ANCC FNP-BC Board Review | High-Yield Practice
QUESTIONs, Detailed Rationales & Exam Success
Guide
QUESTION 1
A 24-month-old toddler is brought to the clinic for a routine well-child
visit. Which developmental milestone should the nurse practitioner
expect the child to have achieved?
A. Riding a tricycle with alternating feet
B. Using 2- to 3-word phrases and combining words
C. Copying a complete cross or square
D. Tying shoelaces independently
Correct Answer: B. Using 2- to 3-word phrases and combining words
,Detailed Rationale: By 24 months (2 years) of age, toddlers typically
have a vocabulary of at least 50 words and are able to combine 2 to 3
words into simple phrases. Riding a tricycle is a 3-year milestone,
copying a square is a 4-year milestone, and tying shoelaces is a 5-year
milestone.
QUESTION 2
A 65-year-old male with heart failure with reduced ejection fraction
($35\%$) is started on sacubitril-valsartan (ARNI). What is the primary
pharmacological mechanism of the neprilysin inhibitor component?
A. Blockade of aldosterone receptors in the distal nephron
B. Inhibition of the degradation of endogenous natriuretic peptides
C. Direct stimulation of beta-2 adrenergic receptors
D. Reduction of hepatic gluconeogenesis and insulin resistance
Correct Answer: B. Inhibition of the degradation of endogenous
natriuretic peptides
, Detailed Rationale: Neprilysin inhibitors prevent the breakdown of
beneficial vasoactive peptides such as atrial and brain natriuretic
peptides, leading to enhanced vasodilation, natriuresis, and diuresis.
QUESTION 3
A 59-year-old male with a 35 pack-year smoking history presents with a
chronic productive cough and progressive dyspnea. Spirometry confirms
GOLD Group B chronic obstructive pulmonary disease (COPD). What is
the recommended first-line maintenance therapy?
A. Inhaled corticosteroid (ICS) monotherapy
B. Short-acting muscarinic antagonist (SAMA) PRN alone
C. Long-acting muscarinic antagonist (LAMA) or long-acting beta2-
agonist (LABA)
D. Daily oral systemic corticosteroids
Correct Answer: C. Long-acting muscarinic antagonist (LAMA) or long-
acting beta2-agonist (LABA)
QUESTIONs, Detailed Rationales & Exam Success
Guide
QUESTION 1
A 24-month-old toddler is brought to the clinic for a routine well-child
visit. Which developmental milestone should the nurse practitioner
expect the child to have achieved?
A. Riding a tricycle with alternating feet
B. Using 2- to 3-word phrases and combining words
C. Copying a complete cross or square
D. Tying shoelaces independently
Correct Answer: B. Using 2- to 3-word phrases and combining words
,Detailed Rationale: By 24 months (2 years) of age, toddlers typically
have a vocabulary of at least 50 words and are able to combine 2 to 3
words into simple phrases. Riding a tricycle is a 3-year milestone,
copying a square is a 4-year milestone, and tying shoelaces is a 5-year
milestone.
QUESTION 2
A 65-year-old male with heart failure with reduced ejection fraction
($35\%$) is started on sacubitril-valsartan (ARNI). What is the primary
pharmacological mechanism of the neprilysin inhibitor component?
A. Blockade of aldosterone receptors in the distal nephron
B. Inhibition of the degradation of endogenous natriuretic peptides
C. Direct stimulation of beta-2 adrenergic receptors
D. Reduction of hepatic gluconeogenesis and insulin resistance
Correct Answer: B. Inhibition of the degradation of endogenous
natriuretic peptides
, Detailed Rationale: Neprilysin inhibitors prevent the breakdown of
beneficial vasoactive peptides such as atrial and brain natriuretic
peptides, leading to enhanced vasodilation, natriuresis, and diuresis.
QUESTION 3
A 59-year-old male with a 35 pack-year smoking history presents with a
chronic productive cough and progressive dyspnea. Spirometry confirms
GOLD Group B chronic obstructive pulmonary disease (COPD). What is
the recommended first-line maintenance therapy?
A. Inhaled corticosteroid (ICS) monotherapy
B. Short-acting muscarinic antagonist (SAMA) PRN alone
C. Long-acting muscarinic antagonist (LAMA) or long-acting beta2-
agonist (LABA)
D. Daily oral systemic corticosteroids
Correct Answer: C. Long-acting muscarinic antagonist (LAMA) or long-
acting beta2-agonist (LABA)
