ANCC FNP BOARD Exam V4

ANCC FNP BOARD Exam V4 (Latest Update 2025 / 2026) Test Review Questions and Answers | Grade A | 100% Correct (Verified Solutions)

Question:

Which is the most effective chart or test to screen for color blindness?

• Snellen chart
• Confrontation exam
• Extraocular movement test
• Ishihara chart

Answer:

Solution: D

Ishihara chart.

The Ishihara chart is the most appropriate method for screening a patient for color blindness. The Snellen chart is used to evaluate central distance vision, while the confrontation exam evaluates peripheral vision. The extraocular 1 / 4

movement test reveals whether the eyes move together when following an object.

Question:

A patient presents with fever, fatigue, headache, and joint pain. The patient has recently returned from a camping trip in the Northeast. On physical examination, the nurse practitioner notes a large macule on the patient's back with central clearing. Which diagnosis is most likely?

• Lyme disease
• Brown recluse spider bite
• Erythema infectiosum
• Rocky Mountain spotted fever

Answer:

Solution: A

Lyme disease.

The classic lesion in Lyme disease is an expanding red rash with central clearing that resembles a target. This "bull's-eye" rash (erythema migrans) appears 7 to 14 days after a bite from an Ixodes tick (deer tick) infected with the Borrelia burgdorferi bacterium. Lyme disease is accompanied by flu-like symptoms.

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The bite of a brown recluse spider appears as a reddened skin area that may be followed by a blister that forms at the bite site, and it leads to mild-to-intense pain and itching for 2 to 8 hours following the bite. An open sore (ulcer) with a breakdown of tissue (necrosis) develops a week or more following the bite.

Erythema infectiosum is known as fifth disease and generally occurs in children.

Rocky Mountain spotted fever is also a tick-borne illness with similar symptoms but has a rash that begins in the extremities and has smaller red spots or macules

Question:

An 8-year-old boy with type 1 diabetes is being seen for a 3-day history of urinary frequency and nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood and nitrites but is positive for a large amount of leukocytes and ketones. He has a trace amount of protein. Which of the following is the best test to order initially?

• Urine culture and sensitivity (C&S)
• 24-hour urine for protein and creatinine clearance
• 24-hour urine for microalbumin
• Intravenous pyelogram

Answer:

Solution: A 3 / 4

Urine culture and sensitivity (C&S).

An 8-year-old male patient with the diagnosis of diabetes has a high risk of urinary tract infections (UTIs). A large amount of leukocytes in the urinalysis is abnormal, and he has been having symptoms of frequency and nocturia for the past 3 days. The urine culture would be ordered because he has a high risk of infection. The urine C&S is the best evaluation for diagnosing a UTI

Question:

Which assessment finding is expected in a 3-year-old male with penopubic epispadias?

• Fused pelvic bones
• Urine leakage with stress
• Narrow penis that curves down
• Urinary meatus found along shaft of penis

Answer:

Solution: B

Urine leakage with stress.

In penopubic epispadias, the urethral meatus is found near the pubic bone.The position of the meatus helps predict how well the bladder stores urine.

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