ANCC Exam 3 Questions With Accurate Answers

ANCC Exam 3 Questions With Accurate
Answers
A 10-year-old boy who plays basketball presents to the clinic with left knee pain
and swelling. He was running toward the basket when he pivoted around another
player and felt a pop in his knee. He dropped to the ground and could not play the
rest of the game. The physical exam reveals a knee effusion and a positive
Lachman test. Which of the following is the most likely diagnosis?
A.
Anterior cruciate ligament tear
Correct
B.
Intra-articular fracture
Incorrect
C.
Medial meniscal tear
Incorrect
D.
Patellar dislocation correct answer Anterior cruciate ligament tear


A 12-month-old female infant presents to the clinic for a routine well-child visit.
Her mother reports they recently immigrated to the United States from
Guatemala. The patient is exclusively breastfed, and her weight for age is in the
65th percentile. The lab results are hemoglobin of 10.5 g/dL and a lead level of 2.3
mcg/dL. Which of the following is the best next step?
A.
Complete a focused history and dietary assessment
Correct

,B.
Order a serum ferritin
Incorrect
C.
Prescribe oral iron supplementation
Incorrect
D.
Refer for lead chelation therapy
Incorrect
Review Previous QuestionReview Next Question correct answer Complete a
focused history and dietary assessment


A 12-year-old afebrile patient presents to the clinic with right ear pain for the past
2 days after swimming. On examination, there is erythema and edema of the
external auditory canal, with debris and crusted material visible in the external
canal. The tympanic membrane is intact and nonerythematous. She reports pain
when the auricle is gently pressed. Which of the following is the best therapy?
A.
Acetic acid 2% otic solution
Incorrect
B.
Ciprofloxacin 0.3% and dexamethasone 0.1% otic solution (Ciprodex)
Correct
C.
Oral amoxicillin
Incorrect

,D.
Oral cefdinir correct answer Ciprofloxacin 0.3% and dexamethasone 0.1% otic
solution (Ciprodex)


A 12-year-old girl presents to the clinic for a well-child checkup. The nurse
practitioner notes that the patient has enlargement of her breasts and areolas but
no separation of their contour, as well as sparse growth of straight pubic hair
along the labia. Which of the following is the appropriate Tanner staging for this
patient?
A.
Tanner stage 1 breast and pubic hair
Incorrect
B.
Tanner stage 2 breast and pubic hair
Incorrect
C.
Tanner stage 2 breast and Tanner stage 3 pubic hair
Incorrect
D.
Tanner stage 3 breast and Tanner stage 2 pubic hair correct answer Tanner stage
3 breast and Tanner stage 2 pubic hair


A 12-year-old girl presents to the clinic with redness in and watery discharge from
her right eye that began 2 days ago. It now involves the left eye as well. She woke
up this morning unable to open her eyes and had to wash her face with a warm
washcloth to do so. She recovered from a cold 2 weeks ago and has otherwise
been healthy. The physical examination reveals bilateral conjunctival injection and
tearing. What is the best treatment for this condition?

, A.
Artificial tears and cold compresses
Correct
B.
Erythromycin ophthalmic ointment
Incorrect
C.
Ketorolac ophthalmic solution (Acular)
Incorrect
D.
Trimethoprim-polymyxin B ophthalmic solution (Polytrim) correct answer Artificial
tears and cold compresses


A 13-year-old girl presents to the clinic with poor school performance. The patient
has had multiple runaway attempts in the past year. Which of the following would
raise concern for sexual abuse and indicate the need for sexually transmitted
infection screening?
A.
A sibling with a sexually transmitted infection
Correct
B.
Irregular periods
Incorrect
C.
Multiple boyfriends
Incorrect