2023-2024 ANCC FNP Board Exam Latest Real Exam with Answers (150 Solved Questions)

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ANCC FNP BOARD EXAM LATEST 2023-2024 REALEXAM 200+ QUESTIONS AND CORRECTANSWERS WITH RATIONALES|ALREDY GRADEDA+A 16-year-old male is in the office. He has a insect bite on his leftforearm and you suspect a brown recluse spider bite. Whatmedical management would you provide?-ANSWER>>>ice packand elevation of the areaIn addition to being overweight, the American DiabetesAssociation recommends type 2 diabetes mellitus testing in adultswho:-ANSWER>>>have an HDL level of < 35 mg/dLWhich of the following found on an ECG would confirm atrialfibrillation?-ANSWER>>>-absent P waves-irregularventricular rateAs an FNP you understand that all of the following statementsabout chronic heart failure are accurate EXCEPT:-ANSWER>>>-The preponderance is in females until the age of75, then there is equal occurrence in males and females.-Patients who are underweight have a greater risk of CHF.

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The FNP has a 45-year-old male patient with BPH who haspoison ivy. The FNP plans to prescribe Benadryl for this. Whatisa possible adverse effect with the use of Benadryl for this patient?-ANSWER>>>urinary retentionYou are testing a client suspected of having Parkinson's disease.You support the client's elbow with his forearm extended in yourhand and grasp his wrist, flexing the forearm. You find rigidresistance to this motion. This is considered which of thefollowing?-ANSWER>>>cogwheelingThe complex network of nerve fibers that innervate the organswithin the abdomen like the gastrointestinal tract, pancreas, andgall bladder is the-ANSWER>>>enteric nervous systemAplastic anemia would be classifiedas which of the following?-ANSWER>>>normocytic anemiaCharles Darwin wrote On the Origin of Species about humanevolution. He also is known for which of the following?-ANSWER>>>developing the "baby journal" as a systematicmethod to document observed behavioral developmentYour patient has AIDS. He is inthe hospital suffering from aninfection. He presented with severe watery diarrhea, abdominalcramps, nausea, malaise and has an electrolyte imbalance.Which of the following opportunistic infections do these symptomsbest describe?-ANSWER>>>cryptosporidiosis Cryptosporidiosispresents with severe watery diarrhea-sometimes as many as 30-40 stools per day. The patient also has abdominal cramps,nausea, malaise and tests will show an electrolyte balance.

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A patientwith sensitive skin had a TB skin test but has nosymptoms. He returns with redness and swelling that appearspositive. What is the next step?-ANSWER>>>Schedule a CXRThe nurse practitioner should not cross certain boundaries withpatients. Which of the following would not be considered crossingone of these boundaries?-ANSWER>>>Not sharing personalinformation with the patientThe United States Preventive ServicesTask Force recommendsscreening older patients for depression:-ANSWER>>>at eachprimary care visitWhich of the following types of hepatitis is transmitted by fecaland oral route from contaminated food?-ANSWER>>>Hep AWhich of the following is a normal physiologic change duringpregnancy?-ANSWER>>>-Cardiac output increases by 1/3 bythe last two trimesters.-Decreased systolic and diastolic pressure occurs in the firsttrimester.-There is decreased peristalsis fromprogesterone effects.If a patient is diagnosed with left-heart failure, which of thefollowing medications would the nurse practitioner more thanlikely use for treatment?-ANSWER>>>LasixWhen counseling patients who smoke cigarettes, which of thefollowing is NOT good management advice?-ANSWER>>>Forasymptomatic adults, instruct the patient on how it is easier tostop now than when symptomatic.

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According to Prochaska and DiClemente, the 5 stages ofpreparation for patient change would include which of thefollowing?-ANSWER>>>ActionPaul is a 67-year-old male patient with type 2 diabetes. Inmanaging this patient's care which of the following lab tests wouldyou have done for Paul every 3-6 months?-ANSWER>>>A1cWhich of the following would be considered one of the stages ofPertussis?-ANSWER>>>ConvalescentYou are testing a 35-year-old male patient for Addison's disease.You perform the test for ACTH stimulation. If this patient hasprimary adrenal insufficiency he will have which of the followingresponses to this test?-ANSWER>>>no responseYou want to prescribe a drug with a rapid onset for a patient whois being treated for anxiety. Which of the following drugs fortreating anxiety has the most rapid onset of action?-ANSWER>>>diazepam-Diazepam has a rapid onset of actionand a relatively sustained effect.You have a patient with a "port wine" stain that is located on halfof her facial area. You understand that this can be a sign of whichof the following?-ANSWER>>>Sturge-Weber Syndrome-The flat, large, dark ink to purple stain-like lesions occurring inirregular shapes and sizes are nevus flammeus or "port wine"stains. A large lesion located on half the facial area may be a signof trigeminal nerve involvement and Sturge-Weber Syndrome (aneurological disorder).A patient with stable angina would exhibit which of the following?-

