ANCC FNP Board Exam Study
Guide Part 1 Questions with
Accurate Answers
Acne Rosacea presentation correct answer -light-skinned adult with
Celtic background (Irish, Scottish, English); usually blonde/red hair and
blue eyes
-papules and pustules around nose, mouth, and chin
-facial redness, especially in central part of face
-patient blushes easily
-may have red eyes, dry eyes, or chronic blepharitis
-treatment includes topical metronidazole gel
Actinic keratosis correct answer -Older to elderly fair-skinned adults
-numerous dry, round, pink to red-colored, slow-growing lesions that
do not heal
-lesions common on sun-exposed areas (cheeks, nose, face, arms, back)
-precancerous precursor of squamous cell carcinoma
-frequent sunburns as child places person at higher risk
-diagnosed with biopsy
-treat with cryotherapy (small number) or 5-FU(5% fluorouracil) cream
(large number)
follow up with derm.
,ADHD correct answer -core symptoms - hyperactivity, impulsivity,
inattention (behavior disorder)
-diagnostic criteria - symptoms present prior to age 12; symptoms last >
6 months; symptoms should be evident in 2 different settings (school
and home - get feedback from caregiver/parent and teacher/coach)
-generally treated with Schedule II medications - high potential for
abuse
Adolescent with mild persistent asthma - treatment? correct answer -
low dose ICS plus SABA (albuterol) PRN (preferred treatment)
-alternative treatment - cromolyn, Montelukast, nedocromil, or
theophylline
-Remember all asthma patients must have SABA as rescue med (safety
issue)
AV nicking correct answer -HTN stiffens vessels
-arteries indent and displace veins
-considered "mild" retinopathy
Baby with UTI - follow up? correct answer · renal and bladder
ultrasound (RBUS) for all infants 2-24 months for first febrile UTI
Bacterial endocarditis correct answer -symptoms - fever, chills, malaise
associated with subungal hemorrhages (splinter hemorrhages on
nailbed) and tender, violet-colored nodules on fingers/toes (Osler's
,nodes); palms and soles may have tender red spots on skin (Janeway
lesions); may have heart murmur
-treatment - refer to cardiologist or ED for hospitalization and IV
antibiotics; blood cultures x 3; CBC (WBCs will be elevated); ESR
(elevated
-complications - valvular destruction; myocardial abscess; emboli
-prophylaxis - not recommended for MVP, GU/GI incisions/invasive
procedures (unless known infection present); recommended for
patients with previous history of bacterial endocarditis, prosthetic
valves, certain types of congenital heart disease, and cardiac transplant
with valvulopathy when having dental procedures that traumatize oral
mucosa, gingiva, or periapical area of teeth and invasive procedures on
the respiratory tract; treat prophylactically with amoxicillin 1 hour
before procedure (adults - 2g; children - 50mg/kg) or with clindamycin
600mg, clarithromycin (500mg) or cephalexin (2g) if penicillin allergic
Bumps start on face or trunk and spread to rest of body correct answer
-Varicella
-Classic presentation - pruritic vesicular lesions in different stages of
development and healing
Carotid bruit correct answer -caused by carotid stenosis (cholesterol
plaque accumulation)
CD4 count less than 200 after antiviral treatment correct answer -
diagnosis of AIDS should be made
, -normal CD4 is 500-1500
-CD4 count increases as HIV virus is controlled with treatment
CDC recommendation on screening for Hep C correct answer -adults
born between 1945 and 1965
-current or former IV drug users (even if use was only once and many
years ago)
-persons who have HIV infection
-persons who have persistently abnormal ALT
-persons who received blood, blood components, or organ transplant
before July 1992
-known exposure (needlestick, child born to HCV+ mom)
Child with left otitis media with effusion correct answer -symptoms -
aural fullness/pressure; ear being plugged; decreased hearing; pain is
not common
-Weber test may show lateralization to affected ear
Contraindications for estrogen replacement correct answer -history of
breast cancer
-coronary heart disease
-previous venous thromboembolic event or stroke/TIA
-active liver disease
-unexplained vaginal bleeding
Guide Part 1 Questions with
Accurate Answers
Acne Rosacea presentation correct answer -light-skinned adult with
Celtic background (Irish, Scottish, English); usually blonde/red hair and
blue eyes
-papules and pustules around nose, mouth, and chin
-facial redness, especially in central part of face
-patient blushes easily
-may have red eyes, dry eyes, or chronic blepharitis
-treatment includes topical metronidazole gel
Actinic keratosis correct answer -Older to elderly fair-skinned adults
-numerous dry, round, pink to red-colored, slow-growing lesions that
do not heal
-lesions common on sun-exposed areas (cheeks, nose, face, arms, back)
-precancerous precursor of squamous cell carcinoma
-frequent sunburns as child places person at higher risk
-diagnosed with biopsy
-treat with cryotherapy (small number) or 5-FU(5% fluorouracil) cream
(large number)
follow up with derm.
