patient visit. Shehas not seen a healthcare provider for several years. She is a smoker and herhypertension is now adequately controlled with medication. Her mother died at age 40from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30,and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nursepractitioner should start the patient on:1.bile acid sequestrant.2. a statin drug.3. a cholesterol absorption inhibitor.4. low-dose aspirin. - Answer - A statin drugThe most commonly prescribed medication for mild systemic lupus erythematosus(SLE) is:1. azathioprine (AZA).2. belimumab (Benlysta).3. ibuprofen (Advil).4. cyclophosphamide (Cytoxan). - Answer - ibuprofen (advil)The most common sign of cervical cancer is:1. postcoital bleeding.2. strong odor from vaginal discharge.3. itching in the vaginal area.4. molluscum contagiosum. - Answer - postcoital bleedingThe nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic painsecondary to diabetes mellitus. On follow-up, the patient complains of urine retentionand dry mouth. The practitioner would:1. discontinue amitriptyline and begin ibuprofen (Motrin).2. refer to physical therapy.3. start methocarbamol (Robaxin).4. discontinue amitriptyline and begin gabapentin (Neurontin). - Answer - discontinueamitriptyline and begin gabapentin (neurontin)A 17-year-old male with rheumatoid arthritis is being treated with an NSAID andomeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas.These symptoms are most likely:1. associated with the omeprazole.2. related to the underlying condition.3. the result of the NSAID.

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4. caused by viral gastroenteritis. - Answer - associated with the omeprazoleThe medication of choice for the initial treatment of juvenile rheumatoid arthritis is:1. acetaminophen.2. prednisone.3. aspirin.4. ibuprofen. - Answer - ibuprofenA 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis andpresents for a follow-up examination after a recent hospitalization. It is most important tocontinue monitoring growth, development, and:1. white blood cell levels.2. fecal occult blood test.3. hemoglobin levels.4. urine dipsticks. - Answer - hemoglobin levelsA 90-year-old female is brought to the clinic by her neighbor. She states that everythingis fine, but the nurse practitioner notes that she has poor hygiene and bruises on hertrunk. The neighbor is concerned that the patient often has no money to buy food,despite income from social security and a coal miner's pension. The nurse practitionersuspects abuse. Which of the following is the nurse practitioner obligated to do next?1. Report the case to the proper authorities.2. Tell the neighbor to check on the woman daily and report back.3. Document the data and report the information to risk management.4. Call the patient's family and inquire about the concerns. - Answer - report the case toproper authoritiesIn most cases, the first manifestation of Alzheimer's disease is:1. impaired judgment.2. decrease in short-term memory.3. disorientation in time and place.4. decrease in long-term memory. - Answer - decrease in short-term memoryThe optimal treatment for latent tuberculosis is:1. rifampin (Rifadin) for 5 months.2. isoniazid (Nydrazid) for 9 months.3. pyrazinamide for 6 months.4. ethambutol for 6 months. - Answer - osioniazid (nydrazid) for 9 monthsUnilateral spontaneous serous or serosanguineous discharge from a single duct of abreast is most often caused by:

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1. intraductal papilloma.2. mucinous breast lesions.3. Paget's disease.4. ductal carcinoma in situ. - Answer - intraductal papillomaA young child with asthma presents for follow-up evaluation. After numerous changes inmedications and doses, the parents report that the child continues to have difficulty withcoughing, especially during the night. Which of the following conditions would be themost likely cause of the continued asthma symptoms?1. Vocal cord dysfunction2. Cystic fibrosis3. Gastroesophageal reflux4. Allergic rhinitis - Answer - gastroesophageal refluxA pregnant woman with known HIV infection can reduce the risk of perinataltransmission through zidovudine (Retrovir) therapy. Based on current research, optimaltherapy is to start daily dosing:1. post amniocentesis.2. after 14 weeks of gestation.3. if premature rupture of membranes occurs.4. if maternal viral loads are greater than 10,000. - Answer - after 14 weeks gestationT-wave inversion with a normal ST segment on a 12-lead EKG may represent:1. acute coronary ischemia.2. right ventricular hypertrophy.3. atrial hypertrophy.4. hyperkalemia. - Answer - acute coronary ischemiaThe 16-year-old mother of a 2-month-old presents the infant, reporting that the child isvery irritable and does not feed well. During physical examination, the child's headdrops 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?1. Skull X-rays2. MRI3. CT scan4. Pet scan - Answer - CT scanThe most important diagnostic factor in evaluating angina pectoris is the patient's:1. King of Heart's monitor.2. physical examination.

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3. history.4. echocardiogram. - Answer - historyThere are three reasons for latex allergies. Which of the following does NOT cause theproblem?1. Immediate hypersensitivity2. Irritant contact of dermatitis3. Cytotoxic hypersensitivity4. Immune complex reaction - Answer - cytotoxic hypersensitivityA patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) isabout to have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting5 days prior to the surgery and subcutaneous Lovenox has been ordered for DVTprophylaxis until the resumption of the warfarin. The nurse practitioner knows that thepatient's postoperative warfarin dose should be restarted based on the:1. value of her morning Prothrombin time.2. loading dose of 10 mg, plus the previous warfarin dose.3. baseline PT and INR values.4. target INR of 2. - Answer - caseline PT and INR valuesAn 87-year-old patient presents with round, pruritic plaques and small vesicles on thelower legs. The most likely diagnosis is:1. allergic contact dermatitis.2. plaque psoriasis.3. cutaneous T-cell lymphoma.4. nummular eczema - Answer - nummular eczemaA 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 waterystools without blood or mucus, and 2 episodes of vomiting in the past 48 hours.Assessment reveals no current antibiotic therapy, dehydration <5%, soft abdomen withhyperactive bowel sounds, no masses or organomegaly; other physical findings arenormal. Which of the following is the most appropriate management plan?1. Stool culture; Immodium AD liquid.2. No laboratory workup; instruct parents on signs and symptoms of dehydration; diet ofclear liquids, advancing to bananas, rice cereal, Jell-O, and soup.3. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup overnext 72 hours; Imodium AD liquid, 1 mg/sml4. Stool for ova and parasites; advise parents of likely sources of Giardia; prescribefurazolidone (Furoxone) - Answer - No laboratory workup; instruct parents on signs andsymptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O,and soup.

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