ANCC Nurse Executive
Certification Exam (NEBC Exam) New
2025 Version with All Questions 150 from
Actual Exam with 100% Correct Answers
and Rationale
The FNP has a 45-year-old male patient with BPH who has poison ivy.
The FNP plans to prescribe Benadryl for this. What is a possible adverse
effect with the use of Benadryl for this patient? -
<<<<ANSWERS>>>urinary retention
You are testing a client suspected of having Parkinson's disease. You
support the client's elbow with his forearm extended in your hand and
grasp his wrist, flexing the forearm. You find rigid resistance to this
motion. This is considered which of the following? -
<<<<ANSWERS>>>cogwheeling
The complex network of nerve fibers that innervate the organs within the
abdomen like the gastrointestinal tract, pancreas, and gall bladder is the -
<<<<ANSWERS>>>enteric nervous system
Aplastic anemia would be classified as which of the following? -
<<<<ANSWERS>>>normocytic anemia
Charles Darwin wrote On the Origin of Species about human evolution.
He also is known for which of the following? -
,<<<<ANSWERS>>>developing the "baby journal" as a systematic
method to document observed behavioral development
Your patient has AIDS. He is in the hospital suffering from an infection.
He presented with severe watery diarrhea, abdominal cramps, nausea,
malaise and has an electrolyte imbalance. Which of the following
opportunistic infections do these symptoms best describe? -
<<<<ANSWERS>>>cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as
many as 30-40 stools per day. The patient also has abdominal cramps,
nausea, malaise and tests will show an electrolyte balance.
A patient with sensitive skin had a TB skin test but has no symptoms. He
returns with redness and swelling that appears positive. What is the next
step? - <<<<ANSWERS>>>Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients.
Which of the following would not be considered crossing one of these
boundaries? - <<<<ANSWERS>>>Not sharing personal information
with the patient
The United States Preventive Services Task Force recommends
screening older patients for depression: - <<<<ANSWERS>>>at each
primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral
route from contaminated food? - <<<<ANSWERS>>>Hep A
Which of the following is a normal physiologic change during
pregnancy? - <<<<ANSWERS>>>-Cardiac output increases by 1/3 by
the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
,If a patient is diagnosed with left-heart failure, which of the following
medications would the nurse practitioner more than likely use for
treatment? - <<<<ANSWERS>>>Lasix
When counseling patients who smoke cigarettes, which of the following
is NOT good management advice? - <<<<ANSWERS>>>For
asymptomatic adults, instruct the patient on how it is easier to stop now
than when symptomatic.
According to Prochaska and DiClemente, the 5 stages of preparation for
patient change would include which of the following? -
<<<<ANSWERS>>>Action
Paul is a 67-year-old male patient with type 2 diabetes. In managing this
patient's care which of the following lab tests would you have done for
Paul every 3 - 6 months? - <<<<ANSWERS>>>A1c
Which of the following would be considered one of the stages of
Pertussis? - <<<<ANSWERS>>>Convalescent
A middle-age female patient presents to the clinic with a recurrence of
mild hidradenitis suppurativa after topical therapies failed. Which first-
line treatment is recommended? - <<<<ANSWERS>>>Tetracycline
, Twelve weeks of oral tetracycline (Sumycin) is the recommended first-
line treatment for hidradenitis suppurativa.
__________________________________________________
Hidradenitis suppurativa is a disorder of the terminal follicular
epithelium in apocrine gland-bearing skin. It is a chronic, disabling
disorder that progresses, often causing keloids, contractures, and
immobility. It is characterized by comedone-like follicular occlusion,
chronic and relapsing inflammation, mucopurulent discharge, and
progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical
presentation includes nodules and sinus tracts (inflamed or
noninflamed), abscesses, and scarring found in the axilla, genitofemoral
area, perineum, gluteal area, and inframammary area in women.
Recommended treatments include antibiotics, steroids, retinoids,
dapsone, and anti-tumor necrosis factor agents. A dermatology
consultation should also be considered.
First-line treatment is a 12-week course of an oral tetracycline
(Sumycin) such as doxycycline. For patients who do not respond to
doxycycline, the next recommended step is a combination of twice-daily
clindamycin (Cleocin) and rifampicin (Rifadin) for 10-12 weeks. If
treatment fails, acitretin (Soriatane, for males and nonfertile females) or
dapsone (Aczone) may be considered by a dermatologist. In patients
with moderate to severe hidradenitis suppurativa, adalimumab (Humira)
may possibly be considered.
When providing culturally competent health care services to an
American Indian elder, the nurse practitioner understands which is
traditionally true? - <<<<ANSWERS>>>The "Medicine Wheel" is used
by many for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four directions;
north, south, east, and west. Traditionally each tribe has different
meanings for each direction and they may represent the season of the
year or stage of life. It is aimed at providing a holistic view of life.
