ANCC APRN EXAM QUESTIONS WITH FULLY SOLVED AND
UPDATED ANSWERS.
1) Which drug is associated with increased lipoprotein levels?
_ _ _ _ _ _ _
A) Furosemide (Lasix). _
B) Hydrochlorothiazide (HCTZ). _
C) Spironolactone (Aldactone). _
D) Triamterene (Dyrenium). -- Correct Answer ✔✔ Hydrochlorothiazide (HCTZ)
_ _ _ _ _ _ _
2) The family nurse practitioner asks a patient to perform rapid, alternating movements
_ _ _ _ _ _ _ _ _ _ _ _
of the hands to evaluate:
_ _ _ _
A) cerebellar functioning. _
B) cognitive functioning. _
C) reflex arc functioning.
_ _
D) stereognostic functioning. -- Correct Answer ✔✔ cerebellar functioning
_ _ _ _ _ _ _
3) A 38-year-old patient who is Vietnamese tells the family nurse practitioner that his or
_ _ _ _ _ _ _ _ _ _ _ _ _
_her parent died in his or her 40s from liver cancer. The nurse practitioner assesses
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
that the patient is at risk for:
_ _ _ _ _ _
A) hepatitis B. _
B) malaria.
C) tularemia.
D) tyrosinemia -- Correct Answer ✔✔ hepatitis B. _ _ _ _ _ _
4) A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac
_ _ _ _ _ _ _ _ _ _ _ _ _
bypass surgery. The patient brings his father with him into the examination room.
_ _ _ _ _ _ _ _ _ _ _ _ _
The family nurse practitioner provides culturally sensitive care by:
_ _ _ _ _ _ _ _
, A) asking the patient's father if he has any questions regarding his son's care.
_ _ _ _ _ _ _ _ _ _ _ _
B) asking the patient's father to leave the room due to confidentiality issues.
_ _ _ _ _ _ _ _ _ _ _
C) performing the examination without commenting to the patient's father.
_ _ _ _ _ _ _ _
D) performing the examination, then telling the patient's father the examination
_ _ _ _ _ _ _ _ _ _
findings. -- Correct Answer ✔✔ asking the patient's father if he has any questions
_ _ _ _ _ _ _ _ _ _ _ _ _ _
regarding his son's care. _ _ _
5) A difficult aspect of determining occupational exposure to disease is the:
_ _ _ _ _ _ _ _ _ _
A) confidentiality of the information within company records. _ _ _ _ _ _
B) inaccuracy of occupational disease reporting. _ _ _ _
C) long latency period between exposure and disease development.
_ _ _ _ _ _ _
D) reliance on workers' memories. -- Correct Answer ✔✔ long latency period
_ _ _ _ _ _ _ _ _ _ _
between exposure and disease development.
_ _ _ _
6) The family nurse practitioner exhibits professional leadership by:
_ _ _ _ _ _ _
A) adding clinical protocols to the nurse practitioner scope of practice.
_ _ _ _ _ _ _ _ _
B) comparing the workplace roles of the registered nurse and the nurse practitioner.
_ _ _ _ _ _ _ _ _ _ _
C) creating a task force to address scope-of-practice concerns.
_ _ _ _ _ _ _
D) lobbying to eliminate continuing education requirements. -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _
creating a task force to address scope-of-practice concerns.
_ _ _ _ _ _ _
7) To comply with regulations for third-party payor reimbursement and documentation,
_ _ _ _ _ _ _ _ _
a family nurse practitioner correlates:
_ _ _ _ _
A) evaluation and management code with history, examination and medical decision
_ _ _ _ _ _ _ _ _ _
making.
B) health outcomes with physical examination findings and plan of care.
_ _ _ _ _ _ _ _ _
C) medication orders and treatment plan with electronic billing._ _ _ _ _ _ _
D) patient privacy with informed consent. -- Correct Answer ✔✔ evaluation and
_ _ _ _ _ _ _ _ _ _ _
management code with history, examination and medical decision making _ _ _ _ _ _ _ _
8) The family nurse practitioner examines a patient who has sustained a non-work-
_ _ _ _ _ _ _ _ _ _ _
related injury that interferes with the patient's ability to perform his or her job. The
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
patient does not qualify for medical disability and has a reasonable chance of engaging
_ _ _ _ _ _ _ _ _ _ _ _ _ _
, in a suitable occupation with proper therapy. The nurse practitioner recommends
_ _ _ _ _ _ _ _ _ _ _
that the patient apply for:
_ _ _ _
A) Family and Medical Leave Act benefits.
