ANCC PMHNP CERT REVIEW 2021/2022
TEST PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Which of the following rash-producing febrile illnesses is caused by the
human parvovirus B19?.
Answer: Fifth disease
◍ FNPs educate and counsel patients about disease prevention and health
maintenance. Which of the following would NOT be a logical approach to
patient education and counseling?.
Answer: Discontinue established behavior rather than attempting to add new
positive behaviors.
◍ Melba is a 38-year-old sexually active female who comes to you
complaining of lower abdominal pain and cramping. She tells you that she
has not had a period for about 7 weeks. The pain worsens when she is lying
down on her back. You might suspect which of the following?.
Answer: ectopic pregnancy
◍ The nurse practitioner should not cross certain boundaries with patients.
Which of the following would not be considered crossing one of these
boundaries?.
Answer: Not sharing personal information with the patient
◍ what about in pneumonia.
Answer: louder and clearfrom consolidation
◍ tinea corporis.
Answer: ringworm of the bodypruritic, scaly, erythematous plaques on the
backfrom contact w animals
,◍ Which of the following patients should NOT be prescribed tamsulosin?.
Answer: A 43 year old female with kidney stones.Tamsulosin is prescribed
only for men. It is not known what the potential side effects are for women
since there are few clinical trials. It is most often used for BPH, but can also
be used for treatment of kidney stones.
◍ which condition is associated with a mild decrease in bone mineral density.
Answer: osteopenia
◍ ethmoidal sinuses.
Answer: between the eyes
◍ Normal CV finding on well child exam in healthy preschooler.
Answer: vibratory quality murmur
◍ symptoms of hyperglycemia.
Answer: polyuria, polydipsia, polyphagia
◍ signs of diabetic gastroparesis.
Answer: postprandial fullnessdue to vagus nerve neuropathyn/v, bloading,
fullness
◍ A patient of yours has a "Christmas tree" pattern of rash on his trunk. He
tells you that he started having some lesions about two weeks ago but now
they have spread. You would suspect which of the following
conditions/diseases?.
Answer: Pityriasis rosea
◍ biliary cholic physical assessment finding.
Answer: RUQ pain radiates to R shoulderdue to presence of gallstones
◍ A patient with stable angina would exhibit which of the following?.
Answer: no change in duration of symptoms during the preceding 6 weeks
◍ For a healthcare professional to obtain blood at the request of law
enforcement officials without a patient's consent which of the following
must be present?.
Answer: -The suspect must be under arrest.-A delay in drawing blood would
, lead to destruction of evidence.-The test is performed in a reasonable
manner.***all of the above
◍ wilms tumor.
Answer: malignant tumor of the kidney occurring in childhood
◍ murphys sign.
Answer: pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
◍ what may increase bowel sounds.
Answer: an early intestinal obstructionloud and high pitched
◍ Jorge is an 18 month-old Hispanic male who presents with bluish black
patches in the lumbosacral area. Bruising and child abuse have been ruled
out. The diagnosis for this child would most likely be which of the
following?.
Answer: Mongolian Spots
◍ Your patient has experienced a TI
A. You understand that there are certain risk factors for TIAs that include all
of the following EXCEPT:.
Answer: peptic ulcer disease
◍ glomerulonephritis assessment findings.
Answer: azotemia, foamy urinedue to proteinuriaalso HTN, weightloss
◍ what can cause erythematous gums with gingival overgrowth.
Answer: gingival hyperplasiafrom phenytoin (dilantin) use
◍ genu varum.
Answer: bow legged
◍ primary vs central adrenal insufficency.
Answer: central: caused by underlying pituitary deficiency, causing delayed
weight gain and grwothprimary: salt cravings, postural dizziness,
hyperpigmentation of elbows and knees due to mineralcoticoid deficiency
◍ The United States Preventive Services Task Force recommends screening
, older patients for depression:.
Answer: at each primary care visit
◍ if pt raises arms in front of them and overhead that is.
Answer: flexion
◍ normal wet diapers per day for a child.
Answer: 6-8
◍ thromboangiitis obliterans.
Answer: vascular inflammatory disease that usually affects the lower
extremities; also called Buerger's diseaseFROM TOBACCO USE
◍ symptoms of HELLP syndrome.
Answer: upper abodminal pain, RUQ, MID EPIGASTRIC, N/V/MALAISE,
VISION CHANGES, PROTEINURIA, HTN
◍ which of the following locations is best to assess aortic pulsations in a
patient who has a carotid obstruction.
Answer: brachial arteryNOT TEMPORAL ARTERY
◍ Scabies is commonly seen in which of the following populations?.
Answer: childreninstitutionalized personspersons with AIDS****all of the
above
◍ Louise, an 85-year-old female patient, comes to you with a gnawing
stomach pain. She tells you that she has been using NSAIDs for her arthritis
for the last several months. She also reports that her stools appear dark.
After a thorough assessment you diagnose which of the following for this
patient?.
Answer: peptic ulcer disease
◍ what can aggravate chostocondritis.
Answer: movement of chest, trunk, arms
◍ when should one screen for prostate CA.
