ANCC FNP Boards Questions and Answers
1. Type 2 Diabetes insulin resistance
2. Screening for Type 2 Dia- every 3 years starting at age 45
betes
3. A1C for Type 2 Diabetes > 6.5%
4. FPG for Type 2 Diabetes > 126
5. 2 hour plasma glucose for > 200
Type 2 Diabetes
6. Random glucose for Type > 200
2 Diabetes
7. A1C for Prediabetes 5.7-6.4%
8. 1st drug or choice for Metformin
Type 2 Diabetes
9. Contraindication for Met- liver cirrhosis or alcohol use disorder; increased serum creatinine
formin
10. Two most common side ef- Diarrhea and Flatulence
fects of Metformin
11. 4 Meds for All Diabetics Aspirin, Metformin, BP, and Statin
12. Target BG after eating < 180
13. Fasting BG Target 70-130
14. Biguanides Metformin (Glucophage)
15. Sulfonylureas (-ide)
,ANCC FNP Boards Questions and Answers
Secrete insulin; can cause hypoglycemia and wt gain; for pt's on a
fixed budget (-Ride Price)
16. DPP-4 inhibitors (-gliptin) Reduces A1C by 0.7%
17. GLP-1 agonists (-tide) Helps ppl lose weight (-Tide of the wt); Not for fixed budget
18. When should you consid- A1C > 9% & Fasting glucose > 250
er basal insulin?
19. Basal insulin (Lantus) Once a day at the same time
20. NPH insulin (Humulin N, Lasts from breakfast to dinner; Covers the postprandial spike after
Novolin N) lunch
21. Regular insulin (Humulin Lasts from meal to meal
R, Novolin R)
22. Rapid-acting insulin (Hu- Covers one meal at a time
malog- Lispro)
23. TZD (pioglitazone, rosigli- Contraindicated in heart failure; Associated with bone fractures
tazone)
24. S&S of Hypothyroidism Weight gain, cold intolerance, skin dryness, dementia, bradycardia,
(Myxedema/Hashimotos) and hair dryness
25. S&S of Hyperthyroidism Weight loss, heat intolerance, nervousness, palpitations, diarrhea
(Graves Disease)
26. Hypothyroidism increases Cholesterol
27. Anemia of Hypothy- Macrocytic Anemia
roidism
, ANCC FNP Boards Questions and Answers
28. Normal TSH 0.5 - 4.5 mU/L
29. Normal T4 0.8-1.8
30. Primary Hypothyroidism high TSH, low T4
31. Subclinical Hypothy- high TSH, normal T4
roidism
32. Hyperthyroidism Labs Low TSH, high T3 and T4
33. Tx for primary hypothy- Levothyroxine (Synthroid)
roidism
34. Dose of Synthroid in 50-60 50mcg; Check TSH in 6 weeks
years old
35. Dose of Synthroid in 60+ 25mcg; Check TSH in 4-6 weeks
or cardiac disease
36. When to treat subclinical TSH > 10
hypothyroidism?
37. Adverse effects of Accelerated bone loss & Afib
Levothyroxine
38. Gold standard test for Pulmonary function testing
asthma and COPD
39. FEV1/FVC ratio in COPD 0.7
40. Chronic Bronchitis Coughing with excess mucous production for 2+ yrs; airway hyper-
secretion and inflammation
41. Emphysema
1. Type 2 Diabetes insulin resistance
2. Screening for Type 2 Dia- every 3 years starting at age 45
betes
3. A1C for Type 2 Diabetes > 6.5%
4. FPG for Type 2 Diabetes > 126
5. 2 hour plasma glucose for > 200
Type 2 Diabetes
6. Random glucose for Type > 200
2 Diabetes
7. A1C for Prediabetes 5.7-6.4%
8. 1st drug or choice for Metformin
Type 2 Diabetes
9. Contraindication for Met- liver cirrhosis or alcohol use disorder; increased serum creatinine
formin
10. Two most common side ef- Diarrhea and Flatulence
fects of Metformin
11. 4 Meds for All Diabetics Aspirin, Metformin, BP, and Statin
12. Target BG after eating < 180
13. Fasting BG Target 70-130
14. Biguanides Metformin (Glucophage)
15. Sulfonylureas (-ide)
,ANCC FNP Boards Questions and Answers
Secrete insulin; can cause hypoglycemia and wt gain; for pt's on a
fixed budget (-Ride Price)
16. DPP-4 inhibitors (-gliptin) Reduces A1C by 0.7%
17. GLP-1 agonists (-tide) Helps ppl lose weight (-Tide of the wt); Not for fixed budget
18. When should you consid- A1C > 9% & Fasting glucose > 250
er basal insulin?
19. Basal insulin (Lantus) Once a day at the same time
20. NPH insulin (Humulin N, Lasts from breakfast to dinner; Covers the postprandial spike after
Novolin N) lunch
21. Regular insulin (Humulin Lasts from meal to meal
R, Novolin R)
22. Rapid-acting insulin (Hu- Covers one meal at a time
malog- Lispro)
23. TZD (pioglitazone, rosigli- Contraindicated in heart failure; Associated with bone fractures
tazone)
24. S&S of Hypothyroidism Weight gain, cold intolerance, skin dryness, dementia, bradycardia,
(Myxedema/Hashimotos) and hair dryness
25. S&S of Hyperthyroidism Weight loss, heat intolerance, nervousness, palpitations, diarrhea
(Graves Disease)
26. Hypothyroidism increases Cholesterol
27. Anemia of Hypothy- Macrocytic Anemia
roidism
, ANCC FNP Boards Questions and Answers
28. Normal TSH 0.5 - 4.5 mU/L
29. Normal T4 0.8-1.8
30. Primary Hypothyroidism high TSH, low T4
31. Subclinical Hypothy- high TSH, normal T4
roidism
32. Hyperthyroidism Labs Low TSH, high T3 and T4
33. Tx for primary hypothy- Levothyroxine (Synthroid)
roidism
34. Dose of Synthroid in 50-60 50mcg; Check TSH in 6 weeks
years old
35. Dose of Synthroid in 60+ 25mcg; Check TSH in 4-6 weeks
or cardiac disease
36. When to treat subclinical TSH > 10
hypothyroidism?
37. Adverse effects of Accelerated bone loss & Afib
Levothyroxine
38. Gold standard test for Pulmonary function testing
asthma and COPD
39. FEV1/FVC ratio in COPD 0.7
40. Chronic Bronchitis Coughing with excess mucous production for 2+ yrs; airway hyper-
secretion and inflammation
41. Emphysema
