FNP Board Latest Questions and Correct Answers 2026-
2027/ ANCC FNP Board Exam Prep 2026 with a Review of
300 Recently Tested Questions and Correct Answers
An 18-year-old patient with acquired hypothyroidism has remained stable on
current medications. A follow-up evaluation should be performed every A. 6-12
months
B. 6-8 weeks.
C. 3-4 weeks
D. 3-4 months
A. 6-12 months
Which of the following gross motor skills would normally be found in a 2-year-
old's well-child examination?
A. Standing on one foot for 5 seconds
B. Kicking a ball
C. Hopping on one foot without support
D. Throwing a ball overhand
B. Kicking a ball
A young adult non-smoker returns 1-week after diagnosis of pneumonia with little
improvement. T = 100.2°F (37.9°C), P = 90, R = 18/min, and 02 Sat = 96% on
room air. The patient has been on amoxicillin (Amoxil), 1,000 mg t.i.d. The nurse
practitioner's next action would be to:
A. switch to levofloxacin (Levaquin), 500 mg for 7 days.
B. initiate azithromycin (Zithromax), 500 mg for 1 day, then 250 mg for 4 days
C. switch to amoxicillin-clavulanic acid (Augmentin) 875/125 mg b. i.d.
D. admit the patient to the hospital for intravenous treatment.
B. initiate azithromycin (Zithromax), 500 mg for 1 day, then 250 mg for 4 days
The most alarming symptom of GERD is:
A. globus sensation
B. sore throat
1
,C. coughing
D. dysphagia
D. dysphagia
A 2-month-old presents with irritability. During examination, the child exhibits
sudden flexing of the extremities followed by uncontrollable crying. Fundoscopic
examination reveals retinal hemorrhages. Which of the following diagnostic tests
should be ordered first?
A. PET scan
B. CT scan
C. MRI
D. X-rays
B. CT scan
Hydrochlorothiazide (HCTZ) can cause exacerbations of:
A. asthma
B. hypoglycemia.
C. GERD
D. gout
D. gout
A young adult presents with hypercholesterolemia for a 6 month follow up.
Treatment has included only dietary modification and exercise. Serum cholesterol
values are: total = 230 mg/dL (unchanged);
LDL = 148 mg/Dl (formerly 160 mg/dL); HDL = 28 mg/dL (formerly 31 mg/dL).
In addition to continuing current therapy, the nurse practitioner should add A.
ezetimibe (Zetia).
B. fenofibrate (Tricor)
C. rosuvastatin (Crestor)
D. cholestyramine (Questran).
C. rosuvastatin (Crestor)
An older adult male presents with sudden sharp pain that radiates from the lower
back to the groin. The best choice for diagnostic testing is:
A. a PET scan
B. a stress test
2
,C. an MRI
D. a myelogram
C. an MRI
Which of the following is included in the treatment regimen for bacterial
conjunctivitis?
A. Trifluridine (Viroptic)
B. Olopatadine (Pataday)
C. Prednisolone ophthalmic (Pred Forte)
D. Tobramycin (Tobrex)
D. Tobramycin (Tobrex)
A 2-week-old presents with projectile vomiting. The parent reports, "the reflux is
getting worse, and nothing is staying down." The patient has lost 0.9 kg in 10 days.
The nurse practitioner recommends:
A. an ultrasound
B. ondansetron (Zofran)
C. thickening the formula
D. a sensitive-based formula
A. an ultrasound
Acute otitis media has which of the following characteristics?
A. Fluid line posterior to the tympanic membrane
B. Tenderness with traction of the tragus
C. Loss of ossicular landmarks on the tympanic membrane
D. Pearl grey tympanic membrane
C. Loss of ossicular landmarks on the tympanic membrane
An adult presents with aching pain and cramping in the legs after walking a short
distance. The patient has a 40-pack year history of smoking and uncontrolled type
2 diabetes mellitus. The most likely diagnosis is:
A. diabetic peripheral neuropathy.
B. deep vein thrombosis.
C. arterial embolism.
D. peripheral vascular occlusive disease.
D. peripheral vascular occlusive disease.
3
, Solid foods can be introduced into an infant's diet at what age?
A. 9 months
B. 12 months
C. 6 months
D. 3 months
C. 6 months
The management of hypertension, an alpha-adrenergic blocker lowers blood
pressure by decreasing
A. the force of ventricular contractions.
B. circulating blood volume.
C. cardiac output.
D. peripheral resistance
D peripheral resistance
The nurse practitioner suspects exploitation of an elderly patient. What action
should the nurse practitioner take?
A. Monitor the situation.
B. Inform Adult Protective Services.
C. Confront the suspected exploiter.
D. Contact local law enforcement.
B. Inform Adult Protective Services
A toddler presents with constant rhinorrhea and a 2-week history of persistent
cough. Examination reveals lymphoid patches, mildly erythematous palpebral
conjunctiva, bilateral middle ear effusions, boggy pale nasal mucosa with clear
drainage, and lungs clear to auscultation. The nurse practitioner suspects the
etiology to be:
A. allergic.
B. bacterial
C. viral.
D. idiopathic.
A. allergic.
A young adult male presents with a painless lump on his testicle for one month.
The patient reports being sexually active and frequent unprotected intercourse with
multiple partners. Which condition does the nurse practitioner suspect?
