AANP FNP Certification Exam Study Guide TEST QUESTIONS | ACCURATE QUESTIONS AND DETAILED, Exams of Nursing

Download AANP FNP Certification Exam Study Guide TEST QUESTIONS | ACCURATE QUESTIONS AND DETAILED and more Exams Nursing in PDF only on Docsity! AANP FNP Certification Exam Study Guide TEST QUESTIONS | ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A | LATEST UPDATE 2024-2025 WITH 150+ QUESTIONS 3 Month Old infant with Down Syndrome, due to milk intolerance, mom started infant on Goat's Milk; now has pale conjunctiva but otherwise healthy; with low Hematocrit, what other test would you order? - ANSWER a. CBC b. Iron, TIBC 4 Month Old with Strabismus, mom worried, what do you tell her? - ANSWER a. Normal? 4 Month Old "won't keep anything down", what is the main thing you look for? - ANSWER a. Dehydration? Man with HTN, CAD, present femoral pulses, but absent pedal pulses? - ANSWER a. DVT? b. Venous Insufficiency? c. Arterial Insufficiency? Diabetic patient with foot laceration, at risk for what? - ANSWER a. foot ulcer? b. acute osteomyelitis Definition of metabolic syndrome? - ANSWER Treatment for Gonorrhea? - ANSWER a. Rocephin IM and Zithromax po b. Doxycycline po Diagnose trich? - ANSWER a. Wet Prep? b. KOH? Patient with history of PID, increase risk for? - ANSWER a. Infertility? Increased risk for ectopic pregnancy, history of...? - ANSWER a. Salpingitis Newborn with foot turned in ("toeing in"), what do you do? - ANSWER a. Refer immediately to orthopedist? b. Routine followup? Osgood Schlatter Disease pain location? - ANSWER Growth plate fracture (Salter-Harris fx) location and pain? - ANSWER Peripheral vision loss = ? Central vision loss = ? - ANSWER Patient with Atopic Dermatitis, look for what other diseases? - ANSWER a. Asthma? Patient forgot to start Thanksgiving dinner, and husband states that she has trouble remembering tasks and has trouble with organization... What is this indicative of? - ANSWER a. Alzheimer's? b. Delerium? Quick assessment of patients fall risk? - ANSWER a. Timed Get up and Go? Mitral Regurgitation = sound and heard best at? Mitral Stenosis = " " " " " "? Mitral Prolapse = " " " " " "? Mitral Sclerosis = " " " " " "? Aortic Stenois = " " " " " "? Aortic Regurgitation = " " " " " "? Aortic Sclerosis = " " " " " "? - ANSWER 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - all but which of the following? - ANSWER a. Mini Mental b. Depression Screen c. d. Patient voices aching when ambulating? *This question did not specify if it was bilateral or unilateral* *Mentioned something about "rubor" but I can't remember what it said exactly...* - ANSWER a. DVT? b. Venous Insufficiency? c. Arterial Insufficiency? Patient with HIV took high-potency anti-viral treatments and CD4 is >400, what does this indicate? - ANSWER a. Patient has full-blown AIDS as defined by the CDC? ? Patient has following labs: listed serology for Hepatitis, and then had to know if they had an active infection or immune, etc... - ANSWER Cranial nerves responsible for extraoculomotor movements? - ANSWER a. 2, 3, 6? b. 3, 4, 6? Patient with hx of hypertension and stroke, now having memory loss and confusion - indicates what? - ANSWER a. Alzheimer's b. Vascular Dementia? CAGE acronym - ANSWER ? Treatment for chronic alcoholism? - ANSWER ? Frail elderly mammogram breast tissue? - ANSWER ? Patient has Barrett's esophagus, insurance no longer covers gastroenterologist who was treating condition, patient at the FNP office, wanting a prescription for