ANCC Test Review Exam 2024 Final Exam
A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing present with complains of early morning rise finger-stick blood glucose. A review of an at-home glucose test reveals increased morning levels. After an increase in the evening i...
A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing
present with complains of early morning rise finger-stick blood glucose. A review
of an at-home glucose test reveals increased morning levels. After an increase in
the evening insulin dose, the problem worsens. This is most likely an example of:
a) Insulin Resistance
b) Insulin Allergy
c) The Somogyi Effect
d) Hyperglycemia-induced hypoglycemia. - ✔✔✔ANSWER-a) The Somogyi
Effect
A 25-years-old present with a chief complaint of decreased mobility and pain of
the right shoulder exacerbated by movements. The patient reports that he
participated in extensive house painting 24 hours prior to the onset of pain. He
denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step to be taken in order to make a Diagnosis?
,a) Palpate the structure around the shoulder
b) Obtain an MIR to evaluate the shoulder
c) Order and X-Ray of the shoulder
d) Request an EMG
Apply SOAPE - ✔✔✔ANSWER-a) Palpate the structure around the shoulder
Apply SOAPE
A 65 years-old male presents to his clinic complaining of increasing fatigue,
dyspnea on exertion ,and ankle edema during the day. He has a history of mild
hypertension, for which he saw his physician years ago. The physician advised the
patient to decrease his salt intake .On physician examination the patient is
tachycardia positive for jugular venous distension, and positive for S3 with a
systolic murmur chest X-ray reveals cardiomegaly with vascular redistribution
.The nurse practitioner diagnosis is :
a) Myocardial infarction
b) Pneumonia
c) Congestive heart failure
d) Pleural effusion - ✔✔✔ANSWER-c) Congestive heart failure
A 67-year old patient with type 2 DM, congestive heart failure (CHF), and a mild
artery disease is currently taking daily hydrochlorothiazide 25 mg daily, glipizide
10 mg daily; and atorvastatin (Lipitor), 20 mg h.s. Which of the following is an
accurate statement regarding this regimen?
a) The glipizide will increase the risk of potassium depletion....
b) The digoxin will increase the risk of hypoglycemia.
,c) The hydrochlorothiazide will predispose the patient to digoxin toxicity
d) The atorvastin will worsen the diabetes - ✔✔✔ANSWER-c) The
hydrochlorothiazide will predispose the patient to digoxin toxicity
A 14 year-old who fell on her outstretched hand complains of proximal forearm
pain X-ray reveals a positive fat pad sign ,and the fully extend the elbow. No
definitive bony changes are seen on X-ray. The most likely working diagnosis is:
a) Upper extremely sprain.
b) Lateral epiconditis.
c) Radial head fracture
d) Olecranon bursitis - ✔✔✔ANSWER-c) Radial head fracture
A 17 year-old female is suspected to have a Polycystic Ovary Syndrome. In
addition to testosterone the most appropriate diagnostic test will be:
a) BUN, creatinine, electrolytes, and denydroeplandrosterone (DHEA).
b) Complete blood count (BUN) ,creatinine and estrone
c) Fasting blood sugar(FBS) ,CBC, BUN and sex hormone binding globuline
d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroid
stimulating hormone (TSH) - ✔✔✔ANSWER-d) Follicle stimulating hormone
(FSH) luteinizing hormone, prolactin, and thyroid stimulating hormone (TSH)
To assess spinal function at S1-level, which deep tendon reflex should be tested?
a) Achilles
b) Cremasteric
, c) Anal wink
d) Patelar - ✔✔✔ANSWER-a) Achilles
A 20 year-old male present with a month history of a "bump on my testicle." He
reports being sexually active, with frequent intercourse with multiple partners,
which condition should be suspected?
a) Cancer of testicles
b) Torsion of the testicles
c) Acute epididymitis
d) Gonorrhea - ✔✔✔ANSWER-a) Cancer of testicles
An 88 year-old male presents with concerns about memory loss .He feels good,
takes aspirin daily ,and has no chronic diseases ,he drives his own car ,and
manages his financial affairs .To evaluate his memory ,which of the fallowing tests
would you choose?
a) Folstein Mini- Mental-State Examination.
b) Geriatric Depression Scale
c) Minnesota Multiphasic personality inventory
d) Myers -Briggs Test - ✔✔✔ANSWER-a) Folstein Mini- Mental-State
Examination
Nonviral Microorganisms most frequently found to cause acute sinusitis are:
a) Streptococcus pneumonie and Haemophilus influenzae
b) Streptococcus pneumonie and staphylococcus aureus
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