ANCC FNP EXAM LATEST 2024 REAL EXAM
100 QUESTIONS WITH CORRECT DETAILED
ANSWERS ALREADY GRADED A+
The concept of health promotion consists of efforts to prevent rather than to cure
disease or disability. This description best describes:
A. tertiary prevention
B. secondary prevention
C. primary prevention
D. morbidity prevention
Standards for well child care and health promotion are set forth by the:
A. Task Force on Preventative Services, US Department of Health and Human services
B. American Academy of Family Physicians
C. American Academy of pediatrics
D. Healthy People 2010 and 2020
A 15 you female comes to the clinic for a health maintenance visit. The patient reports
no complaints. She does well in school, has many friends, and gets along well with her
parents and two siblings. She has recently become sexually active with her boyfriend of
6 mos. The physical exam is normal for her age. What screening, lab tests, and/or
immunizations should the PNP order?
A. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
B. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as
indicated
C. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
,D. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol
screen if indicated.
Which of the following is the best written chief complaint?
A. 5yo Asian female with itchy red rash
B. 1 mo. with difficulty feeding
C. 15yo African American female complaining of lower abdominal pain for 3 days
D. 12yo Caucasian with itchy eye for 1 week
The past history should include
A. family history
B. social hx
C. symptom analysis
D. hospitalization
The family history should include:
A. the health status of the paternal grandparents
B. the living conditions of the family
C. the work status of the parents
D. school information
Which of the following statements would be considered subjective data obtained from
the client during the review of systems for the skin?
A. the skin appears dry & excoriated
B. a lesion is noted on the lateral aspect of the right leg
C. there is moderate acne on the forehead and back
D. the patient denies changes in skin texture
The PNP is completing the ROS on a 4mo. What response from the mother might
indicate a cardiac problem in the infant & require a more thorough history?
A. the baby gets the hiccups often.
,B. it takes the baby over 30min to complete a bottle
C. the baby's heart seems to beat rapidly sometimes
D. sometimes the baby sounds congested
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to
include:
A. the date of last breast self-exam.
B. any limitations related to sports participation.
C. the last hematocrit and hemoglobin
D. the last lead screen
The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP
explores further, asking:
A. how the mother did the toilet training
B. if the child is dry at night and fully trained for urine and stool day and night
C. at what age did the mother begin toilet training the other child.
D. if the child gets up at night to use the bathroom
Jasmine, a 5-month-old infant is in the clinic for a well-child visit and is sleeping in her
mother's arms. What should the PNP do first?
A. Examine the ears, since this is uncomfortable for the infant.
B. Quickly give any needed immunizations.
C. Begin with assessment of the head and proceed from head to toe.
D. auscultates the heart & lungs while the infant is sleeping.
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a
marked elevation of the right scapula and right thoracic hump and spinal curve
abnormally are noted. Spinal films indicate 20 degree curve. The PNP should:
A. refer the patient to an orthopedist
B. monitor the patient every 3 mo until menarche
, C. refer the patient for physical therapy
D. recommends bed rest and back brace
What is the % of risk an autosomal dominant gene is being passed on to each
offspring?
a. 25
b. 50
c. 100
d. none - answer- b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might
alert the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - answer-
a
The parents of a child with cystic fibrosis are considering another pregnancy. They want
to know what their chances are of having another child with cystic fibrosis. The PNP
explains that cystic fibrosis is an autosomal recessive disorder and that each conception
of carrier parents has a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected - answer- a
The parents of a son with hemophilia are considering another pregnancy. The mother
has been identified as a carrier of the hemophilia gene. What chance does each female
offspring have of having hemophilia.
a. 100%
100 QUESTIONS WITH CORRECT DETAILED
ANSWERS ALREADY GRADED A+
The concept of health promotion consists of efforts to prevent rather than to cure
disease or disability. This description best describes:
A. tertiary prevention
B. secondary prevention
C. primary prevention
D. morbidity prevention
Standards for well child care and health promotion are set forth by the:
A. Task Force on Preventative Services, US Department of Health and Human services
B. American Academy of Family Physicians
C. American Academy of pediatrics
D. Healthy People 2010 and 2020
A 15 you female comes to the clinic for a health maintenance visit. The patient reports
no complaints. She does well in school, has many friends, and gets along well with her
parents and two siblings. She has recently become sexually active with her boyfriend of
6 mos. The physical exam is normal for her age. What screening, lab tests, and/or
immunizations should the PNP order?
A. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
B. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as
indicated
C. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
,D. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol
screen if indicated.
Which of the following is the best written chief complaint?
A. 5yo Asian female with itchy red rash
B. 1 mo. with difficulty feeding
C. 15yo African American female complaining of lower abdominal pain for 3 days
D. 12yo Caucasian with itchy eye for 1 week
The past history should include
A. family history
B. social hx
C. symptom analysis
D. hospitalization
The family history should include:
A. the health status of the paternal grandparents
B. the living conditions of the family
C. the work status of the parents
D. school information
Which of the following statements would be considered subjective data obtained from
the client during the review of systems for the skin?
A. the skin appears dry & excoriated
B. a lesion is noted on the lateral aspect of the right leg
C. there is moderate acne on the forehead and back
D. the patient denies changes in skin texture
The PNP is completing the ROS on a 4mo. What response from the mother might
indicate a cardiac problem in the infant & require a more thorough history?
A. the baby gets the hiccups often.
,B. it takes the baby over 30min to complete a bottle
C. the baby's heart seems to beat rapidly sometimes
D. sometimes the baby sounds congested
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to
include:
A. the date of last breast self-exam.
B. any limitations related to sports participation.
C. the last hematocrit and hemoglobin
D. the last lead screen
The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP
explores further, asking:
A. how the mother did the toilet training
B. if the child is dry at night and fully trained for urine and stool day and night
C. at what age did the mother begin toilet training the other child.
D. if the child gets up at night to use the bathroom
Jasmine, a 5-month-old infant is in the clinic for a well-child visit and is sleeping in her
mother's arms. What should the PNP do first?
A. Examine the ears, since this is uncomfortable for the infant.
B. Quickly give any needed immunizations.
C. Begin with assessment of the head and proceed from head to toe.
D. auscultates the heart & lungs while the infant is sleeping.
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a
marked elevation of the right scapula and right thoracic hump and spinal curve
abnormally are noted. Spinal films indicate 20 degree curve. The PNP should:
A. refer the patient to an orthopedist
B. monitor the patient every 3 mo until menarche
, C. refer the patient for physical therapy
D. recommends bed rest and back brace
What is the % of risk an autosomal dominant gene is being passed on to each
offspring?
a. 25
b. 50
c. 100
d. none - answer- b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might
alert the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - answer-
a
The parents of a child with cystic fibrosis are considering another pregnancy. They want
to know what their chances are of having another child with cystic fibrosis. The PNP
explains that cystic fibrosis is an autosomal recessive disorder and that each conception
of carrier parents has a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected - answer- a
The parents of a son with hemophilia are considering another pregnancy. The mother
has been identified as a carrier of the hemophilia gene. What chance does each female
offspring have of having hemophilia.
a. 100%
