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ANCC EXAM QUESTIONS WITH ALL ANSWERS ONLY
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ANCC EXAM QUESTIONS WITH ALL ANSWERS ONLY
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ANCC EXAM QUESTIONSWITH ALL ANSWERS
ONLY
Ab50-year-oldbwomanbpresentsbtobthebclinicbforbfollow-
upbonbherbtypeb2bdiabetesbmellitus.bShebisbcurrentlybtakingbmetforminb(Glumetza)ba
tbherbmaximumbtoleratedbdose,bandbherbHbA1Cbatbthebcurrentbappointmentbisb8.6%
.bThebpatientbisbnotbopenbtobinsulinbandbwantsbtobtrybalternativebmedicationsbtobredu
cebherbHbA1C.bWhichbofbthebfollowingbmedicationsbwillbdirectlybstimulatebthebreleas
ebofbinsulinbfrombpancreaticbbetabcells,btherebybloweringbbloodbglucosebconcentratio
ns?
A.
Acarboseb(Precose)
Incorrect
B.
Dulaglutideb(Trulicity)
Incorrect
C.
Empagliflozinb(Jardiance)
Incorrect
D.
Glipizideb(Glucotrol)b-bcorrectbanswer-Glipizideb(Glucotrol)
,Anb18-year-
oldbpatientbpresentsbwithbunilateralbearbpainbforb2bdays.bOnbanbotoscopicbexam,bthe
btympanicbmembranebisbbulgingbandbappearsbinflamed.bThebposteriorblandmarksbar
ebobscured,bandbtheblightbreflexbisbdistorted.bWhichbofbthebfollowingbisbthebmostblikel
ybdiagnosis?
A.
Mastoiditis
Incorrect
B.
Otitisbexterna
Incorrect
C.
Otitisbmedia
Correct
D.
Presbycusisb-bcorrectbanswer-Otitisbmedia
Ab7-year-
oldbboybwithbabpastbmedicalbhistorybofbatopicbdermatitisbpresentsbtobthebclinicbwithbh
isbfatherbforbconcernbaboutbanballergicbreaction.bThebboybstatesbthatb2bhoursbago,ba
fterbeatingblunch,bhebdevelopedbanbitchybthroatbandbeyebswelling.bHebreportsbnobwh
eezingborbshortnessbofbbreath.bThebphysicalbexambdoesbnotbshowburticaria,bandbhis
bairwaybisbpatent.bWhichbofbthebfollowingbwouldbbebresponsiblebforboralballergybsynd
rome?
A.
Cowbmilk
Incorrect
B.
Eggs
Incorrect
C.
Peaches
Correct
D.
Salmonb-bcorrectbanswer-Peaches
Anb8-year-
oldbboybpresentsbtobthebofficebwithbanberythematous,bnonpruritic,bmaculopapularbra
shbinbablacybpatternbonbhisbtrunkbandbarms.bHisbcheeksbarebalsobnoticeablybred.bHis
bmotherbreportsbthatbhebhadbabfeverb1bweekbagobthatbresolvedbwithinb2bdaysbwithou
tbanybotherbsymptomsbuntilbnow.bHebisbafebrilebatbthebcurrentbvisit.bWhichbofbthebfoll
owingbisbthebmostblikelybdiagnosis?
A.
Erythemabinfectiosum
Correct
B.
Hand,bfoot,bandbmouthbdisease
Incorrect
C.
Roseola
,Incorrect
D.
Rubellab-bcorrectbanswer-Erythemabinfectiosum
Anb85-year-
oldbmanbwithbrecentlybdiagnosedbhypertensionbpresentsbtobthebclinicbforbabBPbchec
k.bTwobweeksbago,bhisbBPbwasb168/74bmmbHg,bandbhebstartedbtakingblisinoprilb(Ze
stril)b10bmgbdaily.bHebreportsbnobmissedbdoses.bHisbBPbatbthebcurrentbvisitbisb128/7
8bmmbHg.bWhatbisbthebbestbnextbstepbinbhisbBPbmanagement?
A.
Addbhydrochlorothiazidebandbreassessbinb1bmonth
Incorrect
B.
Continuebhisblisinoprilb(Zestril)batbthebcurrentbdose
Correct
C.
