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 20231.All diastolic murmursIII first time audible, IV first time thrillare pathological. Murmurs Grades I-barely II-audible III-clearlyaudible. IV-first time thrill V-Steth edge VI-entire steth. EXAM2.Fundal height 12 weeksFundal Height 12 weeks above symphysis pubis.EXAMFundus 16 weeks between symphysis pubis andumbilicus.Fundus at 20 weeks is at umbilicus.2 cm more of less from # of wk gestation is normal ifmore or less order US3.3 month old infantIron, TIBCwithdown syndrome, due to milkintolerance, momstarted on goatsmilk; now has pale conjunctiva butotherwise healthy. Low HCT. Whatadditional test would you order?4.3 months of synthroid,Increase MedicationTSHincreased, T4 normal, what do you do?

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5.3 ways to assess cog-Mini mental examnitive function in patientwith signs/symptoms ofmemory loss6.4 month old with stra-tell her it is normal.bismus, mom is worried......7.4 month old wont keepGrowth chartanything down, what is the main thingyou look at?8.6 month oldclosed an-XRAYteriorfontanel.9.Abnormal cells on PAP,what do you do next?Refer for Colposcopy10.CAGE ACRONYMCut downAnnoyed by criticismGuilty about drinkingEye opener drink11.Causes of tachycardiaFeverAnemiaHypotension12.Cranialnerves responsiblefor extraocular eyemovementsCN 3,4,6

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13.Definition of metaboliccluster of conditions that increase risk of heartsyndromedisease, stroke, diabetes.14.diagnose trichomonia-wet prepsis15.Elderly presents withPelvic USatrophic vaginitis, small uterus,palpable 4x5 ovary, what do you donext?16.Epistaxis is most com-Anterior septummonin the area of the nose known as kiessel-bachs triangle, where is thislocated?17.Definitive diagnosis ofurinalysis and cultureacutebacterial prostatitis18.GERD treatmentH2 is first line, give hs19.Grade 3 cells on Pap,treatment?LEEPexcision20.Fingernail hematomatreatment?drill hole and drain blood?21.Increased risk of ectopicpregnancySalpingitis, or history of abortion, PID,

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22.Koplick spotsMeasles (rubeola). Grains of salt lesions inside mouthin Measles23.Legg-Calve-PerthesDiseaseAvascular necrosis of the proximal femoral head24.Lipid level of 1500,increased risk for?Pancreatitis25.Low HGB, Low HCT, HighMCV indicates what?Macrocytic anemia, B12 Def26.Man with BPH, prostateEnlarged, symmetrical, smoothfeels ondigital exam?27.Man with HTN, CAD,Arterial Insufficiencypresent femoral pulses but absent pedal28.McMurray's SignMeniscus tears(+) palpable or audi-AANP FNP certificationble click while extendingwith varus stress29.Lachman's Testpivot shift test (ACL tear)30.Newborn with footrefer to orthopedistturned in, what do you do?

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31.Osgood-Schlatter dis-Knee pain.easeinflammation or irritation of the tibia at its point ofattachment with the patellar tendon32.Patient forgot to startAlzheimer'sThanksgiving dinner and husbandstates she has trouble rememberingtasks andtrouble with organization.What is this indicative of?33.Pt has Barretts Esoph-Refer to oncologistagus,insurance no longer covers GI who was treatingcondition. Pt at FNP office wanting refillprescriptions.What do you do?34.Pt presents with rashTinea Corporisonshoulder, erythematous maculopapularrash with center clearing and scaling?35.Pt presents with "bag ofVaricoceleworms:,indicates?36.Asthma

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Pt with atopic dermatitis,look for what otherdiseases?37.Pt with bleeding afterendometrial biopsy, needto screen for cancermenopause38.Pt with hx of PID, in-Infertilitycreased rick for?39.Pt with HIV took highThis is good. Want higherthan 350potency anti viraltreatments and CD4 is>400, what does this indicate?40.Pt with hx of htnVascular dementiaand stroke,now having memory loss. What does this indicate?41.Pregnant teacher withslap cheek, PVB19, rash hands/ feet Fetal deathexposure to 5ths dis-and birthdefectsease (SLAP CHEEK),what risk is there to the fetus?42.Quick assessment ofTimed Get up and Gopatients fall risk? Timed Get upand Go43.Red beefy tongue?pernicious anemia44.Rotator cuff injury pre-disturbs sleep, arm weakness,dull achesentation45.Shingles near eyeimmediate referral toophthalmology46.Viral infectionCan result in a maculopapular rash, but up to 70%

