FAMILY NURSE PRACTITIONER BOARD REVIEW | 300+
PRACTICE QUESTIONS WITH DETAILED RATIONALES | AANP &
ANCC PREP | GUARANTEED PASS
ASSESSMENT OF THE OPTIC DISC IS A COMPONENT OF THE EVALUATION OF CRANIAL NERVE:
I.
II.
III.
IV.
ANS: CRANIAL II
YOU EXAMINE A 62-YEAR-OLD WOMAN WITH A 20-YEAR HISTORY OF HYPERTENSION. SHE
REPORTS INTERMITTENT USE OF ANTIHYPERTENSIVE MEDICATIONS, STATING, "I FEEL BETTER
WITHOUT THE MEDICATIONS." TODAY SHE PRESENTS FOR A "CHECK-UP."ON PHYSICAL
EXAMINATION, YOU NOTE THE FOLLOWING: PMI WITH A DOWNWARD AND LATERAL SHIFT AS
WELL AS A GR II/VI HOLOSYSTOLIC MURMUR WITH RADIATION TO THE AXILLA.
THIS PATIENT'S HEALTH HISTORY IS MOST LIKELY TO INCLUDE A REPORT OF:
A. SYNCOPAL EPISODES.
B. EPISODES OF CHEST PAIN AT REST.
C. DYSPNEA WITH EXERTION.
D. VERTIGO.
ANS: DYSPNEA ON EXERTION
,OF THE FOLLOWING, WHICH SHOULD BE PERFORMED FIRST IN ASSESSING A 48-YEAR-OLD
WOMAN WHO HAS A 25-YEAR HISTORY OF MODERATE PERSISTENT ASTHMA AND WHO NOW
PRESENTS WITH AN ACUTE ASTHMA FLARE?
A. OXYGEN SATURATION
B. ARTERIAL BLOOD GAS
C. FEV1 (FORCED EXPIRATORY VOLUME AT 1 SECOND)
D. CHEST X-RAY
ANS: FEV (FORCE EXPIRATORY VOLUME)
YOU ARE SETTING UP A HEALTHCARE CLINIC FOR MIGRANT FARM WORKERS. WHICH OF THE
FOLLOWING SITES IS MOST DESIRABLE?
A. COMMUNITY HALL OF A LOCAL CHURCH
B. LOCAL HOSPITAL AMBULATORY CARE CENTER
C. MOBILE VAN
D. SPACE IN A SHOPPING CENTER
ANS: MOBILE VAN
,A 58-YEAR-OLD WOMAN PRESENTS FOR AN INITIAL EXAMINATION IN ORDER TO BECOME A
PATIENT IN YOUR PRIMARY CARE PRACTICE. SHE IS A NONSMOKER, DRINKS 1 TO 2, 5 OZ (0.15 L)
GLASSES OF WINE PER WEEK, AND WORKS AS AN ADMINISTRATIVE ASSISTANT IN A LAW
OFFICE. SHE IS WITHOUT COMPLAINT AND REPORTS THAT SHE IS GENERALLY IN GOOD HEALTH.
PHYSICAL EXAM REVEALS BMI=34 KG/M2 AND BP=144/98 MM HG BILATERALLY.
A. THE REST OF HER EXAMINATION IS UNREMARKABLE.
B. PRESCRIBE A LOW-DOSE THIAZIDE DIURETIC.
C. ARRANGE FOR ADDITIONAL BLOOD PRESSURE MEASUREMENTS WITHIN THE NEXT FOUR
WEEKS.
D. ORDER A SERUM CREATININE, UREA NITROGEN AND URINALYSIS.
E. ADVISE RESTRICTING SODIUM INTAKE AND LIMITING ALCOHOL INTAKE TO NO MORE
THAN 1 GLASS OF WINE PER WEEK.
ANS: ARRANGE FOR ADDITIONAL BLOOD PRESSURE MEASUREMENTS WITHIN THE NEXT
FOUR WEEKS.
THE NP DEMONSTRATES FULFILLMENT OF THE ADVANCED PRACTICE NURSING LEADERSHIP
ROLE BY PARTICIPATING IN WHICH OF THE FOLLOWING ACTIVITIES?
A. TEACHING A 56-YEAR-OLD MAN WITH NEWLY-DIAGNOSED TYPE 2 DIABETES MELLITUS
ABOUT THE IMPORTANCE OF SELF-GLUCOSE MONITORING
B. VOLUNTEERING TO TEACH A CLASS ON CONTRACEPTIVE METHODS TO A GROUP OF
TEEN MOTHERS
, C. DISCUSSING BARRIERS TO ACHIEVING BLOOD PRESSURE CONTROL WITH A 65-YEAR-OLD
WOMAN WITH HYPERTENSION WHO "DOES NOT WANT TO TAKE ANY MEDICINE"
D. COLLABORATING WITH THE REGIONAL PUBLIC HEALTH DEPARTMENT ON AN INITIATIVE
TO COMBAT OBESITY THROUGH A COMMUNITY-BASED EXERCISE PROGRAM
ANS: COLLABORATING WITH THE REGIONAL PUBLIC HEALTH DEPARTMENT ON AN INITIATIVE
TO COMBAT OBESITY THROUGH A COMMUNITY-BASED EXERCISE PROGRAM
YOU ARE ASKED TO SPEAK TO A GROUP OF HEALTHCARE EXECUTIVES ON THE NP ROLE. WHICH
OF THE FOLLOWING PROVIDES THE STRONGEST SUPPORT FOR NP PRACTICE?
A. NUMBER OF ACADEMIC CREDITS EARNED DURING THE NP PROGRAM
B. EVIDENCE OF NP PRACTICE OUTCOMES
C. THE QUANTITY OF CLINICAL HOURS AND TYPE OF CLINICAL ROTATIONS IN THE NP
PROGRAM
D. THE PROFESSIONAL EXPERIENCE OF THE PERSON PRIOR TO ENTERING THE NP
PROGRAM
ANS: EVIDENCE OF NP PRACTICE OUTCOMES
RANK THE FOLLOWING FROM HIGHEST (1) TO LOWEST (4) LEVEL OF RESEARCH DESIGN.
__CASE REPORTS