ANCC exam 3 Questions With Complete
Solytions!!!
A 9-month-old female infant presents to the clinic for a routine well-child visit. Six months ago,
she was prescribed omeprazole (Prilosec) due to gastroesophageal reflux and poor weight gain.
At the present visit, her parents report that she is drinking approximately 24 ounces of formula
daily and eating some solid foods. They report no current issues with reflux. While reviewing the
patient's growth chart, the nurse practitioner notes steady and appropriate weight gain over the
past 6 months. Which of the following is the next best step in management?
A.
Continue omeprazole (Prilosec) as prescribed
Incorrect
B.
Decrease the dose of omeprazole (Prilosec) and reevaluate in 3 weeks
Correct
C.
Discontinue omeprazole (Prilosec) and prescribe metoclopramide (Reglan)
Incorrect
D.
Discontinue omeprazole (Prilosec) and reevaluate in 3 months - ANS Decrease the dose of
omeprazole (Prilosec) and reevaluate in 3 weeks
A 70-year-old man presents to the clinic for a routine checkup. He has a history of smoking one
pack of cigarettes per day for the past 40 years. He reports no discomfort today. Which of the
following is the most appropriate recommendation regarding abdominal aortic aneurysm
screening for this patient?
A.
Advise him to quit smoking but defer screening since he is asymptomatic
Incorrect
B.
No screening necessary, as he is beyond the recommended age
Incorrect
C.
Order an abdominal U/S for screening today
Correct
D.
Perform a physical examination of the abdomen to assess for a pulsatile mass - ANS Order
an abdominal U/S for screening today
,Which of the following is the most important first step when evaluating a 15-year-old girl with a
4-month history of secondary amenorrhea?
A.
Checking weight
Incorrect
B.
Measuring FSH
Incorrect
C.
Measuring human chorionic gonadotropin levels
Correct
D.
Measuring TSH - ANS Measuring human chorionic gonadotropin levels
While reading a journal article, a nurse practitioner comes across a section discussing the
efficacy of a new drug. The article mentions a P value of .03 in relation to the drug's effect.
Which of the following best defines what a P value is?
A.
A measure of the relationship between two variables
Incorrect
B.
The odds of an event in one group versus another
Incorrect
C.
The percentage of patients who responded to the drug
Incorrect
D.
The probability that observed results occurred by chance - ANS The probability that
observed results occurred by chance
A 47-year-old woman presents with 4 days of high fever, headache, and myalgias. She
developed a blanching erythematous rash with macules on her wrists and ankles that spread to
her trunk 2 days ago. She reports no history of overseas travel but was camping in Arkansas
last weekend. Which of the following is the most appropriate treatment for the suspected
diagnosis?
A.
Ceftriaxone
Incorrect
B.
Doxycycline (Vibramycin)
Correct
C.
Erythromycin (Erythrocin)
,Incorrect
D.
Vancomycin (Vancocin) - ANS Doxycycline (Vibramycin)
A 36-year-old G4P3 woman presents for a routine prenatal visit at 30 weeks gestation. She was
diagnosed with gestational diabetes mellitus at 26 weeks gestation. The nurse practitioner
reviews the patient's vital signs and blood glucose log and orders lab work. Which of the
following findings indicates effective management of this condition?
A.
1-hour postprandial blood glucose levels < 200 mg/dL
Incorrect
B.
2-hour postprandial glucose levels < 100 mg/dL
Incorrect
C.
Daily fasting glucose levels of < 95 mg/dL
Correct
D.
Weight loss of 2 pounds since the last visit - ANS Daily fasting glucose levels of < 95
mg/dL
A 62-year-old woman presents to the clinic with spotting for 2 weeks. Her last menstrual cycle
was 8 years ago. She reports that she is sexually active with one partner. A pelvic examination
reveals atrophic vaginal mucosa without evidence of bleeding, and adnexal masses are not
palpable. The vulvar and urethral examination is unremarkable. Stool guaiac testing is negative.
