adult-gerontology nurse practitioner (AGNP) Practice Test 1 and 2 With Answers, Complete solution Pack 2022

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adult-gerontology nurse practitioner (AGNP) Practice Test 1 and 2 With Answers, Complete solution Pack 2022 1. 1. Question The nurse practitioner is starting a 38-year-old male patient on citalopra... m (Celexa) for his depression. Which of the following alternative treatments can not be used while taking this drug? o Ginkgo Biloba o Coenzyme Q10 o Saw Palmetto o St. John’s Wort Correct St. John’s Wort is an SSRI (selective serotonin reuptake inhibitor) alternative that can cause serotonin syndrome when given in conjunction with other SSRIs, like citalopram. It is important to always check current medications and alternative therapies patients might be on to be sure that they will not interfere with new drugs. 2. 2. Question The nurse practitioner understands that alpha-thalassemia most commonly occurs in patients from: o Southeast Asia o Mediterranean o South America o Eastern Europe Correct Alpha-thalassemia is most common in Southeast Asians. Beta thalassemia is most common in people from the Mediterranean region. Both of these present as a microcytic anemia and can be diagnosed with a hemoglobin electrophoresis. 3. 3. Question A 76-year-old male patient presents to the urgent care clinic complaining of sudden pain and redness in his right eye. He states that it has gotten progressively worse in the last hour. He endorses blurry vision and seeing “rings”. He tried using over-the-counter eye drops but they did not alleviate his symptoms. During the fundoscopic exam, the following findings are noted: a dilated right pupil with a hazy cornea, and his eye feels firm to the touch. His left eye is unaffected and benign on exam. Which of the following is the most likely diagnosis? o Corneal abrasion o Open-angle glaucoma Adult-gerontology nurse practitioner (AGNP) Practice Test 1 and 2 With Answers, Complete solution Pack 2022 o Herpes keratitis o Acute closed angle glaucoma Correct Acute closed angle glaucoma often presents as a sudden onset of pain in one eye accompanied by decreased visual acuity. Another common symptom seen is the presence of halos or seeing rings. Acute closed angle glaucoma is caused by an increased intraocular pressure and is an emergent situation to avoid permanent vision loss. 4. 4. Question A 77 year old female presents to the office with diminished central vision and line distortion. She notes this came on very gradually and denies eye pain. She has a history of gout, osteoporosis, and hypertension. What would be the most appropriate intervention to discuss with this patient? o Initiation of statin therapy as high cholesterol can worsen macular degeneration o Selecting large print books o Referral to ophthalmology to discuss lens replacement surgery o Discussing the initiation of corrective lenses Correct This patient is presenting with signs and symptoms of macular degeneration. Since macular degeneration is caused by damage to the retina, corrective lenses are not going to provide benefit for this patient. However, larger print may make it easier for the patient to read. As well, studies have shown that uncontrolled hypertension is directly related to macular degeneration, so strict blood pressure control will be important for this patient, however there is not sufficient evidence to support the use of statin therapy in those with this diagnosis. Finally, lens replacement surgery is used to treat cataracts, not macular degeneration. 5. 5. Question Which cranial nerve can be affected by a large cholesteatoma that is not removed? o CN VIII o CN X o CN V o CN VII Correct Adult-gerontology nurse practitioner (AGNP) Practice Test 1 and 2 With Answers, Complete solution Pack 2022 Cholesteatomas can damage the facial nerve (CN VII) and may cause facial paralysis if not removed. This is why it is important to refer these patients to ENT after identification of a cholesteatoma. While cholesteatomas can cause hearing loss, it is a conductive hearing loss and not a sensorineural hearing loss. 6. 6. Question After discharge from the hospital, an elderly male patient is going to require a wheelchair due to a recent foot amputation. Which part of Medicare, if any, will cover the costs of durable medical equipment? o o Medicare Part C o Medicare Part D o Medicare Part A o Medicare Part B Correct Medicare Part B covers medical equipment, outpatient visits, outpatient labs, and dialysis. Medicare Part A covers inpatient, hospice care, and skilled nursing facilities. Medicare Part C covers all the extra advantage plans including dental and eye o 7. Question A 71-year-old male presents for follow up after recently being treated for pneumonia. He reports that his shortness of breath has gotten worse and he has noticed speckles of bright red blood when he coughs. He has finished his entire course of antibiotics. The nurse practitioner orders a chest x-ray which notes a small, circumscribed white nodule with volume loss in the left lobe. Which of the following is the next most appropriate action? o Refer to pulmonology for a lung biopsy o Order a computer tomography (CT) scan of the chest o Order a MRI (magnetic resonance imaging) of the chest immediately o Order a ventilation/perfusion (VQ) scan of the lungs Correct The next step in treatment would be getting a low dose CT scan of the chest. It is important to note that even if the x-ray was negative, we would still continue with ordering the CT scan as X-Rays do not always pick up small nodules that can be seen on CT. We want to detect early for a better chance of conservative treatment. [Show More]

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