FNP ANCC LATEST EXAM PREP
QUESTIONS AND ANSWERS PDF 2026
▶ Jean, a 68-year-old female, is suspected of having Alzheimer's disease.
Which of the following is the best initial method for assessing the condition?
A) Computed tomography scan of the brain
B) Mini Mental Status Exam
C) Obtain the history from the patient, friends, and family members
D) EEG (electroencephalography). Answer: B) Mini Mental Status Exam
Begin with administering the MMSE for a baseline assessment, followed by
taking a history from the patient and others.
▶ A 55-year-old woman who has type 2 diabetes is concerned about her
kidneys. She has a history of 3 urinary tract infections within the past 8
months. She denies dysuria and frequency at this visit. Which of the
following is the best initial course to follow?
A) Recheck the patient's urine and order a urine for culture and sensitivity
B) Order an IVP (intravenous pyelogram)
C) Advise the patient to follow up with a urologist
D) Evaluate the patient for a possible kidney infection. Answer: A)
Recheck the patient's urine and order a urine for culture and sensitivity
A urinary tract infection is defined as the presence of 100,000 organisms
per mL of urine in asymptomatic patients or greater than 100 organisms per
mL or urine with pyuria (more than 7 WBCs/mL) in a symptomatic patient
▶ A nurse practitioner is giving dietary counseling to a male alcoholic who
has recently been diagnosed with folic acid deficiency anemia. Which of the
following foods should the nurse practitioner recommend to this patient?
A) Tomatoes, oranges, and bananas
B) Cheese, yogurt, and milk
C) Lettuce, beef, and dairy products
,D) Spinach, liver, and whole wheat bread. Answer: D) Spinach, liver, and
whole wheat bread
Foods that are higher in folic acid include spinach, liver, and whole wheat
bread.
▶ The ELISA and Western Blot tests are both used to test for HIV. Which
of the following statements is correct?
A) It is a test to detect viral RNA
B) A positive ELISA screening does not mean the person has HIV infection
C) It is a test to detect viruses
D) It is a diagnostic test for the AIDS virus. Answer: B)A positive ELISA
screening does not mean the person has HIV infection
The ELISA test is always followed by a Western blot test to confirm
diagnosis.
▶ Hegar's sign is considered a:
A) Positive sign of pregnancy
B) Probable sign of pregnancy
C) Presumptive sign of pregnancy
D) Problem in pregnancy. Answer: B) Probable sign of pregnancy
Hegar's sign is softening of the lower portion of the uterus and is
considered a probable sign of pregnancy.
▶ When palpating a woman who is at 20 weeks of gestation, the nurse
practitioner should be able to feel the uterine fundus at what level?
A) Just rising above the level of the pubic symphysis
B) Between the pubic symphysis and the umbilicus
C) At the level of the umbilicus
D) Above the level of the umbilicus. Answer: C) At the level of the
umbilicus
Uterine growth at 12 weeks gestation, palpable just above the symphysis
pubis; 20 weeks gestation, at the level of the umbilicus; after this,
measurements in cm should approximately equal weeks of gestation.
,▶ A 67-year-old female with a 50 pack/year history of smoking presents for
a routine annual physical examination. She complains of being easily short
of breath and is frequently fatigued. Physical examination reveals
diminished breath sounds, hyperresonance, and hypertrophied respiratory
accessory muscles. Her CBC results reveal that her hematocrit level is
slightly elevated. Her pulmonary function test (PFT) results show increased
total lung capacity. What is the most likely diagnosis for this patient?
A) Bronchogenic carcinoma
B) COPD (chronic obstructive pulmonary disease)
C) Chronic bronchitis
D) Congestive heart failure. Answer: B) COPD (chronic obstructive
pulmonary disease)
Common complaints and signs/symptoms of COPD include shortness of
breath, fatigue, chronic cough, wheezing, difficulty performing tasks and
speaking, pursed-lip breathing, digital clubbing, diminished breath sounds,
use of accessory muscles, and polycythemia due to chronic hypoxia.
Pulmonary function tests/ spirometry include forced expira- tory volume,
forced vital capacity, and FEV1/FVC ratios.
▶ Your patient of 10 years, Mrs. Leman, is concerned about her most
recent diagnosis. She was told by her dermatologist that she has an
advanced case of actinic keratosis. Which of the following is the best
explanation for this patient?
