ANCC FNP EXAM AND PRACTICE EXAM NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Treatment for mild allergic conjunctivits -
answer>>>Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate
amount of tears (oral antihistamines may induce dry eye
syndrome)
Oral hairy leukoplakia - answer>>>elongated papilla of the
lateral aspect on the tongue
Cushing's syndrome - answer>>>caused by prolonged
exposure to high levels of cortisol (excess androgens, not
estrogen)
associated with delayed puberty and growth failure in
children and adolescents
Gynecomastia
gold standard for diagnosing Hashimoto's thyroiditis -
answer>>>Thyroid peroxidase (TPO) levels
normal TOP <35
,symptoms of low iodine - answer>>>weight gain, lethargy,
and goiter
Thiazolidinediones (TZDs) - answer>>>not to be used with
patients who have a history of bladder cancer or heart
failure
Diabetic Ketoacidosis (DKA) - answer>>>A form of
hyperglycemia in uncontrolled diabetes in which certain
acids accumulate when insulin is not available
what to do thiazide diuretics do to blood sugar? -
answer>>>associated with hyperglycemia
Pheochromocytoma - answer>>>a benign tumor of the
adrenal medulla that causes the gland to produce excess
epinephrine
symptoms: hypertension, diaphoresis (including sweaty
palms), headaches, tachycardia, hyperglycemia,
hypermetabolism, and weight loss
Alarming findings of GERD (ALARMS) -
answer>>>ALARMS
Anemia (iron deficiency)
loss of weight (involuntary)
anorexia (persistent)
recent onset of progressive symptoms in absence of
increasing risks and with previously helpful therapy
melena (tarry/blood stools) or hematemesis (vomiting
bright red blood)
,swallowing difficulty (dysphagia [difficulty swallowing],
odynophagia [painful swallowing])
1st line GERD treatment - answer>>>Acid suppression
PPI- taken once a day prior to first meal of the day for
maximum effect
H2RA- alternative to PPI
lifestyle therapies for GERD - answer>>>weight loss in
overweigh or obesity
avoiding trigger foods (chocolate, acidic foods, mint),
eating within 2-3 hours of bedtime
HOB elevation
Hep A - answer>>>fecal contaminated food or water
next steps if positive- liver function test
Hep B - answer>>>sexual contact
Hep C - answer>>>injection drug use
acute pyelonephritis symptoms - answer>>>acute onset of
high fever, chills, N/V, dysuria, frequent urination, and
unilateral flank pain
flank pain described as a deep ache
Acute Kidney Injury symptoms - answer>>>abrupt onset of
oliguria, edema and weight gain (fluid retention) and
complains of lethargy, nausea and loss of appetite
, oliguria - answer>>>urinary output <400mL/day
serum creatinine - answer>>>male: 0.7 - 1.3 mg/dL
female: 0.6 - 1.1 mg/dL
GFR value - answer>>>normal- >90mL/min
CKD- <60 for at least 3 months
<15- kidney failure
gold standard test for measuring protein excretion of the
kidneys - answer>>>24 hour urine for protein
cystitis - answer>>>urinary bladder inflammation
cause of UTI - answer>>>E.coli
what age groups are UTIs likely to progress to
pyelonephritis - answer>>>kids under 3 and pregnant
women
older females UTI symptoms - answer>>>symptoms can
be subtle, but onset of new incontinence can be a sign of
UTI
Urine dipstick of UTI - answer>>>-nitrites and
leukocytes (can be from contamination)
-only helpful if symptomatic
Urine C&S - answer>>>100.000
ACTUAL EXAM COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Treatment for mild allergic conjunctivits -
answer>>>Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate
amount of tears (oral antihistamines may induce dry eye
syndrome)
Oral hairy leukoplakia - answer>>>elongated papilla of the
lateral aspect on the tongue
Cushing's syndrome - answer>>>caused by prolonged
exposure to high levels of cortisol (excess androgens, not
estrogen)
associated with delayed puberty and growth failure in
children and adolescents
Gynecomastia
gold standard for diagnosing Hashimoto's thyroiditis -
answer>>>Thyroid peroxidase (TPO) levels
normal TOP <35
,symptoms of low iodine - answer>>>weight gain, lethargy,
and goiter
Thiazolidinediones (TZDs) - answer>>>not to be used with
patients who have a history of bladder cancer or heart
failure
Diabetic Ketoacidosis (DKA) - answer>>>A form of
hyperglycemia in uncontrolled diabetes in which certain
acids accumulate when insulin is not available
what to do thiazide diuretics do to blood sugar? -
answer>>>associated with hyperglycemia
Pheochromocytoma - answer>>>a benign tumor of the
adrenal medulla that causes the gland to produce excess
epinephrine
symptoms: hypertension, diaphoresis (including sweaty
palms), headaches, tachycardia, hyperglycemia,
hypermetabolism, and weight loss
Alarming findings of GERD (ALARMS) -
answer>>>ALARMS
Anemia (iron deficiency)
loss of weight (involuntary)
anorexia (persistent)
recent onset of progressive symptoms in absence of
increasing risks and with previously helpful therapy
melena (tarry/blood stools) or hematemesis (vomiting
bright red blood)
,swallowing difficulty (dysphagia [difficulty swallowing],
odynophagia [painful swallowing])
1st line GERD treatment - answer>>>Acid suppression
PPI- taken once a day prior to first meal of the day for
maximum effect
H2RA- alternative to PPI
lifestyle therapies for GERD - answer>>>weight loss in
overweigh or obesity
avoiding trigger foods (chocolate, acidic foods, mint),
eating within 2-3 hours of bedtime
HOB elevation
Hep A - answer>>>fecal contaminated food or water
next steps if positive- liver function test
Hep B - answer>>>sexual contact
Hep C - answer>>>injection drug use
acute pyelonephritis symptoms - answer>>>acute onset of
high fever, chills, N/V, dysuria, frequent urination, and
unilateral flank pain
flank pain described as a deep ache
Acute Kidney Injury symptoms - answer>>>abrupt onset of
oliguria, edema and weight gain (fluid retention) and
complains of lethargy, nausea and loss of appetite
, oliguria - answer>>>urinary output <400mL/day
serum creatinine - answer>>>male: 0.7 - 1.3 mg/dL
female: 0.6 - 1.1 mg/dL
GFR value - answer>>>normal- >90mL/min
CKD- <60 for at least 3 months
<15- kidney failure
gold standard test for measuring protein excretion of the
kidneys - answer>>>24 hour urine for protein
cystitis - answer>>>urinary bladder inflammation
cause of UTI - answer>>>E.coli
what age groups are UTIs likely to progress to
pyelonephritis - answer>>>kids under 3 and pregnant
women
older females UTI symptoms - answer>>>symptoms can
be subtle, but onset of new incontinence can be a sign of
UTI
Urine dipstick of UTI - answer>>>-nitrites and
leukocytes (can be from contamination)
-only helpful if symptomatic
Urine C&S - answer>>>100.000