Increasebhisblisinoprilb(Zestril)bdosebtob20bmg
Incorrect
D.
Stopblisinoprilb(Zestril)bandbstartbhydrochlorothiazideb-bcorrectbanswer-
Continuebhisblisinoprilb(Zestril)batbthebcurrentbdose
Ab66-year-
oldbmanbpresentsbtobthebclinicbwithbabtremorbforb6bmonths.bHebreportsbthatbitbisbmai
nlybonbthebleftbsidebofbhisbbodybandbisbsignificantlybworsebwhenbhebisbatbrest.bHebst
atesbthatbitbhasbalsobbeenbmorebdifficultbrecentlybtobusebutensilsbandbtoolsbandbthatb
itbtakesbhimbablongbtimebtobgetboutbofbchairsbandbbed.bThebphysicalbexaminationbre
vealsbabrestingbtremor,bmildbhyperreflexiabonbthebleft,bandblead-
pipebrigiditybinbhisbjoints.bWhichbofbthebfollowingbisbthebbestbnextbstepbinbconfirmingb
thebsuspectedbdiagnosis?
A.
Ablevodopaborbapomorphinebchallengebtest
Incorrect
B.
Brainbparenchymabsonography
Incorrect
C.
MRI
Incorrect
D.
Referralbtobabneurologistb-bcorrectbanswer-Referralbtobabneurologist
Ab45-year-oldbmanbwithbabBMIbofb32bkg/
m2bisbfollowingbupbatbthebclinicbforbweightbloss.bHebexplainsbtobthebnursebpractitione
rbthat,bforbthebpastbmonth,bhebhasbbeenbtryingbtobfollowbthebrecommendedbdietbandb
ab30-
minutebdailybexercisebroutinebbutbhasbonlyblostb2bpounds.bWhichbofbthebfollowingbisb
thebmostbappropriatebnextbstepbinbthebmanagementbofbthisbpatient'sbcondition?
A.
Increasebmoderatebexercisebactivitybtob60bminutes/day
, Incorrect
B.
Prescribebphentermineb(Lomaira)
Incorrect
C.
Recommendbstressbmanagement
Correct
D.
Referbpatientbforbbariatricbsurgeryb-bcorrectbanswer-
Recommendbstressbmanagement
Abnursebpractitionerbisblecturingbstudentsbonbthebimportancebofbsleepbandbhowbitbca
nbaffectbtheboverallbhealthbofbanbolderbpatient.bThebnursebpractitionerbexplainsbthatb
abcomprehensivebhistorybandbphysicalbexaminationbmaybhelpbtobidentifybdifferentialb
diagnosesbthatbnegativelybimpactbthebsleepbcycle.bWhichbofbthebfollowingbdiagnoses
bisbabsleep-
relatedbmovementbdisorderbcharacterizedbbybuncontrollableburgesbtobmovebthebextr
emities?
A.
Essentialbtremor
Incorrect
B.
Parkinsonianbtremor
Incorrect
C.
Peripheralbarterybdisease
Incorrect
D.
Restlessblegbsyndromeb-bcorrectbanswer-Restlessblegbsyndrome
Ab27-year-oldbwomanbpresentsbtobthebclinicbforbabwell-
womanbvisit.bShebreportsbtobthebnursebpractitionerbthatbshebhasbnoticedbmorebvagin
albdischargebthanbusual,bandbitbstingsbwhenbsheburinates.bThebpelvicbexambrevealsb
mucopurulentbdischargebfrombthebcervicalbos,bandbbloodbisbnotedbwhenbthebcervixbi
sbswabbed.bShebhasbabhistorybofbsexuallybtransmittedbinfections,bandbtherebisbconc
ernbthatbshebwillbnotbbebcompliantbwithbmedications.bWhichbofbthebfollowingbisbtheb
mostbappropriatebtherapy?
A.
Acyclovirb(Zovirax)b400bmgborallybthreebtimesbdailybforb10bdays
Incorrect
B.
Ceftriaxoneb500bmgbintramuscularlybandbazithromycinb(Zithromax)b1bgborallybbothbi
nbabsinglebdose
Correct
C.
Doxycyclineb(Vibramycin)b100bmgborallybtwicebdailybforb7bdays
Incorrect
D.
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