ANCC LATEST 2026 EXAM QUESTIONS AND SOLUTIONS
GUARANTEE A+
✔✔Rhabdomyolysis - ✔✔dissolution of striated muscle (caused by trauma, extreme
exertion, or drug toxicity; in severe cases renal failure can result)
-leg pain, myalgia, dark/orange urine
✔✔Asthma pt whose BP drops suddenly - ✔✔Pulsus paradoxus upon inspiration (BP
drops > 10 mmHg)
✔✔raynauds - ✔✔Disease: recurrent vasospasm in extremities, Phenomenon: 2* to
underlying disease (SLE or scleroderma)
-red, white, blue fingers that are cold
Tx with CCB
✔✔Metabolic syndrome - ✔✔Triad
1) hyperglycemia
2) increased BMI
3) hyperlipidemia
4) hypertension
do NOT give thiazide because of hyperglycemia and hypertriglycerides
✔✔No thiazide if - ✔✔Goat, kidney stones, or metabolic syndrome (hyperurecemia)
✔✔Avoid BB - ✔✔COPD and asthma
✔✔Left Side HF - ✔✔cough, SOB< crackles
Left "Lung sx"
✔✔Right Side HF - ✔✔edema, JVD
✔✔Murmur when a thrill can be heard - ✔✔Grade 4
✔✔Bruit differentials - ✔✔AAA, Renal artery stenosis
✔✔INR of 5 - ✔✔Hold and repeat in 1 day
✔✔TSH - ✔✔0.4-6 microunits/mL
✔✔Hypertriglyceridemia - ✔✔>500 concern for pancreatitis
Tx - Fibrate and niacin
GUARANTEE A+
✔✔Rhabdomyolysis - ✔✔dissolution of striated muscle (caused by trauma, extreme
exertion, or drug toxicity; in severe cases renal failure can result)
-leg pain, myalgia, dark/orange urine
✔✔Asthma pt whose BP drops suddenly - ✔✔Pulsus paradoxus upon inspiration (BP
drops > 10 mmHg)
✔✔raynauds - ✔✔Disease: recurrent vasospasm in extremities, Phenomenon: 2* to
underlying disease (SLE or scleroderma)
-red, white, blue fingers that are cold
Tx with CCB
✔✔Metabolic syndrome - ✔✔Triad
1) hyperglycemia
2) increased BMI
3) hyperlipidemia
4) hypertension
do NOT give thiazide because of hyperglycemia and hypertriglycerides
✔✔No thiazide if - ✔✔Goat, kidney stones, or metabolic syndrome (hyperurecemia)
✔✔Avoid BB - ✔✔COPD and asthma
✔✔Left Side HF - ✔✔cough, SOB< crackles
Left "Lung sx"
✔✔Right Side HF - ✔✔edema, JVD
✔✔Murmur when a thrill can be heard - ✔✔Grade 4
✔✔Bruit differentials - ✔✔AAA, Renal artery stenosis
✔✔INR of 5 - ✔✔Hold and repeat in 1 day
✔✔TSH - ✔✔0.4-6 microunits/mL
✔✔Hypertriglyceridemia - ✔✔>500 concern for pancreatitis
Tx - Fibrate and niacin
