ANCC FNP Board Questions And
Complete Answers.
A 16-year-old male is in the office. He has a insect bite on his left forearm and you
suspect a brown recluse spider bite. What medical management would you provide? -
ANSWER-ice pack and elevation of the area
A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your
care after relocating from another state to live with relatives who can help her. The
nurse practitioner understands that which of the following is NOT part of her
management plan: - ANSWER-Corticosteroids are often used for maintenance.
A 35-year-old female patient tells you that she has not had a period in over 3 months.
She tells you that until now she has been quite regular with her periods. This condition
is which of the following? - ANSWER-secondary amenorrhea
A 42-year-old non-smoker is diagnosed with mild community-acquired pneumonia. He is
otherwise healthy and does not need hospitalization at this time. Which antibiotic can be
used for empirical treatment according to the 2007 Infectious Disease Society of
America? - ANSWER-azithromycin - macrolide ATB
A 62-year-old male is in the clinic and he has known heart failure (HF). Which of the
following is not likely to be noted in this patient? - ANSWER-evidence of
hemoconcentration on hemogram
The increased circulating volume found in heart failure (HF) will lead to hemodilution on
hemogram, not hemoconcentration.
A 70-year-old female presents with a one-sided headache in the temple and tenderness
over the temporal artery. She complains of vision loss in one eye. Which of the following
diseases is this patient most likely to have? - ANSWER-temporal arteritis
A CT would allow for a better diagnosis (with "slices") of the patient by which of the
following ways? - ANSWER--Forms a full three-dimensional computer model of the
inside of the patient.
-It is easier for the physician to pinpoint a problem because of the narrow "slices" that
the scanner uses.
A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the following? -
ANSWER-Zollinger-Ellison syndrome
,A middle-age female patient presents to the clinic with a recurrence of mild hidradenitis
suppurativa after topical therapies failed. Which first-line treatment is recommended? -
ANSWER-Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for
hidradenitis suppurativa.
__________________________________________________
Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in apocrine
gland-bearing skin. It is a chronic, disabling disorder that progresses, often causing
keloids, contractures, and immobility. It is characterized by comedone-like follicular
occlusion, chronic and relapsing inflammation, mucopurulent discharge, and
progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical presentation includes
nodules and sinus tracts (inflamed or noninflamed), abscesses, and scarring found in
the axilla, genitofemoral area, perineum, gluteal area, and inframammary area in
women.
Recommended treatments include antibiotics, steroids, retinoids, dapsone, and anti-
tumor necrosis factor agents. A dermatology consultation should also be considered.
First-line treatment is a 12-week course of an oral tetracycline (Sumycin) such as
doxycycline. For patients who do not respond to doxycycline, the next recommended
step is a combination of twice-daily clindamycin (Cleocin) and rifampicin (Rifadin) for 10-
12 weeks. If treatment fails, acitretin (Soriatane, for males and nonfertile females) or
dapsone (Aczone) may be considered by a dermatologist. In patients with moderate to
severe hidradenitis suppurativa, adalimumab (Humira) may possibly be considered.
A mother brings her 3-year-old son to the clinic where the FNP diagnoses impetigo. The
FNP understands that which of the following statements about treatment for this disease
is least accurate? - ANSWER-Mupirocin and oral erythromycin are not as effective as
penicillin.
A mother brings her 5-year-old child to the clinic with a ringlike pruritic rash with some
central clearing on the arms and legs. The FNP knows that this is which of the following
conditions? - ANSWER-tinea corporis
A mother brings in her 11-year-old daughter who is having recurrent abdominal pain.
You rule out organic diseases and you develop a therapeutic plan for this child. This
plan might contain all of the following EXCEPT: - ANSWER-decreasing fiber in the diet
A mother brings in her 7-year-old child with a red rash on his cheeks and ears. You
diagnose Fifth disease. You might recommend all of the following for this child
EXCEPT: - ANSWER-isolation
, A patient has recently been diagnosed with Addison's disease. How often should this
patient's electrolytes be monitored? - ANSWER-every 3-4 months for the first year of
therapy
A patient is diagnosed as dehydrated, anxious, and isolated. What should you give the
highest priority? - ANSWER-Dehydration.
