ACNP Exam Review With Complete Solutions
Questions And Answers
What percentage of the physicians fee schedule does Medicare typically pay a nurse practitioner?
Correct answer: 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How should
you treat after high pressure irrigation with normal saline? Correct answer: Leave wound open
In addition to infection by helicobacter pylori ( H. Pylori), Peptic ulcers may arise from regular use of
certain medications and other condition. In which of the following populations of patients is
prophylactic therapy not indicated for ulcers induced by non-steroidal anti-inflammatory drug? Correct
answer: Patients taking potent antihypertensives
You are a nurse practitioner about to leave your current clinic for another. Your employer, The clinic,
Is not legally allowed to divulge: Correct answer: Treatment Received for work place accidents
A 36-year-old male comes to your office for his annual Physical examination. He asked if it is
necessary to come in annually for a physical exam at his age. You tell the patient that at his age he
needs to get a physical exam every: Correct answer: 5 to 6 years
Which of the following CN is most implicated in the diagnosis of Bell's palsy Correct answer: CN VII
What percentage of the physician fee schedule does Medicare typically pay a nurse practitioner?
Correct answer: 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How should
you treat after high pressure irrigation with normal saline? Correct answer: Leave wound open
You are visited by 29-year-old Henry, Whom you have seen for tachycardia. Henry now notices
strange sounds coming from his heart. Well there have been no other physical findings, Henry is
worried that his symptom is related to his heart condition. The heart sound is low pitched and occurs
during the first part sound. Of the following conditions which is the most likely diagnosis? Correct
answer: Mitral stenosis
Of the following, which is NOT a goal of the "Healthy People 2020" program? Correct answer:
Provide healthcare for the uninsured
Which of the following is NOT a cause of pericarditis? Correct answer: Bacteria
According to the latest treatment guidelines, the preferred first-line pharmacological treatment
regimen for acute cystitis would include: Correct answer: Trimethoprim-sulfamethoxazole (TMP-SMZ)
For the outpatient management of peptic ulcer disease, patients should take H2 receptor antagonists
at what time? Correct answer: Every day at hours of sleep
, Mr. Tanaka, a 79-y/o Japanese male, just migrated to the United States to live with his son after the
death of his wife. When interpreting his purified protein derivative (PPD) test, according to national
recommendations, which of the following induration results would qualify this patient as testing
positive, thereby requiring chemoprophylaxis? Correct answer: 11 mm
Your patient tells you that she is currently dating a man who is admittedly hepatitis B positive. She
has not yet engaged in any sexual activity with him because she wants to find out more about the
virus, and she asks for your advice. Which of the following is NOT true? Correct answer: The
incubation period is typically four to six weeks
A patient is in the emergency department receiving parenteral nutritional support after having major
gastrointestinal surgery. The nurse practitioner should be aware of which complication of parenteral
support in this patient? Correct answer: Pneumothorax
In terms of hemodynamic monitoring, which of the following reflects a normal cardiac output and
cardiac index: Correct answer: 5 and 3
A 42-y/o Female who has been living with HIV for the past five years visits your office for her regular
tests. Her lab results reveal a CD4 count of 250, but she states that she feels "altogether fine." Of the
following options for her treatment, which is most appropriate? Correct answer: Antiretroviral therapy
A woman presents to your office with complaints of frequent dizziness and weakness. She adds, "I
dropped my brush for no reason when applying I make up." A laboratory analysis reveals the patient
is anemic. You perform a Romberg test, And she produces positive results, Swaying from side to
side. What is the most likely diagnosis? Correct answer: Pernicious anemia
You are treating a 69-year-old female patient with atrial fibrillation and metabolic syndrome. Which of
the following represents a therapeutic Coumadin level Correct answer: 2.6
What Is the most appropriate age to start chlamydia screening for adolescents? Correct answer: 25
years or younger
The nurse practitioners ordered cryoprecipitate for her patient with disseminated intravascular
coagulation, Understanding that this therapy is used specifically to: Correct answer: Maintain
fibrinogen levels
After presenting with white vaginal discharge, as well as vulvovaginal erythema with pruritus, you
diagnose 38-year-old Tess with candidiasis vulvovaginitis. Tess wants the condition to be treated as
soon as possible. Which of the following is the best treatment? Correct answer: Miconazole
A fatigued 40-year-old female comes into your office with malaise, As well as pain and stiffness in her
joints. While taking her medical history, You learn she has decreased appetite and weight loss in
recent months. You suspect rheumatoid arthritis. What x-ray findings are NOT indicative of this
condition? Correct answer: Thickening of the subchondral bone
You are performing a routine check up on HIV-positive patient, And you are considering which
vaccinations to order. Of the following vaccines, Which will put the patient at lowest health risk?
