ANCC FNP BOARD EXAM LATEST 2023-2024 REAL
EXAM 200+ QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES|ALREDY GRADED A+
A 16-year-old male is in the office. He has a insect bite on his left forearm and you
suspect a brown recluse spider bite. What medical management would you
provide? – ANSWER- ice pack and elevation of the area
In addition to being overweight, the American Diabetes Association recommends
type 2 diabetes mellitus testing in adults who: – ANSWER- have an HDL level of <
35 mg\/dL
Which of the following found on an ECG would confirm atrial fibrillation? –
ANSWER- -absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic heart
failure are accurate EXCEPT: – ANSWER- -The preponderance is in females until
the age of 75, then there is equal occurrence in males and females.
RATIONALE: -Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP
plans to prescribe Benadryl for this. What is a possible adverse effect with the use
of Benadryl for this patient? – ANSWER- urinary retention
You are testing a client suspected of having Parkinson’s disease. You support the
client’s elbow with his forearm extended in your hand and grasp his wrist, flexing
the forearm. You find rigid resistance to this motion. This is considered which of
the following? – ANSWER- cogwheeling
The complex network of nerve fibers that innervate the organs within the abdomen
like the gastrointestinal tract, pancreas, and gall bladder is the – ANSWER- enteric
nervous system<\/p>\n\n\n\n
Aplastic anemia would be classified as which of the following? – ANSWERnormocytic anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is
known for which of the following? – ANSWER- developing the “baby journal” as a
systematic method to document observed behavioral development
Your patient has AIDS. He is in the hospital suffering from an infection. He
presented with severe watery diarrhea, abdominal cramps, nausea, malaise and has
an electrolyte imbalance. Which of the following opportunistic infections do these
symptoms best describe? – ANSWER- cryptosporidiosis
RATIONALE: Cryptosporidiosis presents with severe watery diarrhea –
sometimes as many as 30-40 stools per day. The patient also has abdominal
cramps, nausea, malaise and tests will show an electrolyte balance.
A patient with sensitive skin had a TB skin test but has no symptoms. He returns
with redness and swelling that appears positive. What is the next step? –
ANSWER- Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients. Which of
the following would not be considered crossing one of these boundaries? –
ANSWER- Not sharing personal information with the patient
The United States Preventive Services Task Force recommends screening older
patients for depression: – ANSWER- at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral route
from contaminated food? – ANSWER- Hep A
Which of the following is a normal physiologic change during pregnancy? –
ANSWER- -Cardiac output increases by 1\/3 by the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
If a patient is diagnosed with left-heart failure, which of the following medications
would the nurse practitioner more than likely use for treatment? – ANSWER- Lasix
When counseling patients who smoke cigarettes, which of the following is NOT
good management advice? – ANSWER- For asymptomatic adults, instruct the
patient on how it is easier to stop now than when symptomatic.<\/p>\n\n\n\n
According to Prochaska and DiClemente, the 5 stages of preparation for patient
change would include which of the following? – ANSWER- Action
Paul is a 67-year-old male patient with type 2 diabetes. In managing this patient’s
care which of the following lab tests would you have done for Paul every 3 – 6
months? – ANSWER- A1c
Which of the following would be considered one of the stages of Pertussis? –
ANSWER- Convalescent
You are testing a 35-year-old male patient for Addison’s disease. You perform the
test for ACTH stimulation. If this patient has primary adrenal insufficiency he will
have which of the following responses to this test? – ANSWER- no response
You want to prescribe a drug with a rapid onset for a patient who is being treated
for anxiety. Which of the following drugs for treating anxiety has the most rapid
onset of action? – ANSWER- diazepam – Diazepam has a rapid onset of action and
a relatively sustained effect.
You have a patient with a “port wine” stain that is located on half of her facial area.
You understand that this can be a sign of which of the following? – ANSWERSturge-Weber SyndromeRATIONALE: The flat, large, dark ink to purple stain-like lesions occurring in
irregular shapes and sizes are nevus flammeus or “port wine” stains. A large lesion
located on half the facial area may be a sign of trigeminal nerve involvement and
Sturge-Weber Syndrome (a neurological disorder).
A patient with stable angina would exhibit which of the following? – ANSWERno change in duration of symptoms during the preceding 6 weeks
Which of the following is most likely when there is no p wave present on an
electrocardiogram? – ANSWER- A.Fib
Lispro insulin has an onset which starts at which of the following? – ANSWER- 15
minutes
Which of the following would be considered correct for a fungal infection which is
a common skin tissue issue that is typically seen on the extremities, trunk or face? –
ANSWER- ringworm<\/p>\n\n\n\n
Your patient has “swimmer’s ear.” She has no other associated conditions. Your
management of this patient will include which of the following? – ANSWERapplication of local heat to outer ear for pain relief
A middle-age female patient presents to the clinic with a recurrence of mild
hidradenitis suppurativa after topical therapies failed. Which first-line treatment is
recommended? – ANSWER- Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line
treatment for hidradenitis suppurativa.
RATIONALE: Hidradenitis suppurativa is a disorder of the terminal follicular
epithelium in apocrine gland-bearing skin. It is a chronic, disabling disorder that
progresses, often causing keloids, contractures, and immobility. It is characterized
by comedone-like follicular occlusion, chronic and relapsing inflammation,
mucopurulent discharge, and progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical presentation
includes nodules and sinus tracts (inflamed or noninflamed), abscesses, and
scarring found in the axilla, genitofemoral area, perineum, gluteal area, and
inframammary area in women.
Recommended treatments include antibiotics, steroids, retinoids, dapsone, and
anti-tumor necrosis factor agents. A dermatology consultation should also be
considered.
First-line treatment is a 12-week course of an oral tetracycline (Sumycin) such as
doxycycline. For patients who do not respond to doxycycline, the next
recommended step is a combination of twice-daily clindamycin (Cleocin) and
rifampicin (Rifadin) for 10-12 weeks. If treatment fails, acitretin (Soriatane, for
males and nonfertile females) or dapsone (Aczone) may be considered by a
dermatologist. In patients with moderate to severe hidradenitis suppurativa,
adalimumab (Humira) may possibly be considered.
When providing culturally competent health care services to an American Indian
elder, the nurse practitioner understands which is traditionally true? – ANSWERThe “Medicine Wheel” is used by many for the purpose of health and healing
The “Medicine Wheel” is traditionally used and contains four directions; north,
south, east, and west. Traditionally each tribe has different meanings for each
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