ANCC Exam Questions with
Accurate Answers
A 10-year-old boy presents to the clinic with his mother after being sent
home from school for a fever of 101.7°F. The mother reports that the
patient did not eat a normal dinner the previous night and went to bed
early. The patient reports a sore throat and painful swallowing. On
physical exam, there are findings of white exudates on both tonsils,
palatal petechiae, and bilateral tonsillar enlargement. Which of the
following is the most appropriate therapy?
A.
Azithromycin (Zithromax)
Incorrect
B.
Cefdinir
Incorrect
C.
Clindamycin (Cleocin)
Incorrect
D.
Penicillin correct answer Penicillin
A 12-year-old boy presents for his annual well-child examination. The
nurse practitioner notes on examination that there is enlargement of
,his testes and scrotum with subtle changes in scrotal texture. He also
has sparse pubic hair growth at the base of the penis. Which of the
following is the appropriate assessment and plan for this patient?
A.
Tanner stage 2; continue to check yearly at well-child examinations
Correct
B.
Tanner stage 2; refer to endocrinology
Incorrect
C.
Tanner stage 3; continue to check yearly at well-child examinations
Incorrect
D.
Tanner stage 3; refer to endocrinology correct answer Tanner stage 2;
continue to check yearly at well-child examinations
A 12-year-old boy presents to your office with right knee pain for the
past week. On examination, he has a BMI of 29 kg/m2. He walks with a
mildly antalgic gait, with the right foot slightly externally rotated
compared with the left. He has no tenderness to palpation in the right
lower extremity, and the knee range of motion appears symmetric. The
right hip has decreased range of motion with internal rotation, flexion,
and abduction. Which of the following is the most likely diagnosis in
this patient?
A.
,Legg-Calve-Perthes disease
Incorrect
B.
Osgood-Schlatter disease
Incorrect
C.
Quadriceps muscle strain
Incorrect
D.
Slipped capital femoral epiphysis correct answer Slipped capital femoral
epiphysis
A 13-year-old boy presents to the clinic with his father. He is concerned
because his breasts are enlarged. Which of the following is the most
appropriate management of the suspected diagnosis?
A.
Obtain a serum estrogen level
Incorrect
B.
Order an U/S of the chest
Incorrect
C.
Order BRCA gene testing
, Incorrect
D.
Provide reassurance correct answer Provide reassurance
A 14-year-old girl and her mother present to the clinic with concerns
about possible attention-deficit/hyperactivity disorder. Over the last
several years, teachers have made comments about the girl's lack of
focus in class. The girl's mother also notices this lack of focus at home
and states that her daughter frequently appears to be daydreaming.
She is starting to fall behind in reading and fails to turn in her
homework regularly. Which of the following findings supports a
diagnosis of attention-deficit/hyperactivity disorder, according to the
fifth edition of the Diagnostic and Statistical Manual of Mental
Disorders?
A.
Symptoms are associated with another mood disorder
Incorrect
B.
Symptoms impair function in academic or social activities
Correct
C.
Symptoms persist for at least 3 months
Incorrect
D.
Accurate Answers
A 10-year-old boy presents to the clinic with his mother after being sent
home from school for a fever of 101.7°F. The mother reports that the
patient did not eat a normal dinner the previous night and went to bed
early. The patient reports a sore throat and painful swallowing. On
physical exam, there are findings of white exudates on both tonsils,
palatal petechiae, and bilateral tonsillar enlargement. Which of the
following is the most appropriate therapy?
A.
Azithromycin (Zithromax)
Incorrect
B.
Cefdinir
Incorrect
C.
Clindamycin (Cleocin)
Incorrect
D.
Penicillin correct answer Penicillin
A 12-year-old boy presents for his annual well-child examination. The
nurse practitioner notes on examination that there is enlargement of
,his testes and scrotum with subtle changes in scrotal texture. He also
has sparse pubic hair growth at the base of the penis. Which of the
following is the appropriate assessment and plan for this patient?
A.
Tanner stage 2; continue to check yearly at well-child examinations
Correct
B.
Tanner stage 2; refer to endocrinology
Incorrect
C.
Tanner stage 3; continue to check yearly at well-child examinations
Incorrect
D.
Tanner stage 3; refer to endocrinology correct answer Tanner stage 2;
continue to check yearly at well-child examinations
A 12-year-old boy presents to your office with right knee pain for the
past week. On examination, he has a BMI of 29 kg/m2. He walks with a
mildly antalgic gait, with the right foot slightly externally rotated
compared with the left. He has no tenderness to palpation in the right
lower extremity, and the knee range of motion appears symmetric. The
right hip has decreased range of motion with internal rotation, flexion,
and abduction. Which of the following is the most likely diagnosis in
this patient?
A.
,Legg-Calve-Perthes disease
Incorrect
B.
Osgood-Schlatter disease
Incorrect
C.
Quadriceps muscle strain
Incorrect
D.
Slipped capital femoral epiphysis correct answer Slipped capital femoral
epiphysis
A 13-year-old boy presents to the clinic with his father. He is concerned
because his breasts are enlarged. Which of the following is the most
appropriate management of the suspected diagnosis?
A.
Obtain a serum estrogen level
Incorrect
B.
Order an U/S of the chest
Incorrect
C.
Order BRCA gene testing
, Incorrect
D.
Provide reassurance correct answer Provide reassurance
A 14-year-old girl and her mother present to the clinic with concerns
about possible attention-deficit/hyperactivity disorder. Over the last
several years, teachers have made comments about the girl's lack of
focus in class. The girl's mother also notices this lack of focus at home
and states that her daughter frequently appears to be daydreaming.
She is starting to fall behind in reading and fails to turn in her
homework regularly. Which of the following findings supports a
diagnosis of attention-deficit/hyperactivity disorder, according to the
fifth edition of the Diagnostic and Statistical Manual of Mental
Disorders?
A.
Symptoms are associated with another mood disorder
Incorrect
B.
Symptoms impair function in academic or social activities
Correct
C.
Symptoms persist for at least 3 months
Incorrect
D.
