ANCC FNP ACTUAL EXAM NEWEST 2026 & 2027
COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ ANCC FAMILY
NURSING PRACTITIONER 2026
when compared to other *Emergency* Anosmia/hyposmia
- ANSWER//neural degeneration resulting in loss of smell
and taste presbycusis - ANSWER//age related hearing
loss loss of 8th cranial nerve sensitivity primary prevention
- ANSWER//immunizations, counseling about safety, injury
and disease prevention preventing the health problem, the
most cost-effective form of healthcare secondary
prevention - ANSWER//screening tests, such as BP check,
mammo, colonoscopy detecting disease in early
asymptomatic, or preclinical state to minimize its impact
tertiary prevention - ANSWER//in established disease,
adjusting therapy to avoid further target organ damage.
potentially viewed as a failure of primary prevention
minimizing negative disease induced outcomes active
immunity - ANSWER//resistance developed in response to
a vaccine and usually characterized by the presence of an
antibody produced by host via immunization onset of
protection is usually within 1 month of vaccine dose
duration of protection- usually years or lifelong passive
immunity - ANSWER//Immunity conferred by transferring
antibodies from an individual who is immune to a
pathogen to another individual. onset of protection- usually
within hours of dose duration of protection- usually time-
limits, usually 6-9 months available for limited number of
infectious disease including varicella, hep A or B, tetanus,
rabies, others Urticaria - ANSWER//hives Hep A -
ANSWER//contaminated food or water Live Vaccines -
ANSWER//MMR, Varicella, intranasal influenza- not given
during pregnancy Rotavirus (oral)- not given with SCID
harmless virus shed from stool in first weeks post vaccine-
standard diaper hygiene and handwashing MMR -
,ANSWER//dose 1- 12 months dose 2- 4-6 years Varicella
- ANSWER//dose 1- 12 months dose 2- 4-6 years
Rotavirus - ANSWER//max age for 1st dose- 14 weeks 6
days max age for last dose- 8 months Stages of change -
ANSWER//precontemplation, contemplation, preparation,
action, maintenance 5 A's of smoking cessation -
ANSWER//1. Ask 2. Advise 3. Assess 4. Assist 5. Arrange
leading cause of death in 10-44 - ANSWER//unintentional
injury leading cause of death in 45-64 - ANSWER//cancer
Hemoglobin/Hematocrit (H&H) ratio - ANSWER//1:3 RBC
size (MCV) - ANSWER//microcytic- MCV <80 normocytic-
MCV 80-96 macrocytic- MCV >96 MCHC -
ANSWER//normochromic- MCHC 31-37 hypochromic-
<31 RDW - ANSWER//11.5-14.5% Normal reticulocyte
count - ANSWER//1-2% normocytic normochromic anemia
with NL RDW - ANSWER//anemia of chronic disease
chronic kidney disease acute blood loss Next step:
dictated by suspected underlying cause microcytic,
hypochromic, elevated RDW - ANSWER//Iron deficiency
plumbism (lead toxicity) Next step: ferritin for estimate iron
stores add lead testing in younger children microcytic,
hypochromic anemia, NL RDW - ANSWER//thalassemia
trait alpa thalassemia minor - ANSWER//A, A, A asian,
african ancestry beta thalassemia minor - ANSWER//B, A,
M, M, E african, mediterranean, middle eastern ancestry
next step: hemoglobin electrophoresis for evaluation of
hemoglobin variant macrocytic normochromic anemia with
elevated RDW - ANSWER//vitamin B12 deficiency,
especially pernicious anemia folate deficiency anemia
next step: serum vitamin B12 and RBC folate drug
induced macrocystosis usually without anemia -
ANSWER//alcohol (Excess) antiepileptic drugs
(cabamazepine, phenytoin, methotrexate) most common:
excessive alcohol >5 drink per day in male, >3 drinks per
day in female next step: usually not needed Hemic
murmur - ANSWER//shows up in absence of cardiac
pathology but contact more than normal high fever,
