ANCC FNP ACTUAL EXAM 2026| COMPLETE
EXAM QUESTIONS AND ANSWERS LATEST
SOLUTION GUIDE
Question 1: Which drug is associated with increased lipoprotein levels?
A. Furosemide (Lasix)
B. Hydrochlorothiazide (HCTZ)
C. Spironolactone (Aldactone)
D. Triamterene
Correct Answer: B. Hydrochlorothiazide (HCTZ)
Explanation: Thiazide diuretics such as HCTZ commonly cause elevations in serum lipoproteins
(total cholesterol, LDL, and triglycerides) through effects on lipid metabolism; loop diuretics and
potassium-sparing agents do not have this adverse effect to the same degree.
Question 2: What is the main reason for giving a progestational medication to perimenopausal
women who use estrogen?
A. Preventing hot flashes
B. Preventing osteoporosis
C. Promoting growth of uterine lining
D. Decreasing the risk of endometrial hyperplasia
Correct Answer: D. Decreasing the risk of endometrial hyperplasia
Explanation: Unopposed estrogen stimulates endometrial proliferation and increases the risk of
hyperplasia and endometrial cancer; adding a progestin induces secretory transformation and
regular shedding, thereby protecting the endometrium.
Question 3: The FNP asks a patient to perform rapid, alternating movements of the hands to
evaluate:
A. Cerebellar function
B. Cognitive function
C. Reflex arc function
,D. Stereognostic function
Correct Answer: A. Cerebellar function
Explanation: Rapid alternating movements (dysdiadochokinesia testing) assess coordinated,
sequential motor activity mediated by the cerebellum; impairment indicates cerebellar
dysfunction.
Question 4: A 38-year-old Vietnamese patient tells the FNP that his parent died in her 40s from
liver cancer. That patient is at risk for:
A. Hepatitis B
B. Malaria
C. Tularemia
D. Tyrosinemia
Correct Answer: A. Hepatitis B
Explanation: Chronic hepatitis B infection is highly prevalent in Southeast Asian populations
and is the leading cause of hepatocellular carcinoma; family history of early liver cancer raises
suspicion for vertical or household transmission of HBV.
Question 5: A difficult aspect of determining occupational exposure to disease is the:
A. Confidentiality of the information in company records
B. Inaccuracy of disease reporting
C. Long latency period between exposure and disease development
D. Reliance on workers’ memories
Correct Answer: C. Long latency period between exposure and disease development
Explanation: Many occupational diseases (e.g., silicosis, asbestos-related cancers, chemical
leukemias) have latency periods of 10–40 years, making it difficult to link current illness to past
workplace exposures.
Question 6: To comply with regulations for third-party payor reimbursement and documentation,
a family nurse practitioner correlates:
A. Evaluation and management code with history, examination and medical decision making
B. Health outcomes with physical examination findings and plan of care
C. Medication orders and treatment plan with electronic billing
D. Patient privacy with informed consent
,Correct Answer: A. Evaluation and management code with history, examination and medical
decision making
Explanation: Current CPT E/M coding guidelines require documentation of history, physical
exam, and medical decision-making complexity to support the level of service billed.
Question 7: The family nurse practitioner examines a patient who has sustained a non-work-
related injury that interferes with the patient’s ability to perform his or her job. The patient does
not qualify for medical disability and has a reasonable chance of engaging in a suitable
occupation with proper therapy. The nurse practitioner recommends that the patient apply for:
A. Family and Medical Leave Act benefits
B. Home health services
C. Social Security benefits
D. Vocational rehabilitation services
Correct Answer: D. Vocational rehabilitation services
Explanation: Vocational rehabilitation assists individuals with functional limitations to return to
work through job modification, retraining, or assistive devices when disability benefits are not
indicated.
Question 8: A 45-year-old patient who is an opera singer reports progressive hoarseness for the
last four weeks. The hoarseness began after a three-hour opera performance. The patient does not
smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath.
The family nurse practitioner manages this patient by:
A. Ordering a computed tomography scan of the head
B. Ordering an immediate lateral neck x-ray
C. Prescribing systemic antibiotics and cool mist inhalations
D. Requesting a referral for evaluation of the larynx
Correct Answer: D. Requesting a referral for evaluation of the larynx
Explanation: Hoarseness persisting >2–3 weeks in a professional voice user requires direct
laryngoscopy by an otolaryngologist to rule out vocal-fold pathology (nodules, polyps, or
malignancy).
Question 9: Routine immunization guidelines recommend administering the hepatitis B vaccine
at birth and repeating doses at:
A. One month and two months
, B. One month and six months
C. Four months and two years
D. Six months and 12 months
Correct Answer: B. One month and six months
Explanation: The standard three-dose schedule for hepatitis B vaccine in infants is birth, 1–2
months, and 6–18 months (most commonly completed at 6 months).
Question 10: A patient who sustained a myocardial infarction comes to the clinic for a refill of
atorvastatin (Lipitor). The family nurse practitioner explains that the medication is prescribed
for:
A. Cancer prevention
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention
Correct Answer: D. Tertiary prevention
Explanation: In the context of established coronary disease after MI, statin therapy is used to
limit further complications and prevent recurrent events (tertiary prevention).
Question 11: Which health promotion strategy is most appropriate for adolescents who are
obese?
A. Individual-based behavior modification
B. Motivational interviewing
C. Parents should regulate meals
D. Presenting video case studies
Correct Answer: B. Motivational interviewing
Explanation: Motivational interviewing is evidence-based for adolescents because it enhances
intrinsic motivation and autonomy rather than relying on external control or passive education.
