FNP ANCC CERTIFICATION EXAM
QUESTIONS AND VERIFIED
ANSWERS 2026
▶ An Rh-negative pregnant woman with negative rubella titers should be
vaccinated at what time period in pregnancy?
A) She can be vaccinated at any time in her pregnancy
B) During the second trimester
C) During the third trimester
D) During the postpartum period. Answer: D)During the post partum period
Rubella should be administered to the woman during the postpartum
period. Rubella is contraindicated during pregnancy.
▶ Medicare Part B will pay for all of the following services except:
A) Outpatient physician visits that are medically necessary
B) Durable medical equipment
C) Outpatient laboratory and radiology tests
D) Eyeglasses and routine dental care. Answer: D) Eyeglasses and routine
dental care
Medicare Part B covers: 1) outpatient physician visits, labs, x-rays; 2)
durable medical equipment; 3) mammograms/ colonoscopy after age 50
years annually; and 4) rehabilitation.
▶ Which of the following is used to screen for color blindness in a 7-year-
old boy?
A) Snellen chart
B) Ishihara chart
C) Cover/uncover test
,D) Red reflex. Answer: B) Ishihara chart
The Ishihara chart is used for screening for color blindness.
▶ A 67-year-old retired clerk presents with complaints of shortness of
breath and weight gain over a 2-week period. A nonproductive cough
accompanies her symptoms. The lung exam is positive for fine crackles in
the lower lobes with no wheezing. The exam is positive for egophony.
Which of the following conditions is most likely?
A) Acute exacerbation of asthma
B) Left-heart failure
C) Right-heart failure
D) Chronic obstructive pulmonary disease. Answer: B) Left-heart failure
Signs and symptoms of left-heart failure include tachypnea, labored
breathing, and rales or crackles in the lower bases of the lungs, which can
develop into pulmonary edema.
▶ Which of the following drugs is most likely to relieve the patient's
symptoms?
A) Atenolol (Tenormin)
B) Trimethoprim/sulfamethoxazole (Bactrim DS)
C) Furosemide (Lasix)
D) Hydrocodone/guaifenesin syrup (Hycotuss). Answer: C) Furosemide
(Lasix)
Lasix would be used to help remove the extra fluid load.
▶ A patient has recently been diagnosed with migraine headache with
aura. She wants advice on what she should eliminate from her diet to
reduce her risk of headaches. The best response is to advise this patient to
avoid:
A) Foods with aspartame (Equal) because they can trigger migraines
B) Foods with monosodium glutamate because they promote diuresis
C) Foods with garlic because they promote hypertension
D) Foods with nitrates because they do not induce flushing. Answer: A)
Foods with aspartame (Equal) because they can trigger migraines
,Dietary triggers for migraine headaches include foods that contain
aspartame, tyramine, nitrites, MSG, and/or red wine. These foods are
thought to cause a change in the blood vessels and increased blood flow to
the brain.
▶ A patient with a history of mitral valve prolapse (MVP) is requesting
prophylaxis before her dental surgery. Which of the following would you
prescribe this patient?
A) Amoxicillin a half hour before and 2 hours after the procedure
B) Amoxicillin 1 hour before the procedure
C) Amoxicillin 1 hour before and 3 hours after the procedure
D) Prophylaxis is not recommended for this patient. Answer: D)
Prophylaxis is not recommended for this patient
The American Heart Association does not recommend routine antibiotic
prophylaxis prior to dental procedures except for patients who are at high
risk for bacterial endocarditis (a prosthetic cardiac valve, previous history of
bacterial endocarditis, congenital heart defects, etc.).
▶ Koplik's spots are associated with:
A) Poxvirus infections
B) Measles
C) Kawasaki's disease
D) Reye's syndrome. Answer: B) Measles
Signs and symptoms of the measles include fever over 101°F, coryza,
cough, conjunctivitis, rash, and Koplik's spots on buccal mucosa.
▶ Stella, a new mother, complains to you that she has been feeling irritable
and jittery almost daily for the past few months. She complains of frequent
palpitations and more frequent bowel movements along with weight loss.
Her BP is 160/70, her pulse is 110, and she is afebrile. All of the following
conditions should be considered in the differential diagnosis for this patient
except:
A) Mitral regurgitation
, B) Graves' disease
C) Generalized anxiety disorder
D) Illicit drug use. Answer: A) Mitral regurgitation
Signs and symptoms of mitral regurgitation do not include frequent bowel
movements with weight loss.
▶ An elderly patient with a productive cough and fever is diagnosed with
pneumonia. All of the following organisms are capable of causing
community-acquired pneumonia except:
A) Haemophilus influenzae
B) Mycoplasma pneumoniae
C) Treponema pallidum
D) Streptococcus pneumoniae. Answer: C) Treponema pallidum
Treponema pallidum is a gram-negative spirochete bacterium that causes
syphilis
▶ Human chorionic gonadotropin (hCG) is produced by the:
A) Placenta
B) Hypothalamus
C) Anterior pituitary
D) Ovaries. Answer: A) Placenta
HCG is produced by the placenta.
▶ The majority of serum alpha fetoprotein is produced by the:
A) Fetal liver
B) Mother's liver
C) Placenta
D) Fetal neural tube. Answer: A) Fetal liver
Serum alpha fetoprotein is produced by the fetal liver.
