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UPDATED ANCC FNP BOARD EXAM STUDY GUIDE PART QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+ $15.49   Add to cart

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UPDATED ANCC FNP BOARD EXAM STUDY GUIDE PART QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+

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  • Course
  • ANCC FNP
  • Institution
  • ANCC FNP

1. Treatment for chronic bronchitis: -Chronic bronchitis is a type of COPD that is characterized by inflammation of the bronchi, causing excess mucus; characteristics of chronic bronchitis include diagnosis after age 35, obesity, copious amounts of purulent sputum, elevated Hct level -Treat with S...

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  • December 3, 2023
  • 31
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • ANCC FNP
  • ANCC FNP
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ACELEARNERS
ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+

1. Treatment for chronic bronchitis: -Chronic bronchitis is a type of COPD that is
characterized by inflammation of the bronchi, causing excess mucus; characteristics of chronic

bronchitis include diagnosis after age 35, obesity, copious amounts of purulent sputum,

elevated Hct level

-Treat with SABA (albuterol), inhaled anticholinergics (ipratropium)

-Normal Findings of Lungs: Lower lobes vesicular breath sounds (soft and low) Upper lobes;

Bronchial breath sounds louder

2. Actinic keratosis: -Older to elderly fair-skinned adults
-numerous dry, round, pink to red-colored, slow-growing lesions that do not heal

-lesions common on sun-exposed areas (cheeks, nose, face, arms, back)

-precancerous precursor of squamous cell carcinoma

-frequent sunburns as child places person at higher risk

-diagnosed with biopsy

-treat with cryotherapy (small number) or 5-FU(5% fluorouracil) cream (large num- ber)

follow up with derm.

3. Seborrheic keratosis: -soft, round, wart-like fleshy growths on trunk (mostly on back)
-can range in color from light tan to black

-appear to be pasted on

-asymptomatic

-benign

4. Fingernail hematoma treatment: -Trephination - make hole in nail through

,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+
drilling or piercing and allow blood to drain

5. Hypothyroid: -Primary - elevated TSH; low T4; low or normal T3
-Subclinical - elevated TSH; normal T4; normal T3

-Common cause is Hashimoto's (autoimmune) - Hashimoto and Hypo both have O

-Symptoms are variable - may include fatigue

-Treatment - levothyroxine (Synthroid) daily in AM on empty stomach

-Starting dose of levothyroxine (Synthroid) is 25-50mcg

-Check TSH every 6-8 weeks to monitor treatment

6. Hyperthyroid: -Primary - low TSH; high T4; normal or high T3
-Subclinical - low TSH; normal T4; normal T3

-Most common cause is Grave's Disease (autoimmune) - Grave and Hyper both have R

-Common symptoms - female; rapid weight loss; increased heart rate; tremors; sweating;

irritability; anxiety; hyperactivity; insomnia; diarrhea; amenorrhea; hyper- tension;

exophthalmos; heat intolerance; goiter

-Treatment - Propylthiouracil (PTU); Methimazole (Tapazole); Radioactive iodine

,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+



(causes hypothyroid for life, contraindicated in pregnancy)

-Thyroid Storm (thyrotoxicosis) - acute worsening of symptoms; may be caused by stress or

infection; look for LOC, fever, abdominal pain; life-threatening; immediate hospitalization

needed

7. Increased risk of ectopic pregnancy: -Risk factors - previous ectopic, salpingi- tis,
tubal surgery, current IUD use, previous cervicitis, history of PID

-Symptoms - abdominal pain (worsens when supine or with jarring), vaginal bleed- ing,

amenorrhea, low grade fever, pain referred to right shoulder (may indicate rupture)

8. Hypertension Meds Part 1: -African-American with or without diabetes - initial
choices include thiazide diuretic or CCB

-Non-Black with or without diabetes - initial choices include thiazide diuretic, CCB, ACE, or

ARB

-Thiazide diuretic - "ide"; excellent synergist; avoid in sulfa allergy; favorable in

osteopenia/osteoporosis; side effects include hyperglycemia (caution in diabetics),

hyperuricemia (gout attack), hypertriglyceridemia and hypercholesteremia (check lipid profile)

hypokalemia (potentiates digoxin toxicity and increases risk for arrhyth- mia), hyponatremia

(hold diuretic, restrict fluid, replace K+); lowers BP only 2-8 points

-ACE inhibitor - "pril" and ARB - "sartan" - use in high renin states; drug of choice in diabetics

(protects kidneys); pregnancy category C/D; side effects include dry/hack- ing cough (more with

ACE), hyperkalemia, angioedema (rare, life-threatening); contraindicated in moderate to

, ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+
severe kidney disease; do not use ACE and ARB together.

9. Hypertension Meds Part 2: -Beta blocker - "lol"; good as add-on medication, not
uncomplicated HTN; avoid abrupt discontinuation, wean slowly to avoid rebound HTN;

contraindications include asthma, COPD, chronic bronchitis, emphysema, second and third-

degree heart block (okay with 1st degree), sinus bradycardia; do not use Propranolol for HTN

-Calcium channel blocker - "pine"; first choice for ISH (isolated systolic HTN); side effects

include headaches (vasodilation), ankle edema (vasodilation, benign), heart block/bradycardia

(depresses cardiac muscle and AV node), reflex tachycardia (nifedipine); contraindicated in

2nd and 3rd degree heart block, bradycardia, CHF

10. Hypertension Meds Part 3: -Heart Failure: ACEI or ARB as first-line, plus BB, plus
diuretic

-DM: ACE/ARB first line, IF African American, can start with CCB or Thiazide

-CKD: ACE/ARB first line, can add CCB or Thiazide

-Stroke Hx: ACE/ARB first line, add CCb or Thiazide as second-line drugs.

-African American even with DM Thiazides and CCBs.

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