ANCC FNP CERTIFICATION EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin
(Lipitor). The family nurse practitioner explains that the medication is prescribed for:
1. cancer prevention.
2. primary prevention.
3. secondary prevention.
4. tertiary prevention.
4. tertiary prevention.
Which health promotion strategy is most appropriate for adolescents who are obese?
1. individual-based behavior modification.
2. Motivational interviewing.
3. Parents should regulate meals.
4. Presenting video case studies.
2. Motivational interviewing.
Treatment of viral conjunctivitis includes the use of:
1. antihistamine/decongestant drops.
2. antihistamine/mast cell stabilizer drops.
3. cold compresses.
4. steroid eyedrops.
3. cold compresses.
A 60-year-old patient with diabetes has a blood pressure reading of 150/96 mmHg. After three
months of increased exercise and decreased calories, the patient has lost 10 lb (4.54 kg). The
patient's follow-up blood pressure is 142/94 mmHg. Which medication does the family nurse
practitioner prescribe?
1. Enalapril (Vasotec).
2. Furosemide (Lasix).
3. Hydrochlorothiazide (HydroDIURIL).
4. Propranolol (Inderal).
1. Enalapril (Vasotec).
A family nurse practitioner advises a nursing mother who has postpartum mastitis to take
antibiotics as prescribed and:
1. continue to nurse with both breasts.
2. pump the unaffected breast with a lactation pump.
1
,ANCC FNP CERTIFICATION EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
3. take cool showers.
4. temporarily switch to formula.
continue to nurse with both breasts.
A patient who had a total gastrectomy one year ago complains of a sore mouth, indigestion, and
tingling in the lower extremities. Which test is ordered by the family nurse practitioner?
1. Blood urea nitrogen level.
2. Complete blood count.
3. Liver function study.
4. Thyroid function study.
2. Complete blood count.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria shows
symptoms associated with the use of:
1. benzodiazepine (Alprazolam).
2. cocaine.
3. morphine (MS Contin).
4. oxycodone (OxyContin).
2. cocaine.
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent
exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque
appears over the patient's left gluteal fold area. The lesion is covered with scales and has some
fissuring. The family nurse practitioner makes a diagnosis of:
1. atopic dermatitis.
2. ichthyosis.
3. psoriasis.
4. tinea corporis.
3. psoriasis.
During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that
radiates to the left axilla suggests:
1. aortic stenosis.
2. mitral regurgitation.
3. mitral stenosis.
4. mitral valve prolapse.
mitral regurgitation.
A 68-year-old male patient reports an unintended weight loss of 15 lbs (6.8 kgs) over the last two
months. The patient states that he feels well. His problem list includes depression, tobacco use,
hyperglycemia, obesity, and dyslipidemia. The patient's medications are sertraline (Zoloft),
,ANCC FNP CERTIFICATION EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
metformin (Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The family nurse
practitioner initiates which three interventions?
2
, ANCC FNP CERTIFICATION EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
Decreasing the statin medication.
Increasing the Glucophage dose.
Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
Evaluating medication side effect profile.
To determine whether sufficient evidence exists to prescribe glucosamine for a patient who has
osteoarthritis (OA) of the knee, the family nurse practitioner reviews three article summaries.
Place the article summaries in sequential order of strength of evidence from strongest to weakest:
1. Investigators conducted a retrospective review of 1000 charts of patients who were diagnosed
with OA and had glucosamine on their medication list. The investigators assessed the pain rating
scale at the time the glucosamine was prescribed and compared this score with the pain rating
scale three months after the medication had been prescribed. They also reviewed the progress
notes and included only patients for whom clinicians stated in the note that the patient took the
medication regularly.
2. Investigators randomly assigned a group of 1600 patients with OA of the knee to receive either
a placebo or glucosamine for six months. The goal was to determine if glucosamine and/or
chondroitin treats pain related to OA of the knee and could help prevent structural damage. The
study found no benefit for pain relief for the study group compared with the placebo group.
3. Researchers evaluated the benefit of glucosamine for osteoarthritis of the hip and/or knee by
searching MEDLINE and the Cochrane database for studies that investigated this question. The
researchers included only studies that were double-blind, placebo-controlled, randomized trials
of at least four weeks duration and tested glucosamine's effectiveness in treating OA in the knee
or hip. Fifteen studies were included in the analysis and the investigators applied a statistical
formula to evaluate these studies, giving the larger studies more weight.
1, 2, 3
1, 3, 2
2, 1, 3
2, 3, 1
3, 1, 2
3, 2, 1
3, 2, 1
After determining that a two-and-half-year-old patient has a lead level of 16 mcg/dL, the family
nurse practitioner:
1. advises the parent to avoid giving the patient bottles of whole milk.
2. consults with a physical therapist for muscle strengthening.
3. observes for signs of diminished reflexes on the physical exam.
4. orders an increase of iron supplements to 6 mg/kg per day divided in two doses.
