ANCC FNP BOARD EXAM REVIEW PART 2
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+ WITH RATIONALE
ANSWERS
Q. A 24-year-old male presents with a history of multiple episodes of major
depression with occasional bouts of elevated mood. During the bouts of
elevated mood, he reports racing thoughts and an intense desire for risky
behaviors but denies hallucinations. He works a steady job and maintains a
home. Which is the most likely diagnosis?
Schizoaffective disorder
Bipolar disorder type II
Dysthymia
Bipolar disorder type I
,Solution: The correct answer is B.
Rationale: Bipolar disorder is characterized by mania and depression.
Bipolar disorder type II is associated with major depression and low levels
of mania. Bipolar disorder type II is not usually associated with impairment
of social function, and many patients maintain work and family
requirements. Schizoafective disorder is characterized by the combination
of schizophrenia and major depression. Dysthymia is characterized by a
constant depressed mood but does not meet the requirement of a major
depressive disorder. Bipolar disorder type I is associated with a major
depressive disorder and hypermania. Patients with bipolar disorder type I
experience significant impairment with social function and work life.
Which immunizations should an adolescent aged 12 receive as a
component of preventative care? Select all that apply.
Human papillomavirus (HPV) vaccine
Initial measles, mumps, and rubella (MMR) vaccine
Tetanus and diphtheria toxoids (TDaP) booster
Hepatitis B vaccine
Meningococcal conjugate vaccine
Solution: The correct answers are A, C and E.
Rationale: Between ages 11 and 12, the adolescent should receive tetanus
and diphtheria toxoids booster, the human papillomavirus (HPV) vaccine,
and the meningococcal conjugate vaccine. Certain populations, such as
adolescents with heart disease, sickle-cell disease, and human
immunodeficiency virus (HIV), may also require the pneumococcal vaccine,
,the hepatitis A series, and the influenza vaccine, but these are not
considered routine at age 12.
Rifampin, ethambutol, and pyrazinamide
The Centers for Disease Control and Prevention (CDC) recommends the use
of rifampin, ethambutol, pyrazinamide, isoniazid, and rifapentine for use in
treatment
Which instructions should be provided to a patient with newly diagnosed
ulcerative colitis (UC)? Select all that apply.
Annual colorectal screenings are important to decrease cancer risks.
Control of ulcerative colitis requires medication and diet counseling.
Due to high risk of appendicitis, report any right lower quadrant pain
immediately.
Due to an increased risk of colorectal cancer, you need to report any
changes in the UC immediately.
Limit the number of sexual partners.
Solution: The correct answers are A, B and D.
Rationale: Patients with family history and/or with chronic ulcerative colitis
(UC) or Crohn’s disease have an increased risk of developing colorectal
cancer. Patients with ulcerative colitis do not have an increased risk of
developing appendicitis. Patients with ulcerative colitis can manage well if
the condition is controlled with medication and diet. The number of sexual
partners does not increase the risk for complications of UC.
Beck Depression Inventory
, The Beck Depression Inventory should provide data to assist the diagnosis
and treatment. postpartum depression
Mini-Mental State Examination (MMSE)
A test that is used to measure cognitive ability, especially in late adulthood.
A 70-year-old male presents for a routine physical. Upon obtaining a
complete history, the nurse practitioner notes a 40-year smoking history,
chicken pox as a child, no known allergies, and type-2 diabetes. The patient
has not had a physical performed in several years. What vaccines should the
nurse practitioner include in the plan of treatment? Select all that apply.
Influenza vaccine
Pneumococcal vaccine
Zoster vaccine live
Meningococcal conjugate vaccine
Varicella vaccine
Rationale: All adults older than 65 years of age should receive a
pneumococcal vaccine. A shingles vaccine should be given to adults at age
60 and over who have a history of a previous chicken pox diagnosis. An
influenza vaccination is recommended for adults as a seasonal precaution.
A meningococcal conjugate vaccine is administered to younger individuals
such as preteens, teens, and college-aged adults. A varicella vaccine is
given in children to prevent chicken pox.
A 46-year-old African American male, without a family history of prostate
cancer, presents to the clinic for an annual physical exam. Which screening
would be recommended for this patient? Select all that apply.
