ANCC FAMILY NURSE PRACTITIONER
CERTIFICATION FNP BC COMPREHENSIVE
TEST PAPER WITH SOLVED QUESTIONS
◉ Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
Answer: A 68-year-old male patient reports an unintended weight
loss of 15 lbs (6.8 kgs) over the last two months. The patient
states that he feels well. His problem list includes depression,
tobacco use, hyperglycemia, obesity, and dyslipidemia. The
patient's medications are sertraline (Zoloft), metformin
(Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The
family nurse practitioner initiates which three interventions?
Decreasing the statin medication.
Increasing the Glucophage dose.
Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
◉ 3, 2, 1
Answer: To determine whether sufficient evidence exists to
prescribe glucosamine for a patient who has osteoarthritis (OA) of
the knee, the family nurse practitioner reviews three article
,summaries. Place the article summaries in sequential order of
strength of evidence from strongest to weakest:
1. Investigators conducted a retrospective review of 1000 charts
of patients who were diagnosed with OA and had glucosamine on
their medication list. The investigators assessed the pain rating
scale at the time the glucosamine was prescribed and compared
this score with the pain rating scale three months after the
medication had been prescribed. They also reviewed the progress
notes and included only patients for whom clinicians stated in the
note that the patient took the medication regularly.
2. Investigators randomly assigned a group of 1600 patients with
OA of the knee to receive either a placebo or glucosamine for six
months. The goal was to determine if glucosamine and/or
chondroitin treats pain related to OA of the knee and could help
prevent structural damage. The study found no benefit for pain
relief for the study group compared with the placebo group.
3. Researchers evaluated the benefit of glucosamine for
osteoarthritis of the hip and/or knee by searching MEDLINE and
the Cochrane database for studies that investigated this question.
The researchers included only studies that were double-blind,
placebo-controlled, randomized trials of at least four weeks
duration and tested glucosamine's effectiveness in treating OA in
the knee or hip. Fifteen studies were included in the analysis and
the investigators applied a statistical formula to evaluate these
studies, giving the larger studies more weight.
1, 2, 3
1, 3, 2
2, 1, 3
, 2, 3, 1
3, 1, 2
3, 2, 1
◉ serve as a handbook to best practice.
Answer: Clinical practice guidelines are designed to:
be used in every patient situation.
increase variations in clinical care.
mandate practice decisions.
serve as a handbook to best practice.
◉ peer review.
Answer: The family nurse practitioner participates in a hospital-
based quality improvement project. The nurse practitioner
reviews four charts per month of a nurse practitioner colleague to
ensure diabetes protocols are met. This process is a:
core competency.
force field analysis.
peer review.
risk analysis.
◉ systematic reviews.
CERTIFICATION FNP BC COMPREHENSIVE
TEST PAPER WITH SOLVED QUESTIONS
◉ Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
Answer: A 68-year-old male patient reports an unintended weight
loss of 15 lbs (6.8 kgs) over the last two months. The patient
states that he feels well. His problem list includes depression,
tobacco use, hyperglycemia, obesity, and dyslipidemia. The
patient's medications are sertraline (Zoloft), metformin
(Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The
family nurse practitioner initiates which three interventions?
Decreasing the statin medication.
Increasing the Glucophage dose.
Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
◉ 3, 2, 1
Answer: To determine whether sufficient evidence exists to
prescribe glucosamine for a patient who has osteoarthritis (OA) of
the knee, the family nurse practitioner reviews three article
,summaries. Place the article summaries in sequential order of
strength of evidence from strongest to weakest:
1. Investigators conducted a retrospective review of 1000 charts
of patients who were diagnosed with OA and had glucosamine on
their medication list. The investigators assessed the pain rating
scale at the time the glucosamine was prescribed and compared
this score with the pain rating scale three months after the
medication had been prescribed. They also reviewed the progress
notes and included only patients for whom clinicians stated in the
note that the patient took the medication regularly.
2. Investigators randomly assigned a group of 1600 patients with
OA of the knee to receive either a placebo or glucosamine for six
months. The goal was to determine if glucosamine and/or
chondroitin treats pain related to OA of the knee and could help
prevent structural damage. The study found no benefit for pain
relief for the study group compared with the placebo group.
3. Researchers evaluated the benefit of glucosamine for
osteoarthritis of the hip and/or knee by searching MEDLINE and
the Cochrane database for studies that investigated this question.
The researchers included only studies that were double-blind,
placebo-controlled, randomized trials of at least four weeks
duration and tested glucosamine's effectiveness in treating OA in
the knee or hip. Fifteen studies were included in the analysis and
the investigators applied a statistical formula to evaluate these
studies, giving the larger studies more weight.
1, 2, 3
1, 3, 2
2, 1, 3
, 2, 3, 1
3, 1, 2
3, 2, 1
◉ serve as a handbook to best practice.
Answer: Clinical practice guidelines are designed to:
be used in every patient situation.
increase variations in clinical care.
mandate practice decisions.
serve as a handbook to best practice.
◉ peer review.
Answer: The family nurse practitioner participates in a hospital-
based quality improvement project. The nurse practitioner
reviews four charts per month of a nurse practitioner colleague to
ensure diabetes protocols are met. This process is a:
core competency.
force field analysis.
peer review.
risk analysis.
◉ systematic reviews.
