ANCC FNP EXAM
- Which drug is associated with increased lipoprotein levels?
A. Furosemide (Lasix)
B. Hydroclorothiazide (HCTZ)
C. Spironolactone (Aladactone)
D. Triamterene - What is the main reason for giving a progestational medication to perimenopausal
women who use estrogen?
A. preventing hot flashes
B. preventing osteoporosis
C. promoting growth of uterine lining
D. decrease the risk of endometrial hyperplasia - The FNP asks a patient to perform rapid, alternating movements of the hands to
evaluate:
A. cerebellar function
B. cognitive function
C. reflex arc function
D. stereognostic function - A 38 year old Vietnamese patient tells the FNP that his parent died in her 40s from
liver cancer. That patient is at risk for:
A. hepatitis B
B. malaria
C. tularemia
D. tyrosenemia - A difficult aspect of determining occupational exposure to disease is the:
A. Confidentiality of the information in company records
B. Inaccuracy of disease reporting
C. Long latency period between exposure and disease development
D. Reliance on workers’ memories
- To comply with regulations for third-party payor reimbursement and documentation, a
family nurse practitioner correlates:
A. Evaluation and management code with history, examination and medical
decision making.
B. Health outcomes with physical examination findings and plan of care.
C. Medication orders and treatment plan with electronic billing.
D. Patient privacy with informed consent. - The family nurse practitioner examines a patient who has sustained a non-workrelated injury that interferes with the patient’s ability to perform his or her job. The
patient does not qualify for medical disability and has a reasonable chance of engaging
in a suitable occupation with proper therapy. The nurse practitioner recommends that
the patient apply for:
A. Family and Medical Leave Act benefits.
B. Home health services.
C. Social Security benefits.
D. Vocational rehabilitation services. - 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:
A. Ordering a computed tomography scan of the head.
B. Ordering an immediate lateral neck x-ray.
C. Prescribing systemic antibiotics and cool mist inhalations.
D. Requesting a referral for evaluation of the larynx. - Routine immunization guidelines recommend administering the hepatitis B vaccine at
birth and repeating doses at:
A. One month and six months.
B. One month and two months.
C. Four months and two years.
D. Six months and 12 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:
A. Cancer prevention.
B. Primary prevention.
C. Secondary prevention.
D. Tertiary prevention. - Which health promotion strategy is most appropriate for adolescents who are
obese?
A. Individual-based behavior modification.
B. Motivational interviewing.
C. Parents should regulate meals.
D. Presenting video case studies. - Treatment of viral conjunctivitis includes the use of:
A. Antihistamine/decongestant drops.
B. Antihistamine/mast cell stabilizer drops.
C. Cold compresses.
D. Steroid eyedrops. - 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?