Download FNP AANP Practice Latest Exam 2025-2026 With Correct Verified Answers Graded A+ and more Exams Nursing in PDF only on Docsity!
FNP AANP Practice Latest Exam 2025-2026 With
Correct Verified Answers Graded A+
Which of the following laboratory tests are most widely accepted as indicators of the progression of HIV infection? - correct answer>>CD4 count and viral load A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History indicates normal prenatal progress to date, and the patient denies pain, vaginal itching, or discharge. Which of the following is the most appropriate intervention to aid in the diagnosis of this case? - correct answer>>Ultrasound A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss of appetite. The patient lives with several relatives, including a grandmother who also has a cough. Which of the following diagnostic tests would be most appropriate for the patient? - correct answer>>Sputum culture Which of the following best describes psoriatic lesions in an elderly patient? - correct answer>>Red, sharply defined plaques with silvery scales A patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary artery disease. The patient is on both insulin and a beta blocker. Assuming that the patient will continue the beta blocker, it will be important to educate the patient on the recognition of hypoglycemia. Which symptom would be most indicative of hypoglycemia in this patient? - correct answer>>Sweating An 88-year-old male presents with concerns about memory loss. He feels good, takes an aspirin daily, and has no chronic diseases. He lives alone, drives his own car, and manages his financial affairs. To evaluate his memory, which of the following tests should the nurse practitioner choose? - correct answer>>Folstein Mini-Mental State Examination Which of the following is the leading cause of cancer-related deaths in the majority of women? - correct answer>>Lung cancer Which of the following findings is typically a sign of acute appendicitis? - correct answer>>Rebound tenderness at McBurney's point A patient with macular degeneration has difficulty seeing objects: - correct answer>>In the center of the visual field.
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: - correct answer>>the meaning of a common proverb. During an employment physical examination of a 21-year-old female, bruising around the areolae on the breasts is noted. An appropriate health history for these findings should include all of the following EXCEPT: - correct answer>>socioeconomic status. The best laboratory test to distinguish iron deficiency anemia from other anemias is: - correct answer>>serum ferritin level. A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to testosterone, the most appropriate diagnostic tests to order would be: - correct answer>>follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH). Office spirometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma because it indicates: - correct answer>>whether a patient has reversible airway obstruction. An 88-year-old patient presents with right-sided weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with a hypertension medication regimen. What is the most likely diagnosis? - correct answer>>Left-sided stroke 29 - year-old male with noncomplicated Chlamydia infection may exhibit: - correct answer>>no remarkable clinical symptoms. To assess spinal function at the S1 level, which deep tendon reflex should be tested? - correct answer>>Achilles An 18-year-old college student presents for an athletic physical. When asked about current medications, she mentions that she takes "some herb" she bought at a health food store for migraines and menstrual cramps. Which of the following herbal remedies has been commonly used for these conditions? - correct answer>>Feverfew An 88-year-old patient has had a gradual onset of hearing loss in the left ear. Examination shows a large accumulation of cerumen in the external auditory canal. Assuming there is no neural loss, the nurse practitioner would expect the Weber test to:
- correct answer>>lateralize to the left.
A 32-year-old patient reports a 6-month history of intermittent symmetrical swelling of the wrists and daily morning stiffness lasting 1 hour or more in and around other joints. What is the most likely diagnosis? - correct answer>>Rheumatoid arthritis A 38-year-old male experiences a sudden onset of acute abdominal pain radiating to his groin. He is having difficulty walking and is nauseated. He denies any trauma or previous groin injuries. Examination reveals diffuse swelling of the left testicle and negative cremasteric reflex. The most likely diagnosis is: - correct answer>>testicular torsion. A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6 months. She reports recent unintentional weight loss. On physical examination, there is pain on ROM, with no weakness noted. Laboratory studies show a low hemoglobin and an elevated sedimentation rate. Which of the following is the most likely diagnosis? - correct answer>>Polymyalgia rheumatica A 20-year-old male presents with a 1-month history of a "bump on my testicle." He reports being sexually active, with frequent episodes of unprotected intercourse with multiple partners. Which condition should be suspected? - correct answer>>Cancer of the testicles A 10-month-old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny white papules with an erythematous base on the buccal mucosa. What does this suggest? - correct answer>>Measles A nurse practitioner is evaluating a 40-year-old patient suspected of having a pulmonary embolus. The patient complains of anxiety and cough. A stat chest X-ray is normal. Which of the following tests should the nurse practitioner perform next? - correct answer>>Helical CT pulmonary angiography A 72-year-old female presents with a medical history unremarkable except for the occasional headache. She enjoyed emotional health throughout marriage and childrearing, although her family history is significant for strokes and nervous breakdowns. Since her husband died a year ago, however, she has been waking every morning at 3:00 A.M., is reluctant to go out although she has family members living nearby, and feels a continual urge to sleep. She cannot discuss her late husband without crying. Differential diagnoses would include: - correct answer>>depression, unresolved grief, and hypothyroidism.
