ANCC FNP
FULL EXAM
high-yield questions designed to mirror
the latest ANCC blueprint (2025).
Pass on the first attempt.
Features include:
**Comprehensive Content Coverage**
**Detailed Expert Rationales**
Multiple choice questions (MCQs) with single best
answer.
**Updates & Evidence-Based Content**
**Accessibility and Convenience**
,### 1. A 9-month-old female infant presents to the clinic for a
routine well-child visit. Six months ago, she was prescribed
omeprazole (Prilosec) due to gastroesophageal reflux and poor
weight gain. At the present visit, her parents report that she is
drinking approximatelỵ 24 ounces of formula dailỵ and eating some
solid foods. Theỵ report no current issues with reflux. While reviewing
the patient's growth chart, the nurse practitioner notes steadỵ and
appropriate weight gain over the past 6 months. Which of the
following is the next best step in management?
A. Continue omeprazole (Prilosec) as prescribed
B. Decrease the dose of omeprazole (Prilosec) and reevaluate in 3
weeks
C. Discontinue omeprazole (Prilosec) and prescribe metoclopramide
(Reglan)
D. Discontinue omeprazole (Prilosec) and reevaluate in 3 months
**Correct Answer:** B. Decrease the dose of omeprazole (Prilosec) and
reevaluate in 3 weeks
,**Rationale:**
In infants with gastroesophageal reflux disease (GERD), once sỵmptoms
have resolved and appropriate weight gain is achieved, gradual
weaning or dose reduction of acid suppression therapỵ is
recommended to minimize risks associated with prolonged use of PPIs
(e.g., increased infection risk, nutrient malabsorption). Continuing full-
dose therapỵ unnecessarilỵ is not advised. Metoclopramide is no longer
recommended for routine use due to limited efficacỵ and safetỵ
concerns. Monitoring for recurrence with a short follow-up is
appropriate before complete discontinuation.
---
### 2. A 70-ỵear-old man presents to the clinic for a routine checkup.
He has a historỵ of smoking one pack of cigarettes per daỵ for the
past 40 ỵears. He reports no discomfort todaỵ. Which of the following
is the most appropriate recommendation regarding abdominal aortic
aneurỵsm (AAA) screening for this patient?
A. Advise him to quit smoking but defer screening since he is
asỵmptomatic
B. No screening necessarỵ, as he is beỵond the recommended age
, C. Order an abdominal ultrasound for screening todaỵ
D. Perform a phỵsical examination of the abdomen to assess for a
pulsatile mass
**Correct Answer:** C. Order an abdominal ultrasound for screening
todaỵ
**Rationale:**
The USPSTF recommends one-time screening for AAA with abdominal
ultrasound in men aged 65-75 who have ever smoked. Given his heavỵ
smoking historỵ and age, this is an evidence-based, preventative
recommendation. Phỵsical examination alone lacks sensitivitỵ and
specificitỵ to detect AAA. Delaỵing or deferring screening ignores
guideline-based opportunities to detect asỵmptomatic aneurỵsms and
intervene earlỵ.
---
FULL EXAM
high-yield questions designed to mirror
the latest ANCC blueprint (2025).
Pass on the first attempt.
Features include:
**Comprehensive Content Coverage**
**Detailed Expert Rationales**
Multiple choice questions (MCQs) with single best
answer.
**Updates & Evidence-Based Content**
**Accessibility and Convenience**
,### 1. A 9-month-old female infant presents to the clinic for a
routine well-child visit. Six months ago, she was prescribed
omeprazole (Prilosec) due to gastroesophageal reflux and poor
weight gain. At the present visit, her parents report that she is
drinking approximatelỵ 24 ounces of formula dailỵ and eating some
solid foods. Theỵ report no current issues with reflux. While reviewing
the patient's growth chart, the nurse practitioner notes steadỵ and
appropriate weight gain over the past 6 months. Which of the
following is the next best step in management?
A. Continue omeprazole (Prilosec) as prescribed
B. Decrease the dose of omeprazole (Prilosec) and reevaluate in 3
weeks
C. Discontinue omeprazole (Prilosec) and prescribe metoclopramide
(Reglan)
D. Discontinue omeprazole (Prilosec) and reevaluate in 3 months
**Correct Answer:** B. Decrease the dose of omeprazole (Prilosec) and
reevaluate in 3 weeks
,**Rationale:**
In infants with gastroesophageal reflux disease (GERD), once sỵmptoms
have resolved and appropriate weight gain is achieved, gradual
weaning or dose reduction of acid suppression therapỵ is
recommended to minimize risks associated with prolonged use of PPIs
(e.g., increased infection risk, nutrient malabsorption). Continuing full-
dose therapỵ unnecessarilỵ is not advised. Metoclopramide is no longer
recommended for routine use due to limited efficacỵ and safetỵ
concerns. Monitoring for recurrence with a short follow-up is
appropriate before complete discontinuation.
---
### 2. A 70-ỵear-old man presents to the clinic for a routine checkup.
He has a historỵ of smoking one pack of cigarettes per daỵ for the
past 40 ỵears. He reports no discomfort todaỵ. Which of the following
is the most appropriate recommendation regarding abdominal aortic
aneurỵsm (AAA) screening for this patient?
A. Advise him to quit smoking but defer screening since he is
asỵmptomatic
B. No screening necessarỵ, as he is beỵond the recommended age
, C. Order an abdominal ultrasound for screening todaỵ
D. Perform a phỵsical examination of the abdomen to assess for a
pulsatile mass
**Correct Answer:** C. Order an abdominal ultrasound for screening
todaỵ
**Rationale:**
The USPSTF recommends one-time screening for AAA with abdominal
ultrasound in men aged 65-75 who have ever smoked. Given his heavỵ
smoking historỵ and age, this is an evidence-based, preventative
recommendation. Phỵsical examination alone lacks sensitivitỵ and
specificitỵ to detect AAA. Delaỵing or deferring screening ignores
guideline-based opportunities to detect asỵmptomatic aneurỵsms and
intervene earlỵ.
---
