ANCC Family Nurse Practitioner Certification 2 — Questions and Answers
Question 1: A patient with Type 2 diabetes has an HbA1c of 8.9%. According to ADA guidelines, the initial medication of choice is:
- Insulin glargine
- Metformin (Correct answer)
- Glipizide
- Empagliflozin
Correct answer: Metformin
Metformin remains the first-line pharmacologic treatment for Type 2 diabetes in most patients unless contraindicated.
Question 2: When counseling a patient about emergency contraception, the nurse practitioner should teach that Plan B (levonorgestrel) is most effective when taken within:
- 12 hours of unprotected intercourse
- 24 hours of unprotected intercourse
- 72 hours of unprotected intercourse (Correct answer)
- 120 hours of unprotected intercourse
Correct answer: 72 hours of unprotected intercourse
Plan B is most effective when taken within 72 hours of unprotected sex, though it has some efficacy up to 120 hours.
Question 3: A 67-year-old woman with osteoporosis has a T-score of -2.8. First-line pharmacological treatment includes:
- Calcium supplementation only
- Bisphosphonates (e.g., alendronate) (Correct answer)
- Calcitonin nasal spray
- Teriparatide injection
Correct answer: Bisphosphonates (e.g., alendronate)
Bisphosphonates are first-line pharmacotherapy for osteoporosis due to evidence reducing vertebral and hip fracture risk.
Question 4: Which finding on a throat culture indicates the need for antibiotic treatment in pharyngitis?
- Presence of normal oral flora
- Positive Group A Streptococcus culture (Correct answer)
- White exudates alone
- Elevated WBC on CBC
Correct answer: Positive Group A Streptococcus culture
A positive Group A Streptococcus culture confirms bacterial pharyngitis requiring antibiotic treatment to prevent complications.
Question 5: A 4-year-old child is brought in with a barky, seal-like cough that worsens at night. What is the most likely diagnosis?
- Epiglottitis
- Bronchiolitis
- Croup (laryngotracheobronchitis) (Correct answer)
- Asthma
Correct answer: Croup (laryngotracheobronchitis)
Croup presents with the classic seal-like barky cough and stridor, typically caused by parainfluenza virus.
Question 6: Which of the following is the most common cause of community-acquired pneumonia in otherwise healthy adults?
- Haemophilus influenzae
- Streptococcus pneumoniae (Correct answer)
- Mycoplasma pneumoniae
- Staphylococcus aureus
Correct answer: Streptococcus pneumoniae
Streptococcus pneumoniae (pneumococcus) is the leading bacterial cause of community-acquired pneumonia in adults.
ANCC Family Nurse Practitioner Certification 2
A patient with Type 2 diabetes has an HbA1c of 8.9%.
According to ADA guidelines, the initial medication of choice is: