ANCC PRE-EXAM COMPLETE
REVISION QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+
A 43-year-old male recently underwent three months worth of lifestyle interventions but only had a
moderate change in overall blood pressure readings at home. At today's visit, his blood pressure is
consistent with his home readings, and is 138/85. The nurse practitioner knows that according to the
AHA guidelines, we should begin initiating medications for a stage 1 hypertensive patient at what ASCVD
cutoff point?
A.
7.5%
Incorrect
B.
10%
Correct
C.
15%
Incorrect
D.
20% - Answer: 10%
A middle-aged female presents to your clinic today. She has a history of smoking, hypertension, type II
diabetes, and osteoporosis. She has been on lisinopril (Prinvil) 10 mg daily for the past five years and
metformin (Glucophage) 500 mg twice daily. Upon your physical exam you notice asymmetric, non-
pitting swelling around her upper lip which the patient states started yesterday night and is painless. She
also reports diffuse abdominal pain and diarrhea. The rest of the physical exam was benign. Her fasting
blood glucose is 130. Her vital signs are as follows: BP: 141/87 mmHg, HR: 92 bpm, RR: 12 breaths per
minute, O2: 96% on room air. What is the most important thing for the nurse practitioner to do?
A.
,Assess her readiness for smoking cessation
Incorrect
B.
Add chlorthalidone (Chlorthalid) for hypertension control because she has osteoporosis
Incorrect
C.
Order abdominal CT scan
Incorrect
D.
Discontinue her lisin - Answer: Discontinue her lisinopril (Prinivil)
A patient calls the office complaining of a sudden onset of "cobweb like lines" moving in and out of her
central vision in the right eye. She is not in any pain and is asking if she needs to come in and be seen.
What should the nurse practitioner advise her to do?
A.
Refer to ophthalmology immediately
Correct
B.
Lay down in a dark room, close her eyes, and wait for it to improve
Incorrect
C.
Come into your office to be assessed this afternoon
Incorrect
D.
Pick up prescription for antibiotic eye drops at her pharmacy - Answer: Refer to ophthalmology
immediately
A group of new nurse practitioners are evaluating the strength of evidence of some new asthma
guidelines. Which of the following would be at the bottom of the hierarchy of evidence?
A.
,Systematic review
Incorrect
B.
Editorial
Correct
C.
Cohort study
Incorrect
D.
Randomized controlled trial - Answer: Editorial
A 55-year-old male patient reports increasing issues with erectile dysfunction over the last six months.
He is requesting to be placed on tadalafil (Cialis) for control of this condition. Which of the following is
critical for the nurse practitioner to order prior to prescribing this medication?
A.
Complete metabolic profile
Incorrect
B.
Echocardiogram
Incorrect
C.
EKG
Correct
D.
Complete blood count - Answer: EKG
You are performing an annual exam and pap smear on a 39-year-old woman who states she has never
had a mammogram before. A close friend of hers was just diagnosed with breast cancer and she is
wanting to know more about her risk and when she should begin screening. What in her history would
be considered a risk factor for breast cancer?
, A.
She is 39 years old
Incorrect
B.
Her only child is a step daughter
Correct
C.
She started menarche at age 13
Incorrect
D.
Her great grandmother was diagnosed with breast cancer at age 68 - Answer: Her only child is a step
daughter
You recently diagnosed your patient with sciatica. You ask the patient to perform the squat and rise
exam, and you found that there is a diminished knee jerk. Which of the following is the root cause of his
sciatica based on this finding?
A.
L3
Incorrect
B.
L4
Correct
C.
L5
Incorrect
D.
S1 - Answer: L4
You are assessing a patient for acute abdominal pain. With the patient supine and right knee flexed, you
perform inward rotation on the patient's hip. What maneuver is this and what are you assessing for?
REVISION QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+
A 43-year-old male recently underwent three months worth of lifestyle interventions but only had a
moderate change in overall blood pressure readings at home. At today's visit, his blood pressure is
consistent with his home readings, and is 138/85. The nurse practitioner knows that according to the
AHA guidelines, we should begin initiating medications for a stage 1 hypertensive patient at what ASCVD
cutoff point?
A.
7.5%
Incorrect
B.
10%
Correct
C.
15%
Incorrect
D.
20% - Answer: 10%
A middle-aged female presents to your clinic today. She has a history of smoking, hypertension, type II
diabetes, and osteoporosis. She has been on lisinopril (Prinvil) 10 mg daily for the past five years and
metformin (Glucophage) 500 mg twice daily. Upon your physical exam you notice asymmetric, non-
pitting swelling around her upper lip which the patient states started yesterday night and is painless. She
also reports diffuse abdominal pain and diarrhea. The rest of the physical exam was benign. Her fasting
blood glucose is 130. Her vital signs are as follows: BP: 141/87 mmHg, HR: 92 bpm, RR: 12 breaths per
minute, O2: 96% on room air. What is the most important thing for the nurse practitioner to do?
A.
,Assess her readiness for smoking cessation
Incorrect
B.
Add chlorthalidone (Chlorthalid) for hypertension control because she has osteoporosis
Incorrect
C.
Order abdominal CT scan
Incorrect
D.
Discontinue her lisin - Answer: Discontinue her lisinopril (Prinivil)
A patient calls the office complaining of a sudden onset of "cobweb like lines" moving in and out of her
central vision in the right eye. She is not in any pain and is asking if she needs to come in and be seen.
What should the nurse practitioner advise her to do?
A.
Refer to ophthalmology immediately
Correct
B.
Lay down in a dark room, close her eyes, and wait for it to improve
Incorrect
C.
Come into your office to be assessed this afternoon
Incorrect
D.
Pick up prescription for antibiotic eye drops at her pharmacy - Answer: Refer to ophthalmology
immediately
A group of new nurse practitioners are evaluating the strength of evidence of some new asthma
guidelines. Which of the following would be at the bottom of the hierarchy of evidence?
A.
,Systematic review
Incorrect
B.
Editorial
Correct
C.
Cohort study
Incorrect
D.
Randomized controlled trial - Answer: Editorial
A 55-year-old male patient reports increasing issues with erectile dysfunction over the last six months.
He is requesting to be placed on tadalafil (Cialis) for control of this condition. Which of the following is
critical for the nurse practitioner to order prior to prescribing this medication?
A.
Complete metabolic profile
Incorrect
B.
Echocardiogram
Incorrect
C.
EKG
Correct
D.
Complete blood count - Answer: EKG
You are performing an annual exam and pap smear on a 39-year-old woman who states she has never
had a mammogram before. A close friend of hers was just diagnosed with breast cancer and she is
wanting to know more about her risk and when she should begin screening. What in her history would
be considered a risk factor for breast cancer?
, A.
She is 39 years old
Incorrect
B.
Her only child is a step daughter
Correct
C.
She started menarche at age 13
Incorrect
D.
Her great grandmother was diagnosed with breast cancer at age 68 - Answer: Her only child is a step
daughter
You recently diagnosed your patient with sciatica. You ask the patient to perform the squat and rise
exam, and you found that there is a diminished knee jerk. Which of the following is the root cause of his
sciatica based on this finding?
A.
L3
Incorrect
B.
L4
Correct
C.
L5
Incorrect
D.
S1 - Answer: L4
You are assessing a patient for acute abdominal pain. With the patient supine and right knee flexed, you
perform inward rotation on the patient's hip. What maneuver is this and what are you assessing for?