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin
(Lipitor). The family nurse practitioner explains that the medication is prescribed for:
1. cancer prevention.
2. primary prevention.
3. secondary prevention.
4. tertiary prevention.
4. tertiary prevention.
Which health promotion strategy is most appropriate for adolescents who are obese?
1. individual-based behavior modification.
2. Motivational interviewing.
3. Parents should regulate meals.
4. Presenting video case studies.
2. Motivational interviewing.
Treatment of viral conjunctivitis includes the use of:
1. antihistamine/decongestant drops.
2. antihistamine/mast cell stabilizer drops.
3. cold compresses.
4. steroid eyedrops.
3. cold compresses.
A 60-year-old patient with diabetes has a blood pressure reading of 150/96 mmHg. After three
months of increased exercise and decreased calories, the patient has lost 10 lb (4.54 kg). The
patient's follow-up blood pressure is 142/94 mmHg. Which medication does the family nurse
practitioner prescribe?
1. Enalapril (Vasotec).
2. Furosemide (Lasix).
3. Hydrochlorothiazide (HydroDIURIL).
4. Propranolol (Inderal).
1. Enalapril (Vasotec).
A family nurse practitioner advises a nursing mother who has postpartum mastitis to take
antibiotics as prescribed and:
1. continue to nurse with both breasts.
2. pump the unaffected breast with a lactation pump.
1
,ANCC FNP CERTIFICATION EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
3. take cool showers.
4. temporarily switch to formula.
continue to nurse with both breasts.
A patient who had a total gastrectomy one year ago complains of a sore mouth, indigestion, and
tingling in the lower extremities. Which test is ordered by the family nurse practitioner?
1. Blood urea nitrogen level.
2. Complete blood count.
3. Liver function study.
4. Thyroid function study.
2. Complete blood count.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria shows
symptoms associated with the use of:
1. benzodiazepine (Alprazolam).
2. cocaine.
3. morphine (MS Contin).
4. oxycodone (OxyContin).
2. cocaine.
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent
exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque
appears over the patient's left gluteal fold area. The lesion is covered with scales and has some
fissuring. The family nurse practitioner makes a diagnosis of:
1. atopic dermatitis.
2. ichthyosis.
3. psoriasis.
4. tinea corporis.
3. psoriasis.
During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that
radiates to the left axilla suggests:
1. aortic stenosis.
2. mitral regurgitation.
3. mitral stenosis.
4. mitral valve prolapse.
mitral regurgitation.
A 68-year-old male patient reports an unintended weight loss of 15 lbs (6.8 kgs) over the last two
months. The patient states that he feels well. His problem list includes depression, tobacco use,
hyperglycemia, obesity, and dyslipidemia. The patient's medications are sertraline (Zoloft),
,ANCC FNP CERTIFICATION EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
metformin (Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The family nurse
practitioner initiates which three interventions?
2
, ANCC FNP CERTIFICATION EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS WITH A STUDY GUIDE
VERIFIED FOR GUARANTEED PASS LATEST
UPDATE
Decreasing the statin medication.
Increasing the Glucophage dose.
Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
Evaluating medication side effect profile.
To determine whether sufficient evidence exists to prescribe glucosamine for a patient who has
osteoarthritis (OA) of the knee, the family nurse practitioner reviews three article summaries.
Place the article summaries in sequential order of strength of evidence from strongest to weakest:
1. Investigators conducted a retrospective review of 1000 charts of patients who were diagnosed
with OA and had glucosamine on their medication list. The investigators assessed the pain rating
scale at the time the glucosamine was prescribed and compared this score with the pain rating
scale three months after the medication had been prescribed. They also reviewed the progress
notes and included only patients for whom clinicians stated in the note that the patient took the
medication regularly.
2. Investigators randomly assigned a group of 1600 patients with OA of the knee to receive either
a placebo or glucosamine for six months. The goal was to determine if glucosamine and/or
chondroitin treats pain related to OA of the knee and could help prevent structural damage. The
study found no benefit for pain relief for the study group compared with the placebo group.
3. Researchers evaluated the benefit of glucosamine for osteoarthritis of the hip and/or knee by
searching MEDLINE and the Cochrane database for studies that investigated this question. The
researchers included only studies that were double-blind, placebo-controlled, randomized trials
of at least four weeks duration and tested glucosamine's effectiveness in treating OA in the knee
or hip. Fifteen studies were included in the analysis and the investigators applied a statistical
formula to evaluate these studies, giving the larger studies more weight.
1, 2, 3
1, 3, 2
2, 1, 3
2, 3, 1
3, 1, 2
3, 2, 1
3, 2, 1
After determining that a two-and-half-year-old patient has a lead level of 16 mcg/dL, the family
nurse practitioner:
1. advises the parent to avoid giving the patient bottles of whole milk.
2. consults with a physical therapist for muscle strengthening.
3. observes for signs of diminished reflexes on the physical exam.
4. orders an increase of iron supplements to 6 mg/kg per day divided in two doses.
