ANCC Family Nurse Practitioner Certification 1 — Questions and Answers
Question 1: A 55-year-old patient has a BP reading of 148/94 mmHg on two separate visits. According to JNC guidelines, this is classified as:
- Normal blood pressure
- Elevated blood pressure
- Stage 1 hypertension (Correct answer)
- Stage 2 hypertension
Correct answer: Stage 1 hypertension
Stage 1 hypertension is defined as systolic 130–139 mmHg or diastolic 80–89 mmHg; 148/94 meets Stage 2 criteria (≥140/90).
Question 2: Which vaccine is recommended annually for all persons aged 6 months and older in the United States?
- Pneumococcal vaccine
- Influenza vaccine (Correct answer)
- Hepatitis B vaccine
- Tdap vaccine
Correct answer: Influenza vaccine
The CDC recommends annual influenza vaccination for all individuals 6 months and older.
Question 3: A 45-year-old male presents with fatigue, cold intolerance, weight gain, and constipation. The most likely diagnosis is:
- Hyperthyroidism
- Diabetes mellitus type 2
- Hypothyroidism (Correct answer)
- Cushing syndrome
Correct answer: Hypothyroidism
The classic constellation of fatigue, cold intolerance, weight gain, and constipation is characteristic of hypothyroidism.
Question 4: When screening for colorectal cancer, at what age should average-risk patients begin colonoscopy screening?
- 40 years
- 45 years (Correct answer)
- 50 years
- 55 years
Correct answer: 45 years
The USPSTF updated its recommendation in 2021 to begin colorectal cancer screening at age 45 for average-risk adults.
Question 5: A child presents with a strawberry tongue, sandpaper-like rash, and positive rapid strep test. Which treatment is indicated?
- Amoxicillin for 10 days (Correct answer)
- Azithromycin for 5 days
- Watchful waiting
- Topical corticosteroids
Correct answer: Amoxicillin for 10 days
Scarlet fever (Group A Streptococcus) is treated with amoxicillin for 10 days to prevent rheumatic fever.
Question 6: Which physical exam finding is most associated with appendicitis?
- Murphy's sign
- McBurney's point tenderness
- Rovsing's sign positivity
- Both B and C (Correct answer)
Correct answer: Both B and C
Both McBurney's point tenderness and a positive Rovsing's sign are classic physical exam findings in appendicitis.
ANCC Family Nurse Practitioner Certification 1
A 55-year-old patient has a BP reading of 148/94 mmHg on two separate visits.
According to JNC guidelines, this is classified as: