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

Grouped painful vesicles are characteristic of herpes simplex virus (HSV), confirmed by PCR or Tzanck smear.

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

Most newborn weight loss is due to inadequate intake; assessing feeding is the first step before pursuing diagnostic workup.

Question 3

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

Accepted Answer

Saying single meaningful words

Answer

Most children say their first meaningful words (e.g., 'mama,' 'dada') by 12 months of age.

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

A loud murmur (grade III+) with radiation to carotids suggests a pathologic etiology requiring cardiologic evaluation.

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

USPSTF recommends annual LDCT for adults aged 50–80 with at least 20 pack-year smoking history who are current or recent quitters.

ANCC - American Nurses Credentialing Center Practice Test