ANCC FNP certification EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




ANCC FNP review questions 2026 A+ GRADE ASSURED C vc vc vc vc vc vc vc vc




OMPLETE SOLUTIONS AND VERIFIED ANSWERS (E352F vc vc vc vc vc




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QUESTION 1 vc




special considerations for Thiazides vc vc vc




ANSWER

Chlorthalidone is preferred on the basis of prolonged half- vc vc vc vc vc vc vc vc



life and proven trial reduction of CVD. Monitor for hyponatremia and hypokalemia, monitor uric acid an
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d calcium levels. Use with caution in patients with history of acute gout unless patient is on uric acid-
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lowering therapy. vc




QUESTION 2 vc




special considerations for ACE inhibitorsvc vc vc vc




ANSWER

Do not use in combination with ARBs or direct renin inhibitor. There is an increased risk of hyperkalem
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ia, especially in patients with CKD or in those on K+ supplements or K+-
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sparing drugs. There is a risk of acute renal failure in patients with severe bilateral renal artery stenosis
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. Do not use if patient has history of angioedema with ACE inhibitors. ACE inhibitor cough is common, in
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5 to 20 percent of patients, due to bradykinin production. Avoid in pregnant females or females of repr
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oductive age without adequate contraception
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QUESTION 3 vc




special considerations for Angiotensin receptor blockers
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ANSWER

Do not use in combination with ACE inhibitors or direct renin inhibitor. There is an increased risk of hy
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perkalemia in CKD or in those on K+ supplements or K+- vc vc vc vc vc vc vc vc vc vc



sparing drugs. There is a risk of acute renal failure in patients with severe bilateral renal artery stenosis
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. Do not use if patient has history of angioedema with ARBs. Patients with a history of angioedema with
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, an ACE inhibitor can receive an ARB beginning 6 weeks after ACE inhibitor is discontinued. Avoid in pre
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gnant females or females of reproductive age without adequate contraception. Lower risk of cough than
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ACE-Is.



QUESTION 4 vc




special considerations for Calcium channel blockers
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ANSWER

Associated with dose-related pedal edema, which is more common in females than men.
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QUESTION 5 vc




When should you Refer to a Nephrologist or Cardiologist in a hypertensive patient?
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ANSWER

-signs of end-organ damage -evidence of a secondary cause of hypertension -
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only on one to two medications Generally, failure to achieve blood pressure goal in patients who are ad
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hering to full doses of an appropriate three to four drug regimen that includes a diuretic may warrant r
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eferral to a nephrologist or cardiologist Before referring, clinicians should first review other causes of in
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adequate hypertension control such as: -Improper blood pressure measurement -
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White coat hypertension -Excess sodium intake -Medication issues (e.g., nonsteroidal anti-
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inflammatory drugs (NSAIDs), illicit drugs, sympathomimetics, oral contraceptives) -
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Excess alcohol intake -Underlying identifiable causes of hypertension (secondary hypertension)
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QUESTION 6 vc




A 20-year-
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old presents to the office for a wellness check. What is the prevalence of bulimia nervosa
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in female college students?
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A. 1% B.2%
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C. 4%vc



D. 5% vc




ANSWER

Correct Answer: vc



D. 5% Bulimia nervosa occurs in approximately 5% of female college students, who are 10x more likely
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than male college students to develop this disorder. The prevalence of anorexia nervosa is 1.5% in teen
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age girls overall. Incorrect Answers: (A), (B), (
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C) are the not correct prevalence.
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QUESTION 7 vc




A one week-
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old newborn is noted to have bilateral bloody eye discharge. The baby was born to a 21-
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