ANCC FNP Exam (2023/ 2024) |100% Correct| Questions and Verified Answers | Latest Update| Graded A

ANCC FNP Exam (2023/ 2024) |100% Correct| Questions and Verified Answers | Latest Update| Graded A 1. An adult-gerontology acute care nurse practitioner who specializes in cardiology is asked to give a presentation on lipid-lowering drugs. A major drug company that markets a lipid-lowering medication plans to pay the presenter an honorarium, but asks the nurse practitioner to limit his or her remarks to its drug. This situation presents a: A. breach of contract. B. conflict of interest. C. personal choice. D. reasonable request.  Answer: (b) conflict of interest. 2. A 32-year-old patient who underwent an open splenectomy for a ruptured spleen, is preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the potential complications with the patient. The nurse practitioner emphasizes which instruction to the patient? A. Continue antibiotics for 14 days B. Follow up with primary care provider for vaccinations C. No international travel for five years D. No weight lifting restrictions  Answer: (b) Follow up with primary care provider for vaccinations 3. A 65-year-old female patient has a confirmed diagnosis of terminal liver disease. The patient's advance directive designates comfort measures, only. An adult-gerontology acute care nurse practitioner's action is to: A. discuss the patient's decision with the patient's family members. B. persuade the patient to participate in a hepatitis clinical trial. C. reconfirm the patient's end-of-life decision. D. refer the patient for a psychological evaluation.  Answer: (c) reconfirm the patient's end-of-life decision. 4. A hospital requires adult-gerontology acute care nurse practitioners to submit credentialing applications for the purpose of: A. authorizing clinical roles and responsibilities. B. delineating therapeutic and diagnostic services. C. monitoring the nurse practitioner's clinical activities. D. verifying education, licensure, and experience.  Answer: (d) verifying education, licensure, and experience. 5. Assessment of which endocrine system response to sepsis-induced hypotension is essential in guiding subsequent therapy? A. Adrenal B. Pancreatic C. Pituitary D. Thyroid  Answer: (a) Adrenal 6. Generally healthy patients, who are diagnosed with acute bronchitis, inappropriately ask for which category of drugs? A. Antibiotics B. Beta-agonists C. Corticosteroids D. Xanthines  Answer: (a) Antibiotics 7. What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number? A. The Affordable Care Act B. The Balanced Budget Act C. The Civilian Health and Medical Program of the Uniformed Services D. The (Consolidated) Omnibus Budget and Reconciliation Act  Answer: (b) The Balanced Budget Act 8. A 19-year-old male patient arrives at the emergency department exhibiting symptoms of lower abdominal pain that radiates to the groin, and that the patient rates as an 8 on a scale of 1 to 10. That patient states that the pain came on suddenly, while he was playing football with friends. The patient's physical examination reveals positive bowel sounds in all quadrants; a soft, non-tender abdomen; no rebounding and no guarding; and no palpable mass in the abdomen or groin. Examination of the patient's genitalia reveals a unilateral cremasteric reflex. What is the adult-gerontology acute care nurse practitioner's leading differential diagnosis, based on the patient's presentation? A. Appendicitis B. Epididymitis C. Inguinal hernia D. Testicular torsion  Answer: (d) Testicular torsion 9. An exception to the practice of maintaining patient confidentiality is when: A. a family member of the patient gives consent. B. a family member of the patient is paying for the treatment. C. the patient is unresponsive. D. the patient plans to hurt someone.  Answer: (d) the patient plans to hurt someone. 10. When reading a systematic review, an adult-gerontology acute care nurse practitioner ensures that the review: A. describes the intended audience. B. describes the study inclusion criteria. C. is published in a peer-reviewed journal. D. is written by experts in the field.  Answer: (b) describes the study inclusion criteria. 11. An adult-gerontology acute care nurse practitioner needs to communicate the findings of HIV to a patient. The nurse practitioner enters the patient's room and the spouse is at the bedside. To discuss the diagnosis, the nurse practitioner: A. asks the nurse to step into the room. B. asks the spouse to step out of the room. C. speaks with the patient and spouse together. D. speaks with the spouse privately.  Answer: (b) asks the spouse to step out of the room. 12. When discharging an 85-year-old patient who has a diagnosis of stasis dermatitis, an adult-gerontology acute care nurse practitioner includes instructions to: A. keep legs elevated while seated. B. maintain systolic blood pressure greater than 120 mm Hg. C. soak legs in warm water daily. D. wear compression stockings of 65 mm Hg below the knee.  Answer: (a) keep legs elevated while seated. 13. A patient is brought to the emergency department after being found unresponsive in a car. The patient's spouse arrives at the hospital to find the patient comatose, on mechanical ventilation, and brain death has been established. The spouse informs the staff that the patient has an advance directive and did not want to be kept alive, artificially. The spouse struggles with the decision to remove the patient from life support. The adult-gerontology acute care nurse practitioner: A. consults the ethics committee to help with the decision-making process. B. discusses with the spouse that removing the patient is the right thing to do.