AANP Board 2023 Exam Questions and Answers with Explanations| Verified
1. Which of the following is the recommended maximum daily dose of Celebrex for
... [Show More] managing pain in older adults?
A. 1000 mg.
B. 500 mg.
C. 750 mg.
D. 100 mg.
Answer: 100 mg
R The maximum recommended daily dose for Celebrex in older patients is 100 mg. This drug may require aspirin supplementation in those patients requiring cardioprotection. This may also lead to need for gastrointestinal protection, especially in geriatric patients.
2. The ANP is consulting with her pregnant patient who was recently diagnosed with gestational diabetes. What is the best method of treatment she can put the patient on that is safe for her and her fetus?
A. Regular insulin.
B. Oral salt tablets.
C. Controlled diet.
D. Nothing at all.
Answer: Controlled diet.
R Insulin or oral medicines are not recommended for a patient with gestational diabetes because they can affect the growing fetus and interfere with glucose absorption, so controlled diet and exercise is usually the best way to treat it.
3. You have a 62-year-old male patient who has just recovered from an acute attack of gout. You want to prescribe a maintenance medication for this patient. Which of the following gout medications would you prescribe?
A. Indometacin
B. Colchicine
C. Naproxen
D. Allopurinol
Answer: Allopurinol
R Allopurinol is a maintenance medication for gout sufferers. Maintenance drugs are prescribed to be used at least 4 to 6 weeks after the acute phase is over. They may be used daily for years to lifetime.
4. Older adults often get B12 anemia. What is true concerning vitamin B12 therapy?
A. Anemia can resolve within 2 weeks of treatment.
B. Vitamin B12 is available only in parenteral and oral form.
C. Reversal of neurological abnormalities takes longer than 2 months once therapy is started.
D. Oral B12 is just as beneficial as parenteral B12.
Answer: Reversal of neurological abnormalities takes longer than 2 months once therapy is started.
R Anemia does not resolve until around 2 months of treatment and reversal of neurological abnormalities is generally slower than this. B12 is available in parenteral, oral and nasal gel forms. Oral B12 is not as beneficial as parenteral B12.
5. You are assessing a 67-year old woman with complaints of right knee pain when she goes up the stairs or walks long distances. You are examining the knee and note crepitus. What does the Geriatric Nurse Practitioner believe to be the likely cause?
A. femoral tendinitis
B. patellar tendinitis
C. arthritis of the knee
D. patellar bursitis
Answer: arthritis of the knee
R Choice C is the right answer. Typical symptoms of arthritis include the ones mentioned in the scenario and also pain with standing up after sitting. She will report stiffness after sitting for long periods and after awakening in the morning.
6. Mrs. Hanson is an 80-year-old woman for whom you must prescribe a pain-killing drug. When prescribing drugs for the elderly, such as Mrs. Hanson which of the following would NOT be in your plan?
A. Begin with more than the usual adult dose since absorption may take longer.
B. Make changes infrequently.
C. Allow an adequate trial period before discontinuing the drug.
D. Keep the number of pills needed to achieve the dose low.
Answer: Begin with more than the usual adult dose since absorption may take longer.
R This is not something that you would do for an elderly patient. You would begin with less than the usual adult dose. Then you might increase the dose but slowly.
7. During assessment of the heart failure patient, the GNP observes the patient's lungs. The GNP auscultates for:
A. Crackles.
B. Bruits.
C. Murmurs.
D. Gallops.
Answer: Crackles
R The GNP should observe the heart failure patient's lungs. The GNP should auscultate for crackles and wheezes. Crackles may also be present with other comorbid conditions.
8. Which of the following is used to reduce the frequency of painful episodes of sickle cell anemia?
A. elevate head of the bed when sleeping
B. limit fats and carbohydrates in diet
C. chemotherapy
D. cytotoxic agents
Answer: cytotoxic agents
R Sickle cell anemia is a chronic hemolytic anemia characterized by sickle-shaped RBCs. there should be physician referral for suspected cases and consultation for management. Cytotoxic agents are used to reduce the frequency of painful episodes of sickle cell anemia. Chronic folic acid supplementation and antibiotic prophylaxis are used as treatment. During acute painful episodes use analgesia, large volume IV fluids, oxygen to treat hypoxia, and antibiotics to treat associated bacterial infections. Blood transfusions are reserved for aplastic or hemolytic crises and during the third trimester of pregnancy. Refer for genetic counseling of identifies heterozygotes (sickle cell trait) and prenatal diagnostic services for pregnancies at risk for sick cell anemia.
9. Tetracyclines should be used with caution by anyone with which of the following types of impairment?
A. gastrointestinal
B. liver
C. heart
D. renal
Answer: renal [Show Less]