4
2027/ ANCC FNP Board Exam Prep 2026 with a Review of
300 Recently Tested Questions and Correct Answers
An 18-year-old patient with acquired hypothyroidism has remained stable on
current medications. A follow-up evaluation should be performed every A. 6-12
months
B. 6-8 weeks.
C. 3-4 weeks
D. 3-4 months
A. 6-12 months
Which of the following gross motor skills would normally be found in a 2-year-
old's well-child examination?
A. Standing on one foot for 5 seconds
B. Kicking a ball
C. Hopping on one foot without support
D. Throwing a ball overhand
B. Kicking a ball
A young adult non-smoker returns 1-week after diagnosis of pneumonia with little
improvement. T = 100.2°F (37.9°C), P = 90, R = 18/min, and 02 Sat = 96% on
room air. The patient has been on amoxicillin (Amoxil), 1,000 mg t.i.d. The nurse
practitioner's next action would be to:
A. switch to levofloxacin (Levaquin), 500 mg for 7 days.
B. initiate azithromycin (Zithromax), 500 mg for 1 day, then 250 mg for 4 days
C. switch to amoxicillin-clavulanic acid (Augmentin) 875/125 mg b. i.d.
D. admit the patient to the hospital for intravenous treatment.
B. initiate azithromycin (Zithromax), 500 mg for 1 day, then 250 mg for 4 days
The most alarming symptom of GERD is:
A. globus sensation
B. sore throat
1
,C. coughing
D. dysphagia
D. dysphagia
A 2-month-old presents with irritability. During examination, the child exhibits
sudden flexing of the extremities followed by uncontrollable crying. Fundoscopic
examination reveals retinal hemorrhages. Which of the following diagnostic tests
should be ordered first?
A. PET scan
B. CT scan
C. MRI
D. X-rays
B. CT scan
Hydrochlorothiazide (HCTZ) can cause exacerbations of:
A. asthma
B. hypoglycemia.
C. GERD
D. gout
D. gout
A young adult presents with hypercholesterolemia for a 6 month follow up.
Treatment has included only dietary modification and exercise. Serum cholesterol
values are: total = 230 mg/dL (unchanged);
LDL = 148 mg/Dl (formerly 160 mg/dL); HDL = 28 mg/dL (formerly 31 mg/dL).
In addition to continuing current therapy, the nurse practitioner should add A.
ezetimibe (Zetia).
B. fenofibrate (Tricor)
C. rosuvastatin (Crestor)
D. cholestyramine (Questran).
C. rosuvastatin (Crestor)
An older adult male presents with sudden sharp pain that radiates from the lower
back to the groin. The best choice for diagnostic testing is:
A. a PET scan
B. a stress test
2
,C. an MRI
D. a myelogram
C. an MRI
Which of the following is included in the treatment regimen for bacterial
conjunctivitis?
A. Trifluridine (Viroptic)
B. Olopatadine (Pataday)
C. Prednisolone ophthalmic (Pred Forte)
D. Tobramycin (Tobrex)
D. Tobramycin (Tobrex)
A 2-week-old presents with projectile vomiting. The parent reports, "the reflux is
getting worse, and nothing is staying down." The patient has lost 0.9 kg in 10 days.
The nurse practitioner recommends:
A. an ultrasound
B. ondansetron (Zofran)
C. thickening the formula
D. a sensitive-based formula
A. an ultrasound
Acute otitis media has which of the following characteristics?
A. Fluid line posterior to the tympanic membrane
B. Tenderness with traction of the tragus
C. Loss of ossicular landmarks on the tympanic membrane
D. Pearl grey tympanic membrane
C. Loss of ossicular landmarks on the tympanic membrane
An adult presents with aching pain and cramping in the legs after walking a short
distance. The patient has a 40-pack year history of smoking and uncontrolled type
2 diabetes mellitus. The most likely diagnosis is:
A. diabetic peripheral neuropathy.
B. deep vein thrombosis.
C. arterial embolism.
D. peripheral vascular occlusive disease.
D. peripheral vascular occlusive disease.
3
, Solid foods can be introduced into an infant's diet at what age?
A. 9 months
B. 12 months
C. 6 months
D. 3 months
C. 6 months
The management of hypertension, an alpha-adrenergic blocker lowers blood
pressure by decreasing
A. the force of ventricular contractions.
B. circulating blood volume.
C. cardiac output.
D. peripheral resistance
D peripheral resistance
The nurse practitioner suspects exploitation of an elderly patient. What action
should the nurse practitioner take?
A. Monitor the situation.
B. Inform Adult Protective Services.
C. Confront the suspected exploiter.
D. Contact local law enforcement.
B. Inform Adult Protective Services
A toddler presents with constant rhinorrhea and a 2-week history of persistent
cough. Examination reveals lymphoid patches, mildly erythematous palpebral
conjunctiva, bilateral middle ear effusions, boggy pale nasal mucosa with clear
drainage, and lungs clear to auscultation. The nurse practitioner suspects the
etiology to be:
A. allergic.
B. bacterial
C. viral.
D. idiopathic.
A. allergic.
A young adult male presents with a painless lump on his testicle for one month.
The patient reports being sexually active and frequent unprotected intercourse with
multiple partners. Which condition does the nurse practitioner suspect?
4
