ANCC FNP BOARD EXAM STUDY GUIDE PART 1 WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
1. Treatment
-Chronic bronchitis is a type of COPD that is characterized by
for chronic
inflammation of the bronchi, causing excess mucus; characteristics of
bronchi- tis
chronic bronchitis include diagnosis after age 35, obesity, copious
amounts of purulent sputum, elevated Hct level
-Treat with SABA (albuterol), inhaled anticholinergics (ipratropium)
-Normal Findings of Lungs: Lower lobes vesicular breath sounds (soft
and low) Upper lobes; Bronchial breath sounds louder
2. Actinic keratosis -Older to elderly fair-skinned adults
-numerous dry, round, pink to red-colored, slow-growing lesions that do
not heal
-lesions common on sun-exposed areas (cheeks, nose, face, arms, back)
-precancerous precursor of squamous cell carcinoma
-frequent sunburns as child places person at higher risk
-diagnosed with biopsy
-treat with cryotherapy (small number) or 5-FU(5% fluorouracil) cream
(large number)
follow up with derm.
3. Seborrheic -soft, round, wart-like fleshy growths on trunk (mostly on back)
ker- atosis
-can range in color from light tan to black
-appear to be pasted on
-asymptomatic
-benign
4. Fingernai
-Trephination - make hole in nail through drilling or piercing and allow
l
hematom blood to drain
a
treatmen
t
5. Hypothyroid -Primary - elevated TSH; low T4; low or normal T3
,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
-Subclinical - elevated TSH; normal T4; normal T3
-Common cause is Hashimoto's (autoimmune) - Hashimoto and Hypo
both have O
,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
-Symptoms are variable - may include fatigue
-Treatment - levothyroxine (Synthroid) daily in AM on empty stomach
-Starting dose of levothyroxine (Synthroid) is 25-50mcg
-Check TSH every 6-8 weeks to monitor treatment
6. Hyperthyroid -Primary - low TSH; high T4; normal or high T3
-Subclinical - low TSH; normal T4; normal T3
-Most common cause is Grave's Disease (autoimmune) - Grave and
Hyper both have R
-Common symptoms - female; rapid weight loss; increased heart rate;
tremors; sweating; irritability; anxiety; hyperactivity; insomnia; diarrhea;
amenorrhea; hy- pertension; exophthalmos; heat intolerance; goiter
-Treatment - Propylthiouracil (PTU); Methimazole (Tapazole); Radioactive
iodine (causes hypothyroid for life, contraindicated in pregnancy)
-Thyroid Storm (thyrotoxicosis) - acute worsening of symptoms; may be
caused by stress or infection; look for LOC, fever, abdominal pain; life-
threatening; imme- diate hospitalization needed
7. Increased risk -Risk factors - previous ectopic, salpingitis, tubal surgery, current IUD
of ectopic use, previ- ous cervicitis, history of PID
pregnan- cy
-Symptoms - abdominal pain (worsens when supine or with jarring),
vaginal bleeding, amenorrhea, low grade fever, pain referred to right
shoulder (may indicate rupture)
8. Hypertension
-African-American with or without diabetes - initial choices include
Meds Part 1
thiazide diuret- ic or CCB
-Non-Black with or without diabetes - initial choices include thiazide
diuretic, CCB, ACE, or ARB
-Thiazide diuretic - "ide"; excellent synergist; avoid in sulfa allergy;
favorable in osteopenia/osteoporosis; side ettects include hyperglycemia
(caution in diabet- ics), hyperuricemia (gout attack), hypertriglyceridemia
and hypercholesteremia (check lipid profile), hypokalemia (potentiates
, ANCC FNP BOARD EXAM STUDY GUIDE PART 1 WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
digoxin toxicity and
increases risk
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
1. Treatment
-Chronic bronchitis is a type of COPD that is characterized by
for chronic
inflammation of the bronchi, causing excess mucus; characteristics of
bronchi- tis
chronic bronchitis include diagnosis after age 35, obesity, copious
amounts of purulent sputum, elevated Hct level
-Treat with SABA (albuterol), inhaled anticholinergics (ipratropium)
-Normal Findings of Lungs: Lower lobes vesicular breath sounds (soft
and low) Upper lobes; Bronchial breath sounds louder
2. Actinic keratosis -Older to elderly fair-skinned adults
-numerous dry, round, pink to red-colored, slow-growing lesions that do
not heal
-lesions common on sun-exposed areas (cheeks, nose, face, arms, back)
-precancerous precursor of squamous cell carcinoma
-frequent sunburns as child places person at higher risk
-diagnosed with biopsy
-treat with cryotherapy (small number) or 5-FU(5% fluorouracil) cream
(large number)
follow up with derm.
3. Seborrheic -soft, round, wart-like fleshy growths on trunk (mostly on back)
ker- atosis
-can range in color from light tan to black
-appear to be pasted on
-asymptomatic
-benign
4. Fingernai
-Trephination - make hole in nail through drilling or piercing and allow
l
hematom blood to drain
a
treatmen
t
5. Hypothyroid -Primary - elevated TSH; low T4; low or normal T3
,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
-Subclinical - elevated TSH; normal T4; normal T3
-Common cause is Hashimoto's (autoimmune) - Hashimoto and Hypo
both have O
,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
-Symptoms are variable - may include fatigue
-Treatment - levothyroxine (Synthroid) daily in AM on empty stomach
-Starting dose of levothyroxine (Synthroid) is 25-50mcg
-Check TSH every 6-8 weeks to monitor treatment
6. Hyperthyroid -Primary - low TSH; high T4; normal or high T3
-Subclinical - low TSH; normal T4; normal T3
-Most common cause is Grave's Disease (autoimmune) - Grave and
Hyper both have R
-Common symptoms - female; rapid weight loss; increased heart rate;
tremors; sweating; irritability; anxiety; hyperactivity; insomnia; diarrhea;
amenorrhea; hy- pertension; exophthalmos; heat intolerance; goiter
-Treatment - Propylthiouracil (PTU); Methimazole (Tapazole); Radioactive
iodine (causes hypothyroid for life, contraindicated in pregnancy)
-Thyroid Storm (thyrotoxicosis) - acute worsening of symptoms; may be
caused by stress or infection; look for LOC, fever, abdominal pain; life-
threatening; imme- diate hospitalization needed
7. Increased risk -Risk factors - previous ectopic, salpingitis, tubal surgery, current IUD
of ectopic use, previ- ous cervicitis, history of PID
pregnan- cy
-Symptoms - abdominal pain (worsens when supine or with jarring),
vaginal bleeding, amenorrhea, low grade fever, pain referred to right
shoulder (may indicate rupture)
8. Hypertension
-African-American with or without diabetes - initial choices include
Meds Part 1
thiazide diuret- ic or CCB
-Non-Black with or without diabetes - initial choices include thiazide
diuretic, CCB, ACE, or ARB
-Thiazide diuretic - "ide"; excellent synergist; avoid in sulfa allergy;
favorable in osteopenia/osteoporosis; side ettects include hyperglycemia
(caution in diabet- ics), hyperuricemia (gout attack), hypertriglyceridemia
and hypercholesteremia (check lipid profile), hypokalemia (potentiates
, ANCC FNP BOARD EXAM STUDY GUIDE PART 1 WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
digoxin toxicity and
increases risk