A patient of yours has a "Christmas tree" pattern of rash on his trunk. He tells you that
he started having some lesions about two weeks ago but now they have spread. You
would suspect which of the following conditions/diseases? - ANSWER-Pityriasis rosea
A patient presents to the clinic for conception counseling. She recently stopped taking
oral contraceptives and would like to become pregnant. Which statement about
conception safety after stopping oral contraceptives is correct? - ANSWER-
A patient shares that she uses chamomile to combat insomnia. What medication might
that interact with? - ANSWER-coumadin - Coumadin Coumadin is an anticoagulant.
Chamomile also act as an anticoagulant. The two may cause a reaction that further
increases bleeding risks.
A patient should be referred to which of the following to get help with issues caused by
the anatomy of the jaw? - ANSWER-dentist - Dentists can help with issues caused by
the anatomy of the jaw by creating a dental appliance to be inserted at bedtime.
A patient who has been prescribed Zestril for hypertension should be advised that all
but which of the following are potential side effects? - ANSWER-Wet cough.
A patient with sensitive skin had a TB skin test but has no symptoms. He returns with
redness and swelling that appears positive. What is the next step? - ANSWER-
Schedule a CXR
A patient with stable angina would exhibit which of the following? - ANSWER-no change
in duration of symptoms during the preceding 6 weeks
A person who has pernicious anemia will be required to take which of the following
supplements? - ANSWER-B12
Pernicious anemia results in a B12 deficiency. In fact, it is the most common cause of
B12 deficiency. The patient should take B12 supplements for life.
A urine pregnancy test is considered which of the following signs of pregnancy? -
ANSWER-probable sign of pregnancy
According to Prochaska and DiClemente, the 5 stages of preparation for patient change
would include which of the following? - ANSWER-Action
Complete Answers.
A 16-year-old male is in the office. He has a insect bite on his left forearm and you
suspect a brown recluse spider bite. What medical management would you provide? -
ANSWER-ice pack and elevation of the area
A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your
care after relocating from another state to live with relatives who can help her. The
nurse practitioner understands that which of the following is NOT part of her
management plan: - ANSWER-Corticosteroids are often used for maintenance.
A 35-year-old female patient tells you that she has not had a period in over 3 months.
She tells you that until now she has been quite regular with her periods. This condition
is which of the following? - ANSWER-secondary amenorrhea
A 42-year-old non-smoker is diagnosed with mild community-acquired pneumonia. He is
otherwise healthy and does not need hospitalization at this time. Which antibiotic can be
used for empirical treatment according to the 2007 Infectious Disease Society of
America? - ANSWER-azithromycin - macrolide ATB
A 62-year-old male is in the clinic and he has known heart failure (HF). Which of the
following is not likely to be noted in this patient? - ANSWER-evidence of
hemoconcentration on hemogram
The increased circulating volume found in heart failure (HF) will lead to hemodilution on
hemogram, not hemoconcentration.
A 70-year-old female presents with a one-sided headache in the temple and tenderness
over the temporal artery. She complains of vision loss in one eye. Which of the following
diseases is this patient most likely to have? - ANSWER-temporal arteritis
A CT would allow for a better diagnosis (with "slices") of the patient by which of the
following ways? - ANSWER--Forms a full three-dimensional computer model of the
inside of the patient.
-It is easier for the physician to pinpoint a problem because of the narrow "slices" that
the scanner uses.
A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the following? -
ANSWER-Zollinger-Ellison syndrome
,A middle-age female patient presents to the clinic with a recurrence of mild hidradenitis
suppurativa after topical therapies failed. Which first-line treatment is recommended? -
ANSWER-Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for
hidradenitis suppurativa.
