Current ANCC & AANP test subjects.docx - Hevnawe ANCC AANP...

Hevnawe
ANCC / AANP Test Topics
After going through the post of the ones who took a high consideration to post subjects they
recall on the test, which is more helpful than constant “I Pass” shootouts, I took their postings
and combined them as best as time allows and gave it to people to test and thus far the five
persons who used the suggestions posted by some on this site were able to pass without live
reviews.
I figure I repost the subjects here. Just know that this is a combination of both ANCC and AANP.
If one uses a bit of a common sense it is obvious that if a subject is none clinical it applies to
ANCC, if it is pediatric in nature then it is FNP, otherwise it is AG. Clinical subjects apply to
both ANCC and AANP.
Many have continue to mention that the test changes, Of course the test changes because people
talk and this makes it easier for other aspiring NP’S to pass, but the one thing that has not
changed in years even decades is the material, the applied science.
Once again allow me to thank the New Grad NP’s who passed the test and placed a useful and
very helpful post to help others pass, by giving us a heads up on what might be on our exams.
Arteriovenous Nicking
 Indentation (nicking) of retinal veins by stiff (arteriosclerotic) retinal arteries
 Commonest cause is chronic hypertension
 Valuable sign of chronic systemic hypertension that has also caused damage to
arteries elsewhere in body (heart, kidneys, brain)
 Using ophthalmoscope, find these vessels at their emergence from optic disc and
follow them as far out as you can, looking for arteriovenous nicking, which is usually
found within 5 disc diameters of optic disc
 Measure blood pressure and inquire after other arteriosclerotic risk factors
 It is thought that, since the arteriole and venule share a common sheath, the arteriole's
thicker walls push against those of the venule forcing the venule to collapse. This
makes the venule form an hourglass shape around the arteriole. Other theories suggest
that this results not from compression from the arteriole but from sclerotic thickening
or glial cell proliferation at the site where the two vessels cross
 Hypertensive retinopathy is damage to the retina and retinal circulation due to high
blood pressure
Meyerson’s sign
1

Hevnawe
 Is when you tap the (glabella) forehead of a patient with Parkinson, early dementia, or
neurological disease and after the tap they blink excessively.
Anemia
 Pernicious anemia will produce positive Babinski, glossitis, and Romberg
Rank Hierarchy of Evidence
 Level I: Evidence from a systematic review or meta-analysis of all relevant RCTs
(randomized controlled trial) or evidence-based clinical practice guidelines based on
systematic reviews of RCTs or three or more RCTs of good quality that have similar
results.