,ADHD correct answer -core symptoms - hyperactivity, impulsivity,
inattention (behavior disorder)
-diagnostic criteria - symptoms present prior to age 12; symptoms last >
6 months; symptoms should be evident in 2 different settings (school
and home - get feedback from caregiver/parent and teacher/coach)
-generally treated with Schedule II medications - high potential for
abuse
Adolescent with mild persistent asthma - treatment? correct answer -
low dose ICS plus SABA (albuterol) PRN (preferred treatment)
-alternative treatment - cromolyn, Montelukast, nedocromil, or
theophylline
-Remember all asthma patients must have SABA as rescue med (safety
issue)
AV nicking correct answer -HTN stiffens vessels
-arteries indent and displace veins
-considered "mild" retinopathy
Baby with UTI - follow up? correct answer · renal and bladder
ultrasound (RBUS) for all infants 2-24 months for first febrile UTI
Bacterial endocarditis correct answer -symptoms - fever, chills, malaise
associated with subungal hemorrhages (splinter hemorrhages on
nailbed) and tender, violet-colored nodules on fingers/toes (Osler's
,nodes); palms and soles may have tender red spots on skin (Janeway
lesions); may have heart murmur
-treatment - refer to cardiologist or ED for hospitalization and IV
antibiotics; blood cultures x 3; CBC (WBCs will be elevated); ESR
(elevated
-complications - valvular destruction; myocardial abscess; emboli
-prophylaxis - not recommended for MVP, GU/GI incisions/invasive
procedures (unless known infection present); recommended for
patients with previous history of bacterial endocarditis, prosthetic
valves, certain types of congenital heart disease, and cardiac transplant
with valvulopathy when having dental procedures that traumatize oral
mucosa, gingiva, or periapical area of teeth and invasive procedures on
the respiratory tract; treat prophylactically with amoxicillin 1 hour
before procedure (adults - 2g; children - 50mg/kg) or with clindamycin
600mg, clarithromycin (500mg) or cephalexin (2g) if penicillin allergic
Bumps start on face or trunk and spread to rest of body correct answer
-Varicella
-Classic presentation - pruritic vesicular lesions in different stages of
development and healing
Carotid bruit correct answer -caused by carotid stenosis (cholesterol
plaque accumulation)
CD4 count less than 200 after antiviral treatment correct answer -
diagnosis of AIDS should be made
, -normal CD4 is 500-1500
-CD4 count increases as HIV virus is controlled with treatment
CDC recommendation on screening for Hep C correct answer -adults
born between 1945 and 1965
-current or former IV drug users (even if use was only once and many
years ago)
-persons who have HIV infection
-persons who have persistently abnormal ALT
-persons who received blood, blood components, or organ transplant
before July 1992
-known exposure (needlestick, child born to HCV+ mom)
Child with left otitis media with effusion correct answer -symptoms -
aural fullness/pressure; ear being plugged; decreased hearing; pain is
not common
-Weber test may show lateralization to affected ear
Contraindications for estrogen replacement correct answer -history of
breast cancer
-coronary heart disease
-previous venous thromboembolic event or stroke/TIA
-active liver disease
-unexplained vaginal bleeding