A) It is a benign condition
B) It is a precancerous lesion and should be followed up with her
dermatologist
C) Apply hydrocortisone cream 1% BID for 2 weeks and most of it will go
away
D) It is important for her to follow up with an oncologist. Answer: B) It is a
precancerous lesion and should be followed up with her dermatologist
Actinic keratosis is a small, raised skin lesion from having been in the sun
for a long period of time. Some actinic keratoses may develop into skin
cancer; therefore, further evaluation is needed to determine if removal is
required.
, ▶ Patient confidentiality is breached when:
A) Medical information is given to a spouse
B) Records are subpoenaed
C) Reports are sent to the Public Health Department
D) Records are released to insurance companies. Answer: A) Medical
information is given to a spouse
Patient confidentiality is breached when medical information is given to a
spouse or any other individual without consent of the patient.
▶ A 25-year-old woman's last menstrual period was 6 weeks ago. She is
complaining of nausea with vomiting in the morning and fatigue. Her
breasts feel bloated. The nurse practitioner suspects that she is pregnant.
Her symptoms would be considered:
A) Positive signs of pregnancy
B) Probable signs of pregnancy
C) Presumptive signs of pregnancy
D) Possible signs of pregnancy. Answer: C) Presumptive signs of
pregnancy
Presumptive signs of pregnancy are symptoms experienced by the woman,
such as amenorrhea, breast tenderness, nausea/ vomiting, fatigue, and
increased urinary frequency.
▶ A 55-year-old male patient describes to you an episode of chest
tightness in his substernal area that radiated to his back while he was
jogging. It was relieved immediately when he stopped. Which of the
following conditions does this best describe?
A) Angina pectoris
B) Acute myocardial infarction
C) Gastroesophageal reflux disease
D) Acute costochondritis. Answer: A) Angina pectoris
Symptoms of angina pectoris include a pressing, squeezing, or crushing
pain, usually in the chest or back, arms, neck, or ear lobes. Weakness,
fatigue, and shortness of breath and pain radiating in the arms, shoulders,
jaw, neck, and/or back may also occur. Angina pectoris is most commonly
QUESTIONS AND ANSWERS PDF 2026
▶ Jean, a 68-year-old female, is suspected of having Alzheimer's disease.
Which of the following is the best initial method for assessing the condition?
A) Computed tomography scan of the brain
B) Mini Mental Status Exam
C) Obtain the history from the patient, friends, and family members
D) EEG (electroencephalography). Answer: B) Mini Mental Status Exam
Begin with administering the MMSE for a baseline assessment, followed by
taking a history from the patient and others.
▶ A 55-year-old woman who has type 2 diabetes is concerned about her
kidneys. She has a history of 3 urinary tract infections within the past 8
months. She denies dysuria and frequency at this visit. Which of the
following is the best initial course to follow?
A) Recheck the patient's urine and order a urine for culture and sensitivity
B) Order an IVP (intravenous pyelogram)
C) Advise the patient to follow up with a urologist
D) Evaluate the patient for a possible kidney infection. Answer: A)
Recheck the patient's urine and order a urine for culture and sensitivity
A urinary tract infection is defined as the presence of 100,000 organisms
per mL of urine in asymptomatic patients or greater than 100 organisms per
mL or urine with pyuria (more than 7 WBCs/mL) in a symptomatic patient
▶ A nurse practitioner is giving dietary counseling to a male alcoholic who
has recently been diagnosed with folic acid deficiency anemia. Which of the
following foods should the nurse practitioner recommend to this patient?
A) Tomatoes, oranges, and bananas
B) Cheese, yogurt, and milk
C) Lettuce, beef, and dairy products
,D) Spinach, liver, and whole wheat bread. Answer: D) Spinach, liver, and
whole wheat bread
Foods that are higher in folic acid include spinach, liver, and whole wheat
bread.
▶ The ELISA and Western Blot tests are both used to test for HIV. Which
of the following statements is correct?
A) It is a test to detect viral RNA
B) A positive ELISA screening does not mean the person has HIV infection
C) It is a test to detect viruses
D) It is a diagnostic test for the AIDS virus. Answer: B)A positive ELISA
screening does not mean the person has HIV infection
The ELISA test is always followed by a Western blot test to confirm
diagnosis.
