ANCC FNP sample questions with correct Answers

which drug is associated with increased lipoprotein levels? 1. furosemide (Lasix) 2. Hydroclorothiazide (HCTZ) 3. Spironolactone (Aladactone) 4. Triamterene - Answer- hydrochlorothiazide (HCTZ) what is the main reason for giving a progestational medication to perimenopausal women who use estrogen? 1. preventing hot flashes 2. preventing osteoporosis 3. promoting growth of uterine lining 4. decrease the risk of endometrial hyperplasia - Answer- 4. decrease the risk of endometrial hyperplasia The FNP asks a patient to perform rapid, alternating movements of the hands to evaluate: 1. cerebellar function 2. cognitive function 3. reflex arc function 4. stereognostic function - Answer- 1. cerebellar function A 38 yo Vietnamese patient tells the FNP that his parent died in her 40s from liver cancer. That patient is at risk for: 1. hepatitis B 2. malaria 3. tularemia 4. tyrosenemia - Answer- 1. hepatitis B a difficult aspect of determining occupational exposure to disease is the: 1. confidentiality of the information in company records 2. inaccuracy of disease reporting latency period between exposure and disease development 4. reliance on workers' memories - Answer- 3. long latency period between exposure and disease development To comply with regulations for third-party payor reimbursement and documentation, a family nurse practitioner correlates: 1. evaluation and management code with history, examination and medical decision making. 2. health outcomes with physical examination findings and plan of care. ation orders and treatment plan with electronic billing. 4. patient privacy with informed consent. - Answer- 1. evaluation and management code with history, examination and medical decision making. The family nurse practitioner examines a patient who has sustained a non-work-related injury that interferes with the patient's ability to perform his or her job. The patient does not qualify for medical disability and has a reasonable chance of engaging in a suitable occupation with proper therapy. The nurse practitioner recommends that the patient apply for: 1. Family and Medical Leave Act benefits. 2. home health services. 3. Social Security benefits. ional rehabilitation services. - Answer- ional rehabilitation services. A 45-year-old patient who is an opera singer reports progressive hoarseness for the last four weeks. The hoarseness began after a three-hour opera performance. The patient does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this patient by: 1. ordering a computed tomography scan of the head. 2. ordering an immediate lateral neck x-ray. 3. prescribing systemic antibiotics and cool mist inhalations. 4. requesting a referral for evaluation of the larynx. - Answer- 4. requesting a referral for evaluation of the larynx. Routine immunization guidelines recommend administering the hepatitis B vaccine at birth and repeating doses at: 1. one month and six months. 2. one month and two months. 3. four months and two years. 4. six months and 12 months. - Answer- 1. one month and six months. A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin (Lipitor). The family nurse practitioner explains that the medication is prescribed for: r prevention. 2. primary prevention. 3. secondary prevention. 4. tertiary prevention. - Answer- 4. tertiary prevention. Which health promotion strategy is most appropriate for adolescents who are obese? 1. individual-based behavior modification. 2. Motivational interviewing. 3. Parents should regulate meals. 4. Presenting video case studies. - Answer- 2. Motivational interviewing. Treatment of viral conjunctivitis includes the use of: 1. antihistamine/decongestant drops. 2. antihistamine/mast cell stabilizer drops. 3. cold compresses. 4. steroid eyedrops. - Answer- 3. cold compresses. A 60-year-old patient with diabetes has a blood pressure reading of 150/96 mmHg. After three months of increased exercise and decreased calories, the patient has lost 10 lb (4.54 kg). The patient's follow-up blood pressure is 142/94 mmHg. Which medication does the family nurse practitioner prescribe? 1. Enalapril (Vasotec). 2. Furosemide (Lasix). 3. Hydrochlorothiazide (HydroDIURIL). 4. Propranolol (Inderal). - Answer- 1. Enalapril (Vasotec). A family nurse practitioner advises a nursing mother who has postpartum mastitis to take antibiotics as prescribed and: 1. continue to nurse with both breasts. 2. pump the unaffected breast with a lactation pump. 3. take cool showers. 4. temporarily switch to formula. - Answer- continue to nurse with both breasts. A patient who had a total gastrectomy one year ago complains of a sore mouth, indigestion, and tingling in the lower extremities. Which test is ordered by the family nurse practitioner? 1. Blood urea nitrogen level. 2. Complete blood count. 3. Liver function study. 