__________________________________________________
Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in apocrine
gland-bearing skin. It is a chronic, disabling disorder that progresses, often causing
keloids, contractures, and immobility. It is characterized by comedone-like follicular
occlusion, chronic and relapsing inflammation, mucopurulent discharge, and
progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical presentation includes
nodules and sinus tracts (inflamed or noninflamed), abscesses, and scarring found in
the axilla, genitofemoral area, perineum, gluteal area, and inframammary area in
women.
Recommended treatments include antibiotics, steroids, retinoids, dapsone, and anti-
tumor necrosis factor agents. A dermatology consultation should also be considered.
First-line treatment is a 12-week course of an oral tetracycline (Sumycin) such as
doxycycline. For patients who do not respond to doxycycline, the next recommended
step is a combination of twice-daily clindamycin (Cleocin) and rifampicin (Rifadin) for 10-
12 weeks. If treatment fails, acitretin (Soriatane, for males and nonfertile females) or
dapsone (Aczone) may be considered by a dermatologist. In patients with moderate to
severe hidradenitis suppurativa, adalimumab (Humira) may possibly be considered.
A mother brings her 3-year-old son to the clinic where the FNP diagnoses impetigo. The
FNP understands that which of the following statements about treatment for this disease
is least accurate? - ANSWER-Mupirocin and oral erythromycin are not as effective as
penicillin.
A mother brings her 5-year-old child to the clinic with a ringlike pruritic rash with some
central clearing on the arms and legs. The FNP knows that this is which of the following
conditions? - ANSWER-tinea corporis
A mother brings in her 11-year-old daughter who is having recurrent abdominal pain.
You rule out organic diseases and you develop a therapeutic plan for this child. This
plan might contain all of the following EXCEPT: - ANSWER-decreasing fiber in the diet
A mother brings in her 7-year-old child with a red rash on his cheeks and ears. You
diagnose Fifth disease. You might recommend all of the following for this child
EXCEPT: - ANSWER-isolation
, A patient has recently been diagnosed with Addison's disease. How often should this
patient's electrolytes be monitored? - ANSWER-every 3-4 months for the first year of
therapy
A patient is diagnosed as dehydrated, anxious, and isolated. What should you give the
highest priority? - ANSWER-Dehydration.
A patient of yours has a "Christmas tree" pattern of rash on his trunk. He tells you that
he started having some lesions about two weeks ago but now they have spread. You
would suspect which of the following conditions/diseases? - ANSWER-Pityriasis rosea
A patient presents to the clinic for conception counseling. She recently stopped taking
oral contraceptives and would like to become pregnant. Which statement about
conception safety after stopping oral contraceptives is correct? - ANSWER-
A patient shares that she uses chamomile to combat insomnia. What medication might
that interact with? - ANSWER-coumadin - Coumadin Coumadin is an anticoagulant.
Chamomile also act as an anticoagulant. The two may cause a reaction that further
increases bleeding risks.
A patient should be referred to which of the following to get help with issues caused by
the anatomy of the jaw? - ANSWER-dentist - Dentists can help with issues caused by
the anatomy of the jaw by creating a dental appliance to be inserted at bedtime.
A patient who has been prescribed Zestril for hypertension should be advised that all
but which of the following are potential side effects? - ANSWER-Wet cough.
A patient with sensitive skin had a TB skin test but has no symptoms. He returns with
redness and swelling that appears positive. What is the next step? - ANSWER-
Schedule a CXR
A patient with stable angina would exhibit which of the following? - ANSWER-no change
in duration of symptoms during the preceding 6 weeks
A person who has pernicious anemia will be required to take which of the following
supplements? - ANSWER-B12
Pernicious anemia results in a B12 deficiency. In fact, it is the most common cause of
B12 deficiency. The patient should take B12 supplements for life.
A urine pregnancy test is considered which of the following signs of pregnancy? -
ANSWER-probable sign of pregnancy
According to Prochaska and DiClemente, the 5 stages of preparation for patient change
would include which of the following? - ANSWER-Action
