{"id":114811,"date":"2023-08-23T03:20:28","date_gmt":"2023-08-23T03:20:28","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114811"},"modified":"2023-08-23T03:20:31","modified_gmt":"2023-08-23T03:20:31","slug":"final-ancc-exam-questions-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/final-ancc-exam-questions-answers\/","title":{"rendered":"Final ANCC Exam Questions & Answers"},"content":{"rendered":"\n

Q: risk factors for hemorrhagic stroke?<\/p>\n\n\n\n

C: a fib, hypertension, hyperlipidemia, carotid stenosis
A: hypertension<\/p>\n\n\n\n

HTN – most common cause of intracerebral hemorrhages<\/p>\n\n\n\n

chronic htn –> microaneurysms of arteries –> leaky\/ruptured arteries –> stroke<\/p>\n\n\n\n

Q: gestational age when fundus felt at pubic symphysis?<\/p>\n\n\n\n

C: 12, 16, 20, 22 weeks
A: 12 weeks at pubic symphysis<\/p>\n\n\n\n

20 weeks at umbilicus
36 weeks at xiphoid process<\/p>\n\n\n\n

Q: boys misses school often, complains of abdominal pain, stained underwear is noticed?<\/p>\n\n\n\n

A: constipation, depression, pinworms
constipation<\/p>\n\n\n\n

family theory systems
individuals are best understood in the context of their families<\/p>\n\n\n\n

families are best understood when they are viewed as a whole unit, interdependence between members creates cohesiveness and an equilibrium<\/p>\n\n\n\n

all parts are interrelated and dependent on each other
if one part is damaged, affects the whole family<\/p>\n\n\n\n

cranial nerve 12: name and function
hypoglossal
stick out tongue<\/p>\n\n\n\n

Q: which rash needs treatment within 72 hours and why?<\/p>\n\n\n\n

C: impetigo, cleft lip, herpes zoster, eczema
herpes zoster (shingles)<\/p>\n\n\n\n

acyclovir most effective when started within 72 hours after the shingles rash appears<\/p>\n\n\n\n

11 year old with completed childhood vaccines needs which vaccinations?
meningo, HPV x 2, Tdap, Influenza<\/p>\n\n\n\n

A: diabetes med group that increases intestinal absorption of glucose and decreases post BG?<\/p>\n\n\n\n

C: DPP-4, GLP-1, SGLT-2, biguanide
A: GLP-1<\/p>\n\n\n\n

stimulates insulin release
decreases glucagon
slows gastric emptying
significant decrease of post-meal BG<\/p>\n\n\n\n

ends in -glutide
ex) Trulicity, Victoza, Byetta<\/p>\n\n\n\n

Q: causes of candida infection?<\/p>\n\n\n\n

C: condom, UTI, diabetes
A: diabetes<\/p>\n\n\n\n

others: antibiotics, pregnancy, immunocompromised, hormone imbalance, stress<\/p>\n\n\n\n

family development theory?<\/p>\n\n\n\n

ex) young girl that gets pregnant
micro-level perspective of patterned changes that occur in families through stages and across time<\/p>\n\n\n\n

family relationships will change to make space for children and join in child rearing<\/p>\n\n\n\n

Q: mexican cultural sensitivity?<\/p>\n\n\n\n

C: hot\/cold theory, on time appts, less vaginal exams, taboo to discuss family
hot and cold illnesses and medications<\/p>\n\n\n\n

hot conditions: DM, rash, GERD, htn, pregnancy<\/p>\n\n\n\n

cold conditions: cancer, indigestion, headache, menses cramps, URI<\/p>\n\n\n\n

fetal alcohol exposure characteristics
microcephaly
epicanthal folds
flat nasal bridge
fish mouth or macrostomia
thin upper lip and short philtrum
brushfield spots<\/p>\n\n\n\n

matching descriptions:
hordeolum
chalazion
blepharitis
pterygium
hordeolum: hurts, purulent itchy pimple on eyelid
chalazion: no pain, rubbery node on eyelid
blepharitis: crusty red eyelash base
pterygium: benign growth on conjunctiva r\/t sun<\/p>\n\n\n\n

matching descriptions:
scleroderma
psoriasis
roseola
scabies
scleroderma: overproduction of collagen that leads to tight\/hard skin<\/p>\n\n\n\n

psoriasis: silver plaques\/scales<\/p>\n\n\n\n

roseola (6th): HV6, high fever –> small pink raised bumps on trunk then extremity<\/p>\n\n\n\n

scabies: severely itchy red-brown vesiculopapular lesions with burrows<\/p>\n\n\n\n