Trigeminal neuralgia manifests itself primarily with: - correct answer>>electric-shock- like unilateral facial pain. A 65-year-old male presents to a clinic complaining of increasing fatigue, dyspnea on exertion, and ankle edema during the day. He has a history of mild hypertension, for which he saw his physician years ago. The physician advised the patient to decrease his salt intake. On physical examination, the patient is tachycardic, positive for jugular venous distention, and positive for S3, with a systolic murmur. Chest X-ray reveals cardiomegaly with vascular redistribution. The nurse practitioner's diagnosis should be: - correct answer>>heart failure. Which of the following criteria differentiates a TIA from a stroke? - correct answer>>Absence of residual symptoms A 66-year-old patient presents with bilateral otitis media with effusion and white patches in the mouth that do not rub off when wiped with a 4 × 4. The patient should be evaluated for: - correct answer>>HIV infection. A 14-year-old patient who fell on an outstretched hand complains of proximal forearm pain. X-ray reveals a positive fat pad sign, and the patient is unable to fully extend the elbow. No definitive bony changes are seen on X-ray. The most likely working diagnosis is: - correct answer>>radial head fracture. A 2-month-old infant is presented for examination and immunizations. History includes an uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth. Examination is unremarkable except for a diffusely erythematous (non-beet-red) macular rash in the diaper area, sparing the inguinal folds. No satellite lesions are noted. The infant's diaper rash is most likely caused by: - correct answer>>contact dermatitis. A 17-year-old female has never had her menses. She is at Tanner stage III of sexual development. Her physical examination is completely normal, and her weight is appropriate for her age and height. What is the most likely diagnosis? - correct answer>>Primary amenorrhea A 70-year-old male presents with paresthesia of the lower extremities. On examination, the patient appears pale and shows a decreased vibratory sense. Laboratory tests reveal elevated indirect bilirubin; Hct = 30%; mean corpuscular volume (MCV) = 120 μm [normal = 87-103 μm3]. The most likely diagnosis is: - correct answer>>pernicious anemia.
An 18-month-old child presents with a bulging, immobile tympanic membrane; T = 103°F (39.4°C). Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After initiation of treatment for otitis media, the most appropriate intervention is to: - correct answer>>reevaluate the patient in 10 days. Research findings have shown that, in order to improve the longevity of a patient who has COPD, the treatment of choice is: - correct answer>>oxygen. The management of choice for polymyalgia rheumatica includes: - correct answer>>prednisone. A 40-year-old male presents with a 2-week history of rectal pain and itching. He reports a past history of constipation and finding spots of bright red blood on toilet paper several times a week. Rectal examination reveals a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. Which of the following actions should the nurse practitioner take? - correct answer>>Prescribe bulk-forming agents and hydrocortisone suppositories. A nurse practitioner is suturing a simple laceration on an 11-year-old patient. The use of lidocaine with epinephrine is contraindicated in all of the following areas EXCEPT the: - correct answer>>scalp. An 18-year-old patient presents with complaints of maxillary facial pain and yellow nasal discharge for 14 days. What is the appropriate initial pharmacologic intervention? - correct answer>>Amoxicillin-Clavulanate (Augmentin) Which of the following would be an appropriate alternative to erythromycin therapy in an 18-year-old patient with Mycoplasma pneumoniae infection? - correct answer>>Azithromycin (Zithromax) Initial therapy for a 3-week-old infant with uncomplicated symptoms of gastroesophageal reflux disease includes which of the following positions and change in diet? - correct answer>>Smaller, more frequent feedings while holding infant A routine laboratory assessment of a 12-year-old patient with a family history of thalassemia and anemia reveals Tanner stage II presentation and Hct = 35%. In addition to a complete blood count (CBC), the nurse practitioner should order which of the following? - correct answer>>Hemoglobin electrophoresis
A 67-year-old patient with type 2 diabetes mellitus, congestive heart failure (CHF), and mild coronary artery disease is currently taking digoxin, 0.25 mg daily; hydrochlorothiazide, 25 mg daily; metformin, 500 mg daily; glipizide, 10 mg daily; and atorvastatin (Lipitor), 20 mg h.s. Which of the following is an accurate statement regarding this regimen? - correct answer>>The hydrochlorothiazide will predispose the patient to digoxin toxicity. A 14-year-old male with bronchitis is being treated with fluids and expectorants. He returns to the clinic with a fever of 103°F (39.4°C), right pleuritic chest pain, and green sputum. Which of the following examination results would be expected? - correct answer>>Right lower lobe crackles A nurse practitioner orders pulmonary rehabilitation for a 75-year-old with COPD. Expected outcomes of this program include all of the following EXCEPT: - correct answer>>increased lung capacity. A patient with type 1 diabetes mellitus who is on NPH and regular insulin split-dosing presents with complaints of early morning rise in fingerstick blood glucose. A review of an at-home glucose test reveals increased morning levels. After an increase in the evening insulin dose, the problem worsens. This is most likely an example of: - correct answer>>the Somogyi effect. A 15-year-old patient returns for contraceptive services 2 weeks after a diagnosis of trichomonas vaginitis and treatment with 2 g of metronidazole (Flagyl). She reports that discharge and itching are gone, but she is urinating frequently, accompanied with a lot of burning. The patient has not resumed sexual activity and has menstruated since her last visit. Examination reveals mild suprapubic tenderness, no leukorrhea, and a normal wet mount. Gonococcal culture and chlamydia tests are negative. Which diagnostic test should be performed immediately? - correct answer>>Microscopic examination of urine A 50-year-old male presents with a chief complaint of malaise. Further questioning reveals that his primary concern is delayed ejaculation. He is currently taking the following medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and hydrochlorothiazide (HCTZ), 25 mg daily. The most likely cause of the patient's concern would be: - correct answer>>paroxetine (Paxil). During development of a treatment plan for an 84-year-old patient with hypothyroidism, the nurse practitioner must keep in mind the possibility of the worsening of: - correct answer>>osteoporosis.
