ANCC FNP BOARD QUESTIONS NEW 2025 VERSION WITH
ALL QUESTIONS 150 FROM ACTUAL EXAM WITH 100%
CORRECT ANSWERS AND RATIONALE
A 16-year-old male is in the office. He has a insect bite on his left forearm and you suspect a brown
recluse spider bite. What medical management would you provide? - CORRECT ANSWERS-ice
pack and elevation of the area
In addition to being overweight, the American Diabetes Association recommends type 2 diabetes
mellitus testing in adults who: - CORRECT ANSWERS-have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? - CORRECT
ANSWERS--absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic heart failure are accurate
EXCEPT: - CORRECT ANSWERS--The preponderance is in females until the age of 75, then
there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP plans to prescribe
Benadryl for this. What is a possible adverse effect with the use of Benadryl for this patient? -
CORRECT ANSWERS-urinary retention
You are testing a client suspected of having Parkinson's disease. You support the client's elbow with his
forearm extended in your hand and grasp his wrist, flexing the forearm. You find rigid resistance to this
motion. This is considered which of the following? - CORRECT ANSWERS-cogwheeling
The complex network of nerve fibers that innervate the organs within the abdomen like the
gastrointestinal tract, pancreas, and gall bladder is the - CORRECT ANSWERS-enteric nervous
system
,Aplastic anemia would be classified as which of the following? - CORRECT ANSWERS-
normocytic anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is known for which of the
following? - CORRECT ANSWERS-developing the "baby journal" as a systematic method to
document observed behavioral development
Your patient has AIDS. He is in the hospital suffering from an infection. He presented with severe watery
diarrhea, abdominal cramps, nausea, malaise and has an electrolyte imbalance. Which of the following
opportunistic infections do these symptoms best describe? - CORRECT ANSWERS-
cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as many as 30-40 stools per day.
The patient also has abdominal cramps, nausea, malaise and tests will show an electrolyte balance.
A patient with sensitive skin had a TB skin test but has no symptoms. He returns with redness and
swelling that appears positive. What is the next step? - CORRECT ANSWERS-Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients. Which of the following would
not be considered crossing one of these boundaries? - CORRECT ANSWERS-Not sharing
personal information with the patient
The United States Preventive Services Task Force recommends screening older patients for depression: -
CORRECT ANSWERS-at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral route from contaminated food?
- CORRECT ANSWERS-Hep A
Which of the following is a normal physiologic change during pregnancy? - CORRECT
ANSWERS--Cardiac output increases by 1/3 by the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
, If a patient is diagnosed with left-heart failure, which of the following medications would the nurse
practitioner more than likely use for treatment? - CORRECT ANSWERS-Lasix
When counseling patients who smoke cigarettes, which of the following is NOT good management
advice? - CORRECT ANSWERS-For asymptomatic adults, instruct the patient on how it is
easier to stop now than when symptomatic.
According to Prochaska and DiClemente, the 5 stages of preparation for patient change would include
which of the following? - CORRECT ANSWERS-Action
Paul is a 67-year-old male patient with type 2 diabetes. In managing this patient's care which of the
following lab tests would you have done for Paul every 3 - 6 months? - CORRECT ANSWERS-
A1c
Which of the following would be considered one of the stages of Pertussis? - CORRECT
ANSWERS-Convalescent
You are testing a 35-year-old male patient for Addison's disease. You perform the test for ACTH
stimulation. If this patient has primary adrenal insufficiency he will have which of the following
responses to this test? - CORRECT ANSWERS-no response
You want to prescribe a drug with a rapid onset for a patient who is being treated for anxiety. Which of
the following drugs for treating anxiety has the most rapid onset of action? - CORRECT
ANSWERS-diazepam - Diazepam has a rapid onset of action and a relatively sustained effect.
You have a patient with a "port wine" stain that is located on half of her facial area. You understand that
this can be a sign of which of the following? - CORRECT ANSWERS-Sturge-Weber Syndrome-
The flat, large, dark ink to purple stain-like lesions occurring in irregular shapes and sizes are nevus
flammeus or "port wine" stains. A large lesion located on half the facial area may be a sign of trigeminal
nerve involvement and Sturge-Weber Syndrome (a neurological disorder).
