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ANCC FNP EXAM Questions & Answers (high-yield questions designed to mirror the latest ANCC blueprint 2026) | Latest Updated 2026/2027 | Pass on the first attempt.

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 25 pages. Originally published on StudyMerit.

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25
Academic year
2025/2026
Language
English

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ANCC FNP ACTUAL EXAM Newest 2026/2027 Complete Test Bank with Verified Questions and Correct Answers 1. Mary, who has recently been diagnosed with lupus, complains that her hands and feet always feel cold even in the summertime. Sometimes her fingertips become numb and turn a blue color. The fingertips eventually turn to a dark red color. Which of the following is most likely? A) Chronic arterial insufficiency B) This is a normal reaction when one feels very cold C) Peripheral vascular disease D) Raynaud's syndrome Answer: D) Raynaud's syndrome Explanation: Raynaud's syndrome occurs from vasospasms of the blood vessels, leading to decreased blood supply to the hands and feet, which causes bluish discoloration, with fingertips turning a dark red color if severe. Stress and cold weather are classic triggers for this condition. The triphasic color changes (white, blue, red) are pathognomonic for Raynaud's phenomenon, which commonly occurs secondary to autoimmune disorders such as systemic lupus erythematosus. 2. Mrs. Nottam, who has a BMI of 29, has a 20-year history of primary hypertension. She has been on hydrochlorothiazide 25 mg PO daily with excellent results. On this visit, she is complaining of feeling thirsty all the time even though she drinks more than 10 glasses of water per day. She reports to Ascorers messages.downloaded_by lOMoARcPSD|6879242

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the nurse practitioner that she has been having this problem for about 6 months. Upon reading the chart, the nurse practitioner notes that the last two fasting blood glucose levels have been 140 mg/dL and 168 mg/dL. A random blood glucose is at 210 mg/dL. Which of the following is the best treatment plan to follow at this visit? A) Order another random blood sugar test in 2 weeks B) Initiate a prescription of metformin (Glucophage) 500 mg PO BID C) Order a 3-hour glucose tolerance test D) Order a HgbA1c level Answer: B) Initiate a prescription of metformin (Glucophage) 500 mg PO BID Explanation: The patient meets diagnostic criteria for diabetes mellitus with two fasting glucose levels >126 mg/dL and a random glucose >200 mg/dL. The presence of classic symptoms (polydipsia) further supports the diagnosis. Metformin is first-line pharmacotherapy for type 2 diabetes, particularly in overweight patients, as it improves insulin sensitivity without causing hypoglycemia or weight gain. 3. A newly diagnosed middle-aged type 2 diabetic wants to start an exercise program. All of the following statements are true except: A) If the patient is unable to eat due to illness, anti-diabetic agents can be continued with frequent glucose monitoring B) Strenuous exercise is contraindicated for type 2 diabetics because of a higher risk of hypoglycemic episodes C) Exercise increases the body's ability to metabolize glucose D) Patients who exercise vigorously in the afternoon may have hypoglycemic episodes in the evening or at night if they do not eat Answer: B) Strenuous exercise is contraindicated for type 2 diabetics because of a higher risk of hypoglycemic episodes Ascorers messages.downloaded_by lOMoARcPSD|6879242

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