ANCC Family Nurse Practitioner – ANCC
FNP Exam Latest Version All Questions and
Detailed Answers with Rationale| Verified A+
Grade
A 15-year-old female who is 10 weeks pregnant presents with
complaints of vaginal bleeding, abdominal pain, vomiting, and
muscle spasms for the last 4 hours. Her BP is 165/110. She is
febrile, has cold extremities, and is trembling. Abdominal
ultrasound confirms a miscarriage with no retained products of
conception. Withdrawal from which of the following substances
could lead to miscarriage in this female?
A. Codeine
B. Cannabis
C. Cocaine
D. NicotineCorrect Answer: A. Codeine
Miscarriage is a complication of opioid withdrawal in the female.
During pregnancy, opioid withdrawal, even when treated, can
increase the risk of miscarriage and premature birth. In addition,
there is a very high rate of relapse after detoxification, and the risk
of cycling between intoxication and withdrawal can be even more
dangerous to the fetus. Methadone maintenance has generally
been accepted as the standard approach to the pregnant woman.
Buprenorphine maintenance is also increasingly being used in
pregnant opioid- dependent women. Coordinated care between
the substance abuse treatment provider and the obstetrical team
,is of utmost importance. Other complications of IV use of opioids
include endocarditis, HIV, HBV/HCV, cellulitis, abscesses, septic
arthritis, osteomyelitis, pneumonia, insomnia, myalgias, runny
nose, meningitis, pulmonary emboli, and nephrotic syndrome.
InCorrect Answers:
B. Cannabis use during pregnancy may lead to fetal growth
retardation and cognitive and behavioral impairments with
psychiatric symptoms in the child. However, withdrawal symptoms
in this female indicate opioid abuse.
C. Cocaine can lead to fetal hypoxia and placental abruption, but
withdrawal symptoms in this female are suggestive of opioid
withdrawal.
D. These symptoms are not suggestive of nicotine withdrawal.
A 54-year-old male arrives at the office for a wellness check. He is
on an MAOI medication. Which of the following foods does NOT
have to be avoided by this patient taking an MAOI?
A. Pickled herring
B. Smoked salmon
C. Chianti wine
D. Lima beansCorrect Answer: D. Lima beans
Lima beans are a safe food to eat while taking MAOI
medications.InCorrect Answers: C
,A. Foods to be avoided include cheese other than cottage and
cream cheese, caviar, liver, ✔D smoked/pickled/cured fish and
meat, ripe avocados, canned figs, yeast extract, chianti red wine,
and beerwith yeast.
B. Foods to be avoided include cheese other than cottage and
cream cheese, caviar, liver, smoked/pickled/cured fish and meat,
ripe avocados, canned figs, yeast extract, chianti red wine, and
beer with yeast.
C. Foods to be avoided include cheese other than cottage and
cream cheese, caviar, liver, smoked/pickled/cured fish and meat,
ripe avocados, canned figs, yeast extract, chianti red wine, and
beer with yeast.
Vital Concept:
The practitioner must be aware of prescribing guidelines. MAOI
inhibitors should be avoided with cheese other than cottage and
cream cheese, caviar, liver, smoked/pickled/cured fish and meat,
ripe avocados, canned figs, yeast extract, chianti red wine, and
beer with yeast. Foods in moderation include chocolate and
coffee. Avoid cold meds, allergy meds, decongestants, cough
meds, stimulants, meperidine, SSRI, bupropion, mirtazapine,
nefazodone, trazodone, and venlafaxine.
What would you expect to find on a wet-mount slide of a patient
with bacterial vaginosis (BV)?
A. Epithelial cells and RBCs
B. Tzanck cells
C. Clue cells
, D. Leukocytes and epithelial cellsCorrect Answer: C. Clue cells
Clue cells would be found in the wet mount of a person diagnosed
with BV.
InCorrect Answers:
A. This would not be found in a BV diagnosis.B. The Tzanck cell
is associated with varicella not BV. D. This would not be found in
a BV diagnosis.
To make a diagnosis of allergic rhinitis in the primary care office
setting, the nurse practitioner would consider performing:
A. A nasal smear
B. A total serum IgE
C. Skin tests
D. RASTCorrect Answer: A. A nasal smear
A nasal smear is a simple test and nurse practitioners may obtain.
InCorrect Answers:
B. Many clients who have uncomplicated allergic rhinitis have a
normal serum IgE. C. Skin testing should be performed by trained
providers only.D. RASTs cost more and have a lower sensitivity.
Vital Concepts:
A nasal smear is a simple test and nurse practitioners may obtain
to make a diagnosis of allergic rhinitis in the primary care office
setting.
