ANCC FNP PRACTICE QUESTIONS AND
DETAILED SOLUTIONS
◉ Acute appendicitis.
Answer: The NP would test the obturator and iliopsoas muscle to
evaluate for what?
◉ A prescription of methyldopa (Aldomet) to control BP.
Answer: Treatment for mild preeclampsia includes all of the
following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control BP.
◉ Nursing home care.
Answer: All of the following services are covered under Medicare
Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
,D) Surgeons
◉ Mycoplasma pneumonia.
Answer: A 28 yo student is seen in the school health clinic with
complaints of hacking cough that is productive of small amounts of
sputum and runny nose. He does not take any meds, denies any
allergies, and has no significant medical history. Physical exam
reveals a low-grade temperature of 99.9 degrees F, respirations of
16/min, pulse =90, and diffuse fine crackles in the base of the lungs.
A chest x-ray shows diffuse infiltrates in the lower lobe of the right
lung. The total white blood cell count is 10,500/uL. What is the likely
diagnosis?
◉ 10mm.
Answer: A 39 yo migrant worker presents to the clinic 2.5 days after
a purified protein derivative (PPD) test. What minimum size of
induration would be considered positive for this patient?
◉ The patient's spouse has the right to override the agent's
decisions.
Answer: All of the following are correct statements regarding the
role of the person named in a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life
such as financial issues.
,C) The agent can decide for the patient who is on life support when
that life support can be terminated.
D) The patient's spouse has the right to override the agent's
decisions
◉ The patient has a medical illness that causes an anxiety reaction
and denial.
Answer: The following statement regarding Munchausen syndrome
is false:
◉ Beta-blockers.
Answer: Which antihypertensive medications should the NP avoid
when treating patient with emphysema?
◉ Perform a complete and thorough history.
Answer: A 30 y/o chef complains of pruritic hives over her chest and
arms but denies difficulty breathing. She reports a family history of
allergic rhinitis and asthma. What intervention is most appropriate?
◉ Edema of the face and upper extremities.
Answer: Which finding is most likely in young primigravidas with
pregnancy induced hypertension?
◉ Tingling and numbness of both feet.
, Answer: Which symptom is associated with B12 deficiency anemia?
◉ Order an ultrasound.
Answer: A second triple screen on a 35 yo primigravida reveals
abnormal low levels of the alpha fetoprotein and estriol and high
levels of human chorionic gonadotropin. Which of the following
interventions is the best choice for this patient?
◉ Chlamydia trachoma's.
Answer: Pts. diagnosed with gonorrhea should also be treated for
what other infections?
◉ Osteoporosis.
Answer: Kyphosis is a late sign of
◉ Higher than normal.
Answer: A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal
protein (AFP) to be?
◉ Calcium channel blockers.
Answer: Which of the following antihypertensive medications has
beneficial effects for an elderly white female with osteoporosis?
DETAILED SOLUTIONS
◉ Acute appendicitis.
Answer: The NP would test the obturator and iliopsoas muscle to
evaluate for what?
◉ A prescription of methyldopa (Aldomet) to control BP.
Answer: Treatment for mild preeclampsia includes all of the
following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control BP.
◉ Nursing home care.
Answer: All of the following services are covered under Medicare
Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
,D) Surgeons
◉ Mycoplasma pneumonia.
Answer: A 28 yo student is seen in the school health clinic with
complaints of hacking cough that is productive of small amounts of
sputum and runny nose. He does not take any meds, denies any
allergies, and has no significant medical history. Physical exam
reveals a low-grade temperature of 99.9 degrees F, respirations of
16/min, pulse =90, and diffuse fine crackles in the base of the lungs.
A chest x-ray shows diffuse infiltrates in the lower lobe of the right
lung. The total white blood cell count is 10,500/uL. What is the likely
diagnosis?
◉ 10mm.
Answer: A 39 yo migrant worker presents to the clinic 2.5 days after
a purified protein derivative (PPD) test. What minimum size of
induration would be considered positive for this patient?
◉ The patient's spouse has the right to override the agent's
decisions.
Answer: All of the following are correct statements regarding the
role of the person named in a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life
such as financial issues.
,C) The agent can decide for the patient who is on life support when
that life support can be terminated.
D) The patient's spouse has the right to override the agent's
decisions
◉ The patient has a medical illness that causes an anxiety reaction
and denial.
Answer: The following statement regarding Munchausen syndrome
is false:
◉ Beta-blockers.
Answer: Which antihypertensive medications should the NP avoid
when treating patient with emphysema?
◉ Perform a complete and thorough history.
Answer: A 30 y/o chef complains of pruritic hives over her chest and
arms but denies difficulty breathing. She reports a family history of
allergic rhinitis and asthma. What intervention is most appropriate?
◉ Edema of the face and upper extremities.
Answer: Which finding is most likely in young primigravidas with
pregnancy induced hypertension?
◉ Tingling and numbness of both feet.
, Answer: Which symptom is associated with B12 deficiency anemia?
◉ Order an ultrasound.
Answer: A second triple screen on a 35 yo primigravida reveals
abnormal low levels of the alpha fetoprotein and estriol and high
levels of human chorionic gonadotropin. Which of the following
interventions is the best choice for this patient?
◉ Chlamydia trachoma's.
Answer: Pts. diagnosed with gonorrhea should also be treated for
what other infections?
◉ Osteoporosis.
Answer: Kyphosis is a late sign of
◉ Higher than normal.
Answer: A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal
protein (AFP) to be?
◉ Calcium channel blockers.
Answer: Which of the following antihypertensive medications has
beneficial effects for an elderly white female with osteoporosis?
