ANCC TEST REVIEW QUESTIONS WITH COMPLETE AND
APPROVED ANSWERS.
1) You are evaluating a 40-year-old patient suspected of having a pulmonary
_ _ _ _ _ _ _ _ _ _ _
embolism (PE); the patient complains of anxiety and cough. A stat chest X-ray is
_ _ _ _ _ _ _ _ _ _ _ _ _ _
normal .The next test should be:
_ _ _ _ _
a) Spirometry
b) Magnetic resonance imaging (MRI) _ _ _
c) Contrast venography _
d) Helical CT pulmonary angiography -- Correct Answer ✔✔ d) Helical CT
_ _ _ _ _ _ _ _ _ _ _
pulmonary angiography _
2) A 14-year-old male with bronchitis is being treated with fluids and expectorants.
_ _ _ _ _ _ _ _ _ _ _ _
He returns to the clinic with a fever of 103 F (39.4 C), right pleuritic chest pain,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
and green sputum. Which of the following examination should be expected?
_ _ _ _ _ _ _ _ _ _
a) Right lower lobe crackles _ _ _
b) Decrease fremitus _
c) Bilateral wheezing _
d) Normal percussion -- Correct Answer ✔✔ a) Right lower lobe crackles
_ _ _ _ _ _ _ _ _ _
3) A patient with macular degeneration has difficulty seeing objects:
_ _ _ _ _ _ _ _
a) From a distance _ _
b) In the center of the visual field
_ _ _ _ _ _
c) At reading distance
_ _
d) In the peripheral fields -- Correct Answer ✔✔ b) In the center of the visual
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
field
4) Which of the following pharmacotherapeutics would be important to administer
_ _ _ _ _ _ _ _ _ _
to a patient who has corneal abrasion?
_ _ _ _ _ _
, a) Olopatadine (Patanol) _
b) Cromolyn ophthalmic (Crolom) _ _
c) Timolol (Timoptic). _
d) Gentamicin ophthalmic (Genoptic) -- Correct Answer ✔✔ d) Gentamicin _ _ _ _ _ _ _ _ _
ophthalmic (Genoptic) _
5) Which of the following signs/symptoms are often associated with headaches due to
_ _ _ _ _ _ _ _ _ _ _
an intracranial tumor?
_ _ _
a) Pain worse in supine position; focal neurological signs
_ _ _ _ _ _ _
b) Hyperreflexia, personality changes _ _
c) Acute onset; increasing pain over hours to days
_ _ _ _ _ _ _
d) Pupillary constriction; stupor -- Correct Answer ✔✔ a) Pain worse in
_ _ _ _ _ _ _ _ _ _ _
supine position; focal neurological signs
_ _ _ _
6) To assess ability to think abstractly, you could ask a patient:
_ _ _ _ _ _ _ _ _ _
a) The meaning of a common proverb
_ _ _ _ _
b) What action would be taken if there was a fire in the house
_ _ _ _ _ _ _ _ _ _ _ _
c) To count backward from 100 by 7
_ _ _ _ _ _
d) To spell a word backward -- Correct Answer ✔✔ a) The meaning of a
_ _ _ _ _ _ _ _ _ _ _ _ _ _
common proverb _
7) A 70-year-old male presents with paresthesia of the lower extremities .On
_ _ _ _ _ _ _ _ _ _ _
examination, the patient appears pale and shows a decreased vibratory sense.
_ _ _ _ _ _ _ _ _ _ _
Laboratory tests reveal elevated indirect bilirubin HCT=30% mean corpuscular
_ _ _ _ _ _ _ _ _
volume (MCV) = 120 μL3 (normal=87-103 μL3).The most likely diagnosis is:
_ _ _ _ _ _ _ _ _ _
a) Pernicious anemia _
b) Anemia of chronic disease _ _ _
c) Folic acid deficiency _ _
d) Iron deficiency anemia -- Correct Answer ✔✔ a) Pernicious anemia
_ _ _ _ _ _ _ _ _
8) A 50-year-old presents a chief complaint of malaise. Further questioning reveals
_ _ _ _ _ _ _ _ _ _ _
that his primary concern was the sexual dysfunction. He is currently taking the
_ _ _ _ _ _ _ _ _ _ _ _ _
, following medications: Atenolol (Tenormin), 50 mg daily; Paroxetine (Paxil), 20 mg
_ _ _ _ _ _ _ _ _ _ _
daily, Loratadine, Hydrochlorothiazide (HCTZ) 25 mg daily. The most likely cause
_ _ _ _ _ _ _ _ _ _ _
of the patient's concern would be:
_ _ _ _ _
a) Loratadine (Claritin) _
b) Hydrochlorothiazide (HCTZ) _
c) Atenolol (Tenormin) _
d) Paroxetine (Paxil) -- Correct Answer ✔✔ d) Paroxetine (Paxil)
_ _ _ _ _ _ _ _
9) An 88-year-old presents with right-sided weakness after being unable to rise
_ _ _ _ _ _ _ _ _ _ _
unassisted following a fall to the bath and noncompliance with a hypertension
_ _ _ _ _ _ _ _ _ _ _ _
medication regimen. What is the most likely diagnosis?