Answer: 55-70
◍ According to the structural functional theory of assessment and intervention,
TEST PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Which of the following rash-producing febrile illnesses is caused by the
human parvovirus B19?.
Answer: Fifth disease
◍ FNPs educate and counsel patients about disease prevention and health
maintenance. Which of the following would NOT be a logical approach to
patient education and counseling?.
Answer: Discontinue established behavior rather than attempting to add new
positive behaviors.
◍ Melba is a 38-year-old sexually active female who comes to you
complaining of lower abdominal pain and cramping. She tells you that she
has not had a period for about 7 weeks. The pain worsens when she is lying
down on her back. You might suspect which of the following?.
Answer: ectopic pregnancy
◍ The nurse practitioner should not cross certain boundaries with patients.
Which of the following would not be considered crossing one of these
boundaries?.
Answer: Not sharing personal information with the patient
◍ what about in pneumonia.
Answer: louder and clearfrom consolidation
◍ tinea corporis.
Answer: ringworm of the bodypruritic, scaly, erythematous plaques on the
backfrom contact w animals
,◍ Which of the following patients should NOT be prescribed tamsulosin?.
Answer: A 43 year old female with kidney stones.Tamsulosin is prescribed
only for men. It is not known what the potential side effects are for women
since there are few clinical trials. It is most often used for BPH, but can also
be used for treatment of kidney stones.
◍ which condition is associated with a mild decrease in bone mineral density.
Answer: osteopenia
◍ ethmoidal sinuses.
Answer: between the eyes
◍ Normal CV finding on well child exam in healthy preschooler.
Answer: vibratory quality murmur
◍ symptoms of hyperglycemia.
Answer: polyuria, polydipsia, polyphagia
◍ signs of diabetic gastroparesis.
Answer: postprandial fullnessdue to vagus nerve neuropathyn/v, bloading,
fullness
◍ A patient of yours has a "Christmas tree" pattern of rash on his trunk. He
tells you that he started having some lesions about two weeks ago but now
they have spread. You would suspect which of the following
conditions/diseases?.
Answer: Pityriasis rosea
◍ biliary cholic physical assessment finding.
Answer: RUQ pain radiates to R shoulderdue to presence of gallstones
◍ A patient with stable angina would exhibit which of the following?.
Answer: no change in duration of symptoms during the preceding 6 weeks
◍ For a healthcare professional to obtain blood at the request of law
enforcement officials without a patient's consent which of the following
must be present?.
Answer: -The suspect must be under arrest.-A delay in drawing blood would
, lead to destruction of evidence.-The test is performed in a reasonable
manner.***all of the above
◍ wilms tumor.
Answer: malignant tumor of the kidney occurring in childhood
◍ murphys sign.
Answer: pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
◍ what may increase bowel sounds.
Answer: an early intestinal obstructionloud and high pitched
◍ Jorge is an 18 month-old Hispanic male who presents with bluish black
patches in the lumbosacral area. Bruising and child abuse have been ruled
out. The diagnosis for this child would most likely be which of the
following?.
Answer: Mongolian Spots
◍ Your patient has experienced a TI
A. You understand that there are certain risk factors for TIAs that include all
of the following EXCEPT:.
Answer: peptic ulcer disease
◍ glomerulonephritis assessment findings.
Answer: azotemia, foamy urinedue to proteinuriaalso HTN, weightloss
◍ what can cause erythematous gums with gingival overgrowth.
Answer: gingival hyperplasiafrom phenytoin (dilantin) use
◍ genu varum.
Answer: bow legged
◍ primary vs central adrenal insufficency.
Answer: central: caused by underlying pituitary deficiency, causing delayed
weight gain and grwothprimary: salt cravings, postural dizziness,
hyperpigmentation of elbows and knees due to mineralcoticoid deficiency
◍ The United States Preventive Services Task Force recommends screening
, older patients for depression:.
Answer: at each primary care visit
◍ if pt raises arms in front of them and overhead that is.
Answer: flexion
◍ normal wet diapers per day for a child.
Answer: 6-8
◍ thromboangiitis obliterans.
Answer: vascular inflammatory disease that usually affects the lower
extremities; also called Buerger's diseaseFROM TOBACCO USE
◍ symptoms of HELLP syndrome.
Answer: upper abodminal pain, RUQ, MID EPIGASTRIC, N/V/MALAISE,
VISION CHANGES, PROTEINURIA, HTN
◍ which of the following locations is best to assess aortic pulsations in a
patient who has a carotid obstruction.
Answer: brachial arteryNOT TEMPORAL ARTERY
◍ Scabies is commonly seen in which of the following populations?.
Answer: childreninstitutionalized personspersons with AIDS****all of the
above
◍ Louise, an 85-year-old female patient, comes to you with a gnawing
stomach pain. She tells you that she has been using NSAIDs for her arthritis
for the last several months. She also reports that her stools appear dark.
After a thorough assessment you diagnose which of the following for this
patient?.
Answer: peptic ulcer disease
◍ what can aggravate chostocondritis.
Answer: movement of chest, trunk, arms
◍ when should one screen for prostate CA.
Answer: 55-70
◍ According to the structural functional theory of assessment and intervention,
