ANCC Questions And Answers 2022
What is the first line treatment for temporal arteritis? Correct Answers: High-dose steroids because
it's an inflammatory response
Why is an anecdotal or expert opinion lowest on the research hierarchy? Correct Answers: Can be a
single person or a group of experts giving an opinion, but there is no research
What is the screening test for temporal arteritis? Correct Answers: Elevated ESR and CRP as well
Which condition causes bilateral stiffness lasting 30 minutes or more located in the shoulders, neck,
hips, and torso; more common in women >50 and closely related to temporal arteritis? Correct
Answers: Polymyalgia rheumatica (PMR)
Are routine eye exams covered by Medicare part B? Correct Answers: No
In trigeminal neuralgia, which cranial nerve is affected? Correct Answers: V
What is the treatment for trigeminal neuralgia? Correct Answers: Anticonvulsants (phenytoin) and
muscle relaxants (gabapentin, topiramate)
Who monitors and disciplines the nurse practitioners? Correct Answers: BON
What presents as an abrupt onset of facial paralysis due to dysfunction of the motor branch of the
facial nerve (7)? Correct Answers: Bell's Palsy
- Additional sx: Tear production on the affected side stops
- Causes: viral, autoimmune, pressure from tumor or vessel
What presents as idiopathic and severe one-sided headache marked by recurrent, brief, lacerating
pain behind one eye accompanied by tearing and clear rhinitis? Correct Answers: Cluster Headache
- Presents in males 30-40 yrs of age
- Higher rate of suicide r/t intense pain
- Tx: high dose 100% Oxygen 12L/min for 15 minutes, sumatriptan by intranasal or IM
What is reliability? Correct Answers: Repeatable, reproducible, consistent
Symptoms of tension headache? Correct Answers: Band-like tightness headache, dull and constant,
tensing of neck muscles
What does the dependent variable depend on? Correct Answers: Independent variable
What is described by transient episode of neurological dysfunction caused by focal ischemia without
acute infection of the brain? Correct Answers: TIA (mini stroke or minor stroke)
What does the FAST mnemonic stand for? Correct Answers: Face drooping, arm weakness, speech
difficulty, time to call 911
,What is the term for brain damage that presents with the patients no difficulty comprehending speech
but has extreme difficulty in motor aspect of speech? Correct Answers: Broca's aphasia
- May only be able to speak 4 words
- Patient understands but difficulty expressing
What is apraxia? Correct Answers: Difficulty w/ purposeful movement
Is suspected child abuse reportable? Correct Answers: Always reportable
How do you illicit tinel's sign? Correct Answers: Tap on anterior wrist - median nerve
- Evaluates carpal tunnel syndrome
What disease of conditions assess Phalen's sign (flex wrist and hold dorsal side of hands together)?
Correct Answers: Carpal Tunnel Syndrome (affects median nerve)
What is EMTALA? Correct Answers: Emergency Medical Treatment and Active Labor Act- stabilize
patient before transfer
Can be caused by embolism, thrombus, or hemorrhage and results in permanent neurological
damage from ischemia to affected brain tissues? Correct Answers: CVA or Stroke
What is COBRA? Correct Answers: Insurance after you leave a job paid for by self, gap-insurance,
18 months, you pay the premium that former employer was paying for
What is cranial nerve XI? Correct Answers: Spinal accessory, shrug the shoulders
What can result from shingles in the cranial nerve V of the ophthalmic branch? Correct Answers:
Postherpetic neuralgia
- Corneal blindness can result
The name for the nodes on the PIP joints secondary to arthritis? Correct Answers: Bouchard's nodes
(DIP are Heberden's *remember PIP comes before DIP because proximal is closest to the body just
like B in bouchards comes before H in heberdens)
What is the most sensitive screening test for thyroid function? Correct Answers: TSH
What do you call the genetic defect called trisomy 21? Correct Answers: Down syndrome
- Face appears flat, ears are low-set, upward slanting eyes
- Average lifespan is 60 yrs
What presents as a small head, shortened palpebral fissures, flat nasal bridge, smooth philthrum?