Which of the following is the most likely diagnosis?
A.
Bladder cancer
Incorrect
B.
Endometrial carcinoma
Correct
C.
Ovarian fibroma
Incorrect
D.
Rectal adenocarcinoma - ANS Endometrial carcinoma
A 40-year-old man was diagnosed with depression and prescribed a selective serotonin
reuptake inhibitor for the first time. Which of the following side effects should the nurse
practitioner discuss with the patient?
A.
Insomnia can be improved by taking the medication at bedtime
Incorrect
, B.
Nausea typically resolves in 1-3 weeks
Correct
C.
Sexual dysfunction is typically irreversible
Incorrect
D.
Weight loss should be expected - ANS Nausea typically resolves in 1-3 weeks
A nurse practitioner partners with a local university to study the effects of a novel dietary
supplement on blood pressure regulation in young adults. Eager to begin, the nurse practitioner
has already drafted the research protocol, identified potential participants, and secured the
necessary supplements for the study. However, the university's research coordinator advises
the nurse practitioner to first address a critical step before proceeding. Which of the following is
essential before initiating the study?
A.
Design a marketing strategy for the dietary supplement
Incorrect
B.
Ensure the study results will be published in a top-tier journal
Incorrect
C.
Obtain approval from the institutional review board
Correct
D.
Secure additional funding from pharmaceutical companies - ANS Obtain approval from the
institutional review board
A 58-year-old man presents to the clinic for a follow-up on his hypertension and reports no
issues. His additional medical history includes chronic kidney disease stage IV, gout, and
diabetes mellitus. His laboratory studies reveal hemoglobin of 10 g/dL, hematocrit of 36%, total
iron of 50 mcg/dL, and ferritin of 200 ng/mL. Which of the following should be included in the
plan of care at this time?
A.
Blood transfusion
Incorrect
B.
Iron chelation therapy
Incorrect
C.
Referral to a hematologist
Incorrect
D.
Routine iron studies and CBC - ANS Routine iron studies and CBC
Solytions!!!
A 9-month-old female infant presents to the clinic for a routine well-child visit. Six months ago,
she was prescribed omeprazole (Prilosec) due to gastroesophageal reflux and poor weight gain.
At the present visit, her parents report that she is drinking approximately 24 ounces of formula
daily and eating some solid foods. They report no current issues with reflux. While reviewing the
patient's growth chart, the nurse practitioner notes steady and appropriate weight gain over the
past 6 months. Which of the following is the next best step in management?
A.
Continue omeprazole (Prilosec) as prescribed
Incorrect
B.
Decrease the dose of omeprazole (Prilosec) and reevaluate in 3 weeks
Correct
C.
Discontinue omeprazole (Prilosec) and prescribe metoclopramide (Reglan)
Incorrect
D.
Discontinue omeprazole (Prilosec) and reevaluate in 3 months - ANS Decrease the dose of
omeprazole (Prilosec) and reevaluate in 3 weeks
A 70-year-old man presents to the clinic for a routine checkup. He has a history of smoking one
pack of cigarettes per day for the past 40 years. He reports no discomfort today. Which of the
following is the most appropriate recommendation regarding abdominal aortic aneurysm
screening for this patient?
A.
Advise him to quit smoking but defer screening since he is asymptomatic
Incorrect
B.
No screening necessary, as he is beyond the recommended age
Incorrect
C.
Order an abdominal U/S for screening today
Correct
D.
Perform a physical examination of the abdomen to assess for a pulsatile mass - ANS Order
an abdominal U/S for screening today
,Which of the following is the most important first step when evaluating a 15-year-old girl with a
4-month history of secondary amenorrhea?
A.
Checking weight
Incorrect
B.
Measuring FSH
Incorrect
C.
Measuring human chorionic gonadotropin levels
Correct
D.
Measuring TSH - ANS Measuring human chorionic gonadotropin levels
While reading a journal article, a nurse practitioner comes across a section discussing the
efficacy of a new drug. The article mentions a P value of .03 in relation to the drug's effect.