, profound dehydration, anemia is bad, thyroid toxicosis
happens in 3rd trimester of preggo sometimes WBC -
ANSWER//Nobody Likes My Educational Background
neutrophils- 60% (bacteria) lymphocyte- 30% (virus)
monocyte- 6% (debris) eosinophil- 3% (allergens,
parasites (worms, wheezes, weird diseases) basophil- 1%
(anaphylaxis) Level of evidence ranking - ANSWER//meta-
analysis or systematic review
(cochrane/medline/cinahl/pubmed) RCTs experimental
studies (control group, intervention group) cohort/case
control studies retrospective chart reviews expert/specialty
society opinions basal cell carcinoma - ANSWER//skin
lesion has pearly or waxlike appearance with
telangiectasia risk factors: light-colored skin actinic
keratosis - ANSWER//a precancerous skin growth that
occurs on sun-damaged skin gold standard for skin cancer
- ANSWER//skin biopsy Benzodiazepines -
ANSWER//treat anxiety or insomnia Mood stabilizers -
ANSWER//lithium treat bipolar disorder first line for
depression - ANSWER//SSRI SSRI Drugs -
ANSWER//Citalopram (Celexa) Escitalopram (Lexapro)
Fluoxetine (Prozac) Paroxetine (Paxil) Sertraline (Zoloft)
CAGE questionnaire - ANSWER//cut down, annoyed,
guilty, eye opener Thiazides - ANSWER//contraindicated
in gout what to monitor in ACE and ARB -
ANSWER//serum potassium and creatinine levels goal of
INR in pt with Afib - ANSWER//2-3 goal of INR with
prosthetic heart valves - ANSWER//2.5-3.5 herb feverfew -
ANSWER//used for migraine, irregular menstrual periods,
tinnitus pharmokinectics: age-related changes -
ANSWER//increase in fat-to-water ration decrease in
albumin and plasma proteins decrease in liver blood flow
and size decrease in some CYP450 enzyme pathways
(decreased drug clearance) decrease in GFR Drug-drug
interactions drugs - ANSWER//macrolides (erythro,
clarithro, telithro) antifungals (ketoconozole, flucanazole,
itraconazole) cimetidine citalopram grapefruit juice
COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ ANCC FAMILY
NURSING PRACTITIONER 2026
when compared to other *Emergency* Anosmia/hyposmia
- ANSWER//neural degeneration resulting in loss of smell
and taste presbycusis - ANSWER//age related hearing
loss loss of 8th cranial nerve sensitivity primary prevention
- ANSWER//immunizations, counseling about safety, injury
and disease prevention preventing the health problem, the
most cost-effective form of healthcare secondary
prevention - ANSWER//screening tests, such as BP check,
mammo, colonoscopy detecting disease in early
asymptomatic, or preclinical state to minimize its impact
tertiary prevention - ANSWER//in established disease,
adjusting therapy to avoid further target organ damage.
potentially viewed as a failure of primary prevention
minimizing negative disease induced outcomes active
immunity - ANSWER//resistance developed in response to
a vaccine and usually characterized by the presence of an
antibody produced by host via immunization onset of
protection is usually within 1 month of vaccine dose
duration of protection- usually years or lifelong passive
immunity - ANSWER//Immunity conferred by transferring
antibodies from an individual who is immune to a
pathogen to another individual. onset of protection- usually
within hours of dose duration of protection- usually time-
limits, usually 6-9 months available for limited number of
infectious disease including varicella, hep A or B, tetanus,
rabies, others Urticaria - ANSWER//hives Hep A -
ANSWER//contaminated food or water Live Vaccines -
ANSWER//MMR, Varicella, intranasal influenza- not given
during pregnancy Rotavirus (oral)- not given with SCID
harmless virus shed from stool in first weeks post vaccine-
standard diaper hygiene and handwashing MMR -
,ANSWER//dose 1- 12 months dose 2- 4-6 years Varicella
