2026 ANCC FNP-BC Full Simulated
Practice
1. Which history finding most suggests cardiac ischemia?
A. Pain worse with palpation
B. Burning after meals
C. Pressure radiating to the left arm
D. Pain worse with inspiration
---CORRECT ANSWER---: C
2. Which otoscopic finding is most consistent with acute otitis media?
A. Pearly gray mobile tympanic membrane
B. Bulging erythematous tympanic membrane
C. Retracted tympanic membrane with bubbles
D. Cerumen blocking the canal
---CORRECT ANSWER---: B
3. Which milestone is expected in a 2-year-old child?
A. Uses 2-word phrases
B. Reads simple books
C. Hops on one foot
D. Ties shoelaces
---CORRECT ANSWER---: A
4. Which is a major risk factor for osteoporosis?
A. Short-term NSAID use
B. Long-term prednisone use
C. Low-protein diet
D. Seasonal allergies
---CORRECT ANSWER---: B
5. Which question best screens for food insecurity?
A. “Do you eat organic foods?”
, B. “Do you have trouble paying for food?”
C. “How often do you dine out?”
D. “Do you prefer low-sodium foods?”
---CORRECT ANSWER---: B
6. Which activity is an instrumental activity of daily living?
A. Bathing
B. Dressing
C. Feeding
D. Managing finances
---CORRECT ANSWER---: D
7. Which headache history is a red flag requiring urgent evaluation?
A. Mild headache after skipping caffeine
B. Bilateral tight band sensation
C. Sudden “worst headache of my life”
D. Headache relieved by rest
---CORRECT ANSWER---: C
8. Jugular venous distention most directly reflects:
A. Left ventricular pressure
B. Right atrial pressure
C. Pulmonary compliance
D. Coronary perfusion
---CORRECT ANSWER---: B
9. A positive depression screen should be followed immediately by
assessment of:
A. Caffeine intake
B. Family size
C. Suicide risk
D. Exercise habits
---CORRECT ANSWER---: C
10. During an adolescent visit, the best statement is:
A. “Everything you say will be shared with your parent.”
B. “Your parent must stay for the entire visit.”
C. “Part of this visit will be private unless safety is at risk.”
, D. “Confidentiality does not apply to minors.”
---CORRECT ANSWER---: C
11. In a patient with COPD symptoms, which history question is most
important in assessing exacerbation?
A. “What is your favorite food?”
B. “Has your sputum amount or color changed?”
C. “Do you snore?”
D. “Have you traveled abroad?”
---CORRECT ANSWER---: B
12. The monofilament test is used to assess:
A. Peripheral pulses
B. Visual acuity
C. Protective sensation in the feet
D. Reflex symmetry
---CORRECT ANSWER---: C
13. Which instruction helps during thyroid palpation?
A. “Hold your breath.”
B. “Swallow a sip of water.”
C. “Turn your head quickly.”
D. “Raise both arms.”
---CORRECT ANSWER---: B
14. Which screening tool is commonly used for brief cognitive
assessment in older adults?
A. Centor criteria
B. Wells score
C. Mini-Cog
D. PHQ-2
---CORRECT ANSWER---: C
15. The best way to assess for intimate partner violence is to:
A. Ask in front of family members
B. Wait for the patient to mention it
C. Ask privately in a nonjudgmental manner
Practice
1. Which history finding most suggests cardiac ischemia?
A. Pain worse with palpation
B. Burning after meals
C. Pressure radiating to the left arm
D. Pain worse with inspiration
---CORRECT ANSWER---: C
2. Which otoscopic finding is most consistent with acute otitis media?
A. Pearly gray mobile tympanic membrane
B. Bulging erythematous tympanic membrane
C. Retracted tympanic membrane with bubbles
D. Cerumen blocking the canal
---CORRECT ANSWER---: B
3. Which milestone is expected in a 2-year-old child?
A. Uses 2-word phrases
B. Reads simple books
C. Hops on one foot
D. Ties shoelaces
---CORRECT ANSWER---: A
4. Which is a major risk factor for osteoporosis?
A. Short-term NSAID use
B. Long-term prednisone use
C. Low-protein diet
D. Seasonal allergies
---CORRECT ANSWER---: B
5. Which question best screens for food insecurity?
A. “Do you eat organic foods?”
, B. “Do you have trouble paying for food?”
C. “How often do you dine out?”
D. “Do you prefer low-sodium foods?”
---CORRECT ANSWER---: B
6. Which activity is an instrumental activity of daily living?
A. Bathing
B. Dressing
C. Feeding
D. Managing finances
---CORRECT ANSWER---: D
7. Which headache history is a red flag requiring urgent evaluation?
A. Mild headache after skipping caffeine
B. Bilateral tight band sensation
C. Sudden “worst headache of my life”
D. Headache relieved by rest
---CORRECT ANSWER---: C
8. Jugular venous distention most directly reflects:
A. Left ventricular pressure
B. Right atrial pressure
C. Pulmonary compliance
D. Coronary perfusion
---CORRECT ANSWER---: B
9. A positive depression screen should be followed immediately by
assessment of:
A. Caffeine intake
B. Family size
C. Suicide risk
D. Exercise habits
---CORRECT ANSWER---: C
10. During an adolescent visit, the best statement is:
A. “Everything you say will be shared with your parent.”
B. “Your parent must stay for the entire visit.”
C. “Part of this visit will be private unless safety is at risk.”
, D. “Confidentiality does not apply to minors.”
---CORRECT ANSWER---: C
11. In a patient with COPD symptoms, which history question is most
important in assessing exacerbation?
A. “What is your favorite food?”
B. “Has your sputum amount or color changed?”
C. “Do you snore?”
D. “Have you traveled abroad?”
---CORRECT ANSWER---: B
12. The monofilament test is used to assess:
A. Peripheral pulses
B. Visual acuity
C. Protective sensation in the feet
D. Reflex symmetry
---CORRECT ANSWER---: C
13. Which instruction helps during thyroid palpation?
A. “Hold your breath.”
B. “Swallow a sip of water.”
C. “Turn your head quickly.”
D. “Raise both arms.”
---CORRECT ANSWER---: B
14. Which screening tool is commonly used for brief cognitive
assessment in older adults?
A. Centor criteria
B. Wells score
C. Mini-Cog
D. PHQ-2
---CORRECT ANSWER---: C
15. The best way to assess for intimate partner violence is to:
A. Ask in front of family members
B. Wait for the patient to mention it
C. Ask privately in a nonjudgmental manner