Which of the following best defines what a P value is?
A.
A measure of the relationship between two variables
Incorrect
B.
The odds of an event in one group versus another
Incorrect
C.
The percentage of patients who responded to the drug
Incorrect
D.
The probability that observed results occurred by chance - ANS The probability that
observed results occurred by chance
A 47-year-old woman presents with 4 days of high fever, headache, and myalgias. She
developed a blanching erythematous rash with macules on her wrists and ankles that spread to
her trunk 2 days ago. She reports no history of overseas travel but was camping in Arkansas
last weekend. Which of the following is the most appropriate treatment for the suspected
diagnosis?
A.
Ceftriaxone
Incorrect
B.
Doxycycline (Vibramycin)
Correct
C.
Erythromycin (Erythrocin)
,Incorrect
D.
Vancomycin (Vancocin) - ANS Doxycycline (Vibramycin)
A 36-year-old G4P3 woman presents for a routine prenatal visit at 30 weeks gestation. She was
diagnosed with gestational diabetes mellitus at 26 weeks gestation. The nurse practitioner
reviews the patient's vital signs and blood glucose log and orders lab work. Which of the
following findings indicates effective management of this condition?
A.
1-hour postprandial blood glucose levels < 200 mg/dL
Incorrect
B.
2-hour postprandial glucose levels < 100 mg/dL
Incorrect
C.
Daily fasting glucose levels of < 95 mg/dL
Correct
D.
Weight loss of 2 pounds since the last visit - ANS Daily fasting glucose levels of < 95
mg/dL
A 62-year-old woman presents to the clinic with spotting for 2 weeks. Her last menstrual cycle
was 8 years ago. She reports that she is sexually active with one partner. A pelvic examination
reveals atrophic vaginal mucosa without evidence of bleeding, and adnexal masses are not
palpable. The vulvar and urethral examination is unremarkable. Stool guaiac testing is negative.
Which of the following is the most likely diagnosis?
A.
Bladder cancer
Incorrect
B.
Endometrial carcinoma
Correct
C.
Ovarian fibroma
Incorrect
D.
Rectal adenocarcinoma - ANS Endometrial carcinoma
A 40-year-old man was diagnosed with depression and prescribed a selective serotonin
reuptake inhibitor for the first time. Which of the following side effects should the nurse
practitioner discuss with the patient?
A.
Insomnia can be improved by taking the medication at bedtime
Incorrect
, B.
Nausea typically resolves in 1-3 weeks
Correct
C.
Sexual dysfunction is typically irreversible
Incorrect
D.
Weight loss should be expected - ANS Nausea typically resolves in 1-3 weeks
A nurse practitioner partners with a local university to study the effects of a novel dietary
supplement on blood pressure regulation in young adults. Eager to begin, the nurse practitioner
has already drafted the research protocol, identified potential participants, and secured the
necessary supplements for the study. However, the university's research coordinator advises
the nurse practitioner to first address a critical step before proceeding. Which of the following is
essential before initiating the study?
A.
Design a marketing strategy for the dietary supplement
Incorrect
B.
Ensure the study results will be published in a top-tier journal
Incorrect
C.
Obtain approval from the institutional review board
Correct
D.
Secure additional funding from pharmaceutical companies - ANS Obtain approval from the
institutional review board
A 58-year-old man presents to the clinic for a follow-up on his hypertension and reports no
issues. His additional medical history includes chronic kidney disease stage IV, gout, and
diabetes mellitus. His laboratory studies reveal hemoglobin of 10 g/dL, hematocrit of 36%, total
iron of 50 mcg/dL, and ferritin of 200 ng/mL. Which of the following should be included in the
plan of care at this time?
A.
Blood transfusion
Incorrect
B.
Iron chelation therapy
Incorrect
C.
Referral to a hematologist
Incorrect
D.
Routine iron studies and CBC - ANS Routine iron studies and CBC
