ANCC FNP
Board-Prep Qs & Review Terms
900+ Prep Qs & Review Terms
Board-Exam Preparation
Main Features:
• Focused ANCC FNP board-exam review
• Board-Prep Questions and Review Terms
• Extensive collection of practice questions
• Helpful for identifying knowledge gaps
• Covers high-yield concepts
• Supports structured study and final revision
,1. Reddish to purple-colored lesion that increases rapidly in size. May have bullae.
Infected area appears indurated ("woody" induration) with complaints of severe pain on
affected site.
Necrotizing Fasciitis (“Flesh-Eating” Bacteria)
2. Disease causing the most deaths overall:
Heart disease
3. Steroids - plasma transport
Transported in blood bound to plasma carrier proteins due to limited solubility
4. Cancer with the highest mortality in males and females:
Lung cancer
5. Most common cause of death in adolescents:
Motor vehicle crashes
6. Most common cancer in females:
Breast cancer
7. Most common cancer in males:
Prostate cancer
8. Most common type of cancer overall (males/females):
Skin cancer
9. Most common type of skin cancer (males/females):
Basal cell cancer
10. Skin cancer with the highest mortality:
Melanoma
11. Gynecological cancer (vulva, vagina, cervix, uterus, ovary):
Uterine/endometrial cancer (most common gynecological cancer) Ovarian cancer
(second most common gynecological cancer)
,12. A 45-year-old female patient complains of a sore throat. Upon examination, the NP
notices a bony growth midline at the hard palate of the mouth. The patient denies any
changes or pain. It is not red, tender, or swollen. She reports a history of the same
growth for many years without any change. Which of the following conditions is most
likely?
A. Torus palatinus
B. Geographic tongue
C. Acute glossitis
D. Leukoplakia
Correct A. Torus palatinus
Source Explanation: Best Clues The description of a chronic bony growth located midline in
the hard palate indicates torus palatinus. Rule out glossitis, geographic tongue, and hairy
leukoplakia because they are all located on the tongue and not on the hard palate (roof of the
mouth).
13. A torus palatinus is a
benign growth of bone (an exostosis) located midline on the hard palate and covered
with normal oral skin. It is painless and does not interfere with function.
14. A "geographic tongue" has
multiple fissures and irregular smoother areas on its surface that make it look like a
topographic map. The patient may complain of soreness on the tongue after eating or
drinking acidic or hot foods.
15. Leukoplakia is not
a benign variant. It appears as a slow-growing white plaque that has a firm to hard
surface that is slightly raised on the tongue or inside the mouth. It is considered a
precancerous lesion. It is due to chronic irritation of the skin or precancerous changes
on the tongue and inside the cheeks. Its causes include poorly fitting dentures,
chewing tobacco (snuff), and using other types of tobacco. Refer the patient for a
biopsy because it can sometimes become malignant.
16. Oral hairy leukoplakia (OHL) of the tongue is a
painless white patch (or patches) that appears corrugated. It is usually located on the
lateral aspects of the tongue (or other areas inside the mouth) and is associated with
HIV and AIDS infection. It is caused by Epstein-Barr virus (EBV) infection of the
tongue. It is not considered a premalignant lesion.
, 17. USPSTF (2018) currently recommends that a screening baseline mammogram (with or
without clinical breast exam) start at age ____ years and then every __ years until the age
of ___ years.
50; 2; 74
18. What is the USPSTF screening recommendation for ovarian cancer?
A. Annual bimanual pelvic exam with pelvic ultrasound
B. Pelvic and intravaginal ultrasound
C. Intravaginal ultrasound with CA-125 tumor marker
D. The USPSTF does not recommend routine screening of women for ovarian cancer (Grade
D)
Correct D. The USPSTF does not recommend routine screening of
Source Explanation: women for ovarian cancer (Grade D)
19. If there is a case scenario of an older woman who complains of vague
abdominal/pelvic symptoms (stomach bloating, low-back ache, constipation) and is
found to have a palpable ovary during the bimanual exam, rule out ______.
ovarian cancer
20. Always rule out ovarian cancer in a postmenopausal woman who has a ___.
palpable ovary
21. USPSTF Screening Guidelines Breast cancer (2018)
Baseline mammogram at age 50 years Screen every 2 years until age 74 years
(biennial) After age 75 years (insufficient evidence)
22. USPSTF Screening Guidelines Cervical cancer (2018)
Baseline Pap smear/cytology at age 21 years (do not screen younger) Screen every 3
years until age 65 years; at age 30-65 years, another option is to screen every 5 years
using hrHPV testing alone or in combination with cytology (cotesting).
23. USPSTF Screening Guidelines Lung cancer (2013)
Aged 55-80 years with 30 pack-year history of smoking or quit smoking up to 15 years
previously Annual screening with LDCT
24. USPSTF Screening Guidelines Hysterectomy (no cervix)
Do not screen (if no history of precancer or cervical cancer).
