ANCC FNP Board Exam Study Guide
Part 1 Questions & Answers:
Updated A+ Score Solution
asthma, COPD, chronic bronchitis, emphysema, second and third-degree heart
block (okay with 1st degree), sinus bradycardia; do not use Propranolol for HTN
-Calcium channel blocker - "pine"; first choice for ISH (isolated systolic HTN); side
effects include headaches (vasodilation), ankle edema (vasodilation, benign),
heart block/bradycardia (depresses cardiac muscle and AV node), reflex
tachycardia (nifedipine); contraindicated in 2nd and 3rd degree heart block,
bradycardia, CHF
Hypertension Meds Part 3 - Answer -Heart Failure: ACEI or ARB as first-line, plus
BB, plus diuretic
-DM: ACE/ARB first line, IF African American, can start with CCB or Thiazide
-CKD: ACE/ARB first line, can add CCB or Thiazide
-Stroke Hx: ACE/ARB first line, add CCb or Thiazide as second-line drugs.
-African American even with DM Thiazides and CCBs.
-Bilateral Renal artery stenosis: ACE AND ARB will WORSEN or cause acute renal
failure. CONTRAIN
Risk factors for post-menopausal osteoporosis - Answer -older women;
white/Asian descent; thin; small body frame; chronic steroids; androgen
deficiency; hypogonadism; anorexia; bulimia; gastric bypass; celiac disease;
hyperthyroidism; ankylosing spondylitis; RA; low calcium intake; vitamin D
deficiency; inadequate physical activity; alcohol/caffeine intake; smoking
,Legg-Calves-Perthes - Answer -Osteonecrosis of the capital femoral epiphysis
due to interrupted vascular supply
-Common in ages 3-12 (pre-pubescent)
-More common in males
-Pain in hip or referred to medial aspect of knee (may be present for 2-3 weeks
before complaints)
-Limp
-Positive Trendelenburg's Test (asking child to stand on affected side causes pelvic
tilt - affected side lower)
Cranial Nerves III, IV, VI to assess Extra Ocular Movement (EOM) - Answer -III -
oculomotor - eye movements, pupillary constriction, accommodation
-IV - trochlear - movement of superior oblique muscle
-VI - abducens - movement of lateral rectus muscle
-Mnemonic - LR6SO4 (lateral rectus - VI, superior oblique - IV)
Dementia - executive function - Answer -Ability to manage a calendar
How to treat chlamydia in pregnant woman - Answer -Azithromycin 1g PO single
dose or Amoxicillin 500mg PO TID x 7 days
-Test of cure 3 weeks after completion of treatment
Untreated gonorrhea - Answer -Women - PID, abscess, ectopic pregnancy,
infertility, can pass to baby during delivery
-Men - epididymitis, infertility
, -Both - can spread to blood and cause disseminated gonococcal infection (DGI)
which is characterized by arthritis, tenosynovitis, and/or dermatitis and may be
life-threatening; increases risk for HIV
Dacrocystitis - Answer -infection of lacrimal sac/tear duct usually caused by
blockage
-common in infants, adults over 40 also have higher risk of developing
-symptoms - thick eye discharge, pain, redness/swelling/warmth of lower eyelid,
watery eye/excess tears
-treatment - lacrimal sac massage (downward toward mouth) 2-3 times daily;
systemic antibiotics 7-10 days
Erysipelas - Answer -subtype of cellulitis involving upper dermis and superficial
lymphatics
-usually caused by Group A Strep
-symptoms - single large lesion, hot, indurated, red, clear demarcated margins,
usually found on lower legs (shins) or cheeks, fever, chills
Retinoblastoma - Answer -rare type of cancer
-diagnosed by noting white pupil or pupil with white spots on it (leukocoria) -
hallmark sign
-may affect one or both eyes
Carotid bruit - Answer -caused by carotid stenosis (cholesterol plaque
accumulation)
Murmur that radiates to the neck - Answer -Aortic stenosis
Part 1 Questions & Answers:
Updated A+ Score Solution
asthma, COPD, chronic bronchitis, emphysema, second and third-degree heart
block (okay with 1st degree), sinus bradycardia; do not use Propranolol for HTN
-Calcium channel blocker - "pine"; first choice for ISH (isolated systolic HTN); side
effects include headaches (vasodilation), ankle edema (vasodilation, benign),
heart block/bradycardia (depresses cardiac muscle and AV node), reflex
tachycardia (nifedipine); contraindicated in 2nd and 3rd degree heart block,
bradycardia, CHF
Hypertension Meds Part 3 - Answer -Heart Failure: ACEI or ARB as first-line, plus
BB, plus diuretic
-DM: ACE/ARB first line, IF African American, can start with CCB or Thiazide
-CKD: ACE/ARB first line, can add CCB or Thiazide
-Stroke Hx: ACE/ARB first line, add CCb or Thiazide as second-line drugs.