_ _ _ _ _ _ _
a) Seizure
b) Right-sided CVA _
c) Left-sided CVA _
d) Transient ischemic attack -- Correct Answer ✔✔ c) Left-sided CVA
_ _ _ _ _ _ _ _ _
10) Which of the following laboratory tests are most accepted indicators of the
_ _ _ _ _ _ _ _ _ _ _ _
progression of HIV infection? _ _ _
a) WBC count and viral load_ _ _ _
b) CD4 count and viral load
_ _ _ _
c) CD4 count and western blood test
_ _ _ _ _
d) CD$ count and enzyme-linked immune-absorbent assay (ELISA) -- Correct
_ _ _ _ _ _ _ _ _
Answer ✔✔ b) CD4 count and viral load
_ _ _ _ _ _ _
11) During the development of a treatment plan for an 84-year-old patient with
_ _ _ _ _ _ _ _ _ _ _ _
hypothyroidism, the nurse practitioner must keep in mind the possibility for the
_ _ _ _ _ _ _ _ _ _ _ _
worsening of: _
a) Renal insufficiency _
b) Osteoporosis
c) Dementia
d) Anemia -- Correct Answer ✔✔ b) Osteoporosis _ _ _ _ _ _
(Synthroid can develop Osteoporosis as a SE)
_ _ _ _ _ _
, 12) A 47-year-old patient presents with complaints of upper abdominal discomfort
_ _ _ _ _ _ _ _ _ _
with nausea and burning after eating .There are no current medications. The most
_ _ _ _ _ _ _ _ _ _ _ _ _
likely differential diagnoses would include:
_ _ _ _
a) Peptic ulcer disease ,colitis
_ _ _
b) Gastritis, peptic ulcer disease _ _ _
c) Colitis, small bowel disease _ _ _
d) Gastritis, Crohn’s diseases -- Correct Answer ✔✔ b) Gastritis, peptic ulcer
_ _ _ _ _ _ _ _ _ _ _
disease
13) The management of choice for polymyalgia rheumatic includes:
_ _ _ _ _ _ _
a) whirlpool
b) prednisone
c) analgesics
d) Celebrex -- Correct Answer ✔✔ b) prednisone
_ _ _ _ _ _
14) A 38-year-old male, experiences a sudden onset of acute abdominal pain, left groin.
_ _ _ _ _ _ _ _ _ _ _ _
_He is having difficulty walking and is nauseated. He denies any trauma or previous
_ _ _ _ _ _ _ _ _ _ _ _ _ _
groin injuries. The examination reveals diffuse swelling on the left testicle and
_ _ _ _ _ _ _ _ _ _ _ _
negative cremasteric reflex. The most likely diagnosis is:
_ _ _ _ _ _ _
a) testicular cancer _
b) testicular torsion _
c) appendicitis
d) epididymitis -- Correct Answer ✔✔ b) testicular torsion _ _ _ _ _ _ _
15) A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing
_ _ _ _ _ _ _ _ _ _ _ _ _ _
present with complains of early morning rise finger-stick blood glucose. A review
_ _ _ _ _ _ _ _ _ _ _ _
of an at-home glucose test reveals increased morning levels. After an increase in
_ _ _ _ _ _ _ _ _ _ _ _ _
the evening insulin dose, the problem worsens. This is most likely an example of:
_ _ _ _ _ _ _ _ _ _ _ _ _
a) Insulin Resistance _
b) Insulin Allergy _
c) The Somogyi Effect _ _
APPROVED ANSWERS.