4. Thyroid function study. - Answer- 2. Complete blood count. A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria shows symptoms associated with the use of: 1. benzodiazepine (Alprazolam). 2. cocaine. 3. morphine (MS Contin). 4. oxycodone (OxyContin). - Answer- 2. cocaine. A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque appears over the patient's left gluteal fold area. The lesion is covered with scales and has some fissuring. The family nurse practitioner makes a diagnosis of: 1. atopic dermatitis. 2. ichthyosis. 3. psoriasis. 4. tinea corporis. - Answer- 3. psoriasis. During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests: 1. aortic stenosis. 2. mitral regurgitation. 3. mitral stenosis. 4. mitral valve prolapse. - Answer- mitral regurgitation. A 68-year-old male patient reports an unintended weight loss of 15 lbs (6.8 kgs) over the last two months. The patient states that he feels well. His problem list includes depression, tobacco use, hyperglycemia, obesity, and dyslipidemia. The patient's medications are sertraline (Zoloft), metformin (Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The family nurse practitioner initiates which three interventions? Decreasing the statin medication. Increasing the Glucophage dose. Evaluating medication side effect profile. Ordering a thyroid-stimulating hormone level test. Performing a depression screening. - Answer- Ordering a thyroid-stimulating hormone level test. Performing a depression screening. Evaluating medication side effect profile. To determine whether sufficient evidence exists to prescribe glucosamine for a patient who has osteoarthritis (OA) of the knee, the family nurse practitioner reviews three article summaries. Place the article summaries in sequential order of strength of evidence from strongest to weakest: 1. Investigators conducted a retrospective review of 1000 charts of patients who were diagnosed with OA and had glucosamine on their medication list. The investigators assessed the pain rating scale at the time the glucosamine was prescribed and compared this score with the pain rating scale three months after the medication had been prescribed. They also reviewed the progress notes and included only patients for whom clinicians stated in the note that the patient took the medication regularly. 2. Investigators randomly assigned a group of 1600 patients with OA of the knee to receive either a placebo or glucosamine for six months. The goal was to determine if glucosamine and/or chondroitin treats pain related to OA of the knee and could help prevent structural damage. The study found no benefit for pain relief for the study group compared with the placebo group. 3. Researchers evaluated the benefit of glucosamine for osteoarthritis of the hip and/or knee by searching MEDLINE and the Cochrane database for studies that investigated this question. The researchers included only studies that were double-blind, placebo-controlled, randomized trials of at least four weeks duration and tested glucosamine's effectiveness in treating OA in the knee or hip. Fifteen studies were included in the analysis and the investigators applied a statistical formula to evaluate these studies, giving the larger studies more weight. 1, 2, 3 1, 3, 2 2, 1, 3 2, 3, 1 3, 1, 2 3, 2, 1 - Answer- 3, 2, 1 After determining that a two-and-half-year-old patient has a lead level of 16 mcg/dL, the family nurse practitioner: 1. advises the parent to avoid giving the patient bottles of whole milk. 2. consults with a physical therapist for muscle strengthening. 3. observes for signs of diminished reflexes on the physical exam. 4. orders an increase of iron supplements to 6 mg/kg per day divided in two doses. - Answer- observes for signs of diminished reflexes on the physical exam. Clinical practice guidelines are designed to: 1. be used in every patient situation. 2. increase variations in clinical care. 3. mandate practice decisions. 4. serve as a handbook to best practice. - Answer- 4. serve as a handbook to best practice. Susan, age 59, has no specific complaints when she comes in for her annual examination. She does, however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and central obesity. How would you diagnose her? 1. As a healthy adult with several problems. 2. As having a glycemic event. 3. As having metabolic syndrome. 4. As having multiple organ dysfunction. (cards 23-43 obtained from DavisEdge) - Answer- As having metabolic syndrome Which class of antihypertensive agents may be problematic for clients with diabetes? 1. Angiotensin-converting enzyme (ACE) inhibitors. 2. Calcium channel blockers. 3. Beta blockers. 4. Alpha blockers. - Answer- Beta blockers (they block tachycardia, which is 1st sign of hypoglycemia) A low thyroid-stimulating hormone (TSH) can lead to: 1. Osteoporosis. 2. Weight gain. 3. Bradycardia. 4. Brittle hair. - Answer- Osteoporosis (due to increased metabolic state of hyperthyroidism)