Correct answer: Tdap and hepatitis B
Questions And Answers
What percentage of the physicians fee schedule does Medicare typically pay a nurse practitioner?
Correct answer: 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How should
you treat after high pressure irrigation with normal saline? Correct answer: Leave wound open
In addition to infection by helicobacter pylori ( H. Pylori), Peptic ulcers may arise from regular use of
certain medications and other condition. In which of the following populations of patients is
prophylactic therapy not indicated for ulcers induced by non-steroidal anti-inflammatory drug? Correct
answer: Patients taking potent antihypertensives
You are a nurse practitioner about to leave your current clinic for another. Your employer, The clinic,
Is not legally allowed to divulge: Correct answer: Treatment Received for work place accidents
A 36-year-old male comes to your office for his annual Physical examination. He asked if it is
necessary to come in annually for a physical exam at his age. You tell the patient that at his age he
needs to get a physical exam every: Correct answer: 5 to 6 years
Which of the following CN is most implicated in the diagnosis of Bell's palsy Correct answer: CN VII
What percentage of the physician fee schedule does Medicare typically pay a nurse practitioner?
Correct answer: 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How should
you treat after high pressure irrigation with normal saline? Correct answer: Leave wound open
You are visited by 29-year-old Henry, Whom you have seen for tachycardia. Henry now notices
strange sounds coming from his heart. Well there have been no other physical findings, Henry is
worried that his symptom is related to his heart condition. The heart sound is low pitched and occurs
during the first part sound. Of the following conditions which is the most likely diagnosis? Correct
answer: Mitral stenosis
Of the following, which is NOT a goal of the "Healthy People 2020" program? Correct answer:
Provide healthcare for the uninsured
Which of the following is NOT a cause of pericarditis? Correct answer: Bacteria
According to the latest treatment guidelines, the preferred first-line pharmacological treatment
regimen for acute cystitis would include: Correct answer: Trimethoprim-sulfamethoxazole (TMP-SMZ)
For the outpatient management of peptic ulcer disease, patients should take H2 receptor antagonists
at what time? Correct answer: Every day at hours of sleep
, Mr. Tanaka, a 79-y/o Japanese male, just migrated to the United States to live with his son after the
death of his wife. When interpreting his purified protein derivative (PPD) test, according to national
recommendations, which of the following induration results would qualify this patient as testing
positive, thereby requiring chemoprophylaxis? Correct answer: 11 mm
Your patient tells you that she is currently dating a man who is admittedly hepatitis B positive. She
has not yet engaged in any sexual activity with him because she wants to find out more about the
virus, and she asks for your advice. Which of the following is NOT true? Correct answer: The
incubation period is typically four to six weeks
A patient is in the emergency department receiving parenteral nutritional support after having major
gastrointestinal surgery. The nurse practitioner should be aware of which complication of parenteral
support in this patient? Correct answer: Pneumothorax
In terms of hemodynamic monitoring, which of the following reflects a normal cardiac output and
cardiac index: Correct answer: 5 and 3
A 42-y/o Female who has been living with HIV for the past five years visits your office for her regular
tests. Her lab results reveal a CD4 count of 250, but she states that she feels "altogether fine." Of the
following options for her treatment, which is most appropriate? Correct answer: Antiretroviral therapy
A woman presents to your office with complaints of frequent dizziness and weakness. She adds, "I
dropped my brush for no reason when applying I make up." A laboratory analysis reveals the patient
is anemic. You perform a Romberg test, And she produces positive results, Swaying from side to
side. What is the most likely diagnosis? Correct answer: Pernicious anemia
You are treating a 69-year-old female patient with atrial fibrillation and metabolic syndrome. Which of
the following represents a therapeutic Coumadin level Correct answer: 2.6
What Is the most appropriate age to start chlamydia screening for adolescents? Correct answer: 25
years or younger
The nurse practitioners ordered cryoprecipitate for her patient with disseminated intravascular
coagulation, Understanding that this therapy is used specifically to: Correct answer: Maintain
fibrinogen levels
After presenting with white vaginal discharge, as well as vulvovaginal erythema with pruritus, you
diagnose 38-year-old Tess with candidiasis vulvovaginitis. Tess wants the condition to be treated as
soon as possible. Which of the following is the best treatment? Correct answer: Miconazole
A fatigued 40-year-old female comes into your office with malaise, As well as pain and stiffness in her
joints. While taking her medical history, You learn she has decreased appetite and weight loss in
recent months. You suspect rheumatoid arthritis. What x-ray findings are NOT indicative of this
condition? Correct answer: Thickening of the subchondral bone
You are performing a routine check up on HIV-positive patient, And you are considering which
vaccinations to order. Of the following vaccines, Which will put the patient at lowest health risk?
Correct answer: Tdap and hepatitis B