medication... What should the FNP do? - ANSWER a. Refer to oncologist? b. Refill prescription? GERD treatment? - ANSWER a. PPI? Per American College of Gastroenterology, treatment should begin with a PPI. b. H2? An H2 is inferior to PPI's. 3 months on Symmetrel, TSH increased, T4 normal, what do you do? - ANSWER a. Increase medication? b. Decrease medication? Lipid level of 1500, increased risk for? - ANSWER a. pancreatitis? Frail elder, increased creatinine, indication? - ANSWER ? Fingernail hematoma treatment? - ANSWER a. drill hole and drain blood? Abnormal cells on PAP, what do you do next? - ANSWER a. Refer for colposcopy? Red beefy tongue? - ANSWER a. Pernicious Anemia? b. Iron Deficiency? c. Folate Deficiency? Low Hemoglobin, Low Hematocrit, High MCV - Indicates what? - ANSWER ? Metronidazole AEs - Ans - GI, peripheral neuropathy, disulfiram reaction Nitrofurantoin uses - Ans - UTI -not pyelonephritis due to no systemic absorption Nitrofurantoin AEs, contraindications - Ans - Pulmonary fibrosis, contraindicated in CrCl <60 (excludes many elderly) Aminoglycoside drugs - Ans - Gentamycin, tobramycin Aminoglycoside uses - Ans - Atypical coverage, resistant infections, tobramycin for CF only Aminoglycoside AEs - Ans - Ototoxicity (irreversible), nephrotoxicity (reversible) Aminoglycoside monitoring - Ans - Renal dose adjust, hearing test, drug level monitoring Antifungals (azoles) - Ans - Fluconazole, itraconazole Itraconazole interactions - Ans - Acid suppressive therapies Fluconazole dose adjust - Ans - Renal Antifungal AEs - Ans - GI, QTc prolongation (fluconazole) Antifungal drug interactions - Ans - QT prolongation meds, warfarin Anti-infectives not for pregnant - Ans - Tetracyclines, TMP-SMZ TMP-SMZ coverage - Ans - G+, G-, MRSA, Protozoa (toxoplasma gondii), fungus (pneumocystis jirovecii), poor anaerobic activity TMP-SMZ AEs - Ans - Sulfa allergy, photosensitivity, hematologic (anemia, leukopenia, thrombocytopenia) TMP-SMZ on renal function - Ans - Dose adjust in renal impairment, false elevation in serum Cr TMP-SMZ drug interactions - Ans - Warfarin Gram + only coverage - Ans - Clindamycin, linezolid, vancomycin, daptomycin Gram - only - Ans - Monobactams (aztreonam), penicillin VK Gram +/- - Ans - PCN (aminopcn, ext. spectrum), carbapenams, aminoglycosides, TMP-SMZ, fluoroquinolones, fosfomycin Head growth in first year of life - Ans - Total 12cm Head growth 0-3mo - Ans - 6cm Head growth 4-6mo - Ans - 3cm Head growth 6-12mo - Ans - 3cm Head growth 2-7yo - Ans - 0.5cm/yr Head growth 8-12yo - Ans - 0.3cm/yr Tumor grading: T0 - Ans - No evidence of primary tumor Tumor grading: T1 - Ans - 2 cm or less in greatest dimension Tumor grading: T2 - Ans - >2-5cm Tumor grading: T3 - Ans - >5cm Chvostek sign - Ans - Hypocalcemia, spasm when tap facial nerve Trousseau sign - Ans - Hypocalcemia, spasm when compress brachial artery w/ BP cuff Myocardial ischemia EKG changes - Ans - Inverted T wave, T wave depression Myocardial injury EKG changes, - Ans - ST segment elevation, tall peaked t wave Myocardial infarction EKG changes - Ans - Q wave 1st gen antihistamines - Ans - Diphenhydramine, chlorpheniramine 2nd gen antihistamines - Ans - Loratadine, desloratadine, cetirizine, fexofenadine, levocetirazine Ishihara chart - Ans - Test for color blindness Pelvic inflammatory disease tx - Ans - Ceftriaxone+doxycycline +/- metronidazole Trichomoniasis tx - Ans – Metronidazole Which among the list can cause increase in respiration - ANSWER Options include (low oxygen, high