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ANCC FNP sample questions Solved 100% Correct| Verified Answers
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ANCC FNP sample questions Solved 100% Correct| Verified Answers
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ANCC FNP sample questions Solved 100%Correct| Verified Answers
A 60-year-old patient with diabetes has a blood pressure reading of 150/96 mmHg. After three
months of increased exercise and decreased calories, the patient has lost 10 lb (4.54 kg). The
patient's follow-up blood pressure is 142/94 mmHg. Which medication does the family nurse
practitioner prescribe?
1. Enalapril (Vasotec).
2. Furosemide (Lasix).
3. Hydrochlorothiazide (HydroDIURIL).
4. Propranolol (Inderal). - ✔✔1. Enalapril (Vasotec).
A family nurse practitioner advises a nursing mother who has postpartum mastitis 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. - ✔✔continue to nurse with both breasts.
A patient who had a total gastrectomy one year ago complains of a sore mouth, indigestion,
and tingling in the lower extremities. Which test is ordered by the family nurse practitioner?
1. Blood urea nitrogen level.
2. Complete blood count.
3. Liver function study.
4. Thyroid function study. - ✔✔2. Complete blood count.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria shows
symptoms associated with the use of:
1. benzodiazepine (Alprazolam).
,2. cocaine.
3. morphine (MS Contin).
4. oxycodone (OxyContin). - ✔✔2. cocaine.
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent
exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque
appears over the patient's left gluteal fold area. The lesion is covered with scales and has some
fissuring. The family nurse practitioner makes a diagnosis of:
1. atopic dermatitis.
2. ichthyosis.
3. psoriasis.
4. tinea corporis. - ✔✔3. psoriasis.
During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that
radiates to the left axilla suggests:
1. aortic stenosis.
2. mitral regurgitation.
3. mitral stenosis.
4. mitral valve prolapse. - ✔✔mitral regurgitation.
A 68-year-old male patient reports an unintended weight loss of 15 lbs (6.8 kgs) over the last
two months. The patient states that he feels well. His problem list includes depression, tobacco
use, hyperglycemia, obesity, and dyslipidemia. The patient's medications are sertraline (Zoloft),
metformin (Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The family nurse
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. - ✔✔Ordering a thyroid-stimulating hormone level test.
, Performing a depression screening.
Evaluating medication side effect profile.
To determine whether sufficient evidence exists to prescribe glucosamine for a patient who has
osteoarthritis (OA) of the knee, the family nurse practitioner reviews three article summaries.
Place the article summaries in sequential order of strength of evidence from strongest to
weakest:
1. Investigators conducted a retrospective review of 1000 charts of patients who were
diagnosed with OA and had glucosamine on their medication list. The investigators assessed the
pain rating scale at the time the glucosamine was prescribed and compared this score with the
pain rating scale three months after the medication had been prescribed. They also reviewed
the progress notes and included only patients for whom clinicians stated in the note that the
patient took the medication regularly.
2. Investigators randomly assigned a group of 1600 patients with OA of the knee to receive
either a placebo or glucosamine for six months. T - ✔✔3, 2, 1
After determining that a two-and-half-year-old patient has a lead level of 16 mcg/dL, the family
nurse practitioner:
1. advises the parent to avoid giving the patient bottles of whole milk.
2. consults with a physical therapist for muscle strengthening.
3. observes for signs of diminished reflexes on the physical exam.
4. orders an increase of iron supplements to 6 mg/kg per day divided in two doses. -
✔✔observes for signs of diminished reflexes on the physical exam.
Clinical practice guidelines are designed to:
1. be used in every patient situation.
2. increase variations in clinical care.
3. mandate practice decisions.
4. serve as a handbook to best practice. - ✔✔4. serve as a handbook to best practice.
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