©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
ANCC Exam Review Questions and
Answers 100% Solved
Metformin - ✔✔rare risk of lactic acidosis, often occures w/ impaired renal
fx, hypovolemia, low perfusion, advanced age. hold during surgery or
imaging w/ radiocontrast the day of and 48 hrs post.
lisinopril - ✔✔cat d drug in pregnancy
teenager w/ menorrhagia who cant insert tampons - ✔✔mirena IUD best
choice
(copper increases bleeding, implant increases bleeding)
tension headaches - ✔✔bilateral. moderate pressing pain, recurring. no
photophobia or nausea.
prevent recurrence - TCAs (SE weight gain, drowsiness, dry mouth)
LNG-IUD - ✔✔casues endometrial atrophy, 50% of users have amenorrhea
by end of 2 years. fertility returns soon after removal. progestin conrtibutes
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
to thickening og cervical mucus. minimizes upper reproductive rtact
infections. atrophy prevents impantation of ovum.
COCs - ✔✔reduce menstrual volume by 60%
copper IUD - ✔✔increases menstrual bleeding and may contribute to
increase in upper reproductive rtact infections.
BPH. which tests to assess degree of voiding dysfunction - ✔✔residual
volume and urine flow rates- non invasive so immediate testing.
rectal US - prostate size and weight
cystography and retrograde and voiding urethrography - eval of bladder or
urethral diverticula
cytourethroscopy - confirm presence and effects of bladder neck
obstruction d/t BPH
urethral stricture - ✔✔c/o urinary dribbling after voiding, urge incontinence,
hx of STI
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
can result from infection, injuries (falling off bike), post surgical procedures.
more common in men <45.
pelvic floor weakness - stress incontinence
detrusor overactivity and UTI - urge incontinence
prilosec - ✔✔can decrease mg
Meningitis - ✔✔brudzinski sign
kernig sign
appendicitis - ✔✔McBurney's Point - point bt umbilicus and anteriosuperior
iliac spine (find maximal amount of tenderness)
Obturator sign - pain w/ passive flexion and internal rotation of the right hip,
indicative of peritoneal irritation
Psoas sign - pain on passive extension of the right hip, illicit by having pt
lay straight and raise right leg against resistance
Rovsing's sign - pain elicited by palpating LLQ
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
CT best dx tool
MCL - ✔✔Valgus stress test (gum, push knee in)
LCL - ✔✔varus stress test
ACL - ✔✔lachman and anterior drawer
audible pop at injury
Meniscus - ✔✔mcmurray, thessaly, apley
rotational pain
hip flexed, knee externally rotated as knee is moved from full flexion to
extension. snap heard or felt suggests tear.
Thessaly test
(meniscus) - ✔✔•pt standing and facing dr while holding hands/shoulders
to stablize them
•stand on one leg, initially have knee relaxed (*this is about 5° of flexion*)
ANCC Exam Review Questions and
Answers 100% Solved
Metformin - ✔✔rare risk of lactic acidosis, often occures w/ impaired renal
fx, hypovolemia, low perfusion, advanced age. hold during surgery or
imaging w/ radiocontrast the day of and 48 hrs post.
lisinopril - ✔✔cat d drug in pregnancy
teenager w/ menorrhagia who cant insert tampons - ✔✔mirena IUD best
choice
(copper increases bleeding, implant increases bleeding)
tension headaches - ✔✔bilateral. moderate pressing pain, recurring. no
photophobia or nausea.
prevent recurrence - TCAs (SE weight gain, drowsiness, dry mouth)
LNG-IUD - ✔✔casues endometrial atrophy, 50% of users have amenorrhea
by end of 2 years. fertility returns soon after removal. progestin conrtibutes
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
to thickening og cervical mucus. minimizes upper reproductive rtact
infections. atrophy prevents impantation of ovum.
COCs - ✔✔reduce menstrual volume by 60%
copper IUD - ✔✔increases menstrual bleeding and may contribute to
increase in upper reproductive rtact infections.
BPH. which tests to assess degree of voiding dysfunction - ✔✔residual
volume and urine flow rates- non invasive so immediate testing.
rectal US - prostate size and weight
cystography and retrograde and voiding urethrography - eval of bladder or
urethral diverticula
cytourethroscopy - confirm presence and effects of bladder neck
obstruction d/t BPH
urethral stricture - ✔✔c/o urinary dribbling after voiding, urge incontinence,
hx of STI
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
can result from infection, injuries (falling off bike), post surgical procedures.
more common in men <45.
pelvic floor weakness - stress incontinence
detrusor overactivity and UTI - urge incontinence
prilosec - ✔✔can decrease mg
Meningitis - ✔✔brudzinski sign
kernig sign
appendicitis - ✔✔McBurney's Point - point bt umbilicus and anteriosuperior
iliac spine (find maximal amount of tenderness)
Obturator sign - pain w/ passive flexion and internal rotation of the right hip,
indicative of peritoneal irritation
Psoas sign - pain on passive extension of the right hip, illicit by having pt
lay straight and raise right leg against resistance
Rovsing's sign - pain elicited by palpating LLQ
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
CT best dx tool
MCL - ✔✔Valgus stress test (gum, push knee in)
LCL - ✔✔varus stress test
ACL - ✔✔lachman and anterior drawer
audible pop at injury
Meniscus - ✔✔mcmurray, thessaly, apley
rotational pain
hip flexed, knee externally rotated as knee is moved from full flexion to
extension. snap heard or felt suggests tear.
Thessaly test
(meniscus) - ✔✔•pt standing and facing dr while holding hands/shoulders
to stablize them
•stand on one leg, initially have knee relaxed (*this is about 5° of flexion*)
