ANCC FNP Exam Prep Questions
And Correct Answers
A 50-year-old woman presents to the clinic for follow-up on her type 2 diabetes
mellitus. She is currently taking metformin (Glumetza) at her maximum tolerated dose,
and her HbA1C at the current appointment is 8.6%. The patient is not open to insulin
and wants to try alternative medications to reduce her HbA1C. Which of the following
medications will directly stimulate the release of insulin from pancreatic beta cells,
thereby lowering blood glucose concentrations?
A.
Acarbose (Precose)
Incorrect
B.
Dulaglutide (Trulicity)
Incorrect
C.
Empagliflozin (Jardiance)
Incorrect
D.
Glipizide (Glucotrol)
Glipizide (Glucotrol)
An 18-year-old patient presents with unilateral ear pain for 2 days. On an otoscopic
exam, the tympanic membrane is bulging and appears inflamed. The posterior
,landmarks are obscured, and the light reflex is distorted. Which of the following is the
most likely diagnosis?
A.
Mastoiditis
Incorrect
B.
Otitis externa
Incorrect
C.
Otitis media
Correct
D.
Presbycusis
Otitis media
A 7-year-old boy with a past medical history of atopic dermatitis presents to the clinic
with his father for concern about an allergic reaction. The boy states that 2 hours ago,
after eating lunch, he developed an itchy throat and eye swelling. He reports no
wheezing or shortness of breath. The physical exam does not show urticaria, and his
airway is patent. Which of the following would be responsible for oral allergy syndrome?
A.
Cow milk
Incorrect
B.
Eggs
,Incorrect
C.
Peaches
Correct
D.
Salmon
Peaches
An 8-year-old boy presents to the office with an erythematous, nonpruritic,
maculopapular rash in a lacy pattern on his trunk and arms. His cheeks are also
noticeably red. His mother reports that he had a fever 1 week ago that resolved within 2
days without any other symptoms until now. He is afebrile at the current visit. Which of
the following is the most likely diagnosis?
A.
Erythema infectiosum
Correct
B.
Hand, foot, and mouth disease
Incorrect
C.
Roseola
Incorrect
D.
Rubella
Erythema infectiosum
, An 85-year-old man with recently diagnosed hypertension presents to the clinic for a BP
check. Two weeks ago, his BP was 168/74 mm Hg, and he started taking lisinopril
(Zestril) 10 mg daily. He reports no missed doses. His BP at the current visit is 128/78
mm Hg. What is the best next step in his BP management?
A.
Add hydrochlorothiazide and reassess in 1 month
Incorrect
B.
Continue his lisinopril (Zestril) at the current dose
Correct
C.
Increase his lisinopril (Zestril) dose to 20 mg
Incorrect
D.
Stop lisinopril (Zestril) and start hydrochlorothiazide
Continue his lisinopril (Zestril) at the current dose
A 66-year-old man presents to the clinic with a tremor for 6 months. He reports that it is
mainly on the left side of his body and is significantly worse when he is at rest. He states
that it has also been more difficult recently to use utensils and tools and that it takes
him a long time to get out of chairs and bed. The physical examination reveals a resting
tremor, mild hyperreflexia on the left, and lead-pipe rigidity in his joints. Which of the
following is the best next step in confirming the suspected diagnosis?
A.
And Correct Answers
A 50-year-old woman presents to the clinic for follow-up on her type 2 diabetes
mellitus. She is currently taking metformin (Glumetza) at her maximum tolerated dose,
and her HbA1C at the current appointment is 8.6%. The patient is not open to insulin
and wants to try alternative medications to reduce her HbA1C. Which of the following
medications will directly stimulate the release of insulin from pancreatic beta cells,
thereby lowering blood glucose concentrations?
A.
Acarbose (Precose)
Incorrect
B.
Dulaglutide (Trulicity)
Incorrect
C.
Empagliflozin (Jardiance)
Incorrect
D.
Glipizide (Glucotrol)
Glipizide (Glucotrol)
An 18-year-old patient presents with unilateral ear pain for 2 days. On an otoscopic
exam, the tympanic membrane is bulging and appears inflamed. The posterior
,landmarks are obscured, and the light reflex is distorted. Which of the following is the
most likely diagnosis?
A.
Mastoiditis
Incorrect
B.
Otitis externa
Incorrect
C.
Otitis media
Correct
D.
Presbycusis
Otitis media
A 7-year-old boy with a past medical history of atopic dermatitis presents to the clinic
with his father for concern about an allergic reaction. The boy states that 2 hours ago,
after eating lunch, he developed an itchy throat and eye swelling. He reports no
wheezing or shortness of breath. The physical exam does not show urticaria, and his
airway is patent. Which of the following would be responsible for oral allergy syndrome?
A.
Cow milk
Incorrect
B.
Eggs
,Incorrect
C.
Peaches
Correct
D.
Salmon
Peaches
An 8-year-old boy presents to the office with an erythematous, nonpruritic,
maculopapular rash in a lacy pattern on his trunk and arms. His cheeks are also
noticeably red. His mother reports that he had a fever 1 week ago that resolved within 2
days without any other symptoms until now. He is afebrile at the current visit. Which of
the following is the most likely diagnosis?
A.
Erythema infectiosum
Correct
B.
Hand, foot, and mouth disease
Incorrect
C.
Roseola
Incorrect
D.
Rubella
Erythema infectiosum
, An 85-year-old man with recently diagnosed hypertension presents to the clinic for a BP
check. Two weeks ago, his BP was 168/74 mm Hg, and he started taking lisinopril
(Zestril) 10 mg daily. He reports no missed doses. His BP at the current visit is 128/78
mm Hg. What is the best next step in his BP management?
A.
Add hydrochlorothiazide and reassess in 1 month
Incorrect
B.
Continue his lisinopril (Zestril) at the current dose
Correct
C.
Increase his lisinopril (Zestril) dose to 20 mg
Incorrect
D.
Stop lisinopril (Zestril) and start hydrochlorothiazide
Continue his lisinopril (Zestril) at the current dose
A 66-year-old man presents to the clinic with a tremor for 6 months. He reports that it is
mainly on the left side of his body and is significantly worse when he is at rest. He states
that it has also been more difficult recently to use utensils and tools and that it takes
him a long time to get out of chairs and bed. The physical examination reveals a resting
tremor, mild hyperreflexia on the left, and lead-pipe rigidity in his joints. Which of the
following is the best next step in confirming the suspected diagnosis?
A.
