ANCC Test Review With Correct Questions
And Answers 2024
A upatient uwith utype1 udiabetes umellitus uwho uis uNPH uand uregular uinsulin usplit udosing
upresent uwith ucomplains uof uearly umorning urise ufinger-stick ublood uglucose. uA ureview uof
uan uat-home uglucose utest ureveals uincreased umorning ulevels. uAfter uan uincrease uin uthe
uevening uinsulin udose, uthe uproblem uworsens. uThis uis umost ulikely uan uexample uof:
a) uInsulin uResistance
b) uInsulin uAllergy
c) uThe uSomogyi uEffect
d) uHyperglycemia-induced uhypoglycemia. u- ucorrect uanswer.a) uThe uSomogyi uEffect
A u25-years-old upresent uwith ua uchief ucomplaint uof udecreased umobility uand upain uof uthe
uright ushoulder uexacerbated uby umovements. uThe upatient ureports uthat uhe uparticipated uin
uextensive uhouse upainting u24 uhours uprior uto uthe uonset uof upain. uHe udenies uany utrauma.
uPassive uROM uis uintact. uNo uredness uor uecchymosis uis upresent. uWhat uis uthe unext ustep
uto ube utaken uin uorder uto umake ua uDiagnosis?
a) uPalpate uthe ustructure uaround uthe ushoulder
b) uObtain uan uMIR uto uevaluate uthe ushoulder
c) uOrder uand uX-Ray uof uthe ushoulder
d) uRequest uan uEMG
Apply uSOAPE u- ucorrect uanswer.a) uPalpate uthe ustructure uaround uthe ushoulder
Apply uSOAPE
A u65 uyears-old umale upresents uto uhis uclinic ucomplaining uof uincreasing ufatigue, udyspnea
uon uexertion u,and uankle uedema uduring uthe uday. uHe uhas ua uhistory uof umild uhypertension,
ufor uwhich uhe usaw uhis uphysician uyears uago. uThe uphysician uadvised uthe upatient uto
udecrease uhis usalt uintake u.On uphysician uexamination uthe upatient uis utachycardia upositive
ufor ujugular uvenous udistension, uand upositive ufor uS3 uwith ua usystolic umurmur uchest uX-ray
ureveals ucardiomegaly uwith uvascular uredistribution u.The unurse upractitioner udiagnosis uis u:
a) uMyocardial uinfarction
b) uPneumonia
c) uCongestive uheart ufailure
d) uPleural ueffusion u- ucorrect uanswer.c) uCongestive uheart ufailure
,A u67-year uold upatient uwith utype u2 uDM, ucongestive uheart ufailure u(CHF), uand ua umild
uartery udisease uis ucurrently utaking udaily uhydrochlorothiazide u25 umg udaily, uglipizide u10
umg udaily; uand uatorvastatin u(Lipitor), u20 umg uh.s. uWhich uof uthe ufollowing uis uan uaccurate
ustatement uregarding uthis uregimen?
a) uThe uglipizide uwill uincrease uthe urisk uof upotassium udepletion....
b) uThe udigoxin uwill uincrease uthe urisk uof uhypoglycemia.
c) uThe uhydrochlorothiazide uwill upredispose uthe upatient uto udigoxin utoxicity
d) uThe uatorvastin uwill uworsen uthe udiabetes u- ucorrect uanswer.c) uThe uhydrochlorothiazide
uwill upredispose uthe upatient uto udigoxin utoxicity
A u14 uyear-old uwho ufell uon uher uoutstretched uhand ucomplains uof uproximal uforearm upain
uX-ray ureveals ua upositive ufat upad usign u,and uthe ufully uextend uthe uelbow. uNo udefinitive
ubony uchanges uare useen uon uX-ray. uThe umost ulikely uworking udiagnosis uis:
a) uUpper uextremely usprain.
b) uLateral uepiconditis.
c) uRadial uhead ufracture
d) uOlecranon ubursitis u- ucorrect uanswer.c) uRadial uhead ufracture
A u17 uyear-old ufemale uis ususpected uto uhave ua uPolycystic uOvary uSyndrome. uIn uaddition
uto utestosterone uthe umost uappropriate udiagnostic utest uwill ube:
a) uBUN, ucreatinine, uelectrolytes, uand udenydroeplandrosterone u(DHEA).
b) uComplete ublood ucount u(BUN) u,creatinine uand uestrone
c) uFasting ublood usugar(FBS) u,CBC, uBUN uand usex uhormone ubinding uglobuline
d) uFollicle ustimulating uhormone u(FSH) uluteinizing uhormone, uprolactin, uand uthyroid
ustimulating uhormone u(TSH) u- ucorrect uanswer.d) uFollicle ustimulating uhormone u(FSH)
uluteinizing uhormone, uprolactin, uand uthyroid ustimulating uhormone u(TSH)
To uassess uspinal ufunction uat uS1-level, uwhich udeep utendon ureflex ushould ube utested?
a) uAchilles
b) uCremasteric
c) uAnal uwink
d) uPatelar u- ucorrect uanswer.a) uAchilles
A u20 uyear-old umale upresent uwith ua umonth uhistory uof ua u"bump uon umy utesticle." uHe
ureports ubeing usexually uactive, uwith ufrequent uintercourse uwith umultiple upartners, uwhich
ucondition ushould ube ususpected?