Prostate-specific antigen (PSA) test
Computerized tomography (CT) scan
Digital rectal examination (DRE
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+ WITH RATIONALE
ANSWERS
Q. A 24-year-old male presents with a history of multiple episodes of major
depression with occasional bouts of elevated mood. During the bouts of
elevated mood, he reports racing thoughts and an intense desire for risky
behaviors but denies hallucinations. He works a steady job and maintains a
home. Which is the most likely diagnosis?
Schizoaffective disorder
Bipolar disorder type II
Dysthymia
Bipolar disorder type I
,Solution: The correct answer is B.
Rationale: Bipolar disorder is characterized by mania and depression.
Bipolar disorder type II is associated with major depression and low levels
of mania. Bipolar disorder type II is not usually associated with impairment
of social function, and many patients maintain work and family
requirements. Schizoafective disorder is characterized by the combination
of schizophrenia and major depression. Dysthymia is characterized by a
constant depressed mood but does not meet the requirement of a major
depressive disorder. Bipolar disorder type I is associated with a major
depressive disorder and hypermania. Patients with bipolar disorder type I
experience significant impairment with social function and work life.
Which immunizations should an adolescent aged 12 receive as a
component of preventative care? Select all that apply.
Human papillomavirus (HPV) vaccine
Initial measles, mumps, and rubella (MMR) vaccine
Tetanus and diphtheria toxoids (TDaP) booster
Hepatitis B vaccine
Meningococcal conjugate vaccine
Solution: The correct answers are A, C and E.
Rationale: Between ages 11 and 12, the adolescent should receive tetanus
and diphtheria toxoids booster, the human papillomavirus (HPV) vaccine,
and the meningococcal conjugate vaccine. Certain populations, such as
adolescents with heart disease, sickle-cell disease, and human
immunodeficiency virus (HIV), may also require the pneumococcal vaccine,
,the hepatitis A series, and the influenza vaccine, but these are not
considered routine at age 12.
Rifampin, ethambutol, and pyrazinamide
The Centers for Disease Control and Prevention (CDC) recommends the use
of rifampin, ethambutol, pyrazinamide, isoniazid, and rifapentine for use in
treatment
Which instructions should be provided to a patient with newly diagnosed
ulcerative colitis (UC)? Select all that apply.
Annual colorectal screenings are important to decrease cancer risks.
Control of ulcerative colitis requires medication and diet counseling.
Due to high risk of appendicitis, report any right lower quadrant pain
immediately.
Due to an increased risk of colorectal cancer, you need to report any
changes in the UC immediately.
Limit the number of sexual partners.
Solution: The correct answers are A, B and D.
Rationale: Patients with family history and/or with chronic ulcerative colitis
(UC) or Crohn’s disease have an increased risk of developing colorectal
cancer. Patients with ulcerative colitis do not have an increased risk of
developing appendicitis. Patients with ulcerative colitis can manage well if
the condition is controlled with medication and diet. The number of sexual
partners does not increase the risk for complications of UC.
Beck Depression Inventory
, The Beck Depression Inventory should provide data to assist the diagnosis
and treatment. postpartum depression
Mini-Mental State Examination (MMSE)
A test that is used to measure cognitive ability, especially in late adulthood.
A 70-year-old male presents for a routine physical. Upon obtaining a
complete history, the nurse practitioner notes a 40-year smoking history,
chicken pox as a child, no known allergies, and type-2 diabetes. The patient
has not had a physical performed in several years. What vaccines should the
nurse practitioner include in the plan of treatment? Select all that apply.
Influenza vaccine
Pneumococcal vaccine
Zoster vaccine live
Meningococcal conjugate vaccine
Varicella vaccine
Rationale: All adults older than 65 years of age should receive a
pneumococcal vaccine. A shingles vaccine should be given to adults at age
60 and over who have a history of a previous chicken pox diagnosis. An
influenza vaccination is recommended for adults as a seasonal precaution.
A meningococcal conjugate vaccine is administered to younger individuals
such as preteens, teens, and college-aged adults. A varicella vaccine is
given in children to prevent chicken pox.
A 46-year-old African American male, without a family history of prostate
cancer, presents to the clinic for an annual physical exam. Which screening
would be recommended for this patient? Select all that apply.
Prostate-specific antigen (PSA) test
Computerized tomography (CT) scan
Digital rectal examination (DRE
