FNP REVIEW ACTUAL EXAM
WITH QUESTIONS AND CORRECT ANSWERS
FAMILY NURSING PRACTITIONER ANCC
BOARD EXAM TESTED AND APPROVED
Your patient has AIDS. He is in the hospital suffering from an infection. He presented with
severe watery diarrhea, abdominal cramps, nausea, malaise and has an electrolyte imbalance.
Which of the following opportunistic infections do these symptoms best describe? ----
ANSWER----cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as many as 30-40 stools
per day. The patient also has abdominal cramps, nausea, malaise and tests will show an
electrolyte balance.
A middle-age female patient presents to the clinic with a recurrence of mild hidradenitis
suppurativa after topical therapies failed. Which first-line treatment is recommended? ----
ANSWER----Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for
hidradenitis suppurativa.
Page 1 of 80
,Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in apocrine
glandbearing skin. It is a chronic, disabling disorder that progresses, often causing keloids,
contractures, and immobility. It is characterized by comedone-like follicular occlusion,
chronic and relapsing inflammation, mucopurulent discharge, and progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical presentation includes
nodules and sinus tracts (inflamed or noninflamed), abscesses, and scarring found in the
axilla, genitofemoral area, perineum, gluteal area, and inframammary area in women.
Recommended treatments include antibiotics, steroids, retinoids, dapsone, and anti-tumor
necrosis factor agents. A dermatology consultation should also be considered.
First-line treatment is a 12‑week course of an oral tetracycline (Sumycin) such as
doxycycline. For patients who do not respond to doxycycline, the next recommended step is a
combination of twice-daily clindamycin (Cleocin) and rifampicin (Rifadin) for 10-12 weeks.
If treatment fails, acitretin (Soriatane, for males and nonfertile females) or dapsone (Aczone)
may be considered by a dermatologist. In patients with moderate to severe hidradenitis
suppurativa, adalimumab (Humira) may possibly be considered.
As an FNP you understand that all of the following statements about chronic heart failure are
accurate EXCEPT: ---- ANSWER-----The preponderance is in females until the age of 75,
then there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP plans to
prescribe Benadryl for this. What is a possible adverse effect with the use of Benadryl for this
patient? ---- ANSWER----urinary retention
Page 2 of 80
,You are testing a client suspected of having Parkinson's disease. You support the client's
elbow with his forearm extended in your hand and grasp his wrist, flexing the forearm. You
find rigid resistance to this motion. This is considered which of the following? ----
ANSWER----cogwheeling
The complex network of nerve fibers that innervate the organs within the abdomen like the
gastrointestinal tract, pancreas, and gall bladder is the ---- ANSWER----enteric nervous
system
Aplastic anemia would be classified as which of the following? ---- ANSWER----normocytic
anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is known for
which of the following? ---- ANSWER----developing the "baby journal" as a systematic
method to document observed behavioral development
When providing culturally competent health care services to an American Indian elder, the
nurse practitioner understands which is traditionally true? ---- ANSWER----The "Medicine
Wheel" is used by many for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four directions; north, south, east,
and west. Traditionally each tribe has different meanings for each direction and they may
represent the season of the year or stage of life. It is aimed at providing a holistic view of life.
________________________________________
Page 3 of 80
, An understanding of different cultural preferences leads to cultural competence in healthcare.
Some patients may value traditional culture and preferences as it relates to healthcare. These
individual preferences should be included in the interview and treatment plan for patients.
Traditionally, the American Indian culture values a holistic approach to health care integrating
the person, lifestyle, environment, family, and religion. Patients adhering to these traditional
cultural practices often feel that illness is due to a lack of harmony with the physical body,
mind, spirit, and emotions. Patients may seek care from western medicine for specific
ailments while also consulting with traditional healers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural factors and assess each
individual's healthcare literacy in order to provide culturally competent care.
The nurse practitioner sees an older adult patient in the clinic with the primary report of
hearing loss and a sensation of fullness in the right ear. The nurse practitioner suspects
conductive hearing loss. Which could contribute to this? ---- ANSWER----Cerumen,
commonly called earwax, is a combination of secretions and sloughed epithelial cells that
protects the ears from infection, water, and insects. It is normally expelled from the ear canal
through natural jaw movement. When this self-cleaning process fails, cerumen can become
impacted. Cerumen impaction occludes the ear canal and can press against the tympanic
membrane, resulting in conductive hearing loss.
_________________________________________
Conductive hearing is the transition of sound from the external and middle ear to the inner
ear. Conductive hearing loss is caused by problems in the external and middle ear that
interfere with the transmission of sound and its conversion to mechanical vibration. Causes of
conductive hearing loss include obstruction of the external auditory canal by cerumen,
foreign bodies, debris from otitis externa, and large exocytosis and osteomas.