A patient with stable angina would exhibit which of the following? - CORRECT ANSWERS-no
change in duration of symptoms during the preceding 6 weeks
ALL QUESTIONS 150 FROM ACTUAL EXAM WITH 100%
CORRECT ANSWERS AND RATIONALE
A 16-year-old male is in the office. He has a insect bite on his left forearm and you suspect a brown
recluse spider bite. What medical management would you provide? - CORRECT ANSWERS-ice
pack and elevation of the area
In addition to being overweight, the American Diabetes Association recommends type 2 diabetes
mellitus testing in adults who: - CORRECT ANSWERS-have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? - CORRECT
ANSWERS--absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic heart failure are accurate
EXCEPT: - CORRECT ANSWERS--The preponderance is in females until the age of 75, then
there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP plans to prescribe
Benadryl for this. What is a possible adverse effect with the use of Benadryl for this patient? -
CORRECT ANSWERS-urinary retention
You are testing a client suspected of having Parkinson's disease. You support the client's elbow with his
forearm extended in your hand and grasp his wrist, flexing the forearm. You find rigid resistance to this
motion. This is considered which of the following? - CORRECT ANSWERS-cogwheeling
The complex network of nerve fibers that innervate the organs within the abdomen like the
gastrointestinal tract, pancreas, and gall bladder is the - CORRECT ANSWERS-enteric nervous
system
,Aplastic anemia would be classified as which of the following? - CORRECT ANSWERS-
normocytic anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is known for which of the
following? - CORRECT ANSWERS-developing the "baby journal" as a systematic method to
document observed behavioral development
Your patient has AIDS. He is in the hospital suffering from an infection. He presented with severe watery
diarrhea, abdominal cramps, nausea, malaise and has an electrolyte imbalance. Which of the following
opportunistic infections do these symptoms best describe? - CORRECT ANSWERS-
cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as many as 30-40 stools per day.
The patient also has abdominal cramps, nausea, malaise and tests will show an electrolyte balance.
A patient with sensitive skin had a TB skin test but has no symptoms. He returns with redness and
swelling that appears positive. What is the next step? - CORRECT ANSWERS-Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients. Which of the following would
not be considered crossing one of these boundaries? - CORRECT ANSWERS-Not sharing
personal information with the patient
The United States Preventive Services Task Force recommends screening older patients for depression: -
CORRECT ANSWERS-at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral route from contaminated food?
- CORRECT ANSWERS-Hep A
Which of the following is a normal physiologic change during pregnancy? - CORRECT
ANSWERS--Cardiac output increases by 1/3 by the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
, If a patient is diagnosed with left-heart failure, which of the following medications would the nurse
practitioner more than likely use for treatment? - CORRECT ANSWERS-Lasix
When counseling patients who smoke cigarettes, which of the following is NOT good management
advice? - CORRECT ANSWERS-For asymptomatic adults, instruct the patient on how it is
easier to stop now than when symptomatic.
According to Prochaska and DiClemente, the 5 stages of preparation for patient change would include
which of the following? - CORRECT ANSWERS-Action
Paul is a 67-year-old male patient with type 2 diabetes. In managing this patient's care which of the
following lab tests would you have done for Paul every 3 - 6 months? - CORRECT ANSWERS-
A1c
Which of the following would be considered one of the stages of Pertussis? - CORRECT
ANSWERS-Convalescent
You are testing a 35-year-old male patient for Addison's disease. You perform the test for ACTH
stimulation. If this patient has primary adrenal insufficiency he will have which of the following
responses to this test? - CORRECT ANSWERS-no response
You want to prescribe a drug with a rapid onset for a patient who is being treated for anxiety. Which of
the following drugs for treating anxiety has the most rapid onset of action? - CORRECT
ANSWERS-diazepam - Diazepam has a rapid onset of action and a relatively sustained effect.
You have a patient with a "port wine" stain that is located on half of her facial area. You understand that
this can be a sign of which of the following? - CORRECT ANSWERS-Sturge-Weber Syndrome-
The flat, large, dark ink to purple stain-like lesions occurring in irregular shapes and sizes are nevus
flammeus or "port wine" stains. A large lesion located on half the facial area may be a sign of trigeminal
nerve involvement and Sturge-Weber Syndrome (a neurological disorder).
A patient with stable angina would exhibit which of the following? - CORRECT ANSWERS-no
change in duration of symptoms during the preceding 6 weeks