▶ Stella works in the housekeeping department of a hospital. She presents
to the employee health clinic with a complaint of a needlestick to her left
thumb. The needle was in one of the garbage bags from the emergency
QUESTIONS AND VERIFIED
ANSWERS 2026
▶ An Rh-negative pregnant woman with negative rubella titers should be
vaccinated at what time period in pregnancy?
A) She can be vaccinated at any time in her pregnancy
B) During the second trimester
C) During the third trimester
D) During the postpartum period. Answer: D)During the post partum period
Rubella should be administered to the woman during the postpartum
period. Rubella is contraindicated during pregnancy.
▶ Medicare Part B will pay for all of the following services except:
A) Outpatient physician visits that are medically necessary
B) Durable medical equipment
C) Outpatient laboratory and radiology tests
D) Eyeglasses and routine dental care. Answer: D) Eyeglasses and routine
dental care
Medicare Part B covers: 1) outpatient physician visits, labs, x-rays; 2)
durable medical equipment; 3) mammograms/ colonoscopy after age 50
years annually; and 4) rehabilitation.
▶ Which of the following is used to screen for color blindness in a 7-year-
old boy?
A) Snellen chart
B) Ishihara chart
C) Cover/uncover test
,D) Red reflex. Answer: B) Ishihara chart
The Ishihara chart is used for screening for color blindness.
▶ A 67-year-old retired clerk presents with complaints of shortness of
breath and weight gain over a 2-week period. A nonproductive cough
accompanies her symptoms. The lung exam is positive for fine crackles in
the lower lobes with no wheezing. The exam is positive for egophony.
Which of the following conditions is most likely?
A) Acute exacerbation of asthma
B) Left-heart failure
C) Right-heart failure
D) Chronic obstructive pulmonary disease. Answer: B) Left-heart failure
Signs and symptoms of left-heart failure include tachypnea, labored
breathing, and rales or crackles in the lower bases of the lungs, which can
develop into pulmonary edema.
▶ Which of the following drugs is most likely to relieve the patient's
symptoms?
A) Atenolol (Tenormin)
B) Trimethoprim/sulfamethoxazole (Bactrim DS)
C) Furosemide (Lasix)
D) Hydrocodone/guaifenesin syrup (Hycotuss). Answer: C) Furosemide
(Lasix)
Lasix would be used to help remove the extra fluid load.
▶ A patient has recently been diagnosed with migraine headache with
aura. She wants advice on what she should eliminate from her diet to
reduce her risk of headaches. The best response is to advise this patient to
avoid:
A) Foods with aspartame (Equal) because they can trigger migraines
B) Foods with monosodium glutamate because they promote diuresis
C) Foods with garlic because they promote hypertension
D) Foods with nitrates because they do not induce flushing. Answer: A)
Foods with aspartame (Equal) because they can trigger migraines
,Dietary triggers for migraine headaches include foods that contain
aspartame, tyramine, nitrites, MSG, and/or red wine. These foods are
thought to cause a change in the blood vessels and increased blood flow to
the brain.
▶ A patient with a history of mitral valve prolapse (MVP) is requesting
prophylaxis before her dental surgery. Which of the following would you
prescribe this patient?
A) Amoxicillin a half hour before and 2 hours after the procedure
B) Amoxicillin 1 hour before the procedure
C) Amoxicillin 1 hour before and 3 hours after the procedure
D) Prophylaxis is not recommended for this patient. Answer: D)
Prophylaxis is not recommended for this patient
The American Heart Association does not recommend routine antibiotic
prophylaxis prior to dental procedures except for patients who are at high
risk for bacterial endocarditis (a prosthetic cardiac valve, previous history of
bacterial endocarditis, congenital heart defects, etc.).
▶ Koplik's spots are associated with:
A) Poxvirus infections
B) Measles
C) Kawasaki's disease
D) Reye's syndrome. Answer: B) Measles
Signs and symptoms of the measles include fever over 101°F, coryza,
cough, conjunctivitis, rash, and Koplik's spots on buccal mucosa.
▶ Stella, a new mother, complains to you that she has been feeling irritable
and jittery almost daily for the past few months. She complains of frequent
palpitations and more frequent bowel movements along with weight loss.
Her BP is 160/70, her pulse is 110, and she is afebrile. All of the following
conditions should be considered in the differential diagnosis for this patient
except:
A) Mitral regurgitation
, B) Graves' disease
C) Generalized anxiety disorder
D) Illicit drug use. Answer: A) Mitral regurgitation
Signs and symptoms of mitral regurgitation do not include frequent bowel
movements with weight loss.
▶ An elderly patient with a productive cough and fever is diagnosed with
pneumonia. All of the following organisms are capable of causing
community-acquired pneumonia except:
A) Haemophilus influenzae
B) Mycoplasma pneumoniae
C) Treponema pallidum
D) Streptococcus pneumoniae. Answer: C) Treponema pallidum
Treponema pallidum is a gram-negative spirochete bacterium that causes
syphilis
▶ Human chorionic gonadotropin (hCG) is produced by the:
A) Placenta
B) Hypothalamus
C) Anterior pituitary
D) Ovaries. Answer: A) Placenta
HCG is produced by the placenta.
▶ The majority of serum alpha fetoprotein is produced by the:
A) Fetal liver
B) Mother's liver
C) Placenta
D) Fetal neural tube. Answer: A) Fetal liver
Serum alpha fetoprotein is produced by the fetal liver.
▶ Stella works in the housekeeping department of a hospital. She presents
to the employee health clinic with a complaint of a needlestick to her left
thumb. The needle was in one of the garbage bags from the emergency