Page 4 of 80
WITH QUESTIONS AND CORRECT ANSWERS
FAMILY NURSING PRACTITIONER ANCC
BOARD EXAM TESTED AND APPROVED
Your patient has AIDS. He is in the hospital suffering from an infection. He presented with
severe watery diarrhea, abdominal cramps, nausea, malaise and has an electrolyte imbalance.
Which of the following opportunistic infections do these symptoms best describe? ----
ANSWER----cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as many as 30-40 stools
per day. The patient also has abdominal cramps, nausea, malaise and tests will show an
electrolyte balance.
A middle-age female patient presents to the clinic with a recurrence of mild hidradenitis
suppurativa after topical therapies failed. Which first-line treatment is recommended? ----
ANSWER----Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for
hidradenitis suppurativa.
Page 1 of 80
,Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in apocrine
glandbearing skin. It is a chronic, disabling disorder that progresses, often causing keloids,
contractures, and immobility. It is characterized by comedone-like follicular occlusion,
chronic and relapsing inflammation, mucopurulent discharge, and progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical presentation includes
nodules and sinus tracts (inflamed or noninflamed), abscesses, and scarring found in the
axilla, genitofemoral area, perineum, gluteal area, and inframammary area in women.
Recommended treatments include antibiotics, steroids, retinoids, dapsone, and anti-tumor
necrosis factor agents. A dermatology consultation should also be considered.
First-line treatment is a 12‑week course of an oral tetracycline (Sumycin) such as
doxycycline. For patients who do not respond to doxycycline, the next recommended step is a
combination of twice-daily clindamycin (Cleocin) and rifampicin (Rifadin) for 10-12 weeks.
If treatment fails, acitretin (Soriatane, for males and nonfertile females) or dapsone (Aczone)
may be considered by a dermatologist. In patients with moderate to severe hidradenitis
suppurativa, adalimumab (Humira) may possibly be considered.
As an FNP you understand that all of the following statements about chronic heart failure are
accurate EXCEPT: ---- ANSWER-----The preponderance is in females until the age of 75,
then there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP plans to
prescribe Benadryl for this. What is a possible adverse effect with the use of Benadryl for this
patient? ---- ANSWER----urinary retention
Page 2 of 80
,You are testing a client suspected of having Parkinson's disease. You support the client's
elbow with his forearm extended in your hand and grasp his wrist, flexing the forearm. You
find rigid resistance to this motion. This is considered which of the following? ----
ANSWER----cogwheeling
The complex network of nerve fibers that innervate the organs within the abdomen like the
gastrointestinal tract, pancreas, and gall bladder is the ---- ANSWER----enteric nervous
system
Aplastic anemia would be classified as which of the following? ---- ANSWER----normocytic
anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is known for
which of the following? ---- ANSWER----developing the "baby journal" as a systematic
method to document observed behavioral development
When providing culturally competent health care services to an American Indian elder, the
nurse practitioner understands which is traditionally true? ---- ANSWER----The "Medicine
Wheel" is used by many for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four directions; north, south, east,
and west. Traditionally each tribe has different meanings for each direction and they may
represent the season of the year or stage of life. It is aimed at providing a holistic view of life.
________________________________________
Page 3 of 80
, An understanding of different cultural preferences leads to cultural competence in healthcare.
Some patients may value traditional culture and preferences as it relates to healthcare. These
individual preferences should be included in the interview and treatment plan for patients.
Traditionally, the American Indian culture values a holistic approach to health care integrating
the person, lifestyle, environment, family, and religion. Patients adhering to these traditional
cultural practices often feel that illness is due to a lack of harmony with the physical body,
mind, spirit, and emotions. Patients may seek care from western medicine for specific
ailments while also consulting with traditional healers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural factors and assess each
individual's healthcare literacy in order to provide culturally competent care.
The nurse practitioner sees an older adult patient in the clinic with the primary report of
hearing loss and a sensation of fullness in the right ear. The nurse practitioner suspects
conductive hearing loss. Which could contribute to this? ---- ANSWER----Cerumen,
commonly called earwax, is a combination of secretions and sloughed epithelial cells that
protects the ears from infection, water, and insects. It is normally expelled from the ear canal
through natural jaw movement. When this self-cleaning process fails, cerumen can become
impacted. Cerumen impaction occludes the ear canal and can press against the tympanic
membrane, resulting in conductive hearing loss.
_________________________________________
Conductive hearing is the transition of sound from the external and middle ear to the inner
ear. Conductive hearing loss is caused by problems in the external and middle ear that
interfere with the transmission of sound and its conversion to mechanical vibration. Causes of
conductive hearing loss include obstruction of the external auditory canal by cerumen,
foreign bodies, debris from otitis externa, and large exocytosis and osteomas.
Page 4 of 80