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ANSWER>>>no change in duration of symptoms during thepreceding 6 weeksWhich of the following is most likely when there is no p wavepresent on an electrocardiogram?-ANSWER>>>A.FibLispro insulin has an onset which starts at which of the following?-ANSWER>>>15 minutesWhich of the following would be considered correct for a fungalinfection which is a common skin tissue issue that is typicallyseen on the extremities, trunk or face?-ANSWER>>>ringwormYour patient has "swimmer's ear." She has no other associatedconditions. Your management of this patient will include which ofthe following?-ANSWER>>>application of local heat to outer earfor pain reliefA mother brings in her 7-year-old child with a red rash on hischeeks and ears. You diagnose Fifth disease. You mightrecommend all of the following for this child EXCEPT:-ANSWER>>>isolationA patient has recently been diagnosed with Addison's disease.How often should this patient's electrolytes be monitored?-ANSWER>>>every 3-4 months for the first year of therapyYou are doing a gynecologic assessment of your 25-year-oldfemale patient. Which of the following specimens would youcollect lastduring this examination?-ANSWER>>>Papanicolaoutesting

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A patient is diagnosed as dehydrated, anxious, and isolated.What should you give the highest priority?-ANSWER>>>Dehydration.According to the structural functional theory of assessment andintervention, which of the following statements is false?-ANSWER>>>Suprasystems form within the family to reflectfunctional needs.A mother brings her 5-year-old child to theclinic with a ringlikepruritic rash with some central clearing on the arms and legs. TheFNP knows that this is which of the following conditions?-ANSWER>>>tinea corporisBactrim should NOT be prescribed to which of the followingpatients?-ANSWER>>>1 month old childIn treating a patient with eczema, which of the following would youuse if the patient has acute, weeping lesions?-ANSWER>>>Burow's solutionDuring the process of implantation, the fetus in the above picture(4 weeks) would have finger-shaped growths that grow to helpanchor the embryo to the uterine lining. Which of the followingwould be considered the correct name for these growths?-ANSWER>>>Chorionic villiThe FNP has a pregnant patient whose uterus is grapefruit size.At what stage of pregnancy is this patient most likely to be?-ANSWER>>>12 weeksThe most common cause of secondary hypertension is which of

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the following?-ANSWER>>>renalconditionsThe effect of a goitrogen could likely be:-ANSWER>>>hyperthyroidismAn injury to one of the ligamentous structures of the body istermed a(n):-ANSWER>>>sprain-A sprain is an injury to one ofthe ligamentous structures of the body.A 34-year-old female with multiple sclerosis (MS) is in the office.She is now underyour care after relocating from another state tolive with relatives who can help her. The nurse practitionerunderstands that which of the following is NOT part of hermanagement plan:-ANSWER>>>Corticosteroids are often usedfor maintenance.Which of the following statements about endometriosis is leastaccurate?-ANSWER>>>The FNP can manage the patient withendometriosis independently.For a healthcare professional to obtain blood at the request of lawenforcement officials without a patient's consent which of thefollowing must be present?-ANSWER>>>-The suspect must beunder arrest.-A delay in drawing blood would lead to destruction of evidence.-The test is performed in a reasonable manner.***all of the aboveA CT would allowfor a better diagnosis (with "slices") of thepatient by which of the following ways?-ANSWER>>>-Forms afull three-dimensional computer model of the inside of the patient.-It is easier for the physician to pinpoint a problem because of thenarrow "slices" that the scanner uses.

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The Romberg test is used to evaluate which of the following?-ANSWER>>>cerebellar system-Tandem gait is also used fortesting the cerebellar system.Your patient has a superficial skin lesion that is elevated. It is lessthan 1 cm in diameter and it is filled with serous fluid. Which of thefollowing skin lesions is this?-ANSWER>>>vesicleThe nurse practitioner will need to be aware of infectious diseasesand the concerns regarding the recognition and management ofthem. Which of the following is important regarding theprofessional role related to infectious disease recognition andmanagement?-ANSWER>>>Be alert to endemic diseases.Be alert to diseases that may be the result of bioterrorism.Know the local healthdepartment guidelines for reportingcommunicable diseases.****All of the aboveIn which quadrant of the abdomen would you find the body of thepancreas?-ANSWER>>>Left Upper QuadA 35-year-old female patient tells you that she has not had aperiod in over 3 months. She tells you that until now she has beenquite regular with her periods. This condition is which of thefollowing?-ANSWER>>>secondary amenorrheaThe Family NursePractitioner has the duty to disclose certaininformation to the patient as part of the informed consent process.Which of the following is not an exception to this duty?-ANSWER>>>The patient is 80-years-old or older and unable tocomprehend the complexmedical facts.

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