ANCC EXAM LATEST 2024 REAL EXAM 200
QUESTIONS WITH CORRECT ANSWERS
ALREADY GRADED A+
A 2.5-year-old child has anal itching and has been awakening at night. The PNP
diagnoses:
A) Sexual abuse
B) Pinworms
C) Hemorrhoids
D) Rectal fistula
The PNP is evaluating an 8-year-old child with an eye injury. About 1 hour ago the child
was hit in the eye with a foreign body. When the eye is stained with fluorescein, a
vertical linear abrasion is visible. The pupils are equal in size and reactive, and a
positive red reflex is noted bilaterally. There are no abnormal extra ocular movements.
No foreign body is visible. An appropriate plan of care for this patient would include the
following:
A) Close both eyes, and apply eye patches
B) Instill ophthalmic steroid drops three times a day, but do not apply an eye patch
C) Apply antibiotic ointment, but do not apply an eye patch
D) Instill antibiotic drops, and apply patches over both eyes
A 4-year-old child is brought to the clinic with ulcers on the tongue and oral mucosa.
There are vesicles on the palms, soles, and interdigital areas. The PNP diagnoses:
A) Rubella
B) Infectious mononucleosis
C) Her angina
D) Hand-foot-and-mouth disease
,The PNP discusses the use of trimethoprim/sulfamethoxazole (Bactrim) in infants 2
months old and younger with the PNP student. The antibiotic should not be prescribed
in the infant because:
A) The infant has low renal clearance
B) The infant has rapid renal clearance
C) The drug causes decreased gastric emptying
D) The infant has an immature liver and protein binding ability
A 16-year-old adolescent comes to the school-based clinic with chest pain. The most
common cause of cardiac pain in children and adolescents is:
A) Myocarditis
B) Tachycardia
C) Mitral valve prolapses
D) Periventricular contractions
The most sensitive physical finding for the diagnosis of testicular torsion is:
A) The alleviation of pain when the testis is elevated
B) Pain lasting for hours or days
C) Abnormal results of urine culture
D) Absence of the cremasteric reflex
A 14-year-old adolescent has pain in the knee. The pain increases with activity and is
relieved with rest. The PNP diagnoses Osgood-Shatter disease and orders:
A) An x-ray examination, application of hot packs to the knee, and rest
B) Application of hot packs to the knee, aspirin, and rest
C) A reduction in activity, application of ice to the knee, and ibuprofen
D) Application of ice to the knee and continued participation in sports
The PNP in the Emergency Department is evaluating a 3-year-old child with a history of
sudden onset of high fever and stridor. The child refuses to move and is sitting upright,
, leaning forward with the mouth open, and drooling. The safest and most helpful
diagnostic test to order now would be:
A) Urine culture
B) A lateral neck x-ray film
C) A chest x-ray film
D) A throat culture
In evaluating a 7-year-old child for ADHD, the PNP questions the parents about
reported behavior at school. Of the following symptoms, which would be most
descriptive of ADHD?
A) The child will not listen to direction or when spoken to, submits messy papers with
careless mistakes, runs about or climbs excessively, has difficulty sustaining attention,
and exhibits intrusive behavior
B) The child has a short attention span, has difficulty listening, has difficulty organizing
tasks, and interrupts others who are talking
C) The child seems to want attention, has a short attention span for schoolwork, talks
out of turn, fidgets a lot, and interrupts others
D) The child wants attention, makes careless mistakes in schoolwork, has difficulty
taking turns, and fidgets a lot
A 6-year-old child with asthma is brought to the clinic because the parents have noticed
daily wheezing for the past week, especially during the night. The PNP recognizes that
this may indicate the child has:
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
QUESTIONS WITH CORRECT ANSWERS
ALREADY GRADED A+
A 2.5-year-old child has anal itching and has been awakening at night. The PNP
diagnoses:
A) Sexual abuse
B) Pinworms
C) Hemorrhoids
D) Rectal fistula
The PNP is evaluating an 8-year-old child with an eye injury. About 1 hour ago the child
was hit in the eye with a foreign body. When the eye is stained with fluorescein, a
vertical linear abrasion is visible. The pupils are equal in size and reactive, and a
positive red reflex is noted bilaterally. There are no abnormal extra ocular movements.
No foreign body is visible. An appropriate plan of care for this patient would include the
following:
A) Close both eyes, and apply eye patches
B) Instill ophthalmic steroid drops three times a day, but do not apply an eye patch
C) Apply antibiotic ointment, but do not apply an eye patch
D) Instill antibiotic drops, and apply patches over both eyes
A 4-year-old child is brought to the clinic with ulcers on the tongue and oral mucosa.
There are vesicles on the palms, soles, and interdigital areas. The PNP diagnoses:
A) Rubella
B) Infectious mononucleosis
C) Her angina
D) Hand-foot-and-mouth disease
,The PNP discusses the use of trimethoprim/sulfamethoxazole (Bactrim) in infants 2
months old and younger with the PNP student. The antibiotic should not be prescribed
in the infant because:
A) The infant has low renal clearance
B) The infant has rapid renal clearance
C) The drug causes decreased gastric emptying
D) The infant has an immature liver and protein binding ability
A 16-year-old adolescent comes to the school-based clinic with chest pain. The most
common cause of cardiac pain in children and adolescents is:
A) Myocarditis
B) Tachycardia
C) Mitral valve prolapses
D) Periventricular contractions
The most sensitive physical finding for the diagnosis of testicular torsion is:
A) The alleviation of pain when the testis is elevated
B) Pain lasting for hours or days
C) Abnormal results of urine culture
D) Absence of the cremasteric reflex
A 14-year-old adolescent has pain in the knee. The pain increases with activity and is
relieved with rest. The PNP diagnoses Osgood-Shatter disease and orders:
A) An x-ray examination, application of hot packs to the knee, and rest
B) Application of hot packs to the knee, aspirin, and rest
C) A reduction in activity, application of ice to the knee, and ibuprofen
D) Application of ice to the knee and continued participation in sports
The PNP in the Emergency Department is evaluating a 3-year-old child with a history of
sudden onset of high fever and stridor. The child refuses to move and is sitting upright,
, leaning forward with the mouth open, and drooling. The safest and most helpful
diagnostic test to order now would be:
A) Urine culture
B) A lateral neck x-ray film
C) A chest x-ray film
D) A throat culture
In evaluating a 7-year-old child for ADHD, the PNP questions the parents about
reported behavior at school. Of the following symptoms, which would be most
descriptive of ADHD?
A) The child will not listen to direction or when spoken to, submits messy papers with
careless mistakes, runs about or climbs excessively, has difficulty sustaining attention,
and exhibits intrusive behavior
B) The child has a short attention span, has difficulty listening, has difficulty organizing
tasks, and interrupts others who are talking
C) The child seems to want attention, has a short attention span for schoolwork, talks
out of turn, fidgets a lot, and interrupts others
D) The child wants attention, makes careless mistakes in schoolwork, has difficulty
taking turns, and fidgets a lot
A 6-year-old child with asthma is brought to the clinic because the parents have noticed
daily wheezing for the past week, especially during the night. The PNP recognizes that
this may indicate the child has:
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
