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ANCC FNP BOARD EXAM |LATEST UPDATES|QUESTIONS AND ANSWERS

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ANCC FNP BOARD EXAM |LATEST UPDATES|QUESTIONS AND ANSWERS A gastrinoma located on the pancreas or the stomach which secretes gastrin, stimulating high levels of acid production in the stomach is which of the following? - ANSWER -Zollinger-Ellison syndrome 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-

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ANCC FNP BOARD EXAM |LATEST
UPDATES|QUESTIONS AND ANSWERS
A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the
following? - ANSWER -Zollinger-Ellison syndrome

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-

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