Question 12: Treatment of viral conjunctivitis includes the use of:
A. Antihistamine/decongestant drops
B. Antihistamine/mast cell stabilizer drops
C. Cold compresses
EXAM QUESTIONS AND ANSWERS LATEST
SOLUTION GUIDE
Question 1: Which drug is associated with increased lipoprotein levels?
A. Furosemide (Lasix)
B. Hydrochlorothiazide (HCTZ)
C. Spironolactone (Aldactone)
D. Triamterene
Correct Answer: B. Hydrochlorothiazide (HCTZ)
Explanation: Thiazide diuretics such as HCTZ commonly cause elevations in serum lipoproteins
(total cholesterol, LDL, and triglycerides) through effects on lipid metabolism; loop diuretics and
potassium-sparing agents do not have this adverse effect to the same degree.
Question 2: What is the main reason for giving a progestational medication to perimenopausal
women who use estrogen?
A. Preventing hot flashes
B. Preventing osteoporosis
C. Promoting growth of uterine lining
D. Decreasing the risk of endometrial hyperplasia
Correct Answer: D. Decreasing the risk of endometrial hyperplasia
Explanation: Unopposed estrogen stimulates endometrial proliferation and increases the risk of
hyperplasia and endometrial cancer; adding a progestin induces secretory transformation and
regular shedding, thereby protecting the endometrium.
Question 3: The FNP asks a patient to perform rapid, alternating movements of the hands to
evaluate:
A. Cerebellar function
B. Cognitive function
C. Reflex arc function
,D. Stereognostic function
Correct Answer: A. Cerebellar function
Explanation: Rapid alternating movements (dysdiadochokinesia testing) assess coordinated,
sequential motor activity mediated by the cerebellum; impairment indicates cerebellar
dysfunction.
Question 4: A 38-year-old Vietnamese patient tells the FNP that his parent died in her 40s from
liver cancer. That patient is at risk for:
A. Hepatitis B
B. Malaria
C. Tularemia
D. Tyrosinemia
Correct Answer: A. Hepatitis B
Explanation: Chronic hepatitis B infection is highly prevalent in Southeast Asian populations
and is the leading cause of hepatocellular carcinoma; family history of early liver cancer raises
suspicion for vertical or household transmission of HBV.
Question 5: A difficult aspect of determining occupational exposure to disease is the:
A. Confidentiality of the information in company records
B. Inaccuracy of disease reporting
C. Long latency period between exposure and disease development
D. Reliance on workers’ memories
Correct Answer: C. Long latency period between exposure and disease development
Explanation: Many occupational diseases (e.g., silicosis, asbestos-related cancers, chemical
leukemias) have latency periods of 10–40 years, making it difficult to link current illness to past
workplace exposures.
Question 6: To comply with regulations for third-party payor reimbursement and documentation,
a family nurse practitioner correlates:
A. Evaluation and management code with history, examination and medical decision making
B. Health outcomes with physical examination findings and plan of care
C. Medication orders and treatment plan with electronic billing
D. Patient privacy with informed consent
,Correct Answer: A. Evaluation and management code with history, examination and medical
decision making
Explanation: Current CPT E/M coding guidelines require documentation of history, physical
exam, and medical decision-making complexity to support the level of service billed.
Question 7: The family nurse practitioner examines a patient who has sustained a non-work-
related injury that interferes with the patient’s ability to perform his or her job. The patient does
not qualify for medical disability and has a reasonable chance of engaging in a suitable
occupation with proper therapy. The nurse practitioner recommends that the patient apply for:
A. Family and Medical Leave Act benefits
B. Home health services
C. Social Security benefits
D. Vocational rehabilitation services
Correct Answer: D. Vocational rehabilitation services
Explanation: Vocational rehabilitation assists individuals with functional limitations to return to
work through job modification, retraining, or assistive devices when disability benefits are not
indicated.
Question 8: A 45-year-old patient who is an opera singer reports progressive hoarseness for the
last four weeks. The hoarseness began after a three-hour opera performance. The patient does not
smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath.
The family nurse practitioner manages this patient by:
A. Ordering a computed tomography scan of the head
B. Ordering an immediate lateral neck x-ray
C. Prescribing systemic antibiotics and cool mist inhalations
D. Requesting a referral for evaluation of the larynx
Correct Answer: D. Requesting a referral for evaluation of the larynx
Explanation: Hoarseness persisting >2–3 weeks in a professional voice user requires direct
laryngoscopy by an otolaryngologist to rule out vocal-fold pathology (nodules, polyps, or
malignancy).
Question 9: Routine immunization guidelines recommend administering the hepatitis B vaccine
at birth and repeating doses at:
A. One month and two months
, B. One month and six months
C. Four months and two years
D. Six months and 12 months
Correct Answer: B. One month and six months
Explanation: The standard three-dose schedule for hepatitis B vaccine in infants is birth, 1–2
months, and 6–18 months (most commonly completed at 6 months).
Question 10: A patient who sustained a myocardial infarction comes to the clinic for a refill of
atorvastatin (Lipitor). The family nurse practitioner explains that the medication is prescribed
for:
A. Cancer prevention
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention
Correct Answer: D. Tertiary prevention
Explanation: In the context of established coronary disease after MI, statin therapy is used to
limit further complications and prevent recurrent events (tertiary prevention).
Question 11: Which health promotion strategy is most appropriate for adolescents who are
obese?
A. Individual-based behavior modification
B. Motivational interviewing
C. Parents should regulate meals
D. Presenting video case studies
Correct Answer: B. Motivational interviewing
Explanation: Motivational interviewing is evidence-based for adolescents because it enhances
intrinsic motivation and autonomy rather than relying on external control or passive education.
Question 12: Treatment of viral conjunctivitis includes the use of:
A. Antihistamine/decongestant drops
B. Antihistamine/mast cell stabilizer drops
C. Cold compresses
