AANP BOARD EXAM 2023-2024 ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ (NEWEST VERSION)

AANP BOARD EXAM 2023-2024 ACTUAL EXAM 200

QUESTIONS AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

(NEWEST VERSION)

Which of the following statements about falls in the elderly is least accurate?

Black women are at higher risk for hip fractures than white women.

The majority of deaths from falls are among people aged 65 years or older.

Injuries from falls include head injuries, pelvic injuries, lacerations, and more.

About 90% of hip fractures are due to falls. - ANSWER- Correct Answer:

Black women are at higher risk for hip fractures than white women.

Rationale; It is white women, not black women, who are at higher risk for hip

fractures. Falls are one of the most common adverse events that threaten the

quality of life of older adults. Falls among older adults are not a normal

consequence of aging.

Normal age-related changes of the skin may be confused with which of the

following clinical abnormalities?

dehydration

vitiligo

scabies

shingles - ANSWER- Correct Answer:

dehydration

Rationale; Normal age-related changes of the skin may be confused with

dehydration. Sebaceous gland activity tends to decrease with age, and the skin's

natural hydrators decline over the years. The skin's ability to regenerate lipids

compromising the protective lipid barrier layer of the Stratum Corneum also

declines with age, as does blood flow to the skin, which may cause a drop in

sebum production.

A 29-year old woman who is 6 weeks postpartum reports she is having rectal

bleeding that she believes is related to hemorrhoids. The Adult Nurse Practitioner

knows that this type of rectal bleeding is usually described as:

dark brown to black blood color with normal-appearing stool

significant amounts of bright red blood

large blood clots and mucus mixed with stool

streaks of bright red blood on the stool - ANSWER- The Correct answer is:

streaks of bright red blood on the stool

Rationale; Choice D is the right answer. The color of blood related to hemorrhoids

is described as bright red, eliminating choice A. Amount of blood with

hemorrhoids is usually small or scant, eliminating choices B and C. Internal

hemorrhoids can occur during or after childbirth. With chronically protruding or

prolapsing hemorrhoids, the patient often reports mucous leaking and staining of

the undergarments. Other causes are obesity, constipation, and prolonged sitting.

You have a patient with AIDS. You recognize that a low CD4 T-cell count puts the

patient at risk for opportunistic infections. You are reviewing his lab reports and

see that his CD4 T-cell count is indeed low. Which of the following is the normal

range for CD4 T-cell count?

800 -1400

700 -1400

400 - 1000

600 -1200 - ANSWER- Correct answer:

600 -1200

Rationale; The normal CD4 T-cell count is 600 - 1200. A low CD4 T-cell count is

below 600. The destruction of the CD4 T-cell causes depletion in the number of

CD4 T-cells and consequently increases the risk of infection. This puts the patient

at risk for infection.

ou have an adult patient with diabetes whose blood pressure is 145/95 mm Hg.

Which stage of hypertension does this indicate?

normal

pre-hypertension

Stage I

Stage II - ANSWER- Correct Answer:

Stage I

Rationale; Stage I hypertension is characterized by a systolic pressure of 140 - 159

mm Hg and a diastolic pressure of 90 - 99 mm Hg. The treatment recommendation

for this stage is usually a thiazide diuretic and for those with diabetes, either ACE

inhibitors or ARBs, because of their renal protective properties.

Clinical findings that are characteristic of asthma include all of the following

EXCEPT:

wheezing with and without associated respiratory infections

a congested cough worse during the day

recurrent shortness of breath with exercise

a recurrent spasmodic cough that is worse at night - ANSWER- The Correct

answer is:

a congested cough worse during the day

Rationale; Choice B is the right answer. The asthmatic patient complains of a

cough that is worse at night and has little congestion or sputum production. There

is a history of wheezing and chest tightness, shortness of breath with exercise, and

symptoms that worsen after airborne allergen exposure.

Which of the following is an example of objective data used for diagnosis?

Patient reports being more tired than usual.

Patient reports having difficulty breathing.

Patient reports productive cough.

Patient's cough produces yellow sputum. - ANSWER- Correct Answer: Patient's

cough produces yellow sputum Rationale; Objective data must be measurable and

verifiable. It is key to collect both objective and subjective data to form correct

differential diagnoses and then to determine the correct diagnosis and course of

further testing or treatment for a patient. The ability to synthesize both objective

and subjective data is a key skill for NPs.

A 68-year-old woman has been admitted to the hospital suffering from peripheral

vascular disease (PVD). You check her medical records for predisposing factors.

You recognize that all of the following are predisposing factors EXCEPT:

arteriosclerosis

advanced age

a history of renal problems

valvular incompetence - ANSWER- Correct answer:

a history of renal problems

Rationale; A predisposing factor for PVD is a history of deep vein thrombosis

(DVT). All of the other choices are valid predisposing factors.

Which of the following is NOT an indication of impaired skin integrity?

A mole with irregular borders.

Bruises in various stages of healing.

Cuts in various stages of healing.

A navel piercing more than a year old. - ANSWER- Correct Answer:

A navel piercing more than a year old.

Rationale; Unless the piercing is marked by scabbing or other evidence of trauma,

it is not evidence of impaired skin integrity. Tattoos and other body modifications

should be noted in the patient's assessment, but they are not in themselves cause for

concern.

You are determining the peak expiratory flow (PEF) for a 67-year-old female

patient who suffers from asthma. Which of the following is NOT a factor in

determining peak expiratory flow (PEF) for this patient?

age

height

weight

gender - ANSWER- Correct Answer:

weight

Rationale; Weight is not a factor in determining PEF. The PEF is based on height

(H), age, (A), and gender (G) - HAG.

Upon examination of a patient with a heart murmur, you hear a grade 1-3/6 late

systolic crescendo murmur with a honking quality. This is most likely indicative of

which of the following?