Practice Ancc Questions And Answers

Front 1

When evaluating blood pressure it is important to remember

Back 1

Diastolic BP is more potent for heart disease risk factor UNTIL age 50….AFTER age 50, systolic is more potent risk factor

Front 2

Sports physcials

Back 2

Have standardized forms that appropriate for all age groups

Front 3

Macular degeneration

Back 3

Loss of central vision

Front 4

Allergic conjunctivitis

Back 4

Pale yellow rope like discharge, itchy watery eyes, hyperemia bulbar, palpebral conjunctiva

Front 5

Most prevalent anemia in the US

Back 5

Iron deficiency

Front 6

Partial gastrectomy is at risk for

Back 6

B12 anemia

Front 7

G6PD foods to avoid to avoid a hemolytic crisis

Back 7

Fava beans or red wine

Front 8

Most common causes of pancreatitis

Back 8

Gallstones or alcohol

Front 9

Murphy's sign

Back 9

abdomen assessment

Front 10

MI

Angina

Back 10

ST elevation

ST depression

Front 11

Heart disease in women under 50

Back 11

higher mortality rate than men

Front 12

S3 is best heard

Back 12

Apex or left lower sternal boarder with the bell of the stethascope

Front 13

Difference between Parkinson tremor and essential tremor

Back 13

Occurrence at rest

Front 14

10 Complex higher-order activities of alzheimer's disease assessment is

Back 14

ADL Independent Activities of Daily Living

Front 15

CAGE questions should be asked

Back 15

Of all patients

Front 16

Oral contraceptives decrease the risk for

Back 16

Ovarian cancer

Front 17

Secondary prevention example

Back 17

vision and hearing screenings

Front 18

Bells Palsey affects which cranial nerve

Back 18

VII

Front 19

Perianal lesions are congruent with

Back 19

chron's disease

Front 20

Emphysema findings

Back 20

decreased FEV, increased total lung capacity, and increased residual volume

Front 21

What antibiotic is given if exposed to pertussis?

Back 21

Erythromycin

Front 22

Flashes of light and painless eye

Back 22

Retinal detachment

Front 23

When does S3 happen?

Back 23

Early systole

Front 24

Secondary prevention in abuse?

Back 24

use of a protocol to identify an abused individual

Front 25

Deciding factor for hyperlipidemia

Back 25

LDL

Front 26

Epigastric tenderness and guarding, sudden pain that peaks within 10-30 minutes, severe, lasts several hours without relief

Back 26

aortic dissection

Front 27

ABI for claudication due to atherosclerosis

Back 27

0.5-.8

Front 28

If see perforation of the nasal septum, what is suspected?

Back 28

cocaine use

Front 29

Place hand above right knee and have the patient raise the right thigh against pressure...

Back 29

iliopsoas sign

Front 30

Breath sounds are equal in length for inspiration and expiration is abnormal and indicate what?

Back 30

pneumonia that needs to be treated with antibiotics

Front 31

If neuro signs last more than 15 minutes after head trauma

Back 31

the patient should be sent to the ER as this is abnormal

Front 32

What does PTT reflect in heparin monitoring

Back 32

Intrinsic pathway for coagulation

Front 33

National cholesterol education program recommends fasting lipid panel beginning at age 20 how often?

Back 33

every 5 years

Front 34

Chronic use of topical steroids such as ? can cause thinning of the skin?

Back 34

triamcinolone cream

Front 35

What will summation of the vector impulses indicate?

Back 35

muscle damage to the heart

Front 36

When giving glaucoma medications, what must be included in the education?

Back 36

systemic effects

Front 37

What are the broadest covering antibiotics for gram positive and gram negative organisms

Back 37

fluroquiniolones

Front 38

What does depo-provera put someone at risk for?

Back 38

osteoporosis

Front 39

A relative (not absolute) contraindication for the use of an oral contraceptive is?

Back 39

migraine without aura

Front 40

What is bacterial vaginosis treated with?

Back 40

Flagyl

Front 41

What does category 3 mean in reference to drugs and pregnancy?

Back 41

animal studies show no risk

Front 42

What medications are contraindicated with pregnancy for hypertension?

Back 42

ACE inhibitors…don't give them Lisinopril (Zesteril)

Front 43

What should you do with a strawberry hemangioma?

Back 43

Watch for resolution

Front 44

When is a PKU test most accurate?

Back 44

48 hours after the first breast feeding or formula feeding

Front 45

How many calories are in breast milk and formula per ounce?

Back 45

20

Front 46

If an antiviral medication is started in someone with shingles, what is the rationale?

