ANCC FNP EXAM LATEST 2023-2024 REAL EXAM 120 QUESTIONS AND DETAILED ANSWERS|ALREADY GRADED A+

ANCC FNP EXAM LATEST 2023-2024 REAL EXAM 120
QUESTIONS AND DETAILED ANSWERS|ALREADY
GRADED A+
A 45-year-old patient who is an opera singer reports progressive hoarseness for the
last four weeks. The hoarseness began after a three-hour opera performance. The
patient does not smoke and reports no weight loss, upper respiratory infection,
dysphagia, or shortness of breath. The family nurse practitioner manages this
patient by:

1. ordering a computed tomography scan of the head.
2. ordering an immediate lateral neck x-ray.
3. prescribing systemic antibiotics and cool mist inhalations.
4. requesting a referral for evaluation of the larynx. – ANSWER- 4. requesting a
   referral for evaluation of the larynx.
   Routine immunization guidelines recommend administering the hepatitis B vaccine
   at birth and repeating doses at:
5. one month and six months.
6. one month and two months.
7. four months and two years.
8. six months and 12 months. – ANSWER- 1. one month and six months.
   A patient who sustained a myocardial infarction comes to the clinic for a refill of
   atorvastatin (Lipitor). The family nurse practitioner explains that the medication is
   prescribed for:
   1.cancer prevention.
9. primary prevention.
10. secondary prevention.
11. tertiary prevention. – ANSWER- 4. tertiary prevention.
    Which health promotion strategy is most appropriate for adolescents who are
    obese?
12. individual-based behavior modification.
13. Motivational interviewing.
14. Parents should regulate meals.
15. Presenting video case studies. – ANSWER- 2. Motivational interviewing.
    Treatment of viral conjunctivitis includes the use of:
16. antihistamine/decongestant drops.
17. antihistamine/mast cell stabilizer drops.
18. cold compresses.
19. steroid eyedrops. – ANSWER- 3. cold compresses.
    A 60-year-old patient with diabetes has a blood pressure reading of 150/96 mmHg.
    After three months of increased exercise and decreased calories, the patient has lost
    10 lb (4.54 kg). The patient’s follow-up blood pressure is 142/94 mmHg. Which
    medication does the family nurse practitioner prescribe?
20. Enalapril (Vasotec).
21. Furosemide (Lasix).
22. Hydrochlorothiazide (HydroDIURIL).
23. Propranolol (Inderal). – ANSWER- 1. Enalapril (Vasotec).
    A family nurse practitioner advises a nursing mother who has postpartum mastitis
    to take antibiotics as prescribed and:
24. continue to nurse with both breasts.
25. pump the unaffected breast with a lactation pump.
26. take cool showers.
27. temporarily switch to formula. – ANSWER- continue to nurse with both breasts.
    A patient who had a total gastrectomy one year ago complains of a sore mouth,
    indigestion, and tingling in the lower extremities. Which test is ordered by the
    family nurse practitioner?
28. Blood urea nitrogen level.
29. Complete blood count.
30. Liver function study.
31. Thyroid function study. – ANSWER- 2. Complete blood count.
    A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria
    shows symptoms associated with the use of:
32. benzodiazepine (Alprazolam).
33. cocaine.
34. morphine (MS Contin).
35. oxycodone (OxyContin). – ANSWER- 2. cocaine.
    A 40-year-old patient has had a generalized, nonpruritic skin eruption with
    intermittent exacerbations over the past 10 years. Currently, a well-circumscribed
    erythematous plaque appears over the patient’s left gluteal fold area. The lesion is
    covered with scales and has some fissuring. The family nurse practitioner makes a
    diagnosis of:
36. atopic dermatitis.
37. ichthyosis.
38. psoriasis.
39. tinea corporis. – ANSWER- 3. psoriasis.
    During cardiac auscultation, a soft first heart sound with a holosystolic apical
    murmur that radiates to the left axilla suggests:
40. aortic stenosis.
41. mitral regurgitation.
42. mitral stenosis.
43. mitral valve prolapse. – ANSWER- mitral regurgitation.
    A 68-year-old male patient reports an unintended weight loss of 15 lbs (6.8 kgs)
    over the last two months. The patient states that he feels well. His problem list
    includes depression, tobacco use, hyperglycemia, obesity, and dyslipidemia. The
    patient’s medications are sertraline (Zoloft), metformin (Glucophage), simvastatin
    (Zocor), and famotidine (Pepcid). The family nurse practitioner initiates which
    three interventions?
    Decreasing the statin medication.
    Increasing the Glucophage dose.
    Evaluating medication side effect profile.
    Ordering a thyroid-stimulating hormone level test.
    Performing a depression screening. – ANSWER- Ordering a thyroid-stimulating
    hormone level test.
    Performing a depression screening.
    Evaluating medication side effect profile.
    To determine whether sufficient evidence exists to prescribe glucosamine for a
    patient who has osteoarthritis (OA) of the knee, the family nurse practitioner
    reviews three article summaries. Place the article summaries in sequential order of
    strength of evidence from strongest to weakest:
44. Investigators conducted a retrospective review of 1000 charts of patients who
    were diagnosed with OA and had glucosamine on their medication list. The
    investigators assessed the pain rating scale at the time the glucosamine was
    prescribed and compared this score with the pain rating scale three months after the
    medication had been prescribed. They also reviewed the progress notes and
    included only patients for whom clinicians stated in the note that the patient took
    the medication regularly.
45. Investigators randomly assigned a group of 1600 patients with OA of the knee to
    receive either a placebo or glucosamine for six months. The goal was to determine