ANCC exam 3 updated

ANCC exam 3 updated
AM9-month-oldMfemaleMinfantMpresentsMtoMtheMclinicMforMaMroutineMwell-
childMvisit.MSixMmonthsMago,MsheMwasMprescribedMomeprazoleM(Prilosec)MdueMtoMgast
roesophagealMrefluxMandMpoorMweightMgain.MAtMtheMpresentMvisit,MherMparentsMrepo
rtMthatMsheMisMdrinkingMapproximatelyM24MouncesMofMformulaMdailyMandMeatingMso
meMsolidMfoods.MTheyMreportMnoMcurrentMissuesMwithMreflux.MWhileMreviewingMtheM
patient'sMgrowthMchart,MtheMnurseMpractitionerMnotesMsteadyMandMappropriateMweight
MgainMoverMtheMpastM6Mmonths.MWhichMofMtheMfollowingMisMtheMnextMbestMstep
MinMmanagement?
A.

ContinueMomeprazoleM(Prilosec)MasMprescribed

Incorrect

B.

DecreaseMtheMdoseMofMomeprazoleM(Prilosec)MandMreevaluateMinM3Mweeks

Correct

C.

DiscontinueMomeprazoleM(Prilosec)MandMprescribeMmetoclopramideM(Reglan)

Incorrect

D.

DiscontinueMomeprazoleM(Prilosec)MandMreevaluateMinM3MmonthsM-
MAnswerMDecreaseMtheMdoseMofMomeprazoleM(Prilosec)MandMreevaluateMinM3Mweeks


AM70-year-
oldMmanMpresentsMtoMtheMclinicMforMaMroutineMcheckup.MHeMhasMaMhistoryMofMsm
okingMoneMpackMofMcigarettesMperMdayMforMtheMpastM40Myears.MHeMreportsMnoMdi
scomfortMtoday.MWhichMofMtheMfollowingMisMtheMmostMappropriateMrecommendationM
regardingMabdominalMaorticManeurysmMscreeningMforMthisMpatient?

A.

AdviseMhimMtoMquitMsmokingMbutMdeferMscreeningMsinceMheMisMasymptomatic

Incorrect

B.

NoMscreeningMnecessary,MasMheMisMbeyondMtheMrecommendedMage

Incorrect

C.

,OrderManMabdominalMU/SMforMscreeningMtoday

Correct

D.

PerformMaMphysicalMexaminationMofMtheMabdomenMtoMassessMforMaMpulsatileMmassM
-MAnswerMOrderManMabdominalMU/SMforMscreeningMtoday



WhichMofMtheMfollowingMisMtheMmostMimportantMfirstMstepMwhenMevaluatingMaM15-
year-oldMgirlMwithMaM4-monthMhistoryMofMsecondaryMamenorrhea?

A.

CheckingMweight

Incorrect

B.

MeasuringMFSH

Incorrect

C.

MeasuringMhumanMchorionicMgonadotropinMlevels

Correct

D.

MeasuringMTSHM-MAnswerMMeasuringMhumanMchorionicMgonadotropinMlevels



WhileMreadingMaMjournalMarticle,MaMnurseMpractitionerMcomesMacrossMaMsectionMdisc
ussingMtheMefficacyMofMaMnewMdrug.MTheMarticleMmentionsMaMPMvalueMofM.03MinM
relationMtoMtheMdrug'sMeffect.MWhichMofMtheMfollowingMbestMdefinesMwhatMaMPMval
ueMis?

A.

AMmeasureMofMtheMrelationshipMbetweenMtwoMvariables

Incorrect

B.

TheModdsMofManMeventMinMoneMgroupMversusManother

Incorrect

C.

TheMpercentageMofMpatientsMwhoMrespondedMtoMtheMdrug

,Incorrect

D.

TheMprobabilityMthatMobservedMresultsMoccurredMbyMchanceM-
MAnswerMTheMprobabilityMthatMobservedMresultsMoccurredMbyMchance


AM47-year-
oldMwomanMpresentsMwithM4MdaysMofMhighMfever,Mheadache,MandMmyalgias.MSheMd
evelopedMaMblanchingMerythematousMrashMwithMmaculesMonMherMwristsMandManklesM
thatMspreadMtoMherMtrunkM2MdaysMago.MSheMreportsMnoMhistoryMofMoverseasMtrave
lMbutMwasMcampingMinMArkansasMlastMweekend.MWhichMofMtheMfollowingMisMtheMm
ostMappropriateMtreatmentMforMtheMsuspectedMdiagnosis?

A.

Ceftriaxone

Incorrect

B.

DoxycyclineM(Vibramycin)

Correct

C.

ErythromycinM(Erythrocin)

Incorrect

D.

VancomycinM(Vancocin)M-MAnswerMDoxycyclineM(Vibramycin)



AM36-year-
oldMG4P3MwomanMpresentsMforMaMroutineMprenatalMvisitMatM30MweeksMgestation.MS
heMwasMdiagnosedMwithMgestationalMdiabetesMmellitusMatM26MweeksMgestation.MTheM
nurseMpractitionerMreviewsMtheMpatient'sMvitalMsignsMandMbloodMglucoseMlogMandMor
dersMlabMwork.MWhichMofMtheMfollowingMfindingsMindicatesMeffectiveMmanagementMof
MthisMcondition?
A.

1-hourMpostprandialMbloodMglucoseMlevelsM<M200Mmg/dL

Incorrect

B.

2-hourMpostprandialMglucoseMlevelsM<M100Mmg/dL

, Incorrect

C.

DailyMfastingMglucoseMlevelsMofM<M95Mmg/dL

Correct

D.

WeightMlossMofM2MpoundsMsinceMtheMlastMvisitM-
MAnswerMDailyMfastingMglucoseMlevelsMofM<M95Mmg/dL


AM62-year-
oldMwomanMpresentsMtoMtheMclinicMwithMspottingMforM2Mweeks.MHerMlastMmenstrual
McycleMwasM8MyearsMago.MSheMreportsMthatMsheMisMsexuallyMactiveMwithMoneMpart
ner.MAMpelvicMexaminationMrevealsMatrophicMvaginalMmucosaMwithoutMevidenceMofMbl
eeding,MandMadnexalMmassesMareMnotMpalpable.MTheMvulvarMandMurethralMexaminatio
nMisMunremarkable.MStoolMguaiacMtestingMisMnegative.MWhichMofMtheMfollowingMisMt
heMmostMlikelyMdiagnosis?

A.

BladderMcancer

Incorrect

B.

EndometrialMcarcinoma

Correct

C.

OvarianMfibroma

Incorrect

D.

RectalMadenocarcinomaM-MAnswerMEndometrialMcarcinoma



AM40-year-
oldMmanMwasMdiagnosedMwithMdepressionMandMprescribedMaMselectiveMserotoninMreu
ptakeMinhibitorMforMtheMfirstMtime.MWhichMofMtheMfollowingMsideMeffectsMshouldMth
eMnurseMpractitionerMdiscussMwithMtheMpatient?

A.

InsomniaMcanMbeMimprovedMbyMtakingMtheMmedicationMatMbedtime