ANCC Family Nurse Practitioner Certification 3

Question 1

A 30-year-old woman presents with painful, grouped vesicles on her labia. Which test would confirm the diagnosis?

Accepted Answer

Tzanck smear or PCR for HSV

Answer

KOH preparation

Answer

RPR for syphilis

Answer

Culture for gonorrhea

Question 2

An infant at a well-child visit is noted to have not regained birth weight by 2 weeks of age. What is the priority intervention?

Accepted Answer

Evaluate feeding technique and frequency

Answer

Schedule a follow-up visit at 2 months

Answer

Order thyroid function tests

Answer

Refer to endocrinology

Question 3

Which developmental milestone should a child typically achieve by 12 months of age?

Accepted Answer

Saying single meaningful words

Answer

Speaking in 2-word phrases

Answer

Walking independently

Answer

Drawing a circle

Question 4

A nurse practitioner identifies a grade III/VI systolic murmur in a 7-year-old that radiates to the carotid arteries. The next step is:

Accepted Answer

Refer to pediatric cardiology

Answer

Reassure the parent it is an innocent murmur

Answer

Obtain a chest X-ray only

Answer

Prescribe prophylactic antibiotics

Question 5

According to USPSTF recommendations, which population should be screened for lung cancer with low-dose CT (LDCT)?

Accepted Answer

Adults 50–80 years with 20 pack-year history who currently smoke or quit within the past 15 years

Answer

All smokers over age 40

Answer

Anyone with a first-degree relative with lung cancer

Answer

Adults over 65 with any smoking history

Question 6

A patient on warfarin has an INR of 4.8 with no bleeding. The most appropriate next step is:

Accepted Answer

Hold warfarin dose and recheck INR in 1–2 days

Answer

Administer vitamin K 10 mg IV immediately

Answer

Continue warfarin and recheck in 1 week

Answer

Administer fresh frozen plasma