FNP NR-506 Current ANCC & AANP test
subjects
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ANCC / AANP Test Topics
After going through the post of the ones who took a high consideration to post subjects they
recall on the test, which is more helpful than constant “I Pass” shootouts, I took their postings
and combined them as best as time allows and gave it to people to test and thus far the five
persons who used the suggestions posted by some on this site were able to pass without live
reviews.
I figure I repost the subjects here. Just know that this is a combination of both ANCC and AANP.
If one uses a bit of a common sense it is obvious that if a subject is none clinical it applies to
ANCC, if it is pediatric in nature then it is FNP, otherwise it is AG. Clinical subjects apply to
both ANCC and AANP.
Many have continue to mention that the test changes, Of course the test changes because people
talk and this makes it easier for other aspiring NP’S to pass, but the one thing that has not
changed in years even decades is the material, the applied science.
Once again allow me to thank the New Grad NP’s who passed the test and placed a useful and
very helpful post to help others pass, by giving us a heads up on what might be on our exams.
Arteriovenous Nicking
Indentation (nicking) of retinal veins by stiff (arteriosclerotic) retinal arteries
Commonest cause is chronic hypertension
Valuable sign of chronic systemic hypertension that has also caused damage to
arteries elsewhere in body (heart, kidneys, brain)
Using ophthalmoscope, find these vessels at their emergence from optic disc and
follow them as far out as you can, looking for arteriovenous nicking, which is usually
found within 5 disc diameters of optic disc
Measure blood pressure and inquire after other arteriosclerotic risk factors
It is thought that, since the arteriole and venule share a common sheath, the arteriole's
thicker walls push against those of the venule forcing the venule to collapse. This
makes the venule form an hourglass shape around the arteriole. Other theories suggest
that this results not from compression from the arteriole but from sclerotic thickening
or glial cell proliferation at the site where the two vessels cross
Hypertensive retinopathy is damage to the retina and retinal circulation due to high
blood pressure
Meyerson’s sign
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Is when you tap the (glabella) forehead of a patient with Parkinson, early dementia, or
neurological disease and after the tap they blink excessively.
Anemia
Pernicious anemia will produce positive Babinski, glossitis, and Romberg
Rank Hierarchy of Evidence
Level I: Evidence from a systematic review or meta-analysis of all relevant RCTs
(randomized controlled trial) or evidence-based clinical practice guidelines based on
systematic reviews of RCTs or three or more RCTs of good quality that have similar
results.
Level II: Evidence obtained from at least one well-designed RCT (e.g. large multi-site
RCT).
Level III: Evidence obtained from well-designed controlled trials without
randomization (i.e. quasi-experimental).
Level IV: Evidence from well-designed case-control or cohort studies.
Level V: Evidence from systematic reviews of descriptive and qualitative studies
(meta-synthesis).
Level VI: Evidence from a single descriptive or qualitative study.
Level VII: Evidence from the opinion of authorities and/or reports of expert
committees.
Meta-Analysis: A systematic review that uses quantitative methods to summarize the
results.
Systematic Review: Authors have systematically searched for, appraised, and
summarized all of the medical literature for a specific topic.
Critically Appraised Topic: Authors evaluate and synthesize multiple research studies.
Critically Appraised Articles: Authors evaluate and synopsize individual research
studies.
Randomized Controlled Trials: Include a randomized group of patients in an
experimental group and a control group. These groups are followed up for the
variables/outcomes of interest.
Cohort Study: Identifies two groups (cohorts) of patients, one which did receive the
exposure of interest, and one which did not, and following these cohorts forward for
the outcome of interest.
Case-Control Study: Identifies patients who have the outcome of interest (cases) and
control patients without the same outcome, and looks for exposure of interest.
Background Information/Expert Opinion: Handbooks, encyclopedias, and textbooks
often provide a good foundation or introduction and often include generalized
information about a condition. While background information presents a convenient
summary, often it takes about three years for this type of literature to be published.
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