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2023-2024 AANP Nursing Diagnosis FNP Certification With Answers (237 Solved Questions)

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    AANP FNP certification (Questions and Answers) Latest Graded A+ - 2023/2024

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    AANP FNP certification Exam 2023 1. All diastolic murmurs III first time audible, IV first time thrill are pathological. Murmurs Grades I - barely II - audible III - clearly audible. IV - first time thrill V - Steth edge VI - entire steth. EXAM 2. Fundal height 12 weeks Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3. 3 month old infant Iron, TIBC with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? 4. 3 months of synthroid, Increase Medication TSH increased, T4 normal, what do you do?

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    5. 3 ways to assess cog - Mini mental exam nitive function in patient with signs/symptoms of memory loss 6. 4 month old with stra - tell her it is normal. bismus, mom is worried...... 7. 4 month old wont keep Growth chart anything down, what is the main thing you look at? 8. 6 month old closed an - XRAY terior fontanel. 9. Abnormal cells on PAP, what do you do next? Refer for Colposcopy 10. CAGE ACRONYM Cut down Annoyed by criticism Guilty about drinking Eye opener drink 11. Causes of tachycardia Fever Anemia Hypotension 12. Cranial nerves responsible for extraocular eye movements CN 3,4,6

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    13. Definition of metabolic cluster of conditions that increase risk of heart syndrome disease, stroke, diabetes. 14. diagnose trichomonia - wet prep sis 15. Elderly presents with Pelvic US atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? 16. Epistaxis is most com - Anterior septum mon in the area of the nose known as kiessel - bachs triangle, where is this located? 17. Definitive diagnosis of urinalysis and culture acute bacterial prostatitis 18. GERD treatment H2 is first line, give hs 19. Grade 3 cells on Pap, treatment? LEEP excision 20. Fingernail hematoma treatment? drill hole and drain blood? 21. Increased risk of ectopic pregnancy Salpingitis, or history of abortion, PID,

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    22. Koplick spots Measles (rubeola). Grains of salt lesions inside mouth in Measles 23. Legg - Calve - Perthes Disease Avascular necrosis of the proximal femoral head 24. Lipid level of 1500, increased risk for? Pancreatitis 25. Low HGB, Low HCT, High MCV indicates what? Macrocytic anemia, B12 Def 26. Man with BPH, prostate Enlarged, symmetrical, smooth feels on digital exam? 27. Man with HTN, CAD, Arterial Insufficiency present femoral pulses but absent pedal 28. McMurray's Sign Meniscus tears (+) palpable or audi - AANP FNP certification ble click while extending with varus stress 29. Lachman's Test pivot shift test (ACL tear) 30. Newborn with foot refer to orthopedist turned in, what do you do?

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    31. Osgood - Schlatter dis - Knee pain. ease inflammation or irritation of the tibia at its point of attachment with the patellar tendon 32. Patient forgot to start Alzheimer's Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? 33. Pt has Barretts Esoph - Refer to oncologist agus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? 34. Pt presents with rash Tinea Corporis on shoulder, erythematous maculopapular rash with center clearing and scaling? 35. Pt presents with "bag of Varicocele worms:, indicates? 36. Asthma

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    Pt with atopic dermatitis, look for what other diseases? 37. Pt with bleeding after endometrial biopsy, need to screen for cancer menopause 38. Pt with hx of PID, in - Infertility creased rick for? 39. Pt with HIV took high This is good. Want higher than 350 potency anti viral treatments and CD4 is >400, what does this indicate? 40. Pt with hx of htn Vascular dementia and stroke, now having memory loss. What does this indicate? 41. Pregnant teacher with slap cheek, PVB19, rash hands / feet Fetal death exposure to 5ths dis - and bir th defects ease (SLAP CHEEK), what risk is there to the fetus? 42. Quick assessment of Timed Get up and Go patients fall risk? Timed Get up and Go 43. Red beefy tongue? pernicious anemia 44. Rotator cuff injury pre - disturbs sleep, arm weakness, dull ache sentation 45. Shingles near eye immediate referral to ophthalmology 46. Viral infection Can result in a maculopapular rash, but up to 70%

