pg. 1 AANP AGPCNP PSI Test 1 & 2 Newest 2024 Test Bank/ Complete Exam Questions with 100% Correct Verified Answers/ Graded A+
Which of the following is a common presenting feature of hyperthyroidism in the elderly?1) elevated TSH 2) Thyroid enlargement 3) atrial fibrillation 4) abnormal T3 suppression - Correct Answer - 3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) send to ophthalmologists 2) Flore screen staining 3) test visual field 4) prescribe eyedrops - Correct Answer - 3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical examination, the nurse practitioner notes the presence of a gray band of opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is most
consistent with a diagnosis of a/an:
- corneal abrasion
- arcus senilis
- corneal ulcer
- herpetic infection of the eye - Correct Answer - 2) arcus senilis 1 / 4
pg. 2 Which of the following is considered the most important factor in understanding and predicting an individual's health across the life span?1) Psychological profile 2) Body habitus 3) Family history 4) diet history - Correct Answer - 3) family history
A 68-year-old patient with a recent diagnosis of mild transient ischemic attack has been placed on aspirin, 325 mg PO daily with food. The patient develops an aspirin allergy.
You would discontinue aspirin and:
1) change to clopidogrel (Plavix).2) change to valproic acid 3) refer for enterectomy 4) change to bilabial - Correct Answer - 1) change to clopidogrel
An 85-year-old female presents with a 2-hour history of diminished vision and severe pain in the right eye, plus nausea and vomiting. Visual acuity is decreased, the left pupil reacts to light, the right pupil does not react to light, and the conjunctiva is injected. The
nurse practitioner would:
1) immediately refer to an ophthalmologist.2) administer steroids 3) complete a comprehensive eye vision test 4) administer pilocarpine eye drops - Correct Answer - 1) immediately refer to an ophthalmologist. (acute angle closure glaucoma)
Which of the following statements about preventive health care for the elderly is incorrect?1) Elderly people usually have adequate insurance coverage.2) CALORIC needs are reduced in the elderly 3) femoral fractures are caused by uncoordinated muscle action than by the impact of the fall 2 / 4
pg. 3 4) Exercise EB to reduce mortality from CAD - Correct Answer - 1) Elderly people usually have adequate insurance coverage.
An older adult presents with severe abdominal pain. The husband reports that earlier in the afternoon, the patient's abdominal hernia had been firm and bulged out 4 inches (10.2 cm). The patient had him press on the hernia and immediately felt burning pain throughout the abdomen. Which of the following is the nurse practitioners' NEXT action?
- Abdominal CT scan
- Complete blood count with differential
- Abdominal ultrasound
- Referral to the ED - Correct Answer - 4. Referral to the ED
A young adult female who is 34 weeks pregnant presents with the complaint of urinary frequency every 1 to 2 hours. The patient has no fever and denies back pain. A urine dipstick test is positive for leukocyte esterase and nitrites. Microscopic analysis reveals 15-20 WBCs/huff and a few bacteria. The BEST choice for treatment of this patient's
urinary tract infection would be:
- trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for 3 days.
- cephalexin (Keflex), 500 mg four times daily for 7 days.
- ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
- erythromycin, 250 mg three times daily for 5 days. - Correct Answer - 2. cephalexin
(Keflex), 500 mg four times daily for 7 days.
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever, night sweats, and a cough that has been present for 4 weeks. The diagnostic study to
perform first would be:
1) Xray 2) pulmonary function test 3) bronchoscopy 4) H & H - Correct Answer - 1) Xray (tb-night sweats) 3 / 4
pg. 4 A patient with a diagnosis of diverticulosis presents with localized left lower quadrant discomfort, a palpable mass, mild leukocytosis, and T = 100° (37.8°C). The patient does
not appear toxic and can tolerate fluids. An appropriate plan should include:
1) NPO, BARIUM enema 2) low fiber diet and referral to GI 3) clear liquids and oral antibiotics.4) admit to hospital - Correct Answer - 3) clear liquids and oral antibiotics.
A frail elder who is on total bed rest suddenly develops urinary and fecal incontinence.
This condition is frequently an indication of:
1) dementia.2) fecal impaction.3) cholecystitis.4) Parkinson’s. - Correct Answer - 2) fecal impaction.
A 65-year-old female with diabetes mellitus presents for a routine follow up. BP is 142/88, Hgb A1c is 8.4%, fasting blood glucose is 160 mg/dL, and microalbumin is 60 mg/L (normal < 30 mg/L). In addition to changing the diabetes medications, the nurse
practitioner would also ensure that the patient is taking:
1) nifedipine 12.5mg daily 2) Amlodipine 10mg daily 3) benazepril, 10 mg daily.4) atenolol 25mg BID - Correct Answer - 3) benazepril, 10 mg daily.
A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort and fatigue. On physical examination, her lungs are clear bilaterally. There are a mi systolic click and a grade II/VI systolic murmur at the apex. Further evaluation would include which of the following?1) EKG, flat plate of the abdomen, lipid profile 2) Echocardiogram, Doppler, EKG 3) Labs and benzo's
- / 4