Correct Answers: Fetal alcohol syndrome
What is covered in Medicare part D? Correct Answers: Rx - only the drugs on the formulary list
Which type of cancer has increased risk w/ cryptorchidism? Correct Answers: testicular cancer
- Even if it has been repaired, then risk is still increased
What disease is described as injected red conjunctiva, w/ profuse purulent discharge, swollen eye
lids, and presents 2-5 days after birth? Correct Answers: Gonococcal opthalmia neonatorum
, - Tx: apply erythromycin ointment 1cm ribbon per eye, immediately after birth (prophylaxis)
What condition associated w/ vaginal birth shows 4-10 days after birth w/ eyelids become edematous,
with red, profuse watery discharge that becomes purulent? Correct Answers: Chlamydia opthalmia
neonatorum
- Appears initially watery then purulent and 4-10 days after birth
How is infant mortality defined? Correct Answers: The # of deaths <12 mos of age in 1,000 live births
What is defined as unexplained and sudden death in healthy infants <12 mos. Correct Answers:
Sudden infant death syndrome (SIDS)
- Back to sleep, avoid thick blankets,
How much weight are newborns expected to lose during the first 5-7 days of life? Correct Answers:
10%
What is covered by medicare part A? Correct Answers: Inpatient services for >65 yrs or ESRD at any
age and hospitalizations, skilled nursing care included, hospice included, rehab included (NOT
ASSISTED LIVING)
Most common type of spots seen in children; appears as blue to black patches of colored skin usually
in the lumbosacral area Correct Answers: Mongolian spots
- Disappears by 2-3 years of age
- May be mistaken as child abuse
Do you need to confirm child abuse before reporting? Correct Answers: No, report suspected child
abuse, no need to confront caregiver
What condition presents w/ 2-3cm papules, white, on the forehead, and resolves spontaneously?
Correct Answers: Milia
- Caused by retention of sebaceous filaments
What is faun tail nevus? Correct Answers: Tufts of hair in the lumbosacral area, coccyx region
- Rule out spina bifida
- Conduct neurological exam and u/s
What do you need to rule out when you see cafe au lait spots? Correct Answers: Flat light brown
spots > 2-5mm patches, if there are 6 or more spots then rule out...
neurofibromatosis
Are routine dental exams covered by Medicare part B? Correct Answers: No
At what are age children expected to have 20/20 vision? Correct Answers: 6 yrs of age
When do you refer for strabismus? Correct Answers: If a child is >6 mos old
- Red flags: absent of red reflex, presence of white reflex
What is leukocoria? Correct Answers: Presence of a white reflex
-may be indicative of retinoblastoma
What is the first line treatment for temporal arteritis? Correct Answers: High-dose steroids because
it's an inflammatory response
Why is an anecdotal or expert opinion lowest on the research hierarchy? Correct Answers: Can be a
single person or a group of experts giving an opinion, but there is no research
What is the screening test for temporal arteritis? Correct Answers: Elevated ESR and CRP as well
Which condition causes bilateral stiffness lasting 30 minutes or more located in the shoulders, neck,
hips, and torso; more common in women >50 and closely related to temporal arteritis? Correct
Answers: Polymyalgia rheumatica (PMR)
Are routine eye exams covered by Medicare part B? Correct Answers: No
In trigeminal neuralgia, which cranial nerve is affected? Correct Answers: V
What is the treatment for trigeminal neuralgia? Correct Answers: Anticonvulsants (phenytoin) and
muscle relaxants (gabapentin, topiramate)
Who monitors and disciplines the nurse practitioners? Correct Answers: BON
What presents as an abrupt onset of facial paralysis due to dysfunction of the motor branch of the
facial nerve (7)? Correct Answers: Bell's Palsy
- Additional sx: Tear production on the affected side stops
- Causes: viral, autoimmune, pressure from tumor or vessel
What presents as idiopathic and severe one-sided headache marked by recurrent, brief, lacerating
pain behind one eye accompanied by tearing and clear rhinitis? Correct Answers: Cluster Headache
- Presents in males 30-40 yrs of age
- Higher rate of suicide r/t intense pain
- Tx: high dose 100% Oxygen 12L/min for 15 minutes, sumatriptan by intranasal or IM
What is reliability? Correct Answers: Repeatable, reproducible, consistent
Symptoms of tension headache? Correct Answers: Band-like tightness headache, dull and constant,
tensing of neck muscles
What does the dependent variable depend on? Correct Answers: Independent variable
What is described by transient episode of neurological dysfunction caused by focal ischemia without
acute infection of the brain? Correct Answers: TIA (mini stroke or minor stroke)
What does the FAST mnemonic stand for? Correct Answers: Face drooping, arm weakness, speech
difficulty, time to call 911
,What is the term for brain damage that presents with the patients no difficulty comprehending speech
but has extreme difficulty in motor aspect of speech? Correct Answers: Broca's aphasia
- May only be able to speak 4 words
- Patient understands but difficulty expressing
What is apraxia? Correct Answers: Difficulty w/ purposeful movement
Is suspected child abuse reportable? Correct Answers: Always reportable
How do you illicit tinel's sign? Correct Answers: Tap on anterior wrist - median nerve
- Evaluates carpal tunnel syndrome
What disease of conditions assess Phalen's sign (flex wrist and hold dorsal side of hands together)?