1) You are evaluating a 40-year-old patient suspected of having a pulmonary
_ _ _ _ _ _ _ _ _ _ _
embolism (PE); the patient complains of anxiety and cough. A stat chest X-ray is
_ _ _ _ _ _ _ _ _ _ _ _ _ _
normal .The next test should be:
_ _ _ _ _
a) Spirometry
b) Magnetic resonance imaging (MRI) _ _ _
c) Contrast venography _
d) Helical CT pulmonary angiography -- Correct Answer ✔✔ d) Helical CT
_ _ _ _ _ _ _ _ _ _ _
pulmonary angiography _
2) A 14-year-old male with bronchitis is being treated with fluids and expectorants.
_ _ _ _ _ _ _ _ _ _ _ _
He returns to the clinic with a fever of 103 F (39.4 C), right pleuritic chest pain,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
and green sputum. Which of the following examination should be expected?
_ _ _ _ _ _ _ _ _ _
a) Right lower lobe crackles _ _ _
b) Decrease fremitus _
c) Bilateral wheezing _
d) Normal percussion -- Correct Answer ✔✔ a) Right lower lobe crackles
_ _ _ _ _ _ _ _ _ _
3) A patient with macular degeneration has difficulty seeing objects:
_ _ _ _ _ _ _ _
a) From a distance _ _
b) In the center of the visual field
_ _ _ _ _ _
c) At reading distance
_ _
d) In the peripheral fields -- Correct Answer ✔✔ b) In the center of the visual
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
field
4) Which of the following pharmacotherapeutics would be important to administer
_ _ _ _ _ _ _ _ _ _
to a patient who has corneal abrasion?
_ _ _ _ _ _
, a) Olopatadine (Patanol) _
b) Cromolyn ophthalmic (Crolom) _ _
c) Timolol (Timoptic). _
d) Gentamicin ophthalmic (Genoptic) -- Correct Answer ✔✔ d) Gentamicin _ _ _ _ _ _ _ _ _
ophthalmic (Genoptic) _
5) Which of the following signs/symptoms are often associated with headaches due to
_ _ _ _ _ _ _ _ _ _ _
an intracranial tumor?
_ _ _
a) Pain worse in supine position; focal neurological signs
_ _ _ _ _ _ _
b) Hyperreflexia, personality changes _ _
c) Acute onset; increasing pain over hours to days
_ _ _ _ _ _ _
d) Pupillary constriction; stupor -- Correct Answer ✔✔ a) Pain worse in
_ _ _ _ _ _ _ _ _ _ _
supine position; focal neurological signs
_ _ _ _
6) To assess ability to think abstractly, you could ask a patient:
_ _ _ _ _ _ _ _ _ _
a) The meaning of a common proverb
_ _ _ _ _
b) What action would be taken if there was a fire in the house
_ _ _ _ _ _ _ _ _ _ _ _
c) To count backward from 100 by 7
_ _ _ _ _ _
d) To spell a word backward -- Correct Answer ✔✔ a) The meaning of a
_ _ _ _ _ _ _ _ _ _ _ _ _ _
common proverb _
7) A 70-year-old male presents with paresthesia of the lower extremities .On
_ _ _ _ _ _ _ _ _ _ _
examination, the patient appears pale and shows a decreased vibratory sense.
_ _ _ _ _ _ _ _ _ _ _
Laboratory tests reveal elevated indirect bilirubin HCT=30% mean corpuscular
_ _ _ _ _ _ _ _ _
volume (MCV) = 120 μL3 (normal=87-103 μL3).The most likely diagnosis is:
_ _ _ _ _ _ _ _ _ _
a) Pernicious anemia _
b) Anemia of chronic disease _ _ _
c) Folic acid deficiency _ _
d) Iron deficiency anemia -- Correct Answer ✔✔ a) Pernicious anemia
_ _ _ _ _ _ _ _ _
8) A 50-year-old presents a chief complaint of malaise. Further questioning reveals
_ _ _ _ _ _ _ _ _ _ _
that his primary concern was the sexual dysfunction. He is currently taking the
_ _ _ _ _ _ _ _ _ _ _ _ _
, following medications: Atenolol (Tenormin), 50 mg daily; Paroxetine (Paxil), 20 mg
_ _ _ _ _ _ _ _ _ _ _
daily, Loratadine, Hydrochlorothiazide (HCTZ) 25 mg daily. The most likely cause
_ _ _ _ _ _ _ _ _ _ _
of the patient's concern would be:
_ _ _ _ _
a) Loratadine (Claritin) _
b) Hydrochlorothiazide (HCTZ) _
c) Atenolol (Tenormin) _
d) Paroxetine (Paxil) -- Correct Answer ✔✔ d) Paroxetine (Paxil)
_ _ _ _ _ _ _ _
9) An 88-year-old presents with right-sided weakness after being unable to rise
_ _ _ _ _ _ _ _ _ _ _
unassisted following a fall to the bath and noncompliance with a hypertension
_ _ _ _ _ _ _ _ _ _ _ _
medication regimen. What is the most likely diagnosis?
