ANCC Exam Questions and Answers Updated 2026

ANCC Exam Questions and
Answers Updated 2026
AB50-year-oldBwomanBpresentsBtoBtheBclinicBforBfollow-
upBonBherBtypeB2BdiabetesBmellitus.BSheBisBcurrentlyBtakingBmetforminB(Glumetza)BatBherB
maximumBtoleratedBdose,BandBherBHbA1CBatBtheBcurrentBappointmentBisB8.6%.BTheBpatient
BisBnotBopenBtoBinsulinBandBwantsBtoBtryBalternativeBmedicationsBtoBreduceBherBHbA1C.BW
hichBofBtheBfollowingBmedicationsBwillBdirectlyBstimulateBtheBreleaseBofBinsulinBfromBpancrea
ticBbetaBcells,BtherebyBloweringBbloodBglucoseBconcentrations?

A.

AcarboseB(Precose)

Incorrect

B.

DulaglutideB(Trulicity)

Incorrect

C.

EmpagliflozinB(Jardiance)

Incorrect

D.

GlipizideB(Glucotrol)B-BAnswerGlipizideB(Glucotrol)



AnB18-year-
oldBpatientBpresentsBwithBunilateralBearBpainBforB2Bdays.BOnBanBotoscopicBexam,BtheBtympa
nicBmembraneBisBbulgingBandBappearsBinflamed.BTheBposteriorBlandmarksBareBobscured,Band
BtheBlightBreflexBisBdistorted.BWhichBofBtheBfollowingBisBtheBmostBlikelyBdiagnosis?

A.

Mastoiditis

Incorrect

B.

OtitisBexterna

Incorrect

C.

OtitisBmedia

Correct

,D.

PresbycusisB-BAnswerOtitisBmedia



AB7-year-
oldBboyBwithBaBpastBmedicalBhistoryBofBatopicBdermatitisBpresentsBtoBtheBclinicBwithBhisBfat
herBforBconcernBaboutBanBallergicBreaction.BTheBboyBstatesBthatB2BhoursBago,BafterBeatingBl
unch,BheBdevelopedBanBitchyBthroatBandBeyeBswelling.BHeBreportsBnoBwheezingBorBshortness
BofBbreath.BTheBphysicalBexamBdoesBnotBshowBurticaria,BandBhisBairwayBisBpatent.BWhichBof
BtheBfollowingBwouldBbeBresponsibleBforBoralBallergyBsyndrome?

A.

CowBmilk

Incorrect

B.

Eggs

Incorrect

C.

Peaches

Correct

D.

SalmonB-BAnswerPeaches



AnB8-year-
oldBboyBpresentsBtoBtheBofficeBwithBanBerythematous,Bnonpruritic,BmaculopapularBrashBinBa
BlacyBpatternBonBhisBtrunkBandBarms.BHisBcheeksBareBalsoBnoticeablyBred.BHisBmotherBrepor
tsBthatBheBhadBaBfeverB1BweekBagoBthatBresolvedBwithinB2BdaysBwithoutBanyBotherBsympto
msBuntilBnow.BHeBisBafebrileBatBtheBcurrentBvisit.BWhichBofBtheBfollowingBisBtheBmostBlikely
Bdiagnosis?

A.

ErythemaBinfectiosum

Correct

B.

Hand,Bfoot,BandBmouthBdisease

Incorrect

C.

,Roseola

Incorrect

D.

RubellaB-BAnswerErythemaBinfectiosum



AnB85-year-
oldBmanBwithBrecentlyBdiagnosedBhypertensionBpresentsBtoBtheBclinicBforBaBBPBcheck.BTwoB
weeksBago,BhisBBPBwasB168/74BmmBHg,BandBheBstartedBtakingBlisinoprilB(Zestril)B10BmgBdail
y.BHeBreportsBnoBmissedBdoses.BHisBBPBatBtheBcurrentBvisitBisB128/78BmmBHg.BWhatBisBthe
BbestBnextBstepBinBhisBBPBmanagement?

A.

AddBhydrochlorothiazideBandBreassessBinB1Bmonth

Incorrect

B.

ContinueBhisBlisinoprilB(Zestril)BatBtheBcurrentBdose

Correct

C.

IncreaseBhisBlisinoprilB(Zestril)BdoseBtoB20Bmg

Incorrect

D.

StopBlisinoprilB(Zestril)BandBstartBhydrochlorothiazideB-
BAnswerContinueBhisBlisinoprilB(Zestril)BatBtheBcurrentBdose



AB66-year-
oldBmanBpresentsBtoBtheBclinicBwithBaBtremorBforB6Bmonths.BHeBreportsBthatBitBisBmainlyB
onBtheBleftBsideBofBhisBbodyBandBisBsignificantlyBworseBwhenBheBisBatBrest.BHeBstatesBthatB
itBhasBalsoBbeenBmoreBdifficultBrecentlyBtoBuseButensilsBandBtoolsBandBthatBitBtakesBhimBaB
longBtimeBtoBgetBoutBofBchairsBandBbed.BTheBphysicalBexaminationBrevealsBaBrestingBtremor,
BmildBhyperreflexiaBonBtheBleft,BandBlead-
pipeBrigidityBinBhisBjoints.BWhichBofBtheBfollowingBisBtheBbestBnextBstepBinBconfirmingBtheBs
uspectedBdiagnosis?

A.

ABlevodopaBorBapomorphineBchallengeBtest

Incorrect

B.

, BrainBparenchymaBsonography

Incorrect

C.

MRI

Incorrect

D.

ReferralBtoBaBneurologistB-BAnswerReferralBtoBaBneurologist



AB45-year-
oldBmanBwithBaBBMIBofB32Bkg/m2BisBfollowingBupBatBtheBclinicBforBweightBloss.BHeBexplain
sBtoBtheBnurseBpractitionerBthat,BforBtheBpastBmonth,BheBhasBbeenBtryingBtoBfollowBtheBrec
ommendedBdietBandBaB30-
minuteBdailyBexerciseBroutineBbutBhasBonlyBlostB2Bpounds.BWhichBofBtheBfollowingBisBtheBm
ostBappropriateBnextBstepBinBtheBmanagementBofBthisBpatient'sBcondition?

A.

IncreaseBmoderateBexerciseBactivityBtoB60Bminutes/day

Incorrect

B.

PrescribeBphentermineB(Lomaira)

Incorrect

C.

RecommendBstressBmanagement

Correct

D.

ReferBpatientBforBbariatricBsurgeryB-BAnswerRecommendBstressBmanagement



ABnurseBpractitionerBisBlecturingBstudentsBonBtheBimportanceBofBsleepBandBhowBitBcanBaffec
tBtheBoverallBhealthBofBanBolderBpatient.BTheBnurseBpractitionerBexplainsBthatBaBcomprehens
iveBhistoryBandBphysicalBexaminationBmayBhelpBtoBidentifyBdifferentialBdiagnosesBthatBnegati
velyBimpactBtheBsleepBcycle.BWhichBofBtheBfollowingBdiagnosesBisBaBsleep-
relatedBmovementBdisorderBcharacterizedBbyBuncontrollableBurgesBtoBmoveBtheBextremities?

A.

EssentialBtremor

Incorrect