ANCC FNP EXAM
ANCC FNP EXAM NEWEST 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A 34-year-old woman presents to the clinic with a 3-month history of fatigue. She
reports sleeping 10 hours per night and still feeling sluggish during the day. On
examination, her conjunctivae are pale. Her CBC reveals a hemoglobin level of
10.3 g/dL, a mean corpuscular hemoglobin of 25 pg, and a mean corpuscular
volume of 72 fL. Which of the following is the most likely cause of the patient's
symptoms?
A.
Anemia of chronic disease
Incorrect
B.
Aplastic anemia
Incorrect
C.
Iron deficiency anemia
Correct
D.
Vitamin B12 deficiency - ANSWER-Iron deficiency anemia
A 45-year-old woman presents to the clinic with reports of persistent fatigue. The
nurse practitioner completes a comprehensive workup, which reveals an elevated
TSH level and a decreased free T4 level. Which of the following is the most likely
diagnosis?
1|Page
, ANCC FNP EXAM
A.
Graves disease
Incorrect
B.
Overt hypothyroidism
Correct
C.
Subacute thyroiditis
Incorrect
D.
Subclinical hypothyroidism - ANSWER-Overt hypothyroidism
An 8-month-old male infant does not meet age-appropriate milestones. His
mother feels that he is too fatigued to properly feed. An echocardiogram reveals a
large atrial septal defect. Which of the following physical examination
abnormalities is most likely?
A.
Bradycardia
Incorrect
B.
Cyanosis
Incorrect
C.
Prominent left ventricular impulse
2|Page
, ANCC FNP EXAM
Incorrect
D.
Widely split and fixed S2 - ANSWER-Widely split and fixed S2
A 15-year-old boy presents to the clinic for fatigue that he has noticed over the
past few months. He states that he only sleeps 4 hours per night because he has
trouble sleeping, and it is now affecting his school performance. To try and fall
asleep each night, he watches television while in bed. The physical exam reveals
droopy eyelids and frequent yawning. Which of the following is the most
appropriate next step in the plan of care?
A.
Establish a consistent sleep routine
Correct
B.
Order polysomnography
Incorrect
C.
Prescribe melatonin
Incorrect
D.
Refer to neurology - ANSWER-Establish a consistent sleep routine
An 11-year-old boy with a past medical history of obesity and hyperlipidemia
presents to the clinic for a follow-up visit on his laboratory results. At his last visit,
the nurse practitioner recommended lifestyle modifications due to a triglyceride
3|Page
, ANCC FNP EXAM
level of 180 mg/dL. Which of the following diet modifications is most appropriate
to reduce his triglyceride level?
A.
Reducing fatty seafood
Incorrect
B.
Reducing high-fiber foods
Incorrect
C.
Reducing intake of refined carbohydrates
Correct
D.
Reducing unsaturated fats - ANSWER-Reducing intake of refined carbohydrates
A 16-year-old girl presents to the clinic with intermittent dyspnea, waking up with
a cough one night per week and wheezing daily. The patient is requesting a refill
of her albuterol inhaler (ProAir HFA), which was prescribed 8 weeks ago at an
urgent care clinic for an asthma exacerbation. She reports using it daily.
Pulmonary function tests are completed and show an FEV₁ of 75% with
bronchodilator reversibility. Which of the following is the best therapy?
A.
Albuterol (ProAir HFA) 90 mcg/actuation inhaled four times daily
Incorrect
B.
Budesonide-formoterol (Symbicort) 84.6 mcg/4.5 mcg inhaled twice daily
4|Page
ANCC FNP EXAM NEWEST 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A 34-year-old woman presents to the clinic with a 3-month history of fatigue. She
reports sleeping 10 hours per night and still feeling sluggish during the day. On
examination, her conjunctivae are pale. Her CBC reveals a hemoglobin level of
10.3 g/dL, a mean corpuscular hemoglobin of 25 pg, and a mean corpuscular
volume of 72 fL. Which of the following is the most likely cause of the patient's
symptoms?
A.
Anemia of chronic disease
Incorrect
B.
Aplastic anemia
Incorrect
C.
Iron deficiency anemia
Correct
D.
Vitamin B12 deficiency - ANSWER-Iron deficiency anemia
A 45-year-old woman presents to the clinic with reports of persistent fatigue. The
nurse practitioner completes a comprehensive workup, which reveals an elevated
TSH level and a decreased free T4 level. Which of the following is the most likely
diagnosis?
1|Page
, ANCC FNP EXAM
A.
Graves disease
Incorrect
B.
Overt hypothyroidism
Correct
C.
Subacute thyroiditis
Incorrect
D.
Subclinical hypothyroidism - ANSWER-Overt hypothyroidism
An 8-month-old male infant does not meet age-appropriate milestones. His
mother feels that he is too fatigued to properly feed. An echocardiogram reveals a
large atrial septal defect. Which of the following physical examination
abnormalities is most likely?
A.
Bradycardia
Incorrect
B.
Cyanosis
Incorrect
C.
Prominent left ventricular impulse
2|Page
, ANCC FNP EXAM
Incorrect
D.
Widely split and fixed S2 - ANSWER-Widely split and fixed S2
A 15-year-old boy presents to the clinic for fatigue that he has noticed over the
past few months. He states that he only sleeps 4 hours per night because he has
trouble sleeping, and it is now affecting his school performance. To try and fall
asleep each night, he watches television while in bed. The physical exam reveals
droopy eyelids and frequent yawning. Which of the following is the most
appropriate next step in the plan of care?
A.
Establish a consistent sleep routine
Correct
B.
Order polysomnography
Incorrect
C.
Prescribe melatonin
Incorrect
D.
Refer to neurology - ANSWER-Establish a consistent sleep routine
An 11-year-old boy with a past medical history of obesity and hyperlipidemia
presents to the clinic for a follow-up visit on his laboratory results. At his last visit,
the nurse practitioner recommended lifestyle modifications due to a triglyceride
3|Page
, ANCC FNP EXAM
level of 180 mg/dL. Which of the following diet modifications is most appropriate
to reduce his triglyceride level?
A.
Reducing fatty seafood
Incorrect
B.
Reducing high-fiber foods
Incorrect
C.
Reducing intake of refined carbohydrates
Correct
D.
Reducing unsaturated fats - ANSWER-Reducing intake of refined carbohydrates
A 16-year-old girl presents to the clinic with intermittent dyspnea, waking up with
a cough one night per week and wheezing daily. The patient is requesting a refill
of her albuterol inhaler (ProAir HFA), which was prescribed 8 weeks ago at an
urgent care clinic for an asthma exacerbation. She reports using it daily.
Pulmonary function tests are completed and show an FEV₁ of 75% with
bronchodilator reversibility. Which of the following is the best therapy?
A.
Albuterol (ProAir HFA) 90 mcg/actuation inhaled four times daily
Incorrect
B.
Budesonide-formoterol (Symbicort) 84.6 mcg/4.5 mcg inhaled twice daily
4|Page
