ANCC Questions and Answers Latest Update Graded A+(This test consists of frequently tested questions and answers, therefore it’s the best study material)

ANCC Questions and Answers Latest Update Graded A+(This test consists of frequently tested questions and answers, therefore it’s the best study material) What is the first line treatment for temporal arteritis? Correct Answer- High-dose steroids because it's an inflammatory response Why is an anecdotal or expert opinion lowest on the research hierarchy? Correct Answer- Can be a single person or a group of experts giving an opinion, but there is no research What is the screening test for temporal arteritis? Correct Answer- Elevated ESR and CRP as well Which condition causes bilateral stiffness lasting 30 minutes or more located in the shoulders, neck, hips, and torso; more common in women >50 and closely related to temporal arteritis? Correct Answer- Polymyalgia rheumatica (PMR) Are routine eye exams covered by Medicare part B? Correct Answer- No In trigeminal neuralgia, which cranial nerve is affected? Correct Answer- V What is the treatment for trigeminal neuralgia? Correct Answer- Anticonvulsants (phenytoin) and muscle relaxants (gabapentin, topiramate) Who monitors and disciplines the nurse practitioners? Correct Answer- BON What presents as an abrupt onset of facial paralysis due to dysfunction of the motor branch of the facial nerve (7)? Correct Answer- Bell's Palsy - Additional sx: Tear production on the affected side stops - Causes: viral, autoimmune, pressure from tumor or vessel What presents as idiopathic and severe one-sided headache marked by recurrent, brief, lacerating pain behind one eye accompanied by tearing and clear rhinitis? Correct Answer- Cluster Headache - Presents in males 30-40 yrs of age - Higher rate of suicide r/t intense pain - Tx: high dose 100% Oxygen 12L/min for 15 minutes, sumatriptan by intranasal or IM What is reliability? Correct Answer- Repeatable, reproducible, consistent Symptoms of tension headache? Correct Answer- Band-like tightness headache, dull and constant, tensing of neck muscles What does the dependent variable depend on? Correct Answer- Independent variable What is described by transient episode of neurological dysfunction caused by focal ischemia without acute infection of the brain? Correct Answer- TIA (mini stroke or minor stroke) What does the FAST mnemonic stand for? Correct Answer- Face drooping, arm weakness, speech difficulty, time to call 911 What is the term for brain damage that presents with the patients no difficulty comprehending speech but has extreme difficulty in motor aspect of speech? Correct Answer- Broca's aphasia - May only be able to speak 4 words - Patient understands but difficulty expressing What is apraxia? Correct Answer- Difficulty w/ purposeful movement Is suspected child abuse reportable? Correct Answer- Always reportable How do you illicit tinel's sign? Correct Answer- Tap on anterior wrist - median nerve - Evaluates carpal tunnel syndrome What disease of conditions assess Phalen's sign (flex wrist and hold dorsal side of hands together)? Correct Answer- Carpal Tunnel Syndrome (affects median nerve) What is EMTALA? Correct Answer- Emergency Medical Treatment and Active Labor Act- stabilize patient before transfer Can be caused by embolism, thrombus, or hemorrhage and results in permanent neurological damage from ischemia to affected brain tissues? Correct Answer- CVA or Stroke What is COBRA? Correct Answer- Insurance after you leave a job paid for by self, gap-insurance, 18 months, you pay the premium that former employer was paying for What is cranial nerve XI? Correct Answer- Spinal accessory, shrug the shoulders What can result from shingles in the cranial nerve V of the ophthalmic branch? Correct Answer- Postherpetic neuralgia - Corneal blindness can result The name for the nodes on the PIP joints secondary to arthritis? Correct Answer- Bouchard's nodes (DIP are Heberden's *remember PIP comes before DIP because proximal is closest to the body just like B in bouchards comes before H in heberdens) What is the most sensitive screening test for thyroid function? Correct Answer- TSH What do you call the genetic defect called trisomy 21? Correct Answer- Down syndrome - Face appears flat, ears are low-set, upward slanting eyes - Average lifespan is 60 yrs What presents as a small head, shortened palpebral fissures, flat nasal bridge, smooth philthrum? Correct Answer- Fetal alcohol syndrome