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ANCC FNP - Final Exam Revision Bank Formatted Arial 16 - Question, Options, Answer, Rationale

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ANCC FNP - Final Exam Revision Bank Formatted Arial 16 - Question, Options, Answer, Rationale

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ANCC FNP - COMPLETE Final Exam Revision Bank
Arial 16 - All Questions Included - No Questions Left Out


Question 1
When teaching Alice, age 77, to use a cane because of
osteoarthritis of her left knee, an important point to stress is:
1. Carrying the cane in the ipsilateral hand.
2. Advancing the cane with the ipsilateral leg.
3. Making sure the cane length equals the height of the iliac crest.
4. Using the cane to aid in joint protection and safety
Answer: Advancing the cane with the ipsilateral leg
Rationale: The cane should be carried in the contralateral hand,
advanced with the ipsilateral (affected

Question 2
Advancing the cane with the ipsilateral leg (The cane should be
carried in the contralateral hand, advanced with the ipsilateral
(affected) leg, and the length should equal the height of the
greater trochanter)
In assessing a patient, you place the tips of your first 2 fingers in
front of each ear and ask the patient to open and close his mouth.
Then you drop your fingers into the depressed area over the joint
and assess for smooth motion of the mandible. With this action,
you are checking for:
1. Maxillomandibular integrity.
2. Well-positioned permanent teeth or well-fitting dentures.
3. Temporomandibular joint syndrome.
4. Mastoid inflammation.

,Answer: -Temporomandibular joint syndrome
Rationale: place the tips of your first 2 fingers in front of each ear and
ask him to open and close his mouth. Then drop your fingers into the
depressed area over the temporomandibular joint (TMJ

Question 3
-Temporomandibular joint syndrome (place the tips of your first 2
fingers in front of each ear and ask him to open and close his
mouth. Then drop your fingers into the depressed area over the
temporomandibular joint (TMJ) and check for smooth motion of
the mandible. With this action, you are assessing for TMJ
syndrome. Clicking or popping noises, decreased range of
motion, pain, or swelling may indicate TMJ syndrome.)
Karen Ann, age 52, has four children and a very stressful job.
After you perform her physical, which was normal, she tells you
she has insomnia. You make several suggestions for lifestyle
changes that might assist in promoting helpful sleep. You know
she misunderstands when she states which of the following?
1. "I'll wind down before bedtime by taking a warm bath or by
reading for 10 minutes."
2. "I'll try some valerian extract from the health food store."
3. "I'll exercise in the evening to tire myself out before bed."
4. "I won't read or watch television while in bed."
Answer: -"I'll exercise in the evening to tire myself out before
bed."
Rationale: Exercising before going to bed is stimulating, but evidence
suggests that an afternoon workout improves sleep quantity and
quality.

Question 4

,-"I'll exercise in the evening to tire myself out before bed."
(Exercising before going to bed is stimulating, but evidence
suggests that an afternoon workout improves sleep quantity and
quality.)
A 25-year-old female presents to your primary care clinic
complaining of difficulty concentrating in graduate school ever
since she was in a car accident 18 days ago. She had to be
hospitalized for 1 day due to a concussion and broken ribs. Her
car was totaled. She is fearful of driving. She also wakes up in the
middle of the night with night terrors that involve getting into a
car accident. What is the patient's diagnosis?
1. Post-traumatic stress disorder.
2. Acute stress disorder.
3. Panic disorder.
4. Phobia of driving
Answer: -Acute stress disorder
Rationale: The patient is experiencing acute stress disorder as a result
of her car accident, as she is having symptoms of post traumatic
stress within 30 days of her accident

Question 5
-Acute stress disorder (The patient is experiencing acute stress
disorder as a result of her car accident, as she is having
symptoms of post traumatic stress within 30 days of her
accident)
Goodpasture syndrome is:
1. Characterized by glomerulonephritis and pulmonary hemorrhage
resulting from immune complex damage to the glomerular and
alveolar basement membranes.

, 2. Characterized by massive proteinuria, hypoalbuminemia,
hyperlipidemia, and edema.
3. An inflammatory autoimmune disorder affecting the connective
tissue of the body, with inflammatory lesions involving the
supportive tissues of the glomeruli.
4. Typically the end stage of other glomerular disorders, such as
rapidly progressive glomerulonephritis, lupus nephritis, or diabetic
nephropathy.
Answer: -Characterized by glomerulonephritis and pulmonary
hemorrhage resulting from immune complex damage to the
glomerular and alveolar basement membranes

Question 6
-Characterized by glomerulonephritis and pulmonary hemorrhage
resulting from immune complex damage to the glomerular and
alveolar basement membranes
The inspiratory rate equals the expiratory rate with which breath
sound?
1. Bronchial.
2. Bronchovesicular.
3. Vesicular.
4. Tracheal.
Answer: -Bronchovesicular
Rationale: With bronchovesicular breath sounds, the inspiratory rate
equals the expiratory rate; With bronchial breath sounds, the
inspiratory rate is shorter than the expiratory rate; With vesicular
breath sounds, the inspiratory rate is greater than the expiratory rate;
With tracheal breath sounds, the inspiratory rate is shorter than the
expiratory rate

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