ANCC Acute Care Nurse Practitioner (ACNP) 2026
BOARD EXAM REVIEW 2026-2027 Actual Exam
with Real Questions and Verified Correct Answers
Already Graded A+ Guaranteed Success Brand New
Version!!
A 21-year-old patient is admitted to the intensive care unit with a severe closed head injury. The
patient's family is becoming louder and more insistent about seeing the patient. To establish a
therapeutic relationship with the family, an acute care nurse practitioner's initial action is to:
-acknowledge the family's anxiety.
-arrange for a meeting with a social worker.
-escort the family to a conference room.
-gently direct the family to maintain composure. - CORRECT ANSWER: acknowledge the
family's anxiety.
A 24-year-old male patient with a closed head injury has been intubated for 12 days. The
patient's parents have repeatedly refused consent for a tracheostomy and long-term care
placement. On multiple occasions, the surgeon has discussed the risks and benefits of the surgery
with them. Addressing the parents, the acute care nurse practitioner states:
"I understand you have reservations about the placement of a tracheostomy."
"Please know that not many patients die while undergoing a tracheosto - CORRECT ANSWER:
"I understand you have reservations about the placement of a tracheostomy."
A 42-year-old patient with metastatic lung cancer is admitted with severe intractable pain related
to a pathologic fracture of the left femur. The plan is to stabilize the fracture surgically, and begin
local radiation therapy to the site. For this patient, the most appropriate analgesic regimen is:
, -fentanyl (Duragesic) transdermal system applied every 72 hours.
-meperidine (Demerol) 50 mg intramuscularly every three hours around the clock.
-morphine sulfate (Avinza) IV via a patient-contro - CORRECT ANSWER: morphine sulfate
(Avinza) IV via a patient-controlled analgesia pump with a basal rate.
A 45-year-old patient, who is on mechanical ventilatory support in the intensive care unit, is
receiving a neuromuscular blockade for respiratory control related to acute respiratory failure. To
prevent keratoconjunctivitis sicca, the acute care nurse practitioner prescribes:
artificial tears preparations.
IV antibiotic administration.
local sulfonamide therapy.
topical steroid administration. - CORRECT ANSWER: artificial tears preparations
A 57-year-old male patient arrives at the emergency department with substernal chest pain. An
electrocardiogram reveals ST segment depression in leads V3 and V4. Before administering
nitrates, an acute care nurse practitioner assesses the patient's use of:
angiotensin-converting enzyme inhibitors.
aspirin.
beta-blockers.
phosphodiesterase inhibitors. - CORRECT ANSWER: phosphodiesterase inhibitors
PDE 5 is for ED, and it could interact with nitrates to further vasodilate causing severe
hypotension and death.
A 78-year-old male patient with heart failure develops a bacterial urinary tract infection
secondary to an indwelling Foley catheter. The patient has a known history of allergy to
penicillin and sulfonamides. The appropriate choice for antimicrobial therapy is:
cephalexin (Keflex).
BOARD EXAM REVIEW 2026-2027 Actual Exam
with Real Questions and Verified Correct Answers
Already Graded A+ Guaranteed Success Brand New
Version!!
A 21-year-old patient is admitted to the intensive care unit with a severe closed head injury. The
patient's family is becoming louder and more insistent about seeing the patient. To establish a
therapeutic relationship with the family, an acute care nurse practitioner's initial action is to:
-acknowledge the family's anxiety.
-arrange for a meeting with a social worker.
-escort the family to a conference room.
-gently direct the family to maintain composure. - CORRECT ANSWER: acknowledge the
family's anxiety.
A 24-year-old male patient with a closed head injury has been intubated for 12 days. The
patient's parents have repeatedly refused consent for a tracheostomy and long-term care
placement. On multiple occasions, the surgeon has discussed the risks and benefits of the surgery
with them. Addressing the parents, the acute care nurse practitioner states:
"I understand you have reservations about the placement of a tracheostomy."
"Please know that not many patients die while undergoing a tracheosto - CORRECT ANSWER:
"I understand you have reservations about the placement of a tracheostomy."
A 42-year-old patient with metastatic lung cancer is admitted with severe intractable pain related
to a pathologic fracture of the left femur. The plan is to stabilize the fracture surgically, and begin
local radiation therapy to the site. For this patient, the most appropriate analgesic regimen is:
, -fentanyl (Duragesic) transdermal system applied every 72 hours.
-meperidine (Demerol) 50 mg intramuscularly every three hours around the clock.
-morphine sulfate (Avinza) IV via a patient-contro - CORRECT ANSWER: morphine sulfate
(Avinza) IV via a patient-controlled analgesia pump with a basal rate.
A 45-year-old patient, who is on mechanical ventilatory support in the intensive care unit, is
receiving a neuromuscular blockade for respiratory control related to acute respiratory failure. To
prevent keratoconjunctivitis sicca, the acute care nurse practitioner prescribes:
artificial tears preparations.
IV antibiotic administration.
local sulfonamide therapy.
topical steroid administration. - CORRECT ANSWER: artificial tears preparations
A 57-year-old male patient arrives at the emergency department with substernal chest pain. An
electrocardiogram reveals ST segment depression in leads V3 and V4. Before administering
nitrates, an acute care nurse practitioner assesses the patient's use of:
angiotensin-converting enzyme inhibitors.
aspirin.
beta-blockers.
phosphodiesterase inhibitors. - CORRECT ANSWER: phosphodiesterase inhibitors
PDE 5 is for ED, and it could interact with nitrates to further vasodilate causing severe
hypotension and death.
A 78-year-old male patient with heart failure develops a bacterial urinary tract infection
secondary to an indwelling Foley catheter. The patient has a known history of allergy to
penicillin and sulfonamides. The appropriate choice for antimicrobial therapy is:
cephalexin (Keflex).
