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ANCC FNP BOARD EXAM VERSION A, B, C AND PRACTICE
EXAM COMPLETE 500 QUESTIONS AND DETAILED
SOLUTIONS JUST RELEASED
ANCC FNP BOARD EXAM 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?
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
have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation?
absent P waves
The nurse practitioner should not cross certain boundaries with patients. Which of the
following would not be considered crossing one of these boundaries? -
Not sharing personal information with the patient
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?
Tetracycline
Which of the following types of hepatitis is transmitted by fecal and oral route from
contaminated food?
Hep A
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Which of the following is a normal physiologic change during pregnancy?
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?
-Lasix
When counseling patients who smoke cigarettes, which of the following is NOT good
management advice?
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?
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?
A1c
Which of the following would be considered one of the stages of Pertussis?
Convalescent
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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?
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?
Benzodiazepine
Diazepam
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?
cryptosporidiosis
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?
Schedule a CXR
The United States Preventive Services Task Force recommends screening older patients for
depression how often
at each primary care visit
The Family Nurse Practitioner works for an organization that conducts research. The name
given to the subjects in a research study who do not have the disease or condition that is
being studied, but who are included in the study for comparison are:
controls
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FNPs educate and counsel patients about disease prevention and health maintenance. Which
of the following would NOT be a logical approach to patient education and counseling?
Discontinue established behavior rather than attempting to add new positive behaviors.
You have a 50-year-old female patient who is complaining of vision loss. You tell her that
there is a certain amount of normal vision loss associated with aging. This type of vision loss is
known as which of the following?
presbyopia
The FNP is calculating the BMI (body mass index) for a patient who weighs 63.5 kg and is 1.75
m in height. Which of the following is closest to this patient's BMI?
BMI is calculated by dividing a person's weight by his height squared. In this case
the person's weight 63.5 kg is divided by 1.75 squared. This gives you a body mass
index of 20.7.
As an FNP you understand that all of the following statements about chronic heart failure are
accurate EXCEPT:
The preponderance is in females until the age of 75, then there is equal occurrence in males and
females.
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?
urinary retention
ANTICHOLINERGIC
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?
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