ANCC Family Nurse Practitioner Certification 2

Question 1

A patient with Type 2 diabetes has an HbA1c of 8.9%. According to ADA guidelines, the initial medication of choice is:

Accepted Answer

Metformin

Answer

Insulin glargine

Answer

Glipizide

Answer

Empagliflozin

Question 2

When counseling a patient about emergency contraception, the nurse practitioner should teach that Plan B (levonorgestrel) is most effective when taken within:

Accepted Answer

72 hours of unprotected intercourse

Answer

12 hours of unprotected intercourse

Answer

24 hours of unprotected intercourse

Answer

120 hours of unprotected intercourse

Question 3

A 67-year-old woman with osteoporosis has a T-score of -2.8. First-line pharmacological treatment includes:

Accepted Answer

Bisphosphonates (e.g., alendronate)

Answer

Calcium supplementation only

Answer

Calcitonin nasal spray

Answer

Teriparatide injection

Question 4

Which finding on a throat culture indicates the need for antibiotic treatment in pharyngitis?

Accepted Answer

Positive Group A Streptococcus culture

Answer

Presence of normal oral flora

Answer

White exudates alone

Answer

Elevated WBC on CBC

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?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Epiglottitis

Answer

Bronchiolitis

Answer

Asthma

Question 6

Which of the following is the most common cause of community-acquired pneumonia in otherwise healthy adults?

Accepted Answer

Streptococcus pneumoniae

Answer

Haemophilus influenzae

Answer

Mycoplasma pneumoniae

Answer

Staphylococcus aureus