These FNP-BC practice questions target assessment — including MI. The complete FNP-BC deck holds 1050 flashcards, 100 of them dedicated to this topic. Study the free samples below, then unlock the whole collection for a one-time $7.
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A patient with T2DM says, I know I should exercise, but I'm too busy. Which Motivational Interviewing (MI) technique is most appropriate to elicit change talk?
Show answer →Motivational Interviewing focuses on the OARS mnemonic (Open-ended questions, Affirmations, Reflections, Summaries). To elicit change talk, use evocative questions such as, How would your life be better if you found time to exercise? This helps the patient identify their own internal motivations. Exam Tip: ANCC emphasizes identifying the patient's stage in the Transtheoretical Model (Stages of Change). This patient is likely in the Contemplation stage (ambivalent). Avoid the expert trap of lecturing, which increases resistance. Use reflections to resolve ambivalence and move the patient toward the Preparation stage.
A 78-year-old female lives alone. She can dress and bathe herself but struggles with grocery shopping and managing her medications. According to the Lawton scale, which domain of assessment is currently impaired?
Show answer →These are Instrumental Activities of Daily Living (IADLs). IADLs (mnemonic SCUM: Shopping, Cooking/Cleaning, Using phone/transportation, Money/Medication management) require higher executive function than Basic ADLs (mnemonic DEATH: Dressing, Eating, Ambulating, Toileting, Hygiene). ANCC Exam Tip: IADL loss often precedes ADL loss in early cognitive decline and is a strong predictor of the need for assisted living or increased home support.
A 72-year-old patient with long-standing hypertension presents with an extra heart sound heard late in diastole, just before S1, using the bell at the apex. What is this sound, and what does it primarily indicate in this clinical context?
Show answer →This is an S4 heart sound (atrial gallop). In an older adult with hypertension, it indicates stiff or non-compliant left ventricular hypertrophy (LVH). The sound is produced by the atria contracting against a resistant ventricle. **Exam Tip:** S4 is almost always pathological and represents diastolic heart failure or LVH. Differentiate from S3 (ventricular gallop), which occurs early in diastole and indicates fluid overload or systolic heart failure (HFrEF). Remember: S4 = A-stiff-wall; S3 = Slosh-ing-in.
A 62-year-old male reports sudden onset diplopia. On exam, the right eye is unable to move down and inward. Which cranial nerve is likely affected and what muscle does it innervate?
Show answer →CN IV (Trochlear nerve), which innervates the Superior Oblique muscle. Clinical Pearl: CN IV is the only nerve that exits the brainstem dorsally and has the longest intracranial course. ANCC Tip: Remember LR6SO4—Lateral Rectus is CN VI, Superior Oblique is CN IV, all other extraocular muscles are CN III. CN IV palsies often cause vertical diplopia that improves with head tilting away from the affected side.
A 19-year-old athlete presents with a pop in the knee and immediate swelling. You suspect an ACL tear. Which maneuver is considered the most sensitive for confirming this diagnosis in the acute setting?
Show answer →The Lachman Test is the gold standard clinical maneuver for ACL injury (sensitivity ~85-95%). Technique: Knee flexed to 20-30°, stabilize femur, and pull tibia forward. A mushy end-feel or >5mm displacement is positive. ANCC TIP: While the Anterior Drawer (90° flexion) is common, it is less sensitive due to hamstring guarding and meniscus wedging in acute injury. ACL injuries often present with rapid hemarthrosis within hours.
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Try 30 free FNP-BC cards firstThe full FNP-BC deck contains 1050 flashcards, and 100 of them focus on assessment. This page shows 5 free samples.
Our FNP-BC deck dedicates 100 of 1050 cards (10%) to assessment — always cross-check the official ANCC exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the FNP-BC preview page has 30 more free cards. Full access to all 1050 cards is a one-time $7.
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