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Signs and symptoms ofof cases proceed without the rash stageRoseola (6ths disease)-Usually accompanied by a high fever (41°C or?105°F) that comes on quickly and lasts up to 3days followed by rash-Seizures may occur during this period.-On the fourth day, the fever disappears and therash appears, first on chest and trunk, then lessprominently on the face and limbs.-High fever, pinkflat or raised rash47.Treatment for chronicalcoholism:12 step program48.Treatment for Gonorrhea?Rocephin 250mg IMx1 plusAzithromycin 1 gm orally x1 to cover chlamydia. , ordoxy 100 mg BID x7d. Green colored vaginaldischarge, friable cervix. EXAM Report tohealth department49.Young female want birthcontrol, forgets to takepills, does not want to getpregnant for at least 5years:IUD50.Basal cell cancerWaxy, pearly, telangiectasia, ulcer center lesion-mostcommon type of skin cancer caused by UV exposure.Metastatic is rare51.Actinic KeratosisScaly red to yellow located in sun exposed area-aprecancerous skin growth that occurs on sun-damaged skin

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52.Actinic KeratosisNumerous round dry pink to red areas. Scaly red toyellow located in sun exposed area-a pre squamouscell carcinoma occurs on sun-damaged skin biopsycryo or 5fu cream53.subungual hematomaMake a hole and drain the bloodtx54.Moderateacnetreatment55.heart murmur withholosystolic or pansystolicHeart mumur with midsystolicWithout inflammation: Topical retinoidModerate inflammation: Topical Retinoid or benzoylperoxide or Azaleic acic ( very expensive and hard toget covered)PLUSADDOral antibiotics: doxycycline or tetracycline orminocycline-(tetracyclines has been proven mostaffective for inflammatory acne)Minocycline-long term use has been linked withpseudotumor cerebriOral contraceptives for hormone relatedSpironolactoneMR-radiate axilla, 5th ICS MCL, apex,AS-radiate neck, 2ICS right sternal borderMR ASSH

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56.Coarctation of AortaCOA: bounding radial and weak femoral pulse increaseblood pressure in arms, and lower pressure in lowerlegs.-congenital cardiac condition characterized by anarrowing of the aorta-57.Murmur Grade III-VILoud murmur easily heard58.JVD caused by

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-tension pneumothorax,-Rt. sided heart failure,-cardiac tamponade,-traumatic axphysia fromIncrease in portal pressure(LIVER) in venous side or corpulmonale59.pt. with gradual on-endocarditis , painful red spots on fingers olser'sset offever, hemor-nodes, janeway legions rash on palms and soles.rhageson nailbeds, painful raised red nodules, rash on palms60.Know the difference be-PAD: Absence of pulse, decrease blow flowingtweenPeripheral Arteri-down, PAIN, Dx doppler or ABI<0.9, TX exerciseal Disease and Chronicby walking or antiplatelet,Venous Insufficiency or PVD.There was ques-tion about PAD.PVD: Volume, edema, discoloration, decreaseblood going up,61.Chronic BronchitisTreatmentSmoking cessationPulmonary rehabilitationPharmacologic therapySupplemental oxygen62.TB... PPDis positive if areaof induration is:>5 mm in an immunocompromised patient or closecontact>10 mm in immigrant, health care workers, drug user>15 mm in a patient who lives in an area where TB isvery rare.

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63.what condition wouldCroup/Epiglottitismake you order Lateral X-ray of the neck. Optionsinclude: Drooling, Unableto do ROM of the neck /stiff neck.64.AV nicking (ArteriolesHTN retinopathypressing on vein of the eye)65.intraocular pressureFluid pressure inside the eye; measured with(IOP)tonometry66.Rovsing signpain in the RLQ when the LLQ is palpated (indicative ofappendicitis)67.Pencil-like stools occurin an obstruction ofwhatSigmoid descending colonIt's a thin narrow stool and possible causes includecolon cancer,diarrhea, IBS. Refer for GI colonoscopy68.headache after traumaSDH69.migraine headache-paroxysmal (sudden, periodic) attacks of mostlyunilateral headache, often accompanied by disorderedvision, nausea, or vomiting, lasting hours or days andcaused by dilation of arteries.4-12 hours, abortivetriptansprophylaxis propranolol, TCA amitriptyline,anticonvulsants topiramate

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