ANCC FAMILY NURSE PRACTITIONER
CERTIFICATION FNP BC ACTUAL SCRIPT
WITH 100 PERCENT CORRECT ANSWERS
◉ The practical application of findings from a set of studies is
known as:
(a) critical analysis.
(b) data implementation.
(c) guideline development.
(d) research utilization.
Answer: (d) research utilization.
◉ An adult nurse practitioner is encouraging an older adult
patient to reminisce about successful life accomplishments. Which
theoretical framework is the nurse practitioner using?
(a) Erikson's model of psychosocial development
(b) Maslow's hierarchy of needs theory
(c) Rogers' science of unitary human beings
,(d) Roy's adaptation model
Answer: (a) Erikson's model of psychosocial development
[Note: Stage, Ego Integrity vs. Despair]
◉ An adult nurse practitioner evaluates a new patient, an African
American with hypertension who has been taking lisinopril
(Prinivil). To optimize the patient's response, a more effective
pharmacological treatment is:
(a) a beta-blocker.
(b) a direct-acting vasodilator.
(c) a thiazide diuretic.
(d) an angiotensin-converting enzyme inhibitor.
Answer: (c) a thiazide diuretic.
◉ Initial measures to prevent deformity and maintain function for
the knee during an acute inflammatory reaction secondary to
injury include:
(a) a hot daily shower followed by a short period of exercise.
,(b) application of a splint to the joint followed by application of
heat.
(c) cautious performance of active range-of-motion exercises.
(d) total immobilization of the joint and performance of isometric
exercises.
Answer: (d) total immobilization of the joint and performance of
isometric exercises.
◉ A 34-year-old truck driver reports a sharp pain in the lower
back that worsens with ambulation. The symptoms began after a
strenuous three-day driving trip. During an examination, the
patient has difficulty walking on the heels and shows weakness in
the extensors of the big toes. The initial differential diagnosis is:
(a) compression fracture.
(b) L-1 root irritation.
(c) L-5 root irritation.
(d) ruptured disc.
Answer: (c) L-5 root irritation.
◉ The gerontological nurse practitioner performs a speculum
examination for a 71-year-old female patient without symptoms,
and finds a thin, whitish, nonodorous mucoid discharge high in
, the patient's vagina. The nurse practitioner's most appropriate
intervention is to:
(a) explain to the woman that the discharge is normal.
(b) prescribe estrogen cream, twice a week.
(c) prescribe a topical antifungal medication, applied vaginally
each night for one week.
(d) recommend the daily use of a vaginal lubricant, for three days.
Answer: (a) explain to the woman that the discharge is normal.
◉ Temporal arteritis requires immediate treatment in order to
prevent:
(a) blindness in the affected eye.
(b) facial nerve palsy.
(c) transient ischemic attack.
(d) trigeminal neuralgia.
Answer: (a) blindness in the affected eye.
◉ The test of choice for diagnosing iron deficiency anemia is a:
CERTIFICATION FNP BC ACTUAL SCRIPT
WITH 100 PERCENT CORRECT ANSWERS
◉ The practical application of findings from a set of studies is
known as:
(a) critical analysis.
(b) data implementation.
(c) guideline development.
(d) research utilization.
Answer: (d) research utilization.
◉ An adult nurse practitioner is encouraging an older adult
patient to reminisce about successful life accomplishments. Which
theoretical framework is the nurse practitioner using?
(a) Erikson's model of psychosocial development
(b) Maslow's hierarchy of needs theory
(c) Rogers' science of unitary human beings
,(d) Roy's adaptation model
Answer: (a) Erikson's model of psychosocial development
[Note: Stage, Ego Integrity vs. Despair]
◉ An adult nurse practitioner evaluates a new patient, an African
American with hypertension who has been taking lisinopril
(Prinivil). To optimize the patient's response, a more effective
pharmacological treatment is:
(a) a beta-blocker.
(b) a direct-acting vasodilator.
(c) a thiazide diuretic.
(d) an angiotensin-converting enzyme inhibitor.
Answer: (c) a thiazide diuretic.
◉ Initial measures to prevent deformity and maintain function for
the knee during an acute inflammatory reaction secondary to
injury include:
(a) a hot daily shower followed by a short period of exercise.
,(b) application of a splint to the joint followed by application of
heat.
(c) cautious performance of active range-of-motion exercises.
(d) total immobilization of the joint and performance of isometric
exercises.
Answer: (d) total immobilization of the joint and performance of
isometric exercises.
◉ A 34-year-old truck driver reports a sharp pain in the lower
back that worsens with ambulation. The symptoms began after a
strenuous three-day driving trip. During an examination, the
patient has difficulty walking on the heels and shows weakness in
the extensors of the big toes. The initial differential diagnosis is:
(a) compression fracture.
(b) L-1 root irritation.
(c) L-5 root irritation.
(d) ruptured disc.
Answer: (c) L-5 root irritation.
◉ The gerontological nurse practitioner performs a speculum
examination for a 71-year-old female patient without symptoms,
and finds a thin, whitish, nonodorous mucoid discharge high in
, the patient's vagina. The nurse practitioner's most appropriate
intervention is to:
(a) explain to the woman that the discharge is normal.
(b) prescribe estrogen cream, twice a week.
(c) prescribe a topical antifungal medication, applied vaginally
each night for one week.
(d) recommend the daily use of a vaginal lubricant, for three days.
Answer: (a) explain to the woman that the discharge is normal.
◉ Temporal arteritis requires immediate treatment in order to
prevent:
(a) blindness in the affected eye.
(b) facial nerve palsy.
(c) transient ischemic attack.
(d) trigeminal neuralgia.
Answer: (a) blindness in the affected eye.
◉ The test of choice for diagnosing iron deficiency anemia is a:
