ANCC FNP Exam with Answers (63 Solved Questions)

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ANCC FNP Exam Questions & Answerswhich drug is associated with increased lipoprotein levels?1. furosemide (Lasix)2. Hydroclorothiazide (HCTZ)3. Spironolactone (Aladactone)4. Triamterene(Ans-hydrochlorothiazide (HCTZ)what is the main reason for giving a progestational medication toperimenopausal women who use estrogen?1. preventing hot flashes2. preventing osteoporosis3. promoting growth of uterine lining4. decrease the risk of endometrial hyperplasia(Ans-4. decrease the risk of endometrial hyperplasiaThe FNP asks a patient to perform rapid, alternating movements of thehands to evaluate:1. cerebellar function2. cognitive function3. reflex arc function4. stereognostic function(Ans-1. cerebellar functionA 38 yo Vietnamese patient tells the FNP that his parent died in her 40sfrom liver cancer. That patient is at risk for:1. hepatitis B2. malaria3. tularemia4. tyrosenemia(Ans-1. hepatitis B

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a difficult aspect of determining occupational exposure todisease is the:1. confidentiality of the information in company records2. inaccuracy of disease reporting3.long latency period between exposure and disease development4. reliance on workers' memories(Ans-3. long latency period between exposure and disease developmentTo comply with regulations for third-party payor reimbursement anddocumentation, a family nurse practitioner correlates:1. evaluation and management code with history, examination and medicaldecision making.2. health outcomes with physical examination findings and plan of care.3.medication orders and treatment plan with electronic billing.4. patient privacy with informed consent.(Ans-1. evaluation and management code with history, examination andmedical decision making.The family nurse practitioner examines a patient who has sustained a non-work-related injury that interferes with the patient's ability to perform his orher job. The patient does not qualify for medical disability and has areasonable chance of engaging in a suitable occupation with propertherapy. The nurse practitioner recommends that the patient apply for:1. Family and Medical Leave Act benefits.2. home health services.3. Social Security benefits.4.vocational rehabilitation services.(Ans-4.vocational rehabilitation services.A 45-year-old patient who is an opera singer reports progressivehoarseness for the last four weeks. The hoarseness began after a three-hour opera performance. The patient does not smoke and reports noweight loss, upper respiratory infection, dysphagia, or shortness of breath.The family nurse practitioner manages this patient by:1. ordering a computed tomography scan of the head.2. ordering an immediate lateral neck x-ray.

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3. prescribing systemic antibiotics and cool mist inhalations.4. requesting a referral for evaluation of the larynx.(Ans-4. requesting a referral for evaluation of the larynx.Routine immunization guidelines recommend administering the hepatitis Bvaccine at birth and repeating doses at:1. one month and six months.2. one month and two months.3. four months and two years.4. six months and 12 months.(Ans-1. one month and six months.A patient who sustained a myocardial infarction comes to the clinic for arefill of atorvastatin (Lipitor). The family nurse practitioner explains that themedication is prescribed for:1.cancer prevention.2. primary prevention.3. secondary prevention.4. tertiary prevention.(Ans-4. tertiary prevention.Which health promotion strategy is most appropriate for adolescents whoare obese?1. individual-based behavior modification.2. Motivational interviewing.3. Parents should regulate meals.4. Presenting video case studies.(Ans-2. Motivational interviewing.Treatment of viral conjunctivitis includes the use of:1. antihistamine/decongestant drops.2. antihistamine/mast cell stabilizer drops.3. cold compresses.4. steroid eyedrops.(Ans-3. cold compresses.

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A 60-year-old patient with diabetes has a blood pressure reading of 150/96mmHg. After three months of increased exercise and decreased calories,the patient has lost 10 lb (4.54 kg). The patient's follow-up blood pressureis 142/94 mmHg. Which medication does the family nurse practitionerprescribe?1. Enalapril (Vasotec).2. Furosemide (Lasix).3. Hydrochlorothiazide (HydroDIURIL).4. Propranolol (Inderal).(Ans-1. Enalapril (Vasotec).A family nurse practitioner advises a nursing mother who has postpartummastitis to take antibiotics as prescribed and:1. continue to nurse with both breasts.2. pump the unaffected breast with a lactation pump.3. take cool showers.4. temporarily switch to formula.(Ans-continue to nurse with both breasts.A patient who had a total gastrectomy one year ago complains of a soremouth, indigestion, and tingling in the lower extremities. Which test isordered by the family nurse practitioner?1. Blood urea nitrogen level.2. Complete blood count.3. Liver function study.4. Thyroid function study.(Ans-2. Complete blood count.A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mildeuphoria shows symptoms associated with the use of:1. benzodiazepine (Alprazolam).2. cocaine.3. morphine (MS Contin).4. oxycodone (OxyContin).(Ans-2. cocaine.

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A 40-year-old patient has had a generalized, nonpruritic skin eruption withintermittent exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque appearsover the patient's left glutealfold area. The lesion is covered with scales and has some fissuring. Thefamily nurse practitioner makes a diagnosis of:1. atopic dermatitis.2. ichthyosis.3. psoriasis.4. tinea corporis.(Ans-3. psoriasis.During cardiac auscultation, a soft first heart sound with a holosystolicapical murmur that radiates to the left axilla suggests:1. aortic stenosis.2. mitral regurgitation.3. mitral stenosis.4. mitral valve prolapse.(Ans-mitral regurgitation.A 68-year-old male patient reports an unintended weight loss of 15 lbs (6.8kgs) over the last two months. The patient states that he feels well. Hisproblem list includes depression, tobacco use, hyperglycemia, obesity, anddyslipidemia. The patient's medications are sertraline (Zoloft), metformin(Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The familynurse practitioner initiates which three interventions?Decreasing the statin medication.Increasing the Glucophage dose.Evaluating medication side effect profile.Ordering a thyroid-stimulating hormone level test.Performing a depression screening.(Ans-Ordering a thyroid-stimulating hormone level test.Performing a depression screening.Evaluating medication side effect profile.

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To determine whether sufficient evidence exists to prescribe glucosaminefor a patient who has osteoarthritis (OA) of the knee, the family nursepractitioner reviews three article summaries. Place the article summaries insequential order of strength of evidence from strongest to weakest:1. Investigators conducted a retrospective review of 1000 charts of patientswho were diagnosed with OA and had glucosamine on their medication list.The investigators assessed the pain rating scale at the time theglucosamine was prescribed and compared this score with the pain ratingscale three months after the medication had been prescribed. They alsoreviewed the progress notes and included only patients for whom cliniciansstated in the note that the patient took the medication regularly.2. Investigators randomly assigned a group of 1600 patients with OA of theknee to receive either a placebo or glucosamine for six months. The goalwas to determine if glucosamine and/or chondroitin treats pain related toOA of the knee and could help preventstructural damage. The study foundno benefit for pain relief for the study group compared with the placebogroup.3. Researchers evaluated the benefit of glucosamine for osteoarthritis ofthe hip and/or knee by searching MEDLINE and the Cochrane databaseforstudies that investigated this question. The researchers included onlystudies that were double-blind, placebo-controlled, randomized trials of atleast four weeks duration and tested glucosamine's effectiveness intreating OA in the knee or hip. Fifteen studies were included in the analysisand the investigators applied a statistical formula to evaluate these studies,giving the larger studies more weight.1, 2, 31, 3, 22, 1, 32, 3, 13, 1, 23, 2, 1(Ans-3, 2, 1

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