AANP/ANCC Questions and Answers (Complete Solution) 2023,
Graded A+
A). Right lower lobe crackles >>>13 yo male diagnosed as bronchitis was treated with
fluids and expectant. He returns with fever 102.8, R. pleuretic
...
AANP/ANCC Questions and Answers (Complete Solution) 2023,
Graded A+
A). Right lower lobe crackles >>>13 yo male diagnosed as bronchitis was treated with
fluids and expectant. He returns with fever 102.8, R. pleuretic pain, and green sputum.
which of the following would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion
c) The child quickly begins using arm to pick up toy >>>3yo diagnosed with radial head
subluxation (nursemaid elbow). After closed manipulation the best indicator of
successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy
D)Measles >>>a 11mo old presents with a rash, runny clear nose, and cough. During
assessment you note tiny white papules with erythema on the buccal mucousa. What is
this suggestive of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles
A)Augmentin >>>A 17yo complains of 14 day onset of facial pain in maxillary region
with yellow nasal drainage. what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
d)Erythromycin
d)Lung >>>Leading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung
b) No obvious signs/symptoms >>>a 27yo male uncomplicated chlamydia infection
may exhibit:
a)urticaria
b)no obvious signs or symptoms
c) green mucoid penile drainage
d)penile shaft ulcerb)start lower dose then taper up >>>common practice rule to follow with initiating
medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water
b) lower the seizure threshold >>>12 yo with PMI of seizure is reported by mother that
cold symptoms are present. Denies fever. The NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold
c. doxycyline >>>According to the American Thoracic Society/Infectious Disease
Society of American (ATS/IDSA) Consensus guidelines on the Management of
Community-Acquired Pneumonia in Adults, which of the following is the most
appropriate antimicrobial for tx of CAP in a:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin
c) Doxycycline >>>after a 3 wk camping trip, a 11yo presents with a target lesion with
central clearing on the inner left thigh. Chief complaints of headache, fatigue,and
generalized muscle pain for several days. What should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole
b. osteoporosis >>>During development of a treatment plan for a 78 yo with dx
hypothyroidism, the NP needs to be concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia
d)provide reassurance >>>16 yo currently taking ortho-novum 7/7/7 comes to clinic to
report midcycle spotting. Denies missing doses and is currently not on any other
medications. Which is appropriate?
a)modify usage
b)double her dose x 2 days
c) change to a different medicatio
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