ANCC FNP Practice Questions Latest Update
2025-2026 Actual Exam 125 Questions with 100%
Verified Correct Answers Guaranteed A+ Verified
by Professor
A 14-year-old, male patient has some general concerns about eczema, as his twin
brother was recently diagnosed with this condition. The patient reports urticaria and a
rash on his posterior knees bilaterally. The three factors that put the patient at risk for
eczema are a family history of eczema, a personal history of allergic rhinitis, and a
history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis - CORRECT ANSWER: (a) asthma
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels
in the morning. An adult-gerontology acute care nurse practitioner determines that the
patient's hyperglycemia is due to the dawn phenomenon and:
(a) increases the insulin dosage at bed time.
(b) reduces the insulin dosage at bed time.
(c) tests the blood glucose level at 3:00 AM every morning.
(d) tests the blood glucose level in the evening. - CORRECT ANSWER: (a) increases
the insulin dosage at bed time.
,A 16-year-old patient has been diagnosed with mononucleosis and has a positive throat
culture for group Alpha-hemolytic streptococcal infection. The medication of choice for
this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - CORRECT ANSWER: (c) erythromycin
(E-Mycin).
A 19-year-old male patient arrives at the emergency department exhibiting symptoms of
lower abdominal pain that radiates to the groin, and that the patient rates as an 8 on a
scale of 1 to 10. That patient states that the pain came on suddenly, while he was
playing football with friends. The patient's physical examination reveals positive bowel
sounds in all quadrants; a soft, non-tender abdomen; no rebounding and no guarding;
and no palpable mass in the abdomen or groin. Examination of the patient's genitalia
reveals a unilateral cremasteric reflex. What is the adult-gerontology acute care nurse
practitioner's leading differential diagnosis, based on the patient's presentation?
(a) Appendicitis
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion - CORRECT ANSWER: (d) Testicular torsion
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:
,(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure. - CORRECT ANSWER: (a)
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:
(a) "I understand you have reservations about the placement of a tracheostomy."
(b) "Please know that not many patients die while undergoing a tracheostomy."
(c) "Without a tracheostomy, we can't transfer your son to another facility."
(d) "You know, your son will die if a tracheostomy is not placed." - CORRECT ANSWER:
(a) "I understand you have reservations about the placement of a tracheostomy."
A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased
weight, abdominal pain, and a long-term history of multiple sexual partners. The
patient's physical examination reveals abdominal tenderness with icteric sclerae and
skin. Which laboratory test confirms active hepatitis B?
, (a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - CORRECT ANSWER: (d) Surface antigen.
A 32-year-old patient who underwent an open splenectomy for a ruptured spleen, is
preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the
potential complications with the patient. The nurse practitioner emphasizes which
instruction to the patient?
(a) Continue antibiotics for 14 days
(b) Follow up with primary care provider for vaccinations
(c) No international travel for five years
(d) No weight lifting restrictions - CORRECT ANSWER: (b) Follow up with primary care
provider for vaccinations
A 34-year-old truck driver reports a sharp pain in the lower back that worsens with
ambulation. The symptoms began after a strenuous three-day driving trip. During an
examination, the patient has difficulty walking on the heels and shows weakness in the
extensors of the big toes. The initial differential diagnosis is:
(a) compression fracture.
(b) L-1 root irritation.
2025-2026 Actual Exam 125 Questions with 100%
Verified Correct Answers Guaranteed A+ Verified
by Professor
A 14-year-old, male patient has some general concerns about eczema, as his twin
brother was recently diagnosed with this condition. The patient reports urticaria and a
rash on his posterior knees bilaterally. The three factors that put the patient at risk for
eczema are a family history of eczema, a personal history of allergic rhinitis, and a
history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis - CORRECT ANSWER: (a) asthma
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels
in the morning. An adult-gerontology acute care nurse practitioner determines that the
patient's hyperglycemia is due to the dawn phenomenon and:
(a) increases the insulin dosage at bed time.
(b) reduces the insulin dosage at bed time.
(c) tests the blood glucose level at 3:00 AM every morning.
(d) tests the blood glucose level in the evening. - CORRECT ANSWER: (a) increases
the insulin dosage at bed time.
,A 16-year-old patient has been diagnosed with mononucleosis and has a positive throat
culture for group Alpha-hemolytic streptococcal infection. The medication of choice for
this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - CORRECT ANSWER: (c) erythromycin
(E-Mycin).
A 19-year-old male patient arrives at the emergency department exhibiting symptoms of
lower abdominal pain that radiates to the groin, and that the patient rates as an 8 on a
scale of 1 to 10. That patient states that the pain came on suddenly, while he was
playing football with friends. The patient's physical examination reveals positive bowel
sounds in all quadrants; a soft, non-tender abdomen; no rebounding and no guarding;
and no palpable mass in the abdomen or groin. Examination of the patient's genitalia
reveals a unilateral cremasteric reflex. What is the adult-gerontology acute care nurse
practitioner's leading differential diagnosis, based on the patient's presentation?
(a) Appendicitis
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion - CORRECT ANSWER: (d) Testicular torsion
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:
,(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure. - CORRECT ANSWER: (a)
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:
(a) "I understand you have reservations about the placement of a tracheostomy."
(b) "Please know that not many patients die while undergoing a tracheostomy."
(c) "Without a tracheostomy, we can't transfer your son to another facility."
(d) "You know, your son will die if a tracheostomy is not placed." - CORRECT ANSWER:
(a) "I understand you have reservations about the placement of a tracheostomy."
A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased
weight, abdominal pain, and a long-term history of multiple sexual partners. The
patient's physical examination reveals abdominal tenderness with icteric sclerae and
skin. Which laboratory test confirms active hepatitis B?
, (a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - CORRECT ANSWER: (d) Surface antigen.
A 32-year-old patient who underwent an open splenectomy for a ruptured spleen, is
preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the
potential complications with the patient. The nurse practitioner emphasizes which
instruction to the patient?
(a) Continue antibiotics for 14 days
(b) Follow up with primary care provider for vaccinations
(c) No international travel for five years
(d) No weight lifting restrictions - CORRECT ANSWER: (b) Follow up with primary care
provider for vaccinations
A 34-year-old truck driver reports a sharp pain in the lower back that worsens with
ambulation. The symptoms began after a strenuous three-day driving trip. During an
examination, the patient has difficulty walking on the heels and shows weakness in the
extensors of the big toes. The initial differential diagnosis is:
(a) compression fracture.
(b) L-1 root irritation.
