ANCC FNP Exam Prep 2026 |
600+ Questions Bank with
Rationales | Pass Guarantee
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for
many years to control her Stage II hypertension. Her blood pressure
(BP) at this visit is 168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in pain
and would like something stronger. Which of the following statements is
the best explanation of the effects of ibuprofen (Motrin) on her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
,C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true - ANSWER ✔✔B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause
acute prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and
vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ANSWER ✔✔D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
,commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
The nurse practitioner would test the obturator and iliopsoas muscle to
evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - ANSWER ✔✔B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with knees
extended, or when pain occurs with active flexion of his/her thigh at the
hip.
Treatment for mild preeclampsia includes all of the following except:
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood pressure -
ANSWER ✔✔D) A prescription of methyldopa (Aldomet) to control
blood pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
closely following urine protein and serum protein, creatinine, and platelet
counts. Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
600+ Questions Bank with
Rationales | Pass Guarantee
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for
many years to control her Stage II hypertension. Her blood pressure
(BP) at this visit is 168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in pain
and would like something stronger. Which of the following statements is
the best explanation of the effects of ibuprofen (Motrin) on her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
,C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true - ANSWER ✔✔B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause
acute prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and
vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ANSWER ✔✔D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
,commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
The nurse practitioner would test the obturator and iliopsoas muscle to
evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - ANSWER ✔✔B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with knees
extended, or when pain occurs with active flexion of his/her thigh at the
hip.
Treatment for mild preeclampsia includes all of the following except:
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood pressure -
ANSWER ✔✔D) A prescription of methyldopa (Aldomet) to control
blood pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
closely following urine protein and serum protein, creatinine, and platelet
counts. Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