oxygen, hypercapnia, hypocapnia)? Which among the list can cause increase in respiration - ANSWER hypercapnia Osteoporosis Risk Factors (ACCESS) - ANSWER A-lcohol Use C-orticosteroid Use C-alcium low E-strogen low S-moking S-edentary lifestyle/s ACCESS leads to OSTEOPOROSIS to prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and low Hct - ANSWER VITAMIN D 600-800, CALCIUM 1000-1200. OSTEOPOROSIS BONE ABSORPTION EXCEED BONE FORMATION. LOW TSH= Hyperthyroidism- BONE DEMINERALIZATION. NEED CALCIUM for BONE GROWTH Carotid bruit - ANSWER abnormal flow of blood through the carotid artery Carotid bruit - ANSWER abnormal flow of blood through the carotid artery due to atherosclerotic disease Common causes of GERD - ANSWER risk factors- alcohol, anticholinergic, CCB, chocolate peppermint, fatty, spicy, citrus foods, hormones, obesity, pregnancy, smoking, theophylline, exacerbated by CCB verapamil Common causes of GERD - ANSWER risk factors- alcohol, anticholinergic, CCB, BB chocolate peppermint, fatty, spicy, citrus foods, hormones, obesity, pregnancy, smoking, theophylline Zeprexa. What lab and intervention to put in place - ANSWER CAUSES ELEVATED LIPDS, GLUCOSE, WEIGHT monitor CBC for low WBC weight- BMI q 3m b/p, mental status, lips, prolactin, glucose Weber test - ANSWER Sensorineural loss Weber test(top of head) no laterization, normal finding, does not lateralize to either ear, bilateral hearing loss, if hear better in left ear, right sensorineural loss Weber test - ANSWER Sensorineural loss Weber test (top of head) no laterization- normal, does not lateralize to either ear- bilateral hearing loss, if hear better in left ear, right sensorineural loss. SUN- sensorial lateralize unaffected ear CAFFE- Conductive lateralize to affected ear Assessment on patient with ascites - ANSWER Dullness Assessment on patient with ascites - ANSWER Dullness to percussion Varus Stress Test - ANSWER application of a lateral force to the medial aspect of a joint in an attempt to create a gap in the lateral joint line, thereby testing the stability of the lateral aspect of the joint LCL Varus Stress Test - ANSWER TEST LCL (lateral-vaRus) McMurrays- Meniscus CLICK application of a lateral force to the medial aspect of a joint in an attempt to create a gap in the lateral joint line, thereby testing the stability of the lateral aspect of the joint LCL German Measles (Rubella) - ANSWER Pink, papular rash (similar to measles but paler) first appears on face, then spreads. Distinguished from measles by presence of neck lymphadenopathy and absence of Koplik spots. patient with IOP of 32mmHg, what do you expect during fundoscopic exam - ANSWER patient with IOP of 32mmHg, what do you expect during fundoscopic exam - ANSWER increase cup-to-disc ratio retinal hemorrhage hyperparathyroidism - ANSWER high calcium Hyperthyroidism treatment - ANSWER methimazole, PTU-propylthiouracil (preferred in pregnancy) Radioactive iodine, Beta blockers Mammography Screening - ANSWER -Age 45 - 54 yearly mammogram -55 and older every 2 years Fifth's Disease (Erythema Infectiosum) - ANSWER B19: lytic infection, respiratory transmission Sx: flushed rash/fever in kids Px: fever, get better in a week pt has AOM but has hives on Amoxicillin and N/V with erythromycin, what meds to give - ANSWER TREATMENT: Amoxicillin (first line), then Augmentin, Omnicef, Ceftin, Levaquin. If your patient is only PCN allergic do azithromycin or clarithromycin. chlamydia in pregnancy - ANSWER Azithromycin 1 gm PO x1 or