_ _ _ _ _
B) home health services. _ _
C) Social Security benefits. _ _
D) vocational rehabilitation services. -- Correct Answer ✔✔ vocational rehabilitation
_ _ _ _ _ _ _ _ _
services.
9) A 45-year-old patient who is an opera singer reports progressive hoarseness for the
_ _ _ _ _ _ _ _ _ _ _ _ _
last four weeks. The hoarseness began after a three-hour opera performance. The
_ _ _ _ _ _ _ _ _ _ _ _
patient does not smoke and reports no weight loss, upper respiratory infection,
_ _ _ _ _ _ _ _ _ _ _ _
dysphagia, or shortness of breath. The family nurse practitioner manages this patient
_ _ _ _ _ _ _ _ _ _ _ _
by:
A) ordering a computed tomography scan of the head. _ _ _ _ _ _ _
B) ordering an immediate lateral neck x-ray. _ _ _ _ _
C) prescribing systemic antibiotics and cool mist inhalations. _ _ _ _ _ _
D) requesting a referral for evaluation of the larynx. -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _
requesting a referral for evaluation of the larynx. _ _ _ _ _ _ _
10) Routine immunization guidelines recommend administering the hepatitis B vaccine at
_ _ _ _ _ _ _ _ _ _
birth and repeating doses at:
_ _ _ _
A) one month and six months.
_ _ _ _
B) one month and two months.
_ _ _ _
C) four months and two years.
_ _ _ _
D) six months and 12 months. -- Correct Answer ✔✔ one month and six months.
_ _ _ _ _ _ _ _ _ _ _ _ _
11) A patient who sustained a myocardial infarction comes to the clinic for a refill of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
atorvastatin (Lipitor). The family nurse practitioner explains that the medication is
_ _ _ _ _ _ _ _ _ _ _
prescribed for: _
A) cancer prevention. _
B) primary prevention. _
C) secondary prevention. _
UPDATED ANSWERS.
1) Which drug is associated with increased lipoprotein levels?
_ _ _ _ _ _ _
A) Furosemide (Lasix). _
B) Hydrochlorothiazide (HCTZ). _
C) Spironolactone (Aldactone). _
D) Triamterene (Dyrenium). -- Correct Answer ✔✔ Hydrochlorothiazide (HCTZ)
_ _ _ _ _ _ _
2) The family nurse practitioner asks a patient to perform rapid, alternating movements
_ _ _ _ _ _ _ _ _ _ _ _
of the hands to evaluate:
_ _ _ _
A) cerebellar functioning. _
B) cognitive functioning. _
C) reflex arc functioning.
_ _
D) stereognostic functioning. -- Correct Answer ✔✔ cerebellar functioning
_ _ _ _ _ _ _
3) A 38-year-old patient who is Vietnamese tells the family nurse practitioner that his or
_ _ _ _ _ _ _ _ _ _ _ _ _
_her parent died in his or her 40s from liver cancer. The nurse practitioner assesses
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
that the patient is at risk for:
_ _ _ _ _ _
A) hepatitis B. _
B) malaria.
C) tularemia.
D) tyrosinemia -- Correct Answer ✔✔ hepatitis B. _ _ _ _ _ _
4) A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac
_ _ _ _ _ _ _ _ _ _ _ _ _
bypass surgery. The patient brings his father with him into the examination room.
_ _ _ _ _ _ _ _ _ _ _ _ _
The family nurse practitioner provides culturally sensitive care by:
_ _ _ _ _ _ _ _
, A) asking the patient's father if he has any questions regarding his son's care.
_ _ _ _ _ _ _ _ _ _ _ _
B) asking the patient's father to leave the room due to confidentiality issues.
_ _ _ _ _ _ _ _ _ _ _
C) performing the examination without commenting to the patient's father.
