ANCC Preexam Questions With Accurate
Answers
A 10-year-old patient presents to the clinic with his mother due to increasing
issues with itching in the anal area in addition to restlessness and teeth grinding
at night. The scotch tape test is performed, and the suspected diagnosis is
confirmed. How should the nurse practitioner proceed with treatment?
A.
Prescribe mebendazole (Emverm) for the patient only
Incorrect
B.
Prescribe mebendazole (Emverm) for the patient and her entire immediate family
Correct
C.
Prescribe permethrin (Nix) for the patient and her entire immediate family
Incorrect
D.
Educate the patient's mother that this will likely resolve on its own without
treatment correct answer Prescribe mebendazole (Emverm) for the patient and
her entire immediate family
A 13-year-old female patient with mild persistent asthma states that she has been
using her rescue inhaler a lot less recently. Her mother asks if we can cut back on
her medications now. How should you respond?
A.
"We can cut back on her fluticasone (Flovent) now."
Incorrect
,B.
"We shouldn't change her treatment plan on how often she is using her rescue
inhaler."
Correct
C.
"Since she is having such good control, we should change her budesonide-
formoterol to just salmeterol."
Incorrect
D.
"We will increase her from a low dose inhaled corticosteroid to a high dose
inhaled corticosteroid" correct answer "We shouldn't change her treatment plan
on how often she is using her rescue inhaler."
A 13-year-old presents with a classic case of otitis externa following a weeklong
camping trip. Which of the following is the most appropriate treatment plan?
A.
Have the patient follow up in a week if symptoms have not resolved
Incorrect
B.
Prescribe amoxicillin/clavulanate (Augmentin)
Incorrect
C.
Prescribe ofloxacin (Ocuflox) ear drops
Correct
D.
,Prescribe levofloxacin (Levaquin) correct answer Prescribe ofloxacin (Ocuflox) ear
drops
A 14-year-old male is complaining of scrotal pain. Which of the following
descriptions would warrant immediate referral?
A.
There is a dull pain and swelling that fluctuates throughout the day
Incorrect
B.
It is accompanied by fever and dysuria
Incorrect
C.
The pain is unilateral and when you gently pinch the inner thigh, the testicle does
not elevate
Correct
D.
The cremasteric reflex is positive and you notice purulent urethral discharge
correct answer The pain is unilateral and when you gently pinch the inner thigh,
the testicle does not elevate
A 15-year-old female patient presents to the clinic for a classic case of strep
throat. When you go to prescribe the patient antibiotics, she informs you that
penicillin makes her itchy. Which of the following medications would be the most
appropriate alternative for this patient?
A.
Cephalexin (Keflex)
Correct
, B.
Ciprofloxacin (Ciproxin)
Incorrect
C.
Doxycycline (Vibramycin)
Incorrect
D.
Sulfamethoxazole/trimethoprim (Bactrim) correct answer Cephalexin (Keflex)
A 15-year-old female presents to your clinic complaining of pale skin, fatigue, and
shortness of breath. Upon getting her history, she states she recently started
menarche and has heavy menses. What should be the nurse practitioner's next
action?
A.
Order CBC and ferritin
Incorrect
B.
Order an ultrasound to assess heavy menses
Incorrect
C.
Assess the patient's nails and mucus membranes
Correct
D.
Advise her to take her vitamins with orange juice for best iron absorption correct
answer Assess the patient's nails and mucus membranes
Answers
A 10-year-old patient presents to the clinic with his mother due to increasing
issues with itching in the anal area in addition to restlessness and teeth grinding
at night. The scotch tape test is performed, and the suspected diagnosis is
confirmed. How should the nurse practitioner proceed with treatment?
A.
Prescribe mebendazole (Emverm) for the patient only
Incorrect
B.
Prescribe mebendazole (Emverm) for the patient and her entire immediate family
Correct
C.
Prescribe permethrin (Nix) for the patient and her entire immediate family
Incorrect
D.
Educate the patient's mother that this will likely resolve on its own without
treatment correct answer Prescribe mebendazole (Emverm) for the patient and
her entire immediate family
A 13-year-old female patient with mild persistent asthma states that she has been
using her rescue inhaler a lot less recently. Her mother asks if we can cut back on
her medications now. How should you respond?
A.
"We can cut back on her fluticasone (Flovent) now."
Incorrect
,B.
"We shouldn't change her treatment plan on how often she is using her rescue
inhaler."
Correct
C.
"Since she is having such good control, we should change her budesonide-
formoterol to just salmeterol."
Incorrect
D.
"We will increase her from a low dose inhaled corticosteroid to a high dose
inhaled corticosteroid" correct answer "We shouldn't change her treatment plan
on how often she is using her rescue inhaler."
A 13-year-old presents with a classic case of otitis externa following a weeklong
camping trip. Which of the following is the most appropriate treatment plan?
A.
Have the patient follow up in a week if symptoms have not resolved
Incorrect
B.
Prescribe amoxicillin/clavulanate (Augmentin)
Incorrect
C.
Prescribe ofloxacin (Ocuflox) ear drops
Correct
D.
,Prescribe levofloxacin (Levaquin) correct answer Prescribe ofloxacin (Ocuflox) ear
drops
A 14-year-old male is complaining of scrotal pain. Which of the following
descriptions would warrant immediate referral?
A.
There is a dull pain and swelling that fluctuates throughout the day
Incorrect
B.
It is accompanied by fever and dysuria
Incorrect
C.
The pain is unilateral and when you gently pinch the inner thigh, the testicle does
not elevate
Correct
D.
The cremasteric reflex is positive and you notice purulent urethral discharge
correct answer The pain is unilateral and when you gently pinch the inner thigh,
the testicle does not elevate
A 15-year-old female patient presents to the clinic for a classic case of strep
throat. When you go to prescribe the patient antibiotics, she informs you that
penicillin makes her itchy. Which of the following medications would be the most
appropriate alternative for this patient?
A.
Cephalexin (Keflex)
Correct
, B.
Ciprofloxacin (Ciproxin)
Incorrect
C.
Doxycycline (Vibramycin)
Incorrect
D.
Sulfamethoxazole/trimethoprim (Bactrim) correct answer Cephalexin (Keflex)
A 15-year-old female presents to your clinic complaining of pale skin, fatigue, and
shortness of breath. Upon getting her history, she states she recently started
menarche and has heavy menses. What should be the nurse practitioner's next
action?
A.
Order CBC and ferritin
Incorrect
B.
Order an ultrasound to assess heavy menses
Incorrect
C.
Assess the patient's nails and mucus membranes
Correct
D.
Advise her to take her vitamins with orange juice for best iron absorption correct
answer Assess the patient's nails and mucus membranes
