ANCC ADULT NP BOARD ACTUAL EXAM PREP

ANCC ADULT NP BOARD (ACTUAL / ) EXAM PREP

QUESTIONS WITH VERIFIED CORRECT ANSWERS.

Heart Murmur Grading - -----Answer------Grade I: A very

soft murmur heard only under optimal conditions

Grade II: A mild to moderately loud murmur

Grade III: Loud murmur that is easily heard once the

stethoscope is placed on the chest.

Grade IV: A louder murmur. First time that a thrill is present. A

thrill is like a "palpable murmur."

Grade V: Very loud murmur heard with edge of stethoscope off

the chest. Thrill is more obvious.

Grade VI: Murmur is so loud that it can be heard even with the

stethoscope off the chest. The thrill is easily palpated.

pulsus paradoxus (Kussmaul's pulse) - what is it, and what is it a sign of? - -----Answer------Pulsus paradoxus is most likely to be seen with status asthmaticus. With inspiration, systolic pressure drops because of the increased pressure (positive pressure). Some pulmonary risks of having increased pressure include asthma and emphysema. Cardiac causes for pulsus paradoxus include tamponade, pericarditis, and cardiac effusion.

Bell of stethoscope is used for - -----Answer------soft, low-

pitched sounds: S3, S4, and mitral stenosis

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Which of the following diseases is associated with a high risk of giant cell arteritis?History of transient ischemia attacks (TIAs) Frequent migraine headaches with focal neurologic findings Polymyalgia rheumatica (PMR) Systemic lupus erythematosus (SLE) - -----Answer------ Polymyalgia rheumatica (PMR)

Ankle-Brachial Index (ABI) - -----Answer------Ankle SBP divided by Arm SBP Ankle slightly greater than brachial Normal reading= 1.0-1.2

second degree heart block - -----Answer------AV block in which only some atrial electrical impulses are conducted to the ventricles

Third degree heart block - -----Answer------AV block in which electrical impulses from the atria fail to reach the ventricles; also called complete heart block (CHB)

paroxysmal atrial tachycardia - -----Answer------Signs and symptoms of paroxysmal atrial tachycardia include a rapid, regular heart rate that begins and ends very quickly. The atria are beating at a very fast rate, but it is not life-threatening.

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balanitis - -----Answer------inflammation of the skin covering the glans penis, caused by bacteria, fungi, or a virus (commonly caused by candida

suppurative otitis media - -----Answer------inflammation of the middle ear with pus formation

Navicular fracture (Scaphoid bone fracture) - -----Answer--- ---Pain on the anatomic snuffbox and axial loading of the thumb. Hx of falling on outstretched hand (Hyperextension of the wrist). Initial xrays are "normal" while a f/u xray in 2 weeks will show scaphoid fx r/t callus bone formation. High risk of avascular necrosis and nonunion. Refer to hand surgeon

s/s: decreased grip strength and ROM; dull/deep aching pain

pneumonia causative agents - -----Answer-------Usually viral cause (RSV), then S. pneumoniae, then atypicals (Chlamydiphila pneumoniae, Mycoplasma)

Reportable diseases - -----Answer------HIV; syphilis; tuberculosis; diphtheria; hepatitis A, B, and C; measles; mumps; pertussis; Lyme disease; Rocky Mountain spotted fever

Maslow's Hierarchy of Needs - -----Answer------ physiological, safety, love/belonging, esteem, self- actualization

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