Ace 2026-2027 Includes Frequently Tested
Questions With ELABORATED 100% Correct
COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. Which female patient is at greatest risk for developing a benign ovarian cyst?
- ANSWER 48-year-old who is premenopausal - Benign cysts of the ovaries can
occur anytime during the lifespan. They are the most common during the
reproductive years, in particular at the extremes of those years. An increase in
incidence occurs when hormonal imbalances are more likely, such as in
menopause.
2. Which clinical diagnosis is associated with hirsutism, amenorrhea, and
infertility?
- ANSWER Polycystic ovarian syndrome
Feedback: PCOS is defined as having two of the following three features: irregular
ovulation, elevated levels of androgens, and the appearance of polycystic ovaries.
3. Which term describes a hypersecretion of mucus and chronic productive cough
that continues for at least 3 months of the year for a minimum of 2 consecutive
years?
- ANSWER Chronic Bronchitis is the term used for the respiratory alteration
that causes hypersecretion of mucus and chronic productive cough that continues
for at least 3 months of the year for a minimum of 2 consecutive years.
,4. The FNP is seeing a 63-year-old female patient who presents with complaints of
vaginal bleeding. The patient tells the FNP during the interview that her LMP was
more than 2 years ago. The FNP understands that an endometrial biopsy should
be performed to rule out what potential diagnosis?
- ANSWER If a woman is menopausal and has not had a menstrual period for
more than 1 year, all vaginal bleeding should be investigated to rule out uterine
and other cancers. Appropriate initial evaluation includes ultrasound and
endometrial biopsy to exclude uterine cancer.
5. Which of the following diagnoses is characterized by vascular congestion,
painful prolonged erection, and association with cocaine use?
- ANSWER Priapism is an uncommon condition of prolonged penile erection,
and is defined as a persistent and painful erection lasting longer than 4 hours
without sexual stimulation. The vascular congestion is thought to be associated
with venous obstruction. Priapism also has been associated with cocaine use.
6. The FNP understand that during follicular or proliferative phase of ovulation:
- ANSWER estrogen causes endometrial growth - This occurs in the secretory
phase.
7. The treatment for ARDS in children is supportive in nature and similar to that of
adults. All of the following factors should be considered in the evaluation and
treatment of ARDS in infants except:
- ANSWER Higher hematocrit levels
,Feedback: ARDS in older children and adolescents is similar to that in adults.
However, infants have more compliant chest walls, lower hematocrit levels, higher
baseline airway resistance, and lower functional residual capacity.
8. Higher baseline airway resistance
- ANSWER Lower functional residual capacity
9. The FNP is seeing a 7-year-old child for a follow up of asthma management. A
child has asthma. Which pathophysiologic process occurs in this disease?
- ANSWER Chronic inflammatory disorder, causing mucosal edema and
reversible airflow obstruction. Asthma is a chronic inflammatory disorder of the
bronchial mucosa, which causes bronchial hyperresponsiveness, constriction of
the airways and variable airflow obstruction that is reversible.
10. All of the following are common infectious respiratory bacteria except:
- ANSWER Pseudomonas aeruginosa
11. Haemophilus influenzae
- ANSWER Streptococcus pyogenes
12. Escherichia Coli
- ANSWER Feedback: Common upper respiratory bacteria include
corynebacterium diphtheriae, haemophilus influenzae, streoptococcus pyogenes.
Common lower tract respiratory bacteria include bordetella pertussis, escherichia
coli, klebsiella pheumoniae, and mycobacterium tuberculosis (for a complete list
see table 10.2 in the McCance text)
, 13. The APN is seeing a 78-year old male with a long standing history of poorly
controlled hypertension. When evaluating for hypertensive target organ damage,
the APN should look for evidence of:
- ANSWER Left ventricular hypertrophy - LVH is a common finding in patients
with hypertension. It is defended as an increase in the mass of the left ventricle
which can be secondary to an increase in wall thickness, and increase in cavity size
or both. The increase in mass predominantly results from a chronic increase in
afterload of the LV caused by the hypertension. The heart has to work harder to
overcome the increase systemic vascular resistance.
14. The APN is most likely to not find which of the following assessments in a
patient with a DVT?
- ANSWER Positive obturator sign - DVT should be suspected in patients who
present with Unilateral leg edema, leg swelling, pain, warmth, and erythema.
Symptoms are usually unilateral. A positive obturator sign is an assessment for
appendicitis
15. Heart failure pathophysiology is characterized by:
- ANSWER Inadequate cardiac output to meet oxygen and metabolic demands
of the body
Feedback: Heart failure is a chronic, progressive condition in which the heart
muscle is unable to pump enough blood to meet the body's needs for blood and
oxygen. Basically, the heart cannot keep up with its workload.
16. Interventions in microalbuminuria for a person with DM includes:
- ANSWER Improved glycemic control