ANCC FNP BOARD EXAM LATEST 2023-2024 REAL
EXAM 200+ QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES|ALREDY GRADED 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? - ANSWER>>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: -
ANSWER>>have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? -
ANSWER>>-absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about
chronic heart failure are accurate EXCEPT: - ANSWER>>-The
preponderance is in females until the age of 75, then there is equal
occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
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? - ANSWER>>urinary retention
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? - ANSWER>>cogwheeling
The complex network of nerve fibers that innervate the organs within the
abdomen like the gastrointestinal tract, pancreas, and gall bladder is the -
ANSWER>>enteric nervous system
Aplastic anemia would be classified as which of the following? -
ANSWER>>normocytic anemia
,Charles Darwin wrote On the Origin of Species about human evolution. He
also is known for which of the following? - ANSWER>>developing the
"baby journal" as a systematic method to document observed behavioral
development
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? -
ANSWER>>cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as
many as 30-40 stools per day. The patient also has abdominal cramps,
nausea, malaise and tests will show an electrolyte balance.
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? - ANSWER>>Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients.
Which of the following would not be considered crossing one of these
boundaries? - ANSWER>>Not sharing personal information with the patient
The United States Preventive Services Task Force recommends screening
older patients for depression: - ANSWER>>at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral
route from contaminated food? - ANSWER>>Hep A
Which of the following is a normal physiologic change during pregnancy? -
ANSWER>>-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? - ANSWER>>Lasix
When counseling patients who smoke cigarettes, which of the following is
NOT good management advice? - ANSWER>>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? - ANSWER>>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? - ANSWER>>A1c
Which of the following would be considered one of the stages of Pertussis?
- ANSWER>>Convalescent
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? -
ANSWER>>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? - ANSWER>>diazepam - Diazepam has a rapid
onset of action and a relatively sustained effect.
You have a patient with a "port wine" stain that is located on half of her
facial area. You understand that this can be a sign of which of the
following? - ANSWER>>Sturge-Weber Syndrome-
The flat, large, dark ink to purple stain-like lesions occurring in irregular
shapes and sizes are nevus flammeus or "port wine" stains. A large lesion
located on half the facial area may be a sign of trigeminal nerve
involvement and Sturge-Weber Syndrome (a neurological disorder).
A patient with stable angina would exhibit which of the following? -
ANSWER>>no change in duration of symptoms during the preceding 6
weeks
Which of the following is most likely when there is no p wave present on an
electrocardiogram? - ANSWER>>A.Fib
Lispro insulin has an onset which starts at which of the following? -
ANSWER>>15 minutes
, Which of the following would be considered correct for a fungal infection
which is a common skin tissue issue that is typically seen on the
extremities, trunk or face? - ANSWER>>ringworm
Your patient has "swimmer's ear." She has no other associated conditions.
Your management of this patient will include which of the following? -
ANSWER>>application of local heat to outer ear for pain relief
A mother brings in her 7-year-old child with a red rash on his cheeks and
ears. You diagnose Fifth disease. You might recommend all of the following
for this child EXCEPT: - ANSWER>>isolation
A patient has recently been diagnosed with Addison's disease. How often
should this patient's electrolytes be monitored? - ANSWER>>every 3-4
months for the first year of therapy
You are doing a gynecologic assessment of your 25-year-old female
patient. Which of the following specimens would you collect last during this
examination? - ANSWER>>Papanicolaou testing
A patient is diagnosed as dehydrated, anxious, and isolated. What should
you give the highest priority? - ANSWER>>Dehydration.
According to the structural functional theory of assessment and
intervention, which of the following statements is false? -
ANSWER>>Suprasystems form within the family to reflect functional
needs.
