ANCC FNP Version 1 – Acute Care Nurse Practitioner (ACNP) &
Family Nurse Practitioner (FNP) Board Review Exam 2 (2025–
2026) – Real Exam Questions with 100% Correct Answers
Introduction:
This document contains the complete ANCC Family Nurse
Practitioner (FNP) and Acute Care Nurse Practitioner (ACNP) Board
Review Exam Version 1 for 2025–2026, featuring 200 authentic
exam-style questions with verified correct answers (graded A+).
Topics include acute and chronic disease management,
pharmacology,
diagnostic testing, ethics, patient education, and evidence-based
practice. It covers both family and acute care scenarios, making it an
excellent preparation resource for nursing students, board
candidates, and practicing nurse practitioners seeking recertification.
Exam Questions and Answers
An 83-year-old patient arrives in the emergency department in
severe respiratory distress. The patient verbalizes a desire not to be
intubated nor to have cardiopulmonary resuscitation performed.
The patient states that a neighbor has a copy of the patient's
recently signed living will. The acute care nurse practitioner leaves
the bedside momentarily and returns to find the physician
preparing to intubate. The nurse practitioner's initial action is to:
-assist the physician with intubation.
,-c --- correct precise answer ---notify the physician of the
conversation with the patient.
let them make the decision
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 precise answer ---"I understand you have
reservations about the placement of a tracheostomy."
Before initiating a new antihypertensive drug therapy, an acute
care nurse practitioner uses which evidence-based practice
approach?
Discussing the medication choices with a collaborating physician
Discussing the medication's side effects with a colleague
Reviewing the confidence intervals of related research
,Reviewing the institutional formulary --- correct precise answer --
