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Aanp Adult Gerontology Primary Care Nurse Practiot
Aanp adult gerontology primary care nurse practiot
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ancc agpcnp practice qs ANCC AGPCNP Practice Qs test questions and answers EXAM 2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION A 19-year-old woman has recently been diagnosed w
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Aanp adult gerontology primary care nurse practiot
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Aanp Adult Gerontology Primary Care Nurse Practiot
ancc agpcnp practice qs
ANCC AGPCNP Practice Qs test questions and answers EXAM
2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION
A 19-year-old woman has recently been diagnosed with acute hepatitis
B. She is sexually...
ANCC AGPCNP Practice Qs test questions and answers EXAM
2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION
A 19-year-old woman has recently been diagnosed with acute hepatitis
B. She is sexually active and is monogamous. She reports that her
partner uses condoms inconsistently. What would you recommend for
her male sexual partner who was also tested for hepatitis with the
following results: HBsAg (−), anti-HBc (−), anti-HBs (−), anti-HCV (−),
anti-HAV (+)?
A.Hepatitis B vaccination
,B.Hepatitis B immunoglobulin
C.Hepatitis B vaccination and hepatitis B immunoglobulin
D.No vaccination is needed at this time - ✔✔ANSWER✔✔-C.Hepatitis B
vaccination and hepatitis B immunoglobulin
HBsAg is a marker of infectivity. If positive, it indicates either an acute or
chronic hepatitis B infection, so the partner does not have acute or
chronic hepatitis B infection. Anti-HBs is a marker of immunity and
because this is negative, it indicates that the partner is not immune to
hepatitis B. Antibody to hepatitis B core antigen (anti-HBc) is a marker
of acute, chronic, or resolved hepatitis B virus (HBV) infection; it may be
used in pre-vaccination testing to determine previous exposure to HBV.
The hepatitis B panel results for the individual in this question (negative
HBsAg, anti-HBc, and anti-HBs) indicate the partner is susceptible (not
immune), has not been infected, and is still at risk of future infection—
and thus needs vaccine. Hepatitis B immunoglobulin contains
antibodies that provide "instant" immunity against hepatitis B, but its
action lasts for several days only. It is not a vaccine. It is given to infants
and others who are at high risk of becoming infected and are not
immune. The hepatitis B vaccine stimulates the body to make its own
antibodies, which are permanent. A total of three doses are needed to
gain full immunity against hepatitis B. Interpretation of the negative
anti-HCV screening test indicates that the partner is not infected with
Hepatitis C. The positive anti-HAV indicates that the individual is
immune (either from previous disease or from vaccination) to Hepatitis
A.
,A nurse practitioner sees a patient for a skin assessment and finds a
small number of rough, scaly patches on the patient's face, lips, ears,
and neck. Which is the most appropriate treatment for this condition?
a. Cryopexy
b. Radiation
c. 5-Fluorouracil cream
d. Cryotherapy - ✔✔ANSWER✔✔-d. Cryotherapy
The patient has a small number of actinic keratosis lesions on their
head, so cryotherapy is the best plan. If the patient had larger numbers
of lesions all over their body, 5-fluorouracil cream would be the most
appropriate intervention. Cryopexy is the treatment for a retinal
detachment. There is no need for radiation, because actinic keratosis is
a precursor to squamous cell carcinoma but is not cancerous.
A 73-year-old male who is a smoker has a BMI of 28 and is newly
diagnosed with primary HTN. He has a history of emphysema and
second-degree AV block. His BP from the previous visit is 145/80 mmHg.
During the current visit, his BP is 155/80 mmHg. What is the next step?
a. Start patient on atenolol (Ternomin) 50 mg once a day and reassess in
3 months
b. Start patient on felodipine (Cabren) 2.5 mg once a day and reassess
in 2 months
, c. Start patient on chlorthalidone 12.5 mg daily and reassess in 1 month
d. No medication is needed at this time - ✔✔ANSWER✔✔-c. Start
patient on chlorthalidone 12.5 mg daily and reassess in 1 month
For patients newly diagnosed with HTN, the guidelines recommend
follow-up visits every month (4 weeks) to reassess BP. When BP is at
goal (<130/80 mmHg), the visits can be done every 3 to 6 months. The
patient has emphysema, so beta-blockers are not allowed (rule out
option A). He also has a second-degree AV block, which is a
contraindication to CCBs (rule out option B).
If a known sulfa allergy is present, which cross-sensitivity should the
nurse practitioner be aware of when prescribing medications? (Select
all that apply.)
a. Thiazides
b. Loop diuretics
c. Silver sulfadiazine
d. Atenolol
e. Protease inhibitors - ✔✔ANSWER✔✔-A, B, C, E
Patients with sulfa allergies may be sensitive to thiazides, loop diuretics,
silver sulfadiazine (used in treating burns), and some protease inhibitors
(e.g., darunavair, fosamprenavir), which are used in the treatment of
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