a) uCancer uof utesticles
b) uTorsion uof uthe utesticles
c) uAcute uepididymitis
d) uGonorrhea u- ucorrect uanswer.a) uCancer uof utesticles
,An u88 uyear-old umale upresents uwith uconcerns uabout umemory uloss u.He ufeels ugood, utakes
uaspirin udaily u,and uhas uno uchronic udiseases u,he udrives uhis uown ucar u,and umanages uhis
ufinancial uaffairs u.To uevaluate uhis umemory u,which uof uthe ufallowing utests uwould uyou
uchoose?
a) uFolstein uMini- uMental-State uExamination.
b) uGeriatric uDepression uScale
c) uMinnesota uMultiphasic upersonality uinventory
d) uMyers u-Briggs uTest u- ucorrect uanswer.a) uFolstein uMini- uMental-State uExamination
Nonviral uMicroorganisms umost ufrequently ufound uto ucause uacute usinusitis uare:
a) uStreptococcus upneumonie uand uHaemophilus uinfluenzae
b) uStreptococcus upneumonie uand ustaphylococcus uaureus
c) uStaphylococcus uaureus uand uPseudomonas uaeruginosa
d) uStreptococcus upneumonie uand uPseudomonas uaeruginosa u- ucorrect uanswer.a)
uStreptococcus upneumonie uand uHaemophilus uinfluenzae
A u65-year uold ufemale upresents uwith ushoulder uand upelvic ugirdle upain ufor uthe upast u6
umonths u.She ureports urecent uunintentional uweigh uloss. uOn uphysical uexamination, uthere
uis upain uon uROM uwith uno uweakness unoted. uLaboratory ustudies ushow ulow uhemoglobin
uand uelevated usedimentation urate.Which uof uthe ufallowing uis uthe umost ulikely udiagnosis?
a) uPolymyosistis
b) uOsteoarthritis
c) uPolymyalgia urheumatic
d) uFibromyalgia u- ucorrect uanswer.c) uPolymyalgia urheumatic
A u17 uyear-old ufemale uhas unever uhad uher umenses. uShe uis uat utanner ustage uIII uof usexual
udevelopment. uHer uphysical uand uher uweight uis uappropriate ufor uher uage uand uheight.
uWhat uis uthe umost ulikely udiagnosis?
a) uSecondary uamenorrhea
b) uPrimary uamenorrhea
c) uDysmenorrhea
d) uOvarian udigenesis u- ucorrect uanswer.b) uPrimary uamenorrhea
A unurse upractitioner uis usuturing ua usimple ulaceration uon ua u11-year uold upatient. uThe uuse
uof ulidocaine uwith uepinephrine uis unot uused uin uthe ufollowing uareas uexcept uthe:
a) uScalp
b) uNose
c) uFingers
d) uEarlobe u- ucorrect uanswer.a) uScalp
Which uof uthe ufollowing uis unot uan uindication uof upreeclampsia?
, a) uVisual udisturbance
b) uGlycosuria
c) uEdema uof uface uand uhands
d) uHeadaches u- ucorrect uanswer.b) uGlycosuria
A u10- umonth-old upresents uwith ua urash, urunny unose, uand ucough. uExamination ureveals ua
ucluster uof utiny uof uwhite upapules uwith uan uerythematous ua ubuccal umucosa. uWhat udoes
uthis usuggest?
a) uScarlet uFever
b) uRubella
c) uErythema uinfectious
d) uMeasles u- ucorrect uanswer.d) uMeasles
(Description uof uthe uKoplik's uSpot")Small uwhite uround uspots uon uthe ubase uof uthe ubuccal
umucosa uby uthe urear umolars)
Which uof uthe ufollowing uwet-mount uresults uconfirms ua upreliminary udiagnosis uof ubacterial
uvaginosis?
a) uSquamous uepithelial ucells uwith ustippling uappearance uand uindistinct uborders, uno
ulactobacillus urods, umany uwhite ublood ucells
b) uSquamous uepithelial ucells uwith uclear ucytoplasm uand udistinct uborders, umany
ulactobacillus urods, uoccasional uwhite ublood ucells
c) uOrganism uabout uthe usize uof uwhite ublood ucells uwith uundulating uflagellum, uoccasional
ulactobacillus urods, umany uwhite ublood ucells
d) uHyphae uand uspores, ufew ulactobacillus urods, uoccasional uwhite ublood ucells. u- ucorrect
uanswer.a) uSquamous uepithelial ucells uwith ustippling uappearance uand uindistinct uborders,
uno ulactobacillus urods, umany uwhite ublood ucells
Which uof uthe ufollowings uis utypically ua usign uof uacute uappendicitis?
a) uPeriumbilical uecchymosis
b) uRebound utenderness uat uMcBurneys upoint.
c) uA unegative uRovsing's usign
d) uPus uand umucus uin ustool u- ucorrect uanswer.b) uRebound utenderness uat uMcBurneys
upoint
Which uof uthe ufollowing ucriteria udifferentiates ua utransient uischemic uattack u(TIA) ufrom ua
uCVA?
a) uFocal usymptoms
b) uAmnesia uof uincident
c) uSlowness uof uonset
d) uAbsence uof uresidual usymptoms u- ucorrect uanswer.d) uAbsence uof uresidual usymptoms