ANCC Board Prep IV _ Questions and answers with Complete Solutions UPDATED!!!
Don't give up now! Trust the process.
Your time: 1 min
Correct 0
469
0%
100%
Incorrect 469
00
Your answers
1 of 469
Term
Which of the following should be monitored in a patient taking
chlorpromazine (Thorazine) for the treatment of schizophrenia?
Give this one a try later!
Erythrocyte sedimentation rate. Skin biopsy.
Complete blood count. Serum electrolytes.
Don't know?
2 of 469
,Definition
Solution: A
Palpable prostate gland.
The prostate gland is palpable during a digital rectal exam (DRE) and,
if normal, feels firm and approximates the size of a walnut. Unexpected
abnormal findings include an absent cremasteric reflex, nonpalpable
vas deferens, and thickened skin surrounding the testes. An absent
cremasteric reflex is an abnormal finding associated with testicular
torsion. Other healthy assessment findings for a male patient’s
reproductive anatomy include a palpable vas deferens and thin scrotal
skin.
Give this one a try later!
The nurse practitioner is preparing to discuss the recommendations of reproductive
screening for a 65-year-old female patient with a history of human papillomavirus
(HPV) and moderate cervical dysplasia. Which plan for screening will the nurse
practitioner include?
HPV testing in 1 year
Cervical cytology in 3 years
Cervical cytology and HPV testing in 5 years
Future screening is not recommended
The nurse practitioner is evaluating a patient who presented with a wound to the left
lower extremity that developed rapidly and is extremely painful. Upon exam, an 8-
cm area of red-purple discoloration with a bullae and "woody" induration is seen.
The most likely diagnosis is:
Pasteurella multocida cellulitis
Rocky Mountain spotted fever
Smallpox (variola virus)
Necrotizing fasciitis
,The nurse practitioner is assessing a patient with sore throat for 3 days and suspects
streptococcal pharyngitis. Which of the following aligns with Centor criteria?
Neck stiffness
Sharp, burning throat pain
Absence of cough
Bilateral tonsillar swelling
The nurse practitioner is preparing to perform a routine physical assessment
on an adult male. Which reproductive system assessment finding will the nurse
practitioner identify as a normal finding?
Palpable prostate gland
Absent cremasteric reflex
Nonpalpable vas deferens
Thickened skin surrounding the testes
Don't know?
, 3 of 469
Term
A 5-year-old child presents with a persistent, severe cough for 2 weeks
that is worse at night. The child often vomits after coughing and makes
a "whooping" sound when breathing. The patient's temperature is
99.4°F, and complete blood count (CBC) shows a white blood cell
count of 11,750 mm3. The chest x-ray is normal. Which treatment(s)
does the nurse practitioner order? Select all that apply.
A. Oral erythromycin (Erythrocin)
B. Guaifenesin (Mucinex)
C. Frequent small meals
D. Airborne precautions
E.Tdap booster
Give this one a try later!
Solution: A, B and C
Oral erythromycin (Erythrocin), Guaifenesin (Mucinex) and Frequent small
meals.
The presented symptoms, along with the results of the complete blood count
and chest x-ray, confirm the diagnosis of pertussis. A hallmark sign of pertussis
is an inspiratory “whooping” sound. The nurse practitioner should order
erythromycin, a mucolytic (guaifenesin), and frequent small meals. Respiratory
droplet precautions should be implemented to prevent the transmission of
pertussis, not airborne precautions. Tdap can be administered to children
aged 11 to 18 years when no illness is present.
Don't give up now! Trust the process.
Your time: 1 min
Correct 0
469
0%
100%
Incorrect 469
00
Your answers
1 of 469
Term
Which of the following should be monitored in a patient taking
chlorpromazine (Thorazine) for the treatment of schizophrenia?
Give this one a try later!
Erythrocyte sedimentation rate. Skin biopsy.
Complete blood count. Serum electrolytes.
Don't know?
2 of 469
,Definition
Solution: A
Palpable prostate gland.
The prostate gland is palpable during a digital rectal exam (DRE) and,
if normal, feels firm and approximates the size of a walnut. Unexpected
abnormal findings include an absent cremasteric reflex, nonpalpable
vas deferens, and thickened skin surrounding the testes. An absent
cremasteric reflex is an abnormal finding associated with testicular
torsion. Other healthy assessment findings for a male patient’s
reproductive anatomy include a palpable vas deferens and thin scrotal
skin.
Give this one a try later!
The nurse practitioner is preparing to discuss the recommendations of reproductive
screening for a 65-year-old female patient with a history of human papillomavirus
(HPV) and moderate cervical dysplasia. Which plan for screening will the nurse
practitioner include?
HPV testing in 1 year
Cervical cytology in 3 years
Cervical cytology and HPV testing in 5 years
Future screening is not recommended
The nurse practitioner is evaluating a patient who presented with a wound to the left
lower extremity that developed rapidly and is extremely painful. Upon exam, an 8-
cm area of red-purple discoloration with a bullae and "woody" induration is seen.
The most likely diagnosis is:
Pasteurella multocida cellulitis
Rocky Mountain spotted fever
Smallpox (variola virus)
Necrotizing fasciitis
,The nurse practitioner is assessing a patient with sore throat for 3 days and suspects
streptococcal pharyngitis. Which of the following aligns with Centor criteria?
Neck stiffness
Sharp, burning throat pain
Absence of cough
Bilateral tonsillar swelling
The nurse practitioner is preparing to perform a routine physical assessment
on an adult male. Which reproductive system assessment finding will the nurse
practitioner identify as a normal finding?
Palpable prostate gland
Absent cremasteric reflex
Nonpalpable vas deferens
Thickened skin surrounding the testes
Don't know?
, 3 of 469
Term
A 5-year-old child presents with a persistent, severe cough for 2 weeks
that is worse at night. The child often vomits after coughing and makes
a "whooping" sound when breathing. The patient's temperature is
99.4°F, and complete blood count (CBC) shows a white blood cell
count of 11,750 mm3. The chest x-ray is normal. Which treatment(s)
does the nurse practitioner order? Select all that apply.
A. Oral erythromycin (Erythrocin)
B. Guaifenesin (Mucinex)
C. Frequent small meals
D. Airborne precautions
E.Tdap booster
Give this one a try later!
Solution: A, B and C
Oral erythromycin (Erythrocin), Guaifenesin (Mucinex) and Frequent small
meals.
The presented symptoms, along with the results of the complete blood count
and chest x-ray, confirm the diagnosis of pertussis. A hallmark sign of pertussis
is an inspiratory “whooping” sound. The nurse practitioner should order
erythromycin, a mucolytic (guaifenesin), and frequent small meals. Respiratory
droplet precautions should be implemented to prevent the transmission of
pertussis, not airborne precautions. Tdap can be administered to children
aged 11 to 18 years when no illness is present.