-African American even with DM Thiazides and CCBs.
-Bilateral Renal artery stenosis: ACE AND ARB will WORSEN or cause acute renal
failure. CONTRAIN
Risk factors for post-menopausal osteoporosis - Answer -older women;
white/Asian descent; thin; small body frame; chronic steroids; androgen
deficiency; hypogonadism; anorexia; bulimia; gastric bypass; celiac disease;
hyperthyroidism; ankylosing spondylitis; RA; low calcium intake; vitamin D
deficiency; inadequate physical activity; alcohol/caffeine intake; smoking
,Legg-Calves-Perthes - Answer -Osteonecrosis of the capital femoral epiphysis
due to interrupted vascular supply
-Common in ages 3-12 (pre-pubescent)
-More common in males
-Pain in hip or referred to medial aspect of knee (may be present for 2-3 weeks
before complaints)
-Limp
-Positive Trendelenburg's Test (asking child to stand on affected side causes pelvic
tilt - affected side lower)
Cranial Nerves III, IV, VI to assess Extra Ocular Movement (EOM) - Answer -III -
oculomotor - eye movements, pupillary constriction, accommodation
-IV - trochlear - movement of superior oblique muscle
-VI - abducens - movement of lateral rectus muscle
-Mnemonic - LR6SO4 (lateral rectus - VI, superior oblique - IV)
Dementia - executive function - Answer -Ability to manage a calendar
How to treat chlamydia in pregnant woman - Answer -Azithromycin 1g PO single
dose or Amoxicillin 500mg PO TID x 7 days
-Test of cure 3 weeks after completion of treatment
Untreated gonorrhea - Answer -Women - PID, abscess, ectopic pregnancy,
infertility, can pass to baby during delivery
-Men - epididymitis, infertility
, -Both - can spread to blood and cause disseminated gonococcal infection (DGI)
which is characterized by arthritis, tenosynovitis, and/or dermatitis and may be
life-threatening; increases risk for HIV
Dacrocystitis - Answer -infection of lacrimal sac/tear duct usually caused by
blockage
-common in infants, adults over 40 also have higher risk of developing
-symptoms - thick eye discharge, pain, redness/swelling/warmth of lower eyelid,
watery eye/excess tears
-treatment - lacrimal sac massage (downward toward mouth) 2-3 times daily;
systemic antibiotics 7-10 days
Erysipelas - Answer -subtype of cellulitis involving upper dermis and superficial
lymphatics
-usually caused by Group A Strep
-symptoms - single large lesion, hot, indurated, red, clear demarcated margins,
usually found on lower legs (shins) or cheeks, fever, chills
Retinoblastoma - Answer -rare type of cancer
-diagnosed by noting white pupil or pupil with white spots on it (leukocoria) -
hallmark sign
-may affect one or both eyes
Carotid bruit - Answer -caused by carotid stenosis (cholesterol plaque
accumulation)
Murmur that radiates to the neck - Answer -Aortic stenosis
