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

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:

Accepted Answer

72 hours of unprotected intercourse

Answer

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:

Accepted Answer

Bisphosphonates (e.g., alendronate)

Answer

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?

Accepted Answer

Positive Group A Streptococcus culture

Answer

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?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Croup presents with the classic seal-like barky cough and stridor, typically caused by parainfluenza virus.

ANCC - American Nurses Credentialing Center Practice Test

ANCC - American Nurses Credentialing Center Practice Test

ANCC Family Nurse Practitioner Certification 2