Q: 15 y\/o male with annular, maculopapular, pruritic hypopigmented rash on trunk area, no fever or adenopathy; what is the rash?<\/p>\n\n\n\n

C: contact dermatitis, tinea versicolor, scabies, lyme disease
tinea versicolor<\/p>\n\n\n\n

Q: kid with high fever that breaks in 3 days, then abrupt rash appears 1-3 days<\/p>\n\n\n\n

C: 5th dz, 6th dz, rubella
A: 6th disease: roseola infantum<\/p>\n\n\n\n

5th disease: erythema infectiosum: slapped cheek rash followed by lacy rash<\/p>\n\n\n\n

Q: 9 mo. old born preterm at 32 weeks, still has palmar grasp, next action?<\/p>\n\n\n\n

C: refer to neuro, refer to ortho, check DTR\/muscle, nothing\/normal
A: refer to neurology<\/p>\n\n\n\n

persistence of the reflex beyond 6 months is usually present in spastic cerebral palsy<\/p>\n\n\n\n

corrected gestation age = 36 w – 8 = 28 w = 7 mo.<\/p>\n\n\n\n

palmar grasp normally disappears at 3-4 months<\/p>\n\n\n\n

15 mo. old toilet training and parents are spanking, toilet training not working; what is rule of thumb?
do not start in times of stress
day time control by 2 years
night time control by 3 years
full control with no accidents by 4 years<\/p>\n\n\n\n

10 y\/o recommended TV and computer time?
less than 2 hours<\/p>\n\n\n\n

diabetic retinopathy image
microaneurysms
neovascularizations<\/p>\n\n\n\n

Q: recurrent otitis media and with choleastoma – next step?<\/p>\n\n\n\n

C: monitor, treat with antibiotics, refer to ENT, surgery
A: surgery
prevent CN 8 damage and deafness<\/p>\n\n\n\n

cholesteatoma: skin cyst behind ear r\/t poor eustachian tube function<\/p>\n\n\n\n

Q: what to assess in a child with complications related to frequent otitis media?<\/p>\n\n\n\n

C: refer for hearing test, tympanic membrane\/otoscope assessment
refer for audiometry and hearing test
should respond to name by 6-9 mo.<\/p>\n\n\n\n

Q: comparing HbA1c data with other hospitals\/organizations – term?<\/p>\n\n\n\n

C: core competency, risk analysis, peer review, benchmarking
benchmarking<\/p>\n\n\n\n

compare performance within an organization (by a physician or department or over time)<\/p>\n\n\n\n

hospital-based quality improvement project, APRN reviewing colleague’s 4 charts\/month to ensure diabetes protocols are met – process called?<\/p>\n\n\n\n

core competency, force field analysis, peer review, risk analysis
peer review<\/p>\n\n\n\n

diagnosis and management of cough, runny nose, malaise, no fever or adenopathy
common cold (viral rhinitis or URI)<\/p>\n\n\n\n

rest, hydrate, OTC meds
no antibiotics<\/p>\n\n\n\n

community acquired pneumonia- diagnostic test?
chest x ray<\/p>\n\n\n\n

rule out bacterial (lobar), viral (infiltrates), aspiration (diffuse\/localized)<\/p>\n\n\n\n

strep pneumoniae gram + – macrolides (mycin)<\/p>\n\n\n\n

Q: 40 y\/o executive male with no disease, complains of impotence upon waking<\/p>\n\n\n\n

C: refer to urologist, cause is stress of work, check PSA
stress<\/p>\n\n\n\n

normal weber finding
no lateralization
sound heard equally bilaterally<\/p>\n\n\n\n

fever, posterior cervical lymphadenopathy, tonsils with white exudate, petechial rash, myalgia – diagnosis?
infectious mononucleosis<\/p>\n\n\n\n

cause is EBV “kissing disease”<\/p>\n\n\n\n