▶ Hegar's sign is considered a:
A) Positive sign of pregnancy
B) Probable sign of pregnancy
C) Presumptive sign of pregnancy
D) Problem in pregnancy. Answer: B) Probable sign of pregnancy
Hegar's sign is softening of the lower portion of the uterus and is
considered a probable sign of pregnancy.
▶ When palpating a woman who is at 20 weeks of gestation, the nurse
practitioner should be able to feel the uterine fundus at what level?
A) Just rising above the level of the pubic symphysis
B) Between the pubic symphysis and the umbilicus
C) At the level of the umbilicus
D) Above the level of the umbilicus. Answer: C) At the level of the
umbilicus
Uterine growth at 12 weeks gestation, palpable just above the symphysis
pubis; 20 weeks gestation, at the level of the umbilicus; after this,
measurements in cm should approximately equal weeks of gestation.
,▶ A 67-year-old female with a 50 pack/year history of smoking presents for
a routine annual physical examination. She complains of being easily short
of breath and is frequently fatigued. Physical examination reveals
diminished breath sounds, hyperresonance, and hypertrophied respiratory
accessory muscles. Her CBC results reveal that her hematocrit level is
slightly elevated. Her pulmonary function test (PFT) results show increased
total lung capacity. What is the most likely diagnosis for this patient?
A) Bronchogenic carcinoma
B) COPD (chronic obstructive pulmonary disease)
C) Chronic bronchitis
D) Congestive heart failure. Answer: B) COPD (chronic obstructive
pulmonary disease)
Common complaints and signs/symptoms of COPD include shortness of
breath, fatigue, chronic cough, wheezing, difficulty performing tasks and
speaking, pursed-lip breathing, digital clubbing, diminished breath sounds,
use of accessory muscles, and polycythemia due to chronic hypoxia.
Pulmonary function tests/ spirometry include forced expira- tory volume,
forced vital capacity, and FEV1/FVC ratios.
▶ Your patient of 10 years, Mrs. Leman, is concerned about her most
recent diagnosis. She was told by her dermatologist that she has an
advanced case of actinic keratosis. Which of the following is the best
explanation for this patient?
A) It is a benign condition
B) It is a precancerous lesion and should be followed up with her
dermatologist
C) Apply hydrocortisone cream 1% BID for 2 weeks and most of it will go
away
D) It is important for her to follow up with an oncologist. Answer: B) It is a
precancerous lesion and should be followed up with her dermatologist
Actinic keratosis is a small, raised skin lesion from having been in the sun
for a long period of time. Some actinic keratoses may develop into skin
cancer; therefore, further evaluation is needed to determine if removal is
required.
, ▶ Patient confidentiality is breached when:
A) Medical information is given to a spouse
B) Records are subpoenaed
C) Reports are sent to the Public Health Department
D) Records are released to insurance companies. Answer: A) Medical
information is given to a spouse
Patient confidentiality is breached when medical information is given to a
spouse or any other individual without consent of the patient.
▶ A 25-year-old woman's last menstrual period was 6 weeks ago. She is
complaining of nausea with vomiting in the morning and fatigue. Her
breasts feel bloated. The nurse practitioner suspects that she is pregnant.
Her symptoms would be considered:
A) Positive signs of pregnancy
B) Probable signs of pregnancy
C) Presumptive signs of pregnancy
D) Possible signs of pregnancy. Answer: C) Presumptive signs of
pregnancy
Presumptive signs of pregnancy are symptoms experienced by the woman,
such as amenorrhea, breast tenderness, nausea/ vomiting, fatigue, and
increased urinary frequency.
▶ A 55-year-old male patient describes to you an episode of chest
tightness in his substernal area that radiated to his back while he was
jogging. It was relieved immediately when he stopped. Which of the
following conditions does this best describe?
A) Angina pectoris
B) Acute myocardial infarction
C) Gastroesophageal reflux disease
D) Acute costochondritis. Answer: A) Angina pectoris
Symptoms of angina pectoris include a pressing, squeezing, or crushing
pain, usually in the chest or back, arms, neck, or ear lobes. Weakness,
fatigue, and shortness of breath and pain radiating in the arms, shoulders,
jaw, neck, and/or back may also occur. Angina pectoris is most commonly