_ _ _ _ _ _ _ _
D) performing the examination, then telling the patient's father the examination
_ _ _ _ _ _ _ _ _ _
findings. -- Correct Answer ✔✔ asking the patient's father if he has any questions
_ _ _ _ _ _ _ _ _ _ _ _ _ _
regarding his son's care. _ _ _
5) A difficult aspect of determining occupational exposure to disease is the:
_ _ _ _ _ _ _ _ _ _
A) confidentiality of the information within company records. _ _ _ _ _ _
B) inaccuracy of occupational disease reporting. _ _ _ _
C) long latency period between exposure and disease development.
_ _ _ _ _ _ _
D) reliance on workers' memories. -- Correct Answer ✔✔ long latency period
_ _ _ _ _ _ _ _ _ _ _
between exposure and disease development.
_ _ _ _
6) The family nurse practitioner exhibits professional leadership by:
_ _ _ _ _ _ _
A) adding clinical protocols to the nurse practitioner scope of practice.
_ _ _ _ _ _ _ _ _
B) comparing the workplace roles of the registered nurse and the nurse practitioner.
_ _ _ _ _ _ _ _ _ _ _
C) creating a task force to address scope-of-practice concerns.
_ _ _ _ _ _ _
D) lobbying to eliminate continuing education requirements. -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _
creating a task force to address scope-of-practice concerns.
_ _ _ _ _ _ _
7) To comply with regulations for third-party payor reimbursement and documentation,
_ _ _ _ _ _ _ _ _
a family nurse practitioner correlates:
_ _ _ _ _
A) evaluation and management code with history, examination and medical decision
_ _ _ _ _ _ _ _ _ _
making.
B) health outcomes with physical examination findings and plan of care.
_ _ _ _ _ _ _ _ _
C) medication orders and treatment plan with electronic billing._ _ _ _ _ _ _
D) patient privacy with informed consent. -- Correct Answer ✔✔ evaluation and
_ _ _ _ _ _ _ _ _ _ _
management code with history, examination and medical decision making _ _ _ _ _ _ _ _
8) The family nurse practitioner examines a patient who has sustained a non-work-
_ _ _ _ _ _ _ _ _ _ _
related injury that interferes with the patient's ability to perform his or her job. The
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
patient does not qualify for medical disability and has a reasonable chance of engaging
_ _ _ _ _ _ _ _ _ _ _ _ _ _
, in a suitable occupation with proper therapy. The nurse practitioner recommends
_ _ _ _ _ _ _ _ _ _ _
that the patient apply for:
_ _ _ _
A) Family and Medical Leave Act benefits.
_ _ _ _ _
B) home health services. _ _
C) Social Security benefits. _ _
D) vocational rehabilitation services. -- Correct Answer ✔✔ vocational rehabilitation
_ _ _ _ _ _ _ _ _
services.
9) A 45-year-old patient who is an opera singer reports progressive hoarseness for the
_ _ _ _ _ _ _ _ _ _ _ _ _
last four weeks. The hoarseness began after a three-hour opera performance. The
_ _ _ _ _ _ _ _ _ _ _ _
patient does not smoke and reports no weight loss, upper respiratory infection,
_ _ _ _ _ _ _ _ _ _ _ _
dysphagia, or shortness of breath. The family nurse practitioner manages this patient
_ _ _ _ _ _ _ _ _ _ _ _
by:
A) ordering a computed tomography scan of the head. _ _ _ _ _ _ _
B) ordering an immediate lateral neck x-ray. _ _ _ _ _
C) prescribing systemic antibiotics and cool mist inhalations. _ _ _ _ _ _
D) requesting a referral for evaluation of the larynx. -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _
requesting a referral for evaluation of the larynx. _ _ _ _ _ _ _
10) Routine immunization guidelines recommend administering the hepatitis B vaccine at
_ _ _ _ _ _ _ _ _ _
birth and repeating doses at:
_ _ _ _
A) one month and six months.
_ _ _ _
B) one month and two months.
_ _ _ _
C) four months and two years.
_ _ _ _
D) six months and 12 months. -- Correct Answer ✔✔ one month and six months.
_ _ _ _ _ _ _ _ _ _ _ _ _
11) A patient who sustained a myocardial infarction comes to the clinic for a refill of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
atorvastatin (Lipitor). The family nurse practitioner explains that the medication is
_ _ _ _ _ _ _ _ _ _ _
prescribed for: _
A) cancer prevention. _
B) primary prevention. _
C) secondary prevention. _