Correct Answers: Carpal Tunnel Syndrome (affects median nerve)
What is EMTALA? Correct Answers: Emergency Medical Treatment and Active Labor Act- stabilize
patient before transfer
Can be caused by embolism, thrombus, or hemorrhage and results in permanent neurological
damage from ischemia to affected brain tissues? Correct Answers: CVA or Stroke
What is COBRA? Correct Answers: Insurance after you leave a job paid for by self, gap-insurance,
18 months, you pay the premium that former employer was paying for
What is cranial nerve XI? Correct Answers: Spinal accessory, shrug the shoulders
What can result from shingles in the cranial nerve V of the ophthalmic branch? Correct Answers:
Postherpetic neuralgia
- Corneal blindness can result
The name for the nodes on the PIP joints secondary to arthritis? Correct Answers: Bouchard's nodes
(DIP are Heberden's *remember PIP comes before DIP because proximal is closest to the body just
like B in bouchards comes before H in heberdens)
What is the most sensitive screening test for thyroid function? Correct Answers: TSH
What do you call the genetic defect called trisomy 21? Correct Answers: Down syndrome
- Face appears flat, ears are low-set, upward slanting eyes
- Average lifespan is 60 yrs
What presents as a small head, shortened palpebral fissures, flat nasal bridge, smooth philthrum?
Correct Answers: Fetal alcohol syndrome
What is covered in Medicare part D? Correct Answers: Rx - only the drugs on the formulary list
Which type of cancer has increased risk w/ cryptorchidism? Correct Answers: testicular cancer
- Even if it has been repaired, then risk is still increased
What disease is described as injected red conjunctiva, w/ profuse purulent discharge, swollen eye
lids, and presents 2-5 days after birth? Correct Answers: Gonococcal opthalmia neonatorum
, - Tx: apply erythromycin ointment 1cm ribbon per eye, immediately after birth (prophylaxis)
What condition associated w/ vaginal birth shows 4-10 days after birth w/ eyelids become edematous,
with red, profuse watery discharge that becomes purulent? Correct Answers: Chlamydia opthalmia
neonatorum
- Appears initially watery then purulent and 4-10 days after birth
How is infant mortality defined? Correct Answers: The # of deaths <12 mos of age in 1,000 live births
What is defined as unexplained and sudden death in healthy infants <12 mos. Correct Answers:
Sudden infant death syndrome (SIDS)
- Back to sleep, avoid thick blankets,
How much weight are newborns expected to lose during the first 5-7 days of life? Correct Answers:
10%
What is covered by medicare part A? Correct Answers: Inpatient services for >65 yrs or ESRD at any
age and hospitalizations, skilled nursing care included, hospice included, rehab included (NOT
ASSISTED LIVING)
Most common type of spots seen in children; appears as blue to black patches of colored skin usually
in the lumbosacral area Correct Answers: Mongolian spots
- Disappears by 2-3 years of age
- May be mistaken as child abuse
Do you need to confirm child abuse before reporting? Correct Answers: No, report suspected child
abuse, no need to confront caregiver
What condition presents w/ 2-3cm papules, white, on the forehead, and resolves spontaneously?
Correct Answers: Milia
- Caused by retention of sebaceous filaments
What is faun tail nevus? Correct Answers: Tufts of hair in the lumbosacral area, coccyx region
- Rule out spina bifida
- Conduct neurological exam and u/s
What do you need to rule out when you see cafe au lait spots? Correct Answers: Flat light brown
spots > 2-5mm patches, if there are 6 or more spots then rule out...
neurofibromatosis
Are routine dental exams covered by Medicare part B? Correct Answers: No
At what are age children expected to have 20/20 vision? Correct Answers: 6 yrs of age
When do you refer for strabismus? Correct Answers: If a child is >6 mos old
- Red flags: absent of red reflex, presence of white reflex
What is leukocoria? Correct Answers: Presence of a white reflex
-may be indicative of retinoblastoma