- ANSWER//dose 1- 12 months dose 2- 4-6 years
Rotavirus - ANSWER//max age for 1st dose- 14 weeks 6
days max age for last dose- 8 months Stages of change -
ANSWER//precontemplation, contemplation, preparation,
action, maintenance 5 A's of smoking cessation -
ANSWER//1. Ask 2. Advise 3. Assess 4. Assist 5. Arrange
leading cause of death in 10-44 - ANSWER//unintentional
injury leading cause of death in 45-64 - ANSWER//cancer
Hemoglobin/Hematocrit (H&H) ratio - ANSWER//1:3 RBC
size (MCV) - ANSWER//microcytic- MCV <80 normocytic-
MCV 80-96 macrocytic- MCV >96 MCHC -
ANSWER//normochromic- MCHC 31-37 hypochromic-
<31 RDW - ANSWER//11.5-14.5% Normal reticulocyte
count - ANSWER//1-2% normocytic normochromic anemia
with NL RDW - ANSWER//anemia of chronic disease
chronic kidney disease acute blood loss Next step:
dictated by suspected underlying cause microcytic,
hypochromic, elevated RDW - ANSWER//Iron deficiency
plumbism (lead toxicity) Next step: ferritin for estimate iron
stores add lead testing in younger children microcytic,
hypochromic anemia, NL RDW - ANSWER//thalassemia
trait alpa thalassemia minor - ANSWER//A, A, A asian,
african ancestry beta thalassemia minor - ANSWER//B, A,
M, M, E african, mediterranean, middle eastern ancestry
next step: hemoglobin electrophoresis for evaluation of
hemoglobin variant macrocytic normochromic anemia with
elevated RDW - ANSWER//vitamin B12 deficiency,
especially pernicious anemia folate deficiency anemia
next step: serum vitamin B12 and RBC folate drug
induced macrocystosis usually without anemia -
ANSWER//alcohol (Excess) antiepileptic drugs
(cabamazepine, phenytoin, methotrexate) most common:
excessive alcohol >5 drink per day in male, >3 drinks per
day in female next step: usually not needed Hemic
murmur - ANSWER//shows up in absence of cardiac
pathology but contact more than normal high fever,
, profound dehydration, anemia is bad, thyroid toxicosis
happens in 3rd trimester of preggo sometimes WBC -
ANSWER//Nobody Likes My Educational Background
neutrophils- 60% (bacteria) lymphocyte- 30% (virus)
monocyte- 6% (debris) eosinophil- 3% (allergens,
parasites (worms, wheezes, weird diseases) basophil- 1%
(anaphylaxis) Level of evidence ranking - ANSWER//meta-
analysis or systematic review
(cochrane/medline/cinahl/pubmed) RCTs experimental
studies (control group, intervention group) cohort/case
control studies retrospective chart reviews expert/specialty
society opinions basal cell carcinoma - ANSWER//skin
lesion has pearly or waxlike appearance with
telangiectasia risk factors: light-colored skin actinic
keratosis - ANSWER//a precancerous skin growth that
occurs on sun-damaged skin gold standard for skin cancer
- ANSWER//skin biopsy Benzodiazepines -
ANSWER//treat anxiety or insomnia Mood stabilizers -
ANSWER//lithium treat bipolar disorder first line for
depression - ANSWER//SSRI SSRI Drugs -
ANSWER//Citalopram (Celexa) Escitalopram (Lexapro)
Fluoxetine (Prozac) Paroxetine (Paxil) Sertraline (Zoloft)
CAGE questionnaire - ANSWER//cut down, annoyed,
guilty, eye opener Thiazides - ANSWER//contraindicated
in gout what to monitor in ACE and ARB -
ANSWER//serum potassium and creatinine levels goal of
INR in pt with Afib - ANSWER//2-3 goal of INR with
prosthetic heart valves - ANSWER//2.5-3.5 herb feverfew -
ANSWER//used for migraine, irregular menstrual periods,
tinnitus pharmokinectics: age-related changes -
ANSWER//increase in fat-to-water ration decrease in
albumin and plasma proteins decrease in liver blood flow
and size decrease in some CYP450 enzyme pathways
(decreased drug clearance) decrease in GFR Drug-drug
interactions drugs - ANSWER//macrolides (erythro,
clarithro, telithro) antifungals (ketoconozole, flucanazole,
itraconazole) cimetidine citalopram grapefruit juice