Amoxicillin 500 mg PO TID x7d. Test of cure 3 weeks after completion of treatment (PREGO). EXAM papilledema - ANSWER optic disc swollen w/ blurred edges due to increased ICP EXAM actinic keratoses - ANSWER Precursor to squamous cell carcinoma. "numerous dry round and pink to red lesions" with a rough and scaly texture. Does not heal. Slow growing in sun exposed areas. Diagnosis: BIOPSY Golden Standard. Treatment: Sm. (cryotherapy), Lrg. (5-FU cream)- which causes ur skin to ooze, crust, scab, redness EXAM Allergic Conjunctivitis - ANSWER "stringy; increased tearing" PO antihistamines. Type I sensitivity. Typically bilateral. Rhinitis and allergic shiner. COPD - ANSWER COPD- Gold 1-2- SABA or SAMA ON EXAM.BASCIALLY ANTICHOLINERGIC FIRST LINE FOR COPD ON EXAM Gold 1-2 that are poor controlled- LAMA or LABA. May use SABA for rescue. Gold 3-4 LAMA first line. If poor use LAMA plus LABA. Alternative is LABA + ICS. Gold 3-4- refer SABA- Albuterol, levoalbuterol (terol) LABA- Formeterol, salmeterol (Terol) SAMA- Atrovent Ipatropium (tropium) LAMA- Spiriva Tiotroium (tropium) COPD long term is OXYGEN CN IX Glossopharyngeal - ANSWER - Shoulder shrug/ ROMBERG test EXAM CN V Trigeminal - ANSWER Herpes. CORNEAL ABRASION. EXAM CN VIII Vestibulocochlear - ANSWER ears 8 EXAM CN VII Facial - ANSWER BELLS EXAM ACEI contraindicated - ANSWER pregnancy Safe to give varicella/MMR - ANSWER Do not give <12 mo. EXAM QUESTION Acne Vulgaris - ANSWER common acne. Retin-A, acne worsens 4-6 weeks if no improvement in 8-12 weeks increase dose or add erythromycin, benzoyl peroxide. Acne Rosacea - ANSWER - chronic small acne like papules/pustules around nose mouth chin. TREATMENT- Metrogel, Azelex. Low dose tetracycline. Clindamycin. EXAM Cataracts - ANSWER is on EXAM in elderly night vision issues. Opaque Kawasaki disease - ANSWER - acute high fever, enlarged lymph. BRIGHT RED RASH, conjunctivitis, dry cracked lips, strawberry tongue, Swollen hands, feet, AFTER the fever resides the rash PEELS on hands/feet. Treated with high dose aspirin and gamma globulin. This is TOXIC and VASCULAR, think blood clots, heart problems etc. Treat: high dose aspirin. EXAM Erythema migrans - ANSWER Erythema Migraines- (stage 1 Lyme) Target bulls-eye, usually appears in 7-14 days POST bitten tick. Rash is hot to touch with rough texture, flu like symptoms. DX: B. Burgdorferi via ELISA, confirm with western blot. Increased ESR. TREATMENT: Less than 7 Amoxicillin or cefuroxime axetil. Older than 7 Doxycycline. EXAM Rocky Mountain Spotted Fever - ANSWER Inc. fever, chills, N/v, photophobia, myalgia, arthralgias THEN 2-5 days later you develop a petechial rash on forearms, ankles, wrists, that spreads towards trunk and becomes generalized. Think rocky NC/OK/AK/TN/MO. DX: PCR essay with Rickessetti Antigen TREATMENT- doxycycline. EXAM Addison's - ANSWER Addison's- deficient in cortisol (think low sodium, blood sugar, but Increase K. You must give cortisol. (Diagnosis Plasma Cortisol <5 mcg/dl @ 0800.) EXAM rheumatoid arthritis - ANSWER Early morning stiffness, sausage joints. Symmetrical involvement. Longer stiffness than OA. Joint space narrowing. Pain, warm, tender, swollen, things. TREAT: NSAIDS, steroids, DMARDS, TNF. Only has BOUCHARDS, SWAN NECK IS DESCRIPTION ON EXAM Osteoarthritis - ANSWER Large weight bearing joints. Early morning stiffness with inactivity. Has both nodes. FIRST LINE Acetaminophen. EXERCISE: Isometric exercises for knee OA. Non-weight bearing, like biking, swimming, stationary bike. EXAM