A mother brings her 5-year-old child to the clinic with a ringlike pruritic rash
with some central clearing on the arms and legs. The FNP knows that this
is which of the following conditions? - ANSWER>>tinea corporis
Bactrim should NOT be prescribed to which of the following patients? -
ANSWER>>1 month old child
In treating a patient with eczema, which of the following would you use if
the patient has acute, weeping lesions? - ANSWER>>Burow's solution
During the process of implantation, the fetus in the above picture (4 weeks)
would have finger-shaped growths that grow to help anchor the embryo to
EXAM 200+ QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES|ALREDY GRADED 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? - ANSWER>>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: -
ANSWER>>have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? -
ANSWER>>-absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about
chronic heart failure are accurate EXCEPT: - ANSWER>>-The
preponderance is in females until the age of 75, then there is equal
occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
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? - ANSWER>>urinary retention
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? - ANSWER>>cogwheeling
The complex network of nerve fibers that innervate the organs within the
abdomen like the gastrointestinal tract, pancreas, and gall bladder is the -
ANSWER>>enteric nervous system
Aplastic anemia would be classified as which of the following? -
ANSWER>>normocytic anemia
,Charles Darwin wrote On the Origin of Species about human evolution. He
also is known for which of the following? - ANSWER>>developing the
"baby journal" as a systematic method to document observed behavioral
development
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? -
ANSWER>>cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as
many as 30-40 stools per day. The patient also has abdominal cramps,
nausea, malaise and tests will show an electrolyte balance.
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? - ANSWER>>Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients.
Which of the following would not be considered crossing one of these
boundaries? - ANSWER>>Not sharing personal information with the patient
The United States Preventive Services Task Force recommends screening
older patients for depression: - ANSWER>>at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral
route from contaminated food? - ANSWER>>Hep A
Which of the following is a normal physiologic change during pregnancy? -
ANSWER>>-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? - ANSWER>>Lasix
When counseling patients who smoke cigarettes, which of the following is
NOT good management advice? - ANSWER>>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? - ANSWER>>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? - ANSWER>>A1c
Which of the following would be considered one of the stages of Pertussis?
- ANSWER>>Convalescent
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? -
ANSWER>>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? - ANSWER>>diazepam - Diazepam has a rapid
onset of action and a relatively sustained effect.
You have a patient with a "port wine" stain that is located on half of her
facial area. You understand that this can be a sign of which of the
following? - ANSWER>>Sturge-Weber Syndrome-
The flat, large, dark ink to purple stain-like lesions occurring in irregular
shapes and sizes are nevus flammeus or "port wine" stains. A large lesion
located on half the facial area may be a sign of trigeminal nerve
involvement and Sturge-Weber Syndrome (a neurological disorder).
A patient with stable angina would exhibit which of the following? -
ANSWER>>no change in duration of symptoms during the preceding 6
weeks
Which of the following is most likely when there is no p wave present on an
electrocardiogram? - ANSWER>>A.Fib
Lispro insulin has an onset which starts at which of the following? -
ANSWER>>15 minutes
, Which of the following would be considered correct for a fungal infection
which is a common skin tissue issue that is typically seen on the
extremities, trunk or face? - ANSWER>>ringworm
Your patient has "swimmer's ear." She has no other associated conditions.
Your management of this patient will include which of the following? -
ANSWER>>application of local heat to outer ear for pain relief
A mother brings in her 7-year-old child with a red rash on his cheeks and
ears. You diagnose Fifth disease. You might recommend all of the following
for this child EXCEPT: - ANSWER>>isolation
A patient has recently been diagnosed with Addison's disease. How often
should this patient's electrolytes be monitored? - ANSWER>>every 3-4
months for the first year of therapy
You are doing a gynecologic assessment of your 25-year-old female
patient. Which of the following specimens would you collect last during this
examination? - ANSWER>>Papanicolaou testing
A patient is diagnosed as dehydrated, anxious, and isolated. What should
you give the highest priority? - ANSWER>>Dehydration.
According to the structural functional theory of assessment and
intervention, which of the following statements is false? -
ANSWER>>Suprasystems form within the family to reflect functional
needs.
A mother brings her 5-year-old child to the clinic with a ringlike pruritic rash
with some central clearing on the arms and legs. The FNP knows that this
is which of the following conditions? - ANSWER>>tinea corporis
Bactrim should NOT be prescribed to which of the following patients? -
ANSWER>>1 month old child
In treating a patient with eczema, which of the following would you use if
the patient has acute, weeping lesions? - ANSWER>>Burow's solution
During the process of implantation, the fetus in the above picture (4 weeks)
would have finger-shaped growths that grow to help anchor the embryo to
