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ANCC FNP BOARD REVIEW LATEST 2025 TEST BANK|
COMPLETE 350 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS WITH
RATIONALES) GRADED A+| ANCC FAMILY NURSING
PRACTITIONER BOARD EXAM REVIEW (BRAND NEW!!)
Which class of medication is frequently used to improve long-term outcomes in patients with systolic dysfunction?ACE inhibitors ACE inhibitors are commonly used in patients with systolic dysfunction because they reduce morbidity and mortality, i.e. these medications alter prognosis. They also improve symptoms of fatigue, shortness of breath, and exercise intolerance. Loop and thiazide diuretics improve symptoms, but do not alter long-term prognosis with heart failure. Beta blockers should be used in conjunction with ACE inhibitors and diuretics, but not as solo agents. Beta blockers can potentially worsen heart failure, so their use in patients with heart failure should be monitored carefully. Despite this fact, beta blockers decrease morbidity and mortality associated with heart failure.
The two tests that can indicate current infection with hepatitis B are:
presence of hepatitis B surface antigen and IgM The earliest serologic marker that indicates acute hepatitis B infection is the presence of hepatitis B surface antigen. It becomes positive about 1- 10 weeks after infection, but usually before symptom onset. A positive IgM indicates current infection. The presence of hepatitis B core antibody identifies hepatitis B infection (present or past) with certainty.It does not indicate timing of infection. 1 / 4
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pg. 2 A patient who takes HCTZ 25 mg daily has complaints of muscle
cramps. He probably has:
hypokalemia.HCTZ is a thiazide diuretic that is potassium-wasting. Patients can become hypokalemic and experience side effects of this. A common one is muscle cramps.
A mammogram in a healthy 50-year-old female patient is an example of:
secondary prevention.This is an example of secondary prevention. Secondary prevention is represented by screenings intended to identify early course of a disease.In this example, a mammogram is intended to identify early breast cancer.
Which class of medications is NOT used for migraine prophylaxis?Triptans The class of medications known as triptans, which includes sumatriptan, is used as abortive agents, not for prophylaxis. The other classes mentioned can be used for prophylaxis. Other prophylactic agents commonly used include lithium, SSRIs, anticonvulsants, and feverfew.
The primary therapeutic intervention for patients who present with hives
is:
antihistamines.The primary cause of pruritus associated with hives is histamine release.Histamine is released from mast cells with other substances of anaphylaxis. Antihistamines are the primary therapeutic intervention. 2 / 4
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pg. 3 Topical steroid use is not helpful. Calcium channel blockers (nifedipine) are used as a "last resort" for refractory cases of urticaria. Steroids do not inhibit mast cell degradation and so are less helpful than thought.Steroids can be used for persistent attacks of acute urticaria if antihistamines are not helpful.
A child has 8-10 medium brown café au lait spots > 1 cm in diameter.
The differential diagnosis should include:
neurofibromatosis.Neurofibromatosis (NF) is a common neurocutaneous disorder. The most common form is von Recklinghausen’s NF. Approximately 85% of patients with NF have this type. The incidence is about 1 in 2,600 people. Children with this disorder may have cognitive deficits, learning disabilities and other neurological related problems. They should be referred to neurology for diagnosis and treatment.
The nurse practitioner uses a sterile cotton wisp to test the patient's corneal reflex. What cranial nerve is being tested?Cranial nerve V (Trigeminal) Cranial nerve VII (Facial) Cranial nerve XII (Hypoglossal) Cranial nerve II (Optic) The trigeminal nerve (cranial nerve V) is the largest of the 12 cranial nerves. Its main function is transmitting sensory information from the skin, sinuses, and mucous membranes in the face. It also stimulates movement in the jaw muscles. This is Cranial nerve V. Cranial nerve II (Optic) transmits information to the brain regarding a person's vision.Cranial nerve VII (Facial) stimulates movement of muscles that produce 3 / 4
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pg. 4 facial expression and movement of the lacrimal, submaxillary, and submandibular glands. It transmits the sensory information from the external ear and tongue. Cranial nerve XII (Hypoglossal) stimulates movement of the tongue.
A 10-year-old child was diagnosed with infective endocarditis 5 days ago and now requires a root canal. Which antibiotic should be prescribed?Amoxicillin 2 g PO × 1 dose Amoxicillin 50 mg/kg 1 hour before procedure Clindamycin 600 mg Cephalexin (Keflex) 2 g PO Amoxicillin 50 mg/kg 1 hour before any dental procedure is an appropriate prophylaxis. Amoxicillin 2 g PO would not be appropriate for this age. Clindamycin and cephalexin (Keflex) would be prescribed if the child had a penicillin allergy.
A patient’s heart rate is 88 and blood pressure is 148/88, which is consistent with four previous blood-pressure readings over the past 2 months. The nurse practitioner reports the patient’s blood pressure is at what stage?Normal Prehypertension Stage I hypertension Stage II hypertension A patient with a consistent blood pressure of 148/88 mm/Hg is Stage 1 hypertension because the systolic blood pressure is between 140 to 159
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