Board-Prep Qs & Review Terms
900+ Prep Qs & Review Terms
Board-Exam Preparation
Main Features:
• Focused ANCC FNP board-exam review
• Board-Prep Questions and Review Terms
• Extensive collection of practice questions
• Helpful for identifying knowledge gaps
• Covers high-yield concepts
• Supports structured study and final revision
,1. Reddish to purple-colored lesion that increases rapidly in size. May have bullae.
Infected area appears indurated ("woody" induration) with complaints of severe pain on
affected site.
Necrotizing Fasciitis (“Flesh-Eating” Bacteria)
2. Disease causing the most deaths overall:
Heart disease
3. Steroids - plasma transport
Transported in blood bound to plasma carrier proteins due to limited solubility
4. Cancer with the highest mortality in males and females:
Lung cancer
5. Most common cause of death in adolescents:
Motor vehicle crashes
6. Most common cancer in females:
Breast cancer
7. Most common cancer in males:
Prostate cancer
8. Most common type of cancer overall (males/females):
Skin cancer
9. Most common type of skin cancer (males/females):
Basal cell cancer
10. Skin cancer with the highest mortality:
Melanoma
11. Gynecological cancer (vulva, vagina, cervix, uterus, ovary):
Uterine/endometrial cancer (most common gynecological cancer) Ovarian cancer
(second most common gynecological cancer)
,12. A 45-year-old female patient complains of a sore throat. Upon examination, the NP
notices a bony growth midline at the hard palate of the mouth. The patient denies any
changes or pain. It is not red, tender, or swollen. She reports a history of the same
growth for many years without any change. Which of the following conditions is most
likely?
A. Torus palatinus
B. Geographic tongue
C. Acute glossitis
D. Leukoplakia
Correct A. Torus palatinus
Source Explanation: Best Clues The description of a chronic bony growth located midline in
the hard palate indicates torus palatinus. Rule out glossitis, geographic tongue, and hairy
leukoplakia because they are all located on the tongue and not on the hard palate (roof of the
mouth).
13. A torus palatinus is a
benign growth of bone (an exostosis) located midline on the hard palate and covered
with normal oral skin. It is painless and does not interfere with function.
14. A "geographic tongue" has
multiple fissures and irregular smoother areas on its surface that make it look like a
topographic map. The patient may complain of soreness on the tongue after eating or
drinking acidic or hot foods.
15. Leukoplakia is not
a benign variant. It appears as a slow-growing white plaque that has a firm to hard
surface that is slightly raised on the tongue or inside the mouth. It is considered a
precancerous lesion. It is due to chronic irritation of the skin or precancerous changes
on the tongue and inside the cheeks. Its causes include poorly fitting dentures,
chewing tobacco (snuff), and using other types of tobacco. Refer the patient for a
biopsy because it can sometimes become malignant.
16. Oral hairy leukoplakia (OHL) of the tongue is a
painless white patch (or patches) that appears corrugated. It is usually located on the
lateral aspects of the tongue (or other areas inside the mouth) and is associated with
HIV and AIDS infection. It is caused by Epstein-Barr virus (EBV) infection of the
tongue. It is not considered a premalignant lesion.
, 17. USPSTF (2018) currently recommends that a screening baseline mammogram (with or
without clinical breast exam) start at age ____ years and then every __ years until the age
of ___ years.
50; 2; 74
18. What is the USPSTF screening recommendation for ovarian cancer?
A. Annual bimanual pelvic exam with pelvic ultrasound
B. Pelvic and intravaginal ultrasound
C. Intravaginal ultrasound with CA-125 tumor marker
D. The USPSTF does not recommend routine screening of women for ovarian cancer (Grade
D)
Correct D. The USPSTF does not recommend routine screening of
Source Explanation: women for ovarian cancer (Grade D)
19. If there is a case scenario of an older woman who complains of vague
abdominal/pelvic symptoms (stomach bloating, low-back ache, constipation) and is
found to have a palpable ovary during the bimanual exam, rule out ______.
ovarian cancer
20. Always rule out ovarian cancer in a postmenopausal woman who has a ___.
palpable ovary
21. USPSTF Screening Guidelines Breast cancer (2018)
Baseline mammogram at age 50 years Screen every 2 years until age 74 years
(biennial) After age 75 years (insufficient evidence)
22. USPSTF Screening Guidelines Cervical cancer (2018)
Baseline Pap smear/cytology at age 21 years (do not screen younger) Screen every 3
years until age 65 years; at age 30-65 years, another option is to screen every 5 years
using hrHPV testing alone or in combination with cytology (cotesting).
23. USPSTF Screening Guidelines Lung cancer (2013)
Aged 55-80 years with 30 pack-year history of smoking or quit smoking up to 15 years
previously Annual screening with LDCT
24. USPSTF Screening Guidelines Hysterectomy (no cervix)
Do not screen (if no history of precancer or cervical cancer).
