Download ANCC FNP EXAM SAMPLE QUESTIONS LEIK : QUESTIONS & ANSWERS: 2024UPDATED GRADED A+ and more Exams Nursing in PDF only on Docsity! ANCC FNP EXAM SAMPLE QUESTIONS LEIK : QUESTIONS & ANSWERS: 2024UPDATED GRADED A+ which drug is associated with increased lipoprotein levles? 1. furosemide (Lasix) 2. Hydroclorothiazide (HCTZ) 3. Spironolactone (Aladactone) 4. Triamterene - ANSWERS,Lasix (HCTZ) what is the main reason for giving a progestational medication to perimenopausal women who use estrogen? 1. preventing hot flashes 2. preventing osteoporosis 3. promoting growth of uterine lining 4. decrease the risk of endometrial hyperplasia - ANSWERS,4. decrease the risk of endometrial hyperplasia The FNP asks a patient to perform rapid, alternating movements of the hands to evaluate: 1. cerebellar function 2. cognitive function 3. reflex arc function 4. stereognostic function - ANSWERS,1. cerebellar function A 38 yo Vietnamese patient tells the FNP that his parent died in her 40s from liver cancer. That patient is at risk for: 1. hepatitis B 2. malaria 3. tularemia 4. tyrosenemia - ANSWERS,1. hepatitis B a difficult aspect of determining occupational exposure to disease is the: 1. confidentiality of the information in company records 2. inaccuracy of disease reporting 3.long latency period between exposure and disease development 4. reliance on workers' memories - ANSWERS,3.long latency period between exposure and disease development To comply with regulations for third-party payor reimbursement and documentation, a family nurse practitioner correlates: 1. evaluation and management code with history, examination and medical decision 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. - ANSWERS,1. evaluation and management code with history, examination and medical 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 or her job. The patient does not qualify for medical disability and has a reasonable chance of engaging in a suitable occupation with proper therapy. 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. - ANSWERS,4.vocational rehabilitation services. A 45-year-old patient who is an opera singer reports progressive hoarseness for the last four weeks. The hoarseness began after a three-hour opera performance. The patient does not smoke and reports no weight 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. 3. prescribing systemic antibiotics and cool mist inhalations. 4. tinea corporis. - ANSWERS,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. - ANSWERS,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. - ANSWERS,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 - ANSWERS,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. - ANSWERS,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. - ANSWERS,4. serve as a handbook to best practice.