Certification Exam (NEBC Exam) New
2025 Version with All Questions 150 from
Actual Exam with 100% Correct Answers
and Rationale
The FNP has a 45-year-old male patient with BPH who has poison ivy.
The FNP plans to prescribe Benadryl for this. What is a possible adverse
effect with the use of Benadryl for this patient? -
<<<<ANSWERS>>>urinary retention
You are testing a client suspected of having Parkinson's disease. You
support the client's elbow with his forearm extended in your hand and
grasp his wrist, flexing the forearm. You find rigid resistance to this
motion. This is considered which of the following? -
<<<<ANSWERS>>>cogwheeling
The complex network of nerve fibers that innervate the organs within the
abdomen like the gastrointestinal tract, pancreas, and gall bladder is the -
<<<<ANSWERS>>>enteric nervous system
Aplastic anemia would be classified as which of the following? -
<<<<ANSWERS>>>normocytic anemia
Charles Darwin wrote On the Origin of Species about human evolution.
He also is known for which of the following? -
,<<<<ANSWERS>>>developing the "baby journal" as a systematic
method to document observed behavioral development
Your patient has AIDS. He is in the hospital suffering from an infection.
He presented with severe watery diarrhea, abdominal cramps, nausea,
malaise and has an electrolyte imbalance. Which of the following
opportunistic infections do these symptoms best describe? -
<<<<ANSWERS>>>cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as
many as 30-40 stools per day. The patient also has abdominal cramps,
nausea, malaise and tests will show an electrolyte balance.
A patient with sensitive skin had a TB skin test but has no symptoms. He
returns with redness and swelling that appears positive. What is the next
step? - <<<<ANSWERS>>>Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients.
Which of the following would not be considered crossing one of these
boundaries? - <<<<ANSWERS>>>Not sharing personal information
with the patient
The United States Preventive Services Task Force recommends
screening older patients for depression: - <<<<ANSWERS>>>at each
primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral
route from contaminated food? - <<<<ANSWERS>>>Hep A
Which of the following is a normal physiologic change during
pregnancy? - <<<<ANSWERS>>>-Cardiac output increases by 1/3 by
the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
,If a patient is diagnosed with left-heart failure, which of the following
medications would the nurse practitioner more than likely use for
treatment? - <<<<ANSWERS>>>Lasix
When counseling patients who smoke cigarettes, which of the following
is NOT good management advice? - <<<<ANSWERS>>>For
asymptomatic adults, instruct the patient on how it is easier to stop now
than when symptomatic.
According to Prochaska and DiClemente, the 5 stages of preparation for
patient change would include which of the following? -
<<<<ANSWERS>>>Action
Paul is a 67-year-old male patient with type 2 diabetes. In managing this
patient's care which of the following lab tests would you have done for
Paul every 3 - 6 months? - <<<<ANSWERS>>>A1c
Which of the following would be considered one of the stages of
Pertussis? - <<<<ANSWERS>>>Convalescent
A middle-age female patient presents to the clinic with a recurrence of
mild hidradenitis suppurativa after topical therapies failed. Which first-
line treatment is recommended? - <<<<ANSWERS>>>Tetracycline
, Twelve weeks of oral tetracycline (Sumycin) is the recommended first-
line treatment for hidradenitis suppurativa.
__________________________________________________
Hidradenitis suppurativa is a disorder of the terminal follicular
epithelium in apocrine gland-bearing skin. It is a chronic, disabling
disorder that progresses, often causing keloids, contractures, and
immobility. It is characterized by comedone-like follicular occlusion,
chronic and relapsing inflammation, mucopurulent discharge, and
progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical
presentation includes nodules and sinus tracts (inflamed or
noninflamed), abscesses, and scarring found in the axilla, genitofemoral
area, perineum, gluteal area, and inframammary area in women.
Recommended treatments include antibiotics, steroids, retinoids,
dapsone, and anti-tumor necrosis factor agents. A dermatology
consultation should also be considered.
First-line treatment is a 12-week course of an oral tetracycline
(Sumycin) such as doxycycline. For patients who do not respond to
doxycycline, the next recommended step is a combination of twice-daily
clindamycin (Cleocin) and rifampicin (Rifadin) for 10-12 weeks. If
treatment fails, acitretin (Soriatane, for males and nonfertile females) or
dapsone (Aczone) may be considered by a dermatologist. In patients
with moderate to severe hidradenitis suppurativa, adalimumab (Humira)
may possibly be considered.
When providing culturally competent health care services to an
American Indian elder, the nurse practitioner understands which is
traditionally true? - <<<<ANSWERS>>>The "Medicine Wheel" is used
by many for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four directions;
north, south, east, and west. Traditionally each tribe has different
meanings for each direction and they may represent the season of the
year or stage of life. It is aimed at providing a holistic view of life.