Back 46

Can produce faster healing of the lesions

Front 47

Mycoplasma pneumonia is an atypical pneumonia that affects?

Back 47

children and young adults and should be treated with azythromycin

Front 48

What is NOT a risk factor for carotid stenosis in older adults?

Back 48

obesity

Front 49

Who should be referred to an endocrinologist?

Back 49

New diagnosis of diabetes in adolescent or child

Front 50

Can an obstructive airway disease be reversed?

Back 50

YES

Front 51

What does tine versicolor look like and how should it be treated?

Back 51

spagetti and meatballs and a topical antifungal

Front 52

What is predominately found in those under 2 years of age, has a 2 week prodromal of malaise, paroxysmal cough, coryza (inflammation of the nares), anorexia?

Back 52

Bordetella pertussis and treated with macrolide or trimethoprin sulfameth.

Front 53

Unequal corneal light reflexes are?

Back 53

Abnormal after 6 months of age

Front 54

A woman comes to the office complaining of a unilateral headache, photophobia, blurred vision after watching a movie. What does the NP do?

Back 54

Refer to a specialist immediately for acute angle-closure glaucoma

Front 55

How would you recommend a nosebleed be treated at home?

Back 55

spray afrin or neo-synephrine in the nostril

Front 56

What are the following part of: collect, analyze, interpret data, state the dilemma, consider choices of action, analyze advantages and disadvantages, and make a decision

Back 56

ethical decision making process

Front 57

Tay-Sachs disease is most prevalent in which population?

Back 57

Jewish

Front 58

Health status indicators to measure progress of health behaviors of Americans through?

Back 58

Healthy People 2020

Front 59

What is a secondary prevention to recommend to someone who has had a 20# weight gain?

Back 59

Keep a food journal and RTC

Front 60

What do open-ended questions do?

Back 60

help to define the patient's goals and potential problems

Front 61

Reproducibility or reliability of the interview information is present when?

Back 61

Different interviewers are able to obtain the same information

Front 62

E&M codes are established through?

Back 62

AMA

Front 63

NPI numbers are established through

Back 63

HIPPA

Front 64

Advanced nursing practice is a broader concept than advanced practice nursing and is described as?

Back 64

Any form of nursing interventions that influence health care outcomes

Front 65

A patient comes in with a swollen non-tender scrotum for a week and is found to have a mass within the tunica vaginalis that transilluminates?

Back 65

hydrocele

Front 66

Diastolic murmurs

Back 66

Begin with the onset of S2 and terminates before S1

Front 67

When should DTap boosters be given?

Back 67

every 10 years or Tdap after age 11

Front 68

A teenaged boy comes in and reports he has been having leg cramps. His lab work reveals an increased Alk Phosphate

Back 68

The NP knows an increased Alk phosphate is normal during rapid growth spurts

Front 69

What medication causes an increased lipoprotein level?

Back 69

HCTZ

Front 70

What is the NP evaluating when testing rapid movements of the hands?

Back 70

Cerebellar function

Front 71

A total gastrectomy patient comes in and ℅ sore mouth, indigestion, tingling in the lower extremities. What test would the NP order?

Back 71

CBC

Front 72

What is the main reason for progestin medications during perimenopause?

Back 72

promotes shedding of the endometrium

Front 73

What is a health promotion strategy for obese adolescents?

Back 73

Put them in age-matched self-help group

Front 74

A 45 year old patient comes in who is an opera singer. She ℅ progressive hoarseness for four weeks after a 3 hour opera performance. She does not smoke, denies neck pain, denies weight loss, denies a recent URI, denies dysphagia, denies SOB. What would the NP do?

Back 74

Refer for larynx evaluation

Front 75

Patient is on Retrovir for HIV. What blood tests should be done?

Back 75

CBC to monitor for side effects

Front 76

What treatment is recommended for viral conjunctivitis?

Back 76

Cold compresses

Front 77

What is the most difficult aspect of determining occupational exposure to disease?

Back 77

Long latency period of occupational disease

Front 78

A 49 year old female comes to your office who suffers from fibromylagia. She reports she is feeling overwhelmed. What would you recommend?

Back 78

Support group meeting

Front 79

38 year old vietnamese man who's mother died of liver cancer comes to your office for a routine exam. You understand the man is most at risk for?

Back 79

Hepatitis B

Front 80

60 year old patient with diabetes comes to the office. His BP is 150/96. He returns 3 months later after losing 10 pounds and his BP is 142/94. What should be done?

Back 80

Start enalipril (vasotec)

Front 81

What causes the pain associated with lumbar herniated nucleus pulpous?

Back 81

Disc pressure on the nerve roots radiating from the spine