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ANCC TEST REVIEW QUESTIONS AND ANSWERS
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ANCC TEST REVIEW QUESTIONS AND ANSWERS A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing present with complains of early morning rise finger-stick blood glucose. A review of an at-home glucose test reveals increased morning levels. After an increase in the eveni...

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  • November 3, 2024
  • 61
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ancc test review questions and answers

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  • Ancc
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KaylinHoffman

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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




ANCC TEST REVIEW QUESTIONS AND

ANSWERS


A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing present with

complains of early morning rise finger-stick blood glucose. A review of an at-home glucose test reveals

increased morning levels. After an increase in the evening insulin dose, the problem worsens. This is

most likely an example of:




a) Insulin Resistance


b) Insulin Allergy


c) The Somogyi Effect


d) Hyperglycemia-induced hypoglycemia. - ANSWER✔✔-a) The Somogyi Effect


A 25-years-old present with a chief complaint of decreased mobility and pain of the right shoulder

exacerbated by movements. The patient reports that he participated in extensive house painting 24

hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis

is present. What is the next step to be taken in order to make a Diagnosis?




a) Palpate the structure around the shoulder


b) Obtain an MIR to evaluate the shoulder



Copyright ©Stuvia International BV 2010-2024 Page 1/61

,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


c) Order and X-Ray of the shoulder


d) Request an EMG


Apply SOAPE - ANSWER✔✔-a) Palpate the structure around the shoulder


Apply SOAPE


A 65 years-old male presents to his clinic complaining of increasing fatigue, dyspnea on exertion ,and

ankle edema during the day. He has a history of mild hypertension, for which he saw his physician years

ago. The physician advised the patient to decrease his salt intake .On physician examination the patient

is tachycardia positive for jugular venous distension, and positive for S3 with a systolic murmur chest X-

ray reveals cardiomegaly with vascular redistribution .The nurse practitioner diagnosis is :




a) Myocardial infarction


b) Pneumonia


c) Congestive heart failure


d) Pleural effusion - ANSWER✔✔-c) Congestive heart failure


A 67-year old patient with type 2 DM, congestive heart failure (CHF), and a mild artery disease is

currently taking daily hydrochlorothiazide 25 mg daily, glipizide 10 mg daily; and atorvastatin (Lipitor), 20

mg h.s. Which of the following is an accurate statement regarding this regimen?




a) The glipizide will increase the risk of potassium depletion....


b) The digoxin will increase the risk of hypoglycemia.


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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


c) The hydrochlorothiazide will predispose the patient to digoxin toxicity


d) The atorvastin will worsen the diabetes - ANSWER✔✔-c) The hydrochlorothiazide will predispose the

patient to digoxin toxicity


A 14 year-old who fell on her outstretched hand complains of proximal forearm pain X-ray reveals a

positive fat pad sign ,and the fully extend the elbow. No definitive bony changes are seen on X-ray. The

most likely working diagnosis is:




a) Upper extremely sprain.


b) Lateral epiconditis.


c) Radial head fracture


d) Olecranon bursitis - ANSWER✔✔-c) Radial head fracture


A 17 year-old female is suspected to have a Polycystic Ovary Syndrome. In addition to testosterone the

most appropriate diagnostic test will be:




a) BUN, creatinine, electrolytes, and denydroeplandrosterone (DHEA).


b) Complete blood count (BUN) ,creatinine and estrone


c) Fasting blood sugar(FBS) ,CBC, BUN and sex hormone binding globuline


d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroid stimulating hormone

(TSH) - ANSWER✔✔-d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroid

stimulating hormone (TSH)


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, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


To assess spinal function at S1-level, which deep tendon reflex should be tested?




a) Achilles


b) Cremasteric


c) Anal wink


d) Patelar - ANSWER✔✔-a) Achilles


A 20 year-old male present with a month history of a "bump on my testicle." He reports being sexually

active, with frequent intercourse with multiple partners, which condition should be suspected?




a) Cancer of testicles


b) Torsion of the testicles


c) Acute epididymitis


d) Gonorrhea - ANSWER✔✔-a) Cancer of testicles


An 88 year-old male presents with concerns about memory loss .He feels good, takes aspirin daily ,and

has no chronic diseases ,he drives his own car ,and manages his financial affairs .To evaluate his memory

,which of the fallowing tests would you choose?




a) Folstein Mini- Mental-State Examination.


b) Geriatric Depression Scale



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