_ _ _ _ _ _ _
a) Seizure
b) Right-sided CVA _
c) Left-sided CVA _
d) Transient ischemic attack -- Correct Answer ✔✔ c) Left-sided CVA
_ _ _ _ _ _ _ _ _
10) Which of the following laboratory tests are most accepted indicators of the
_ _ _ _ _ _ _ _ _ _ _ _
progression of HIV infection? _ _ _
a) WBC count and viral load_ _ _ _
b) CD4 count and viral load
_ _ _ _
c) CD4 count and western blood test
_ _ _ _ _
d) CD$ count and enzyme-linked immune-absorbent assay (ELISA) -- Correct
_ _ _ _ _ _ _ _ _
Answer ✔✔ b) CD4 count and viral load
_ _ _ _ _ _ _
11) During the development of a treatment plan for an 84-year-old patient with
_ _ _ _ _ _ _ _ _ _ _ _
hypothyroidism, the nurse practitioner must keep in mind the possibility for the
_ _ _ _ _ _ _ _ _ _ _ _
worsening of: _
a) Renal insufficiency _
b) Osteoporosis
c) Dementia
d) Anemia -- Correct Answer ✔✔ b) Osteoporosis _ _ _ _ _ _
(Synthroid can develop Osteoporosis as a SE)
_ _ _ _ _ _
, 12) A 47-year-old patient presents with complaints of upper abdominal discomfort
_ _ _ _ _ _ _ _ _ _
with nausea and burning after eating .There are no current medications. The most
_ _ _ _ _ _ _ _ _ _ _ _ _
likely differential diagnoses would include:
_ _ _ _
a) Peptic ulcer disease ,colitis
_ _ _
b) Gastritis, peptic ulcer disease _ _ _
c) Colitis, small bowel disease _ _ _
d) Gastritis, Crohn’s diseases -- Correct Answer ✔✔ b) Gastritis, peptic ulcer
_ _ _ _ _ _ _ _ _ _ _
disease
13) The management of choice for polymyalgia rheumatic includes:
_ _ _ _ _ _ _
a) whirlpool
b) prednisone
c) analgesics
d) Celebrex -- Correct Answer ✔✔ b) prednisone
_ _ _ _ _ _
14) A 38-year-old male, experiences a sudden onset of acute abdominal pain, left groin.
_ _ _ _ _ _ _ _ _ _ _ _
_He is having difficulty walking and is nauseated. He denies any trauma or previous
_ _ _ _ _ _ _ _ _ _ _ _ _ _
groin injuries. The examination reveals diffuse swelling on the left testicle and
_ _ _ _ _ _ _ _ _ _ _ _
negative cremasteric reflex. The most likely diagnosis is:
_ _ _ _ _ _ _
a) testicular cancer _
b) testicular torsion _
c) appendicitis
d) epididymitis -- Correct Answer ✔✔ b) testicular torsion _ _ _ _ _ _ _
15) A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing
_ _ _ _ _ _ _ _ _ _ _ _ _ _
present with complains of early morning rise finger-stick blood glucose. A review
_ _ _ _ _ _ _ _ _ _ _ _
of an at-home glucose test reveals increased morning levels. After an increase in
_ _ _ _ _ _ _ _ _ _ _ _ _
the evening insulin dose, the problem worsens. This is most likely an example of:
_ _ _ _ _ _ _ _ _ _ _ _ _
a) Insulin Resistance _
b) Insulin Allergy _
c) The Somogyi Effect _ _
