ANCC FNP BOARD EXAM LATEST REAL EXAM 200+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|ALREDY GRADED A+

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

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.

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

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