ANCC PRACTICE QUESTIONS, PREDICTOR
EXAM, AANP PREP, PSI 3, PSI 1, PSI 2
1.All of the following are classified as activities of daily living (ADL), except:
Ability to feed self (self-feeding)
Ability to manage bladder and bowel elimination
Personal hygiene and grooming
Grocery shopping
(correct answers)Grocery shopping
2.Which diagnosis describes a chronic disease of the apocrine follicles and glands, characterized by
clusters of abscesses and pustules in the axilla, groin, and perianal area?
(correct answers)Hidradenitis suppurativa
3.A woman at 32 weeks' gestation has a positive throat culture for Streptococcus pyogenes (strep
throat). She denies allergies but becomes very nauseated with erythromycin. Which of the following is
the best choice for this pregnant patient?
(correct answers)Penicillin (Pen VK)Penicillin (Pen VK)
valproic acid levels (correct answers)50-100 mcg/mL
,4.A 24-year-old patient with a history of epilepsy presents to the clinic with complaints of fatigue and
unexplained bruising. The patient is taking valproic acid and has a diagnostic level of 75 mcg/mL. Which
additional laboratory assessment will the nurse practitioner use to determine the patient's diagnosis?
(Select all that apply.)
(correct answers)Blood smear
Reticulocyte count
Complete blood count with differential
multiple myeloma (MM), evaluated by the CRAB mnemonic (correct answers)hyper Calcemia, Renal
dysfunction, Anemia, and Bone lesions).
5.All of the following medications have drug interactions with levothyroxine (Synthroid), except:
Antacids
Tricyclic antidepressants
Anticoagulants
Penicillins (correct answers)Penicillins
A 75-year-old male patient with bone pain has the following lab values: calcium = 2.76 mmol/L,
creatinine = 175 mmol/L, hemoglobin = 9.9 g/dL, and blood serum monoclonal protein = 8 g/dL. What
are the treatment steps for this patient? (correct answers)Induction therapy, stem cell transplant,
consolidation therapy, salvage therapy
Erythromycin 200 mg with sulfisoxazole 600 mg suspension (Pediazole) is contraindicated in which of
the following conditions? (correct answers)Glucose-6-phosphate dehydrogenase (G6PD) deficiency
anemia
,An elderly male patient is complaining of shortness of breath on minimal exertion. He has a long history
of chronic obstructive pulmonary disease (COPD) and hypertension. Respirations are 28 breaths/minute.
Upon auscultation, lung and heart sounds are diminished. Which of the following will the nurse
practitioner avoid when treating this patient?
Anticholinergics
Short-acting beta agonists
Influenza vaccination
Pneumococcal vaccination (correct answers)Short-acting beta agonists
High-grade squamous interepithelial lesions (HSILs) were found in a Pap specimen for a 26-year-old
patient. The nurse practitioner will: (correct answers)Refer the patient for loop electrosurgical excision
procedure
The cytology (Pap smear) results for a 35-year-old woman reveal a high-grade squamous intraepithelial
lesion (HSIL) of the cervix. The human papillomavirus (HPV) test is positive for the type 16 strain. Place
each action in chronological order (correct answers)Refer the patient for a colposcopy, (2) obtain
cervical biopsy specimens for pathologic evaluation, and (3) perform LEEP for removal of cancerous
cervical tissue.
atypical (Mycoplasma) (correct answers)<35 years old, malaise, sore throat, dry cough, paroxysmal
coughing,
A chest radiograph shows an area of consolidation on the lower lobe of the lung. Which of the following
conditions is most likely? (correct answers)Bacterial
, A 68-year-old patient recently prescribed caridopa-levodopa (Sinemet) tells the nurse practitioner that
he has been bloated and is experiencing difficulty with bowel movements. Which will the nurse
practitioner incorporate into the treatment plan? (correct answers)osmotic laxatives such as
polyethylene glycol.
A 45-year-old female presents with complaints of anxiety, insomnia, weight loss, the inability to
concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following: thyroid-stimulating
hormone (TSH) of 0.02 mU/L, T3 of 253 ng/dL, T4 of 20 g/dL, and 6-hour radioactive iodine uptake
(RAIU) of 85%. Which diagnosis is most likely? (correct answers)Graves' disease
The result of a postmenopausal woman's dual-energy x-ray absorption (DEXA) scan shows osteopenia.
Which of the following T-scores is indicative of osteopenia?
T-score of −1.0 or higher (correct answers)T-score of −1.0 to −2.5
What effect does finasteride (Proscar) have on prostate-specific antigen (PSA) levels in patients with
prostate cancer? (correct answers)The chronic effect of finasteride is the stabilization of the PSA
Which type of fracture is referred to as the dinner fork fracture? (correct answers)Colles' fracture
A 35-year-old man has a history of an upper respiratory viral infection 4 weeks ago. He reports that he
started feeling short of breath and now complains of sharp pain in the middle of his chest that seems to
worsen when he lies down. The patient's physical exam is within normal limits with the exception of a
precordial rub on auscultation. Which diagnosis is most likely? (correct answers)Pericarditis
EXAM, AANP PREP, PSI 3, PSI 1, PSI 2
1.All of the following are classified as activities of daily living (ADL), except:
Ability to feed self (self-feeding)
Ability to manage bladder and bowel elimination
Personal hygiene and grooming
Grocery shopping
(correct answers)Grocery shopping
2.Which diagnosis describes a chronic disease of the apocrine follicles and glands, characterized by
clusters of abscesses and pustules in the axilla, groin, and perianal area?
