American Nurses Credentialing Center (ANCC) Adult Nurse Practitioner Exam

A 13-year-old adolescent who is not sexually active is brought in by her mother for an immunization update and physical examination. According to the mother, her daughter had two doses of hepatitis B vaccine 1 year ago. All of the following are indicated for this visit except:

In which of the following conditions would the cremasteric refl ex be absent?

A 70-year-old patient reports fatigue and a nonproductive cough with pain on inspiration and expiration. The patient denies a sore throat, fever, nasal congestion, or postnasal drip. Examination reveals a well-developed patient in no acute distress who is afebrile and has respirations of 32 breaths/min. The patient's lungs have diminished breath sounds. The heart rate is 70 beats/min, regular with no murmur. There is no edema of the extremities. An adult nurse practitioner orders:

Before placing a patient with onychomycosis on a pulsed dose of itraconazole (Sporanox), which laboratory values does an adult nurse practitioner obtain?

During an episodic visit, a blood pressure reading of 172/90 is found in a woman with a 10-year history of controlled stage I hypertension and osteoarthritis. Her knees are slightly deformed and she is currently complaining of severe pain in her left knee. She has been self-treating with over-the-counter naproxen sodium (Aleve) 2 tablets twice a day (BID) for the past 2 months. How do nonsteroidal anti-infl ammatory drugs (NSAIDs) affect hypertension?

An adult nurse practitioner is responsible for billing codes that are selected and submitted to third party payors when:

A 15-year-old high school student who is going through a growth spurt has a baseline laboratory test done during a routine physical examination. The serum alkaline phosphatase level is expected to be:

Rh-negative pregnant women with negative rubella titers should be vaccinated at what time period in pregnancy?

All of the following are false statements regarding acute gastritis except:

A 30-year-old female who is sexually active complains of a large amount of milklike vaginal discharge. A microscopy slide reveals squamous epithelial cells with blurred margins. The vaginal pH is at 6.0. Which of the following is most likely?