.png){kind=logo}
pg. 1
ANCC FNP ACTUAL EXAM VERSI ON 1
WITH 200 REAL EXAM QUESTIONS AND
CORRECT ANSWERS (100% CORRECT
ANSWERS GRADED A+) ANCC FAMILY
NURSE PRACTITIONER ACTUAL EXAM
2 / (NEW!!)
An acute care nurse practitioner is deciding whether to recommend a long-term medication regimen that will help a patient manage disease symptoms but may also introduce problematic side effects. This decision reflects which ethical principle?
(a) Autonomy (b) Beneficence (c) Fidelity (d) Justice - ANSWER-(b) Beneficence
An acute care nurse practitioner is evaluating a 78-year-old patient for an aortic valve replacement. Laboratory results indicate a low serum albumin level. The nurse practitioner prescribes a high-protein diet and evaluates the patient's response
by:
(a) assessing the total serum protein level.
(b) calculating the body fat percentage.
(c) obtaining a complete blood count. 1 / 4
pg. 2
(d) obtaining a serum prealbumin level. - ANSWER-(d) obtaining a serum prealbumin level.
A female patient is receiving adjuvant chemotherapy for breast cancer and has been given information about her treatment regimen, expected side effects, and symptom management. Which symptom, if occurring two weeks after treatment, warrants a prompt call to the acute care nurse practitioner?
(a) Alopecia (b) Fatigue (c) Fever (d) Nausea - ANSWER-(c) Fever
Which medication is used with caution in older adults due to the potential for confusion and delirium?
(a) Fluoxetine (Prozac) (b) Haloperidol (Haldol) (c) Lorazepam (Ativan) (d) Phenelzine (Nardil) - ANSWER-(c) Lorazepam (Ativan)
After undergoing a successful autologous bone marrow transplant for multiple myeloma, a 55-year-old male patient comes to the clinic for his followup appointment. The patient reports that a skin lesion has changed in appearance. The
acute care nurse practitioner responds by:
(a) consulting dermatology to evaluate the lesion. 2 / 4
pg. 3
(b) inspecting and excising the lesion.
(c) prescribing a topical steroid preparation.
(d) recommending reevaluation in two weeks. - ANSWER-(a) consulting dermatology to evaluate the lesion.
An adult nurse practitioner evaluates a new patient, an African American with hypertension who has been taking lisinopril (Prinivil). To optimize the patient's
response, a more effective pharmacological treatment is:
(a) a beta-blocker.
(b) a direct-acting vasodilator.
(c) a thiazide diuretic.
(d) an angiotensin-converting enzyme inhibitor. - ANSWER-(c) a thiazide diuretic.
A 34-year-old truck driver reports a sharp pain in the lower back that worsens with ambulation. The symptoms began after a strenuous three-day driving trip. During an examination, the patient has difficulty walking on the heels and shows weakness
in the extensors of the big toes. The initial differential diagnosis is:
(a) compression fracture.(b) L-1 root irritation. 3 / 4
pg. 4 (c) L-5 root irritation.(d) ruptured disc. - ANSWER-(c) L-5 root irritation.
The adult-gerontology primary care nurse practitioner reminds a 16-year-old, male patient who just received his driver's license to wear a seat belt at all times when in a car. The patient replies that he does not need to wear a seat belt, because nothing will happen to him if he is involved in an automobile collision. According to the health belief model, what chief component does the patient lack?
(a) Enabling factors.(b) Motivation.(c) Perceived role conflict.(d) Perceived severity. - ANSWER-(d) Perceived severity.
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic (b) microcytic hypochromic (c) normochromic normocytic (d) pancytopenic hypocytic - ANSWER-(a) normochromic normocytic
A 14-year-old, male patient has some general concerns about eczema, as his twin brother was recently diagnosed with this condition. The patient reports urticaria and a rash on his posterior knees bilaterally. The three factors that put the patient at risk for eczema are a family history of eczema, a personal history of allergic
rhinitis, and a history of:
(a) asthma
- / 4
.png)