(correct answers)Hidradenitis suppurativa
3.A woman at 32 weeks' gestation has a positive throat culture for Streptococcus pyogenes (strep
throat). She denies allergies but becomes very nauseated with erythromycin. Which of the following is
the best choice for this pregnant patient?
(correct answers)Penicillin (Pen VK)Penicillin (Pen VK)
valproic acid levels (correct answers)50-100 mcg/mL
,4.A 24-year-old patient with a history of epilepsy presents to the clinic with complaints of fatigue and
unexplained bruising. The patient is taking valproic acid and has a diagnostic level of 75 mcg/mL. Which
additional laboratory assessment will the nurse practitioner use to determine the patient's diagnosis?
(Select all that apply.)
(correct answers)Blood smear
Reticulocyte count
Complete blood count with differential
multiple myeloma (MM), evaluated by the CRAB mnemonic (correct answers)hyper Calcemia, Renal
dysfunction, Anemia, and Bone lesions).
5.All of the following medications have drug interactions with levothyroxine (Synthroid), except:
Antacids
Tricyclic antidepressants
Anticoagulants
Penicillins (correct answers)Penicillins
A 75-year-old male patient with bone pain has the following lab values: calcium = 2.76 mmol/L,
creatinine = 175 mmol/L, hemoglobin = 9.9 g/dL, and blood serum monoclonal protein = 8 g/dL. What
are the treatment steps for this patient? (correct answers)Induction therapy, stem cell transplant,
consolidation therapy, salvage therapy
Erythromycin 200 mg with sulfisoxazole 600 mg suspension (Pediazole) is contraindicated in which of
the following conditions? (correct answers)Glucose-6-phosphate dehydrogenase (G6PD) deficiency
anemia
,An elderly male patient is complaining of shortness of breath on minimal exertion. He has a long history
of chronic obstructive pulmonary disease (COPD) and hypertension. Respirations are 28 breaths/minute.
Upon auscultation, lung and heart sounds are diminished. Which of the following will the nurse
practitioner avoid when treating this patient?
Anticholinergics
Short-acting beta agonists
Influenza vaccination
Pneumococcal vaccination (correct answers)Short-acting beta agonists
High-grade squamous interepithelial lesions (HSILs) were found in a Pap specimen for a 26-year-old
patient. The nurse practitioner will: (correct answers)Refer the patient for loop electrosurgical excision
procedure
The cytology (Pap smear) results for a 35-year-old woman reveal a high-grade squamous intraepithelial
lesion (HSIL) of the cervix. The human papillomavirus (HPV) test is positive for the type 16 strain. Place
each action in chronological order (correct answers)Refer the patient for a colposcopy, (2) obtain
cervical biopsy specimens for pathologic evaluation, and (3) perform LEEP for removal of cancerous
cervical tissue.
atypical (Mycoplasma) (correct answers)<35 years old, malaise, sore throat, dry cough, paroxysmal
coughing,
A chest radiograph shows an area of consolidation on the lower lobe of the lung. Which of the following
conditions is most likely? (correct answers)Bacterial
, A 68-year-old patient recently prescribed caridopa-levodopa (Sinemet) tells the nurse practitioner that
he has been bloated and is experiencing difficulty with bowel movements. Which will the nurse
practitioner incorporate into the treatment plan? (correct answers)osmotic laxatives such as
polyethylene glycol.
A 45-year-old female presents with complaints of anxiety, insomnia, weight loss, the inability to
concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following: thyroid-stimulating
hormone (TSH) of 0.02 mU/L, T3 of 253 ng/dL, T4 of 20 g/dL, and 6-hour radioactive iodine uptake
(RAIU) of 85%. Which diagnosis is most likely? (correct answers)Graves' disease
The result of a postmenopausal woman's dual-energy x-ray absorption (DEXA) scan shows osteopenia.
Which of the following T-scores is indicative of osteopenia?
T-score of −1.0 or higher (correct answers)T-score of −1.0 to −2.5
What effect does finasteride (Proscar) have on prostate-specific antigen (PSA) levels in patients with
prostate cancer? (correct answers)The chronic effect of finasteride is the stabilization of the PSA
Which type of fracture is referred to as the dinner fork fracture? (correct answers)Colles' fracture
A 35-year-old man has a history of an upper respiratory viral infection 4 weeks ago. He reports that he
started feeling short of breath and now complains of sharp pain in the middle of his chest that seems to
worsen when he lies down. The patient's physical exam is within normal limits with the exception of a
precordial rub on auscultation. Which diagnosis is most likely? (correct answers)Pericarditis
