1|Page
ANCC REVIEW EXAM LATEST [PMHNP IQ] WITH
ACTUAL QUESTIONS AND CORRECT
ANSWERS/GRADED A+
A 50-year-old woman presents to the clinic for follow-
up on her type 2 diabetes mellitus. She is currently
taking metformin (Glumetza) at her maximum tolerated
dose, and her HbA1C at the current appointment is
8.6%. The patient is not open to insulin and wants to try
alternative medications to reduce her HbA1C. Which of
the following medications will directly stimulate the
release of insulin from pancreatic beta cells, thereby
lowering blood glucose concentrations?
A.
Acarbose (Precose)
Incorrect
B.
Dulaglutide (Trulicity)
Incorrect
C.
Empagliflozin (Jardiance)
Incorrect
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D.
Glipizide (Glucotrol) - .....ANSWER ...✔✔ Glipizide
(Glucotrol)
An 18-year-old patient presents with unilateral ear pain
for 2 days. On an otoscopic exam, the tympanic
membrane is bulging and appears inflamed. The
posterior landmarks are obscured, and the light reflex is
distorted. Which of the following is the most likely
diagnosis?
A.
Mastoiditis
Incorrect
B.
Otitis externa
Incorrect
C.
Otitis media
Correct
D.
Presbycusis - .....ANSWER ...✔✔ Otitis media
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A 7-year-old boy with a past medical history of atopic
dermatitis presents to the clinic with his father for
concern about an allergic reaction. The boy states that 2
hours ago, after eating lunch, he developed an itchy
throat and eye swelling. He reports no wheezing or
shortness of breath. The physical exam does not show
urticaria, and his airway is patent. Which of the
following would be responsible for oral allergy
syndrome?
A.
Cow milk
Incorrect
B.
Eggs
Incorrect
C.
Peaches
Correct
D.
Salmon - .....ANSWER ...✔✔ Peaches
An 8-year-old boy presents to the office with an
erythematous, nonpruritic, maculopapular rash in a lacy
pattern on his trunk and arms. His cheeks are also
noticeably red. His mother reports that he had a fever 1
, 4|Page
week ago that resolved within 2 days without any other
symptoms until now. He is afebrile at the current visit.
Which of the following is the most likely diagnosis?
A.
Erythema infectiosum
Correct
B.
Hand, foot, and mouth disease
Incorrect
C.
Roseola
Incorrect
D.
Rubella - .....ANSWER ...✔✔ Erythema infectiosum
An 85-year-old man with recently diagnosed
hypertension presents to the clinic for a BP check. Two
weeks ago, his BP was 168/74 mm Hg, and he started
taking lisinopril (Zestril) 10 mg daily. He reports no
missed doses. His BP at the current visit is 128/78 mm
Hg. What is the best next step in his BP management?
A.
Add hydrochlorothiazide and reassess in 1 month
Incorrect
ANCC REVIEW EXAM LATEST [PMHNP IQ] WITH
ACTUAL QUESTIONS AND CORRECT
ANSWERS/GRADED A+
A 50-year-old woman presents to the clinic for follow-
up on her type 2 diabetes mellitus. She is currently
taking metformin (Glumetza) at her maximum tolerated
dose, and her HbA1C at the current appointment is
8.6%. The patient is not open to insulin and wants to try
alternative medications to reduce her HbA1C. Which of
the following medications will directly stimulate the
release of insulin from pancreatic beta cells, thereby
lowering blood glucose concentrations?
A.
Acarbose (Precose)
Incorrect
B.
Dulaglutide (Trulicity)
Incorrect
C.
Empagliflozin (Jardiance)
Incorrect
,2|Page
D.
Glipizide (Glucotrol) - .....ANSWER ...✔✔ Glipizide
(Glucotrol)
An 18-year-old patient presents with unilateral ear pain
for 2 days. On an otoscopic exam, the tympanic
membrane is bulging and appears inflamed. The
posterior landmarks are obscured, and the light reflex is
distorted. Which of the following is the most likely
diagnosis?
A.
Mastoiditis
Incorrect
B.
Otitis externa
Incorrect
C.
Otitis media
Correct
D.
Presbycusis - .....ANSWER ...✔✔ Otitis media
,3|Page
A 7-year-old boy with a past medical history of atopic
dermatitis presents to the clinic with his father for
concern about an allergic reaction. The boy states that 2
hours ago, after eating lunch, he developed an itchy
throat and eye swelling. He reports no wheezing or
shortness of breath. The physical exam does not show
urticaria, and his airway is patent. Which of the
following would be responsible for oral allergy
syndrome?
A.
Cow milk
Incorrect
B.
Eggs
Incorrect
C.
Peaches
Correct
D.
Salmon - .....ANSWER ...✔✔ Peaches
An 8-year-old boy presents to the office with an
erythematous, nonpruritic, maculopapular rash in a lacy
pattern on his trunk and arms. His cheeks are also
noticeably red. His mother reports that he had a fever 1
, 4|Page
week ago that resolved within 2 days without any other
symptoms until now. He is afebrile at the current visit.
Which of the following is the most likely diagnosis?
A.
Erythema infectiosum
Correct
B.
Hand, foot, and mouth disease
Incorrect
C.
Roseola
Incorrect
D.
Rubella - .....ANSWER ...✔✔ Erythema infectiosum
An 85-year-old man with recently diagnosed
hypertension presents to the clinic for a BP check. Two
weeks ago, his BP was 168/74 mm Hg, and he started
taking lisinopril (Zestril) 10 mg daily. He reports no
missed doses. His BP at the current visit is 128/78 mm
Hg. What is the best next step in his BP management?
A.
Add hydrochlorothiazide and reassess in 1 month
Incorrect
