ANCC Questions
What is the first line treatment for temporal arteritis? - answer High-dose steroids
because it's an inflammatory response
Why is an anecdotal or expert opinion lowest on the research hierarchy? - answer 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? - answer 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? - answer Polymyalgia rheumatica (PMR)
Are routine eye exams covered by Medicare part B? - answer No
In trigeminal neuralgia, which cranial nerve is affected? - answer V
What is the treatment for trigeminal neuralgia? - answer Anticonvulsants (phenytoin)
and muscle relaxants (gabapentin, topiramate)
Who monitors and disciplines the nurse practitioners? - answer BON
What presents as an abrupt onset of facial paralysis due to dysfunction of the motor
branch of the facial nerve (7)? - answer 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? - answer
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? - answer Repeatable, reproducible, consistent
Symptoms of tension headache? - answer Band-like tightness headache, dull and
constant, tensing of neck muscles
What does the dependent variable depend on? - answer Independent variable
What is described by transient episode of neurological dysfunction caused by focal
ischemia without acute infection of the brain? - answer TIA (mini stroke or minor stroke)
What does the FAST mnemonic stand for? - answer Face drooping, arm weakness,
speech difficulty, time to call 911
,ANCC Questions
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? - answer
Broca's aphasia
- May only be able to speak 4 words
- Patient understands but difficulty expressing
What is apraxia? - answer Difficulty w/ purposeful movement
Is suspected child abuse reportable? - answer Always reportable
How do you illicit tinel's sign? - answer 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)? - answer Carpal Tunnel Syndrome (affects median nerve)
What is EMTALA? - answer 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? - answer CVA or Stroke
What is COBRA? - answer 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? - answer Spinal accessory, shrug the shoulders
What can result from shingles in the cranial nerve V of the ophthalmic branch? - answer
Postherpetic neuralgia
- Corneal blindness can result
The name for the nodes on the PIP joints secondary to arthritis? - answer 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? - answer TSH
What do you call the genetic defect called trisomy 21? - answer 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? - answer Fetal alcohol syndrome
, ANCC Questions
What is covered in Medicare part D? - answer Rx - only the drugs on the formulary list
Which type of cancer has increased risk w/ cryptorchidism? - answer 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? - answer 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? -
answer Chlamydia opthalmia neonatorum
- Appears initially watery then purulent and 4-10 days after birth
How is infant mortality defined? - answer 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. - answer
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? -
answer 10%
What is covered by medicare part A? - answer 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 - answer Mongolian spots
- Disappears by 2-3 years of age
- May be mistaken as child abuse
Do you need to confirm child abuse before reporting? - answer No, report suspected
child abuse, no need to confront caregiver
What condition presents w/ 2-3cm papules, white, on the forehead, and resolves
spontaneously? - answer Milia
- Caused by retention of sebaceous filaments
What is faun tail nevus? - answer Tufts of hair in the lumbosacral area, coccyx region
- Rule out spina bifida
- Conduct neurological exam and u/s
What is the first line treatment for temporal arteritis? - answer High-dose steroids
because it's an inflammatory response
Why is an anecdotal or expert opinion lowest on the research hierarchy? - answer 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? - answer 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? - answer Polymyalgia rheumatica (PMR)
Are routine eye exams covered by Medicare part B? - answer No
In trigeminal neuralgia, which cranial nerve is affected? - answer V
What is the treatment for trigeminal neuralgia? - answer Anticonvulsants (phenytoin)
and muscle relaxants (gabapentin, topiramate)
Who monitors and disciplines the nurse practitioners? - answer BON
What presents as an abrupt onset of facial paralysis due to dysfunction of the motor
branch of the facial nerve (7)? - answer 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? - answer
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? - answer Repeatable, reproducible, consistent
Symptoms of tension headache? - answer Band-like tightness headache, dull and
constant, tensing of neck muscles
What does the dependent variable depend on? - answer Independent variable
What is described by transient episode of neurological dysfunction caused by focal
ischemia without acute infection of the brain? - answer TIA (mini stroke or minor stroke)
What does the FAST mnemonic stand for? - answer Face drooping, arm weakness,
speech difficulty, time to call 911
,ANCC Questions
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? - answer
Broca's aphasia
- May only be able to speak 4 words
- Patient understands but difficulty expressing
What is apraxia? - answer Difficulty w/ purposeful movement
Is suspected child abuse reportable? - answer Always reportable
How do you illicit tinel's sign? - answer 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)? - answer Carpal Tunnel Syndrome (affects median nerve)
What is EMTALA? - answer 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? - answer CVA or Stroke
What is COBRA? - answer 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? - answer Spinal accessory, shrug the shoulders
What can result from shingles in the cranial nerve V of the ophthalmic branch? - answer
Postherpetic neuralgia
- Corneal blindness can result
The name for the nodes on the PIP joints secondary to arthritis? - answer 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? - answer TSH
What do you call the genetic defect called trisomy 21? - answer 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? - answer Fetal alcohol syndrome
, ANCC Questions
What is covered in Medicare part D? - answer Rx - only the drugs on the formulary list
Which type of cancer has increased risk w/ cryptorchidism? - answer 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? - answer 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? -
answer Chlamydia opthalmia neonatorum
- Appears initially watery then purulent and 4-10 days after birth
How is infant mortality defined? - answer 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. - answer
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? -
answer 10%
What is covered by medicare part A? - answer 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 - answer Mongolian spots
- Disappears by 2-3 years of age
- May be mistaken as child abuse
Do you need to confirm child abuse before reporting? - answer No, report suspected
child abuse, no need to confront caregiver
What condition presents w/ 2-3cm papules, white, on the forehead, and resolves
spontaneously? - answer Milia
- Caused by retention of sebaceous filaments
What is faun tail nevus? - answer Tufts of hair in the lumbosacral area, coccyx region
- Rule out spina bifida
- Conduct neurological exam and u/s
