ANCC IQ Domains 1-7, ANCC PMHNP Exam Reported Questions, ANCC PMHNP COMPREHENSIVE

ANCC EXAM TEST QUESTIONS AND m m m m




ANSWERS RATED A. m m




A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing
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mpresent with complains of early morning rise finger-
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stick blood glucose. A review of an at-
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home glucose test reveals increased morning levels. After an increase in the eveni
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ng insulin dose, the problem worsens. This is most likely an example of:
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a) Insulin Resistance m




b) Insulin Allergy m




c) The Somogyi Effect m m




d) Hyperglycemia-induced hypoglycemia. m Correct Answer - m m


a) The Somogyi Effect
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A 25-years-
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old present with a chief complaint of decreased mobility and pain of the right sho
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ulder exacerbated by movements. The patient reports that he participated in exten
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sive house painting 24 hours prior to the onset of pain. He denies any trauma. Pa
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ssive ROM is intact. No redness or ecchymosis is present. What is the next step t
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o be taken in order to make a Diagnosis?
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a) Palpate the structure around the shoulder
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b) Obtain an MIR to evaluate the shoulder
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c) Order and X-Ray of the shoulder
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d) Request an EMG m m




Apply SOAPE m Correct Answer - m m




a) Palpate the structure around the shoulder Apply SOAPE
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,A 65 years-
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old male presents to his clinic complaining of increasing fatigue, dyspnea on exer
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tion ,and ankle edema during the day. He has a history of mild hypertension, for
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which he saw his physician years ago. The physician advised the patient to decrea
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se his salt intake .On physician examination the patient is tachycardia positive for
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mjugular venous distension, and positive for S3 with a systolic murmur chest X-
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ray reveals cardiomegaly with vascular redistribution
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.The nurse practitioner diagnosis is :
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a) Myocardial infarction m




b) Pneumonia
c) Congestive heart failure m m




d) Pleural effusion m Correct Answer -c) Congestive heart failure
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A 67-
m


year old patient with type 2 DM, congestive heart failure (CHF), and a mild artery
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mdisease is currently taking daily hydrochlorothiazide 25 mg daily, glipizide 10 m
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g daily; and atorvastatin (Lipitor), 20 mg h.s. Which of the following is an accura
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te statement regarding this regimen?
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a) The glipizide will increase the risk of potassium depletion....
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b) The digoxin will increase the risk of hypoglycemia.
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c) The hydrochlorothiazide will predispose the patient to digoxin toxicity
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d) The atorvastin will worsen the diabetes
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c) The hydrochlorothiazide will predispose the patient to digoxin tox
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icity


A 14 year-
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old who fell on her outstretched hand complains of proximal forearm pain X-
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ray reveals a positive fat pad sign ,and the fully extend the elbow. No definitive
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bony changes are seen on X-ray. The most likely working diagnosis is:
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a) Upper extremely sprain. m m

,b) Lateral epiconditis. m




c) Radial head fracture
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d) Olecranon bursitis m Correct Answer -c) Radial head fracture
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A 17 year-
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old female is suspected to have a Polycystic Ovary Syndrome. In addition to testo
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sterone the most appropriate diagnostic test will be:
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a) BUN, creatinine, electrolytes, and denydroeplandrosterone (DHEA).
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b) Complete blood count (BUN) ,creatinine and estrone
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c) Fasting blood sugar(FBS) ,CBC, BUN and sex hormone binding globuline
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d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroi
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d stimulating hormone (TSH) Correct Answer -
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d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroi
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d stimulating hormone (TSH)
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To assess spinal function at S1-level, which deep tendon reflex should be tested?
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a) Achilles
b) Cremasteric
c) Anal wink m




d) Patelar Correct Answer -a) Achilles
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A 20 year-
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old male present with a month history of a "bump on my testicle." He reports bein
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g sexually active, with frequent intercourse with multiple partners, which conditio
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n should be suspected?
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a) Cancer of testicles m m




b) Torsion of the testicles m m m

, c) Acute epididymitis m




d) Gonorrhea Correct Answer -a) Cancer of testicles
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An 88 year-
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old male presents with concerns about memory loss .He feels good, takes aspirin
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daily ,and has no chronic diseases ,he drives his own car ,and manages his financi
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al affairs .To evaluate his memory ,which of the fallowing tests would you choose
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?


a) Folstein Mini- Mental-State Examination.
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b) Geriatric Depression Scale m m




c) Minnesota Multiphasic personality inventory
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d) Myers -Briggs Test m m Correct Answer -a) Folstein Mini- Mental-
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State Examination m




Nonviral Microorganisms most frequently found to cause acute sinusitis are:
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a) Streptococcus pneumonie and Haemophilus influenzae m m m m




b) Streptococcus pneumonie and staphylococcus aureus m m m m




c) Staphylococcus aureus and Pseudomonas aeruginosa m m m m




d) Streptococcus pneumonie and Pseudomonas aeruginosa m m m m Correct Answer - m m


a) Streptococcus pneumonie and Haemophilus influenzae
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A 65-
m


year old female presents with shoulder and pelvic girdle pain for the past 6 month
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s .She reports recent unintentional weigh loss. On physical examination, there is p
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ain on ROM with no weakness noted. Laboratory studies show low hemoglobin a
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nd elevated sedimentation rate.Which of the fallowing is the most likely diagnosi
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s?