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    Signs and symptoms of of cases proceed without the rash stage Roseola (6ths disease) - Usually accompanied by a high feve r (41°C or ? 105°F) that comes on quickly and lasts up to 3 days followed by rash - Seizures may occur during this period. - On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less prominently on the face and limb s. - High fever, pink flat or raised rash 47. Treatment for chronic alcoholism: 12 step program 48. Treatment for Gonorrhea? Rocephin 250mg IMx1 plus Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal discharge, friable cervix. EXAM Report to health department 49. Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years: IUD 50. Basal cell cancer Waxy, pearly, telangiectasia, ulcer center lesion - most common type of skin cancer caused by UV exposure. Metastatic is rare 51. Actinic Keratosis Scaly red to yellow located in sun exposed area - a precancerous skin growth that occurs on sun - damaged skin

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    52. Actinic Keratosis Numerous round dry pink to red areas. Scaly red to yellow located in sun exposed area - a pre squamous cell carcinoma occurs on sun - damaged skin biopsy cryo or 5fu cream 53. subungual hematoma Make a hole and drain the blood tx 54. Moderate acne treatment 55. heart murmur with holosystolic or pan systolic Heart mumur with mid systolic Without inflammation: Topical retinoid Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very expensive and hard to get covered) PLUS ADD Oral antibiotics: doxycycline or tetracycline or minocycline - (tetracyclines has been proven most affective for inflammatory acne) Minocycline - long term use has been linked with pseudotumor cerebri Oral contraceptives for hormone related Spironolact one MR - radiate axilla, 5th ICS MCL, apex, AS - radiate neck, 2ICS right sternal border MR ASSH

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    56. Coarctation of Aorta COA: bounding radial and weak femoral pulse increase blood pressure in arms, and lower pressure in lower legs. - co ngenital cardiac condition characterized by a narrowing of the aorta - 57. Murmur Grade III - VI Loud murmur easily heard 58. JVD caused by

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    - tension pneumothorax, - Rt. sided heart failure, - cardiac tamponade, - traumatic axphysia from Increase in portal pressure(LIVER) in venous side or cor pulmonale 59. pt. with gradual on - endocarditis , painful red spots on fingers olser's set of fever, hemor - nodes, janeway legions rash on palms and soles. rhages on nail beds, painful raised red nodules, rash on palms 60. Know the difference be - PAD: Absence of pulse, decrease blow flowing tween Peripheral Arteri - down, PAIN, Dx doppler or ABI<0.9, TX exercise al Disease and Chronic by walking or antiplatelet, Venous Insufficiency or PVD. There was ques - tion about PAD. PVD: Volume, edema, discoloration, decrease blood going up, 61. Chronic Bronchitis Treatment Smoking cessation Pulmonary rehabilitation Pharmacologic therapy Supplemental oxygen 62. TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient or close contact >10 mm in immigrant, health care workers, drug user >15 mm in a patient who lives in an area where TB is very rare.

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    63. what condition would Croup/Epiglottitis make you order Lateral X - ray of the neck. Options include: Drooling, Unable to do ROM of the neck / stiff neck. 64. AV nicking (Arterioles HTN retinopathy pressing on vein of the eye) 65. intraocular pressure Fluid pressure inside the eye; measured with (IOP) tonometry 66. Rovsing sign pain in the RLQ when the LLQ is palpated (indicative of appendicitis) 67. Pencil - like stools occur in an obstruction of what Sigmoid descending colon It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS. Refer for GI colonoscopy 68. headache after trauma SDH 69. migraine headache - paroxysmal (sudden, periodic) attacks of mostly unilateral headache, often accompanied by disordered vision, nausea, or vomiting, lasting hours or days and caused by dilation of arteries. 4 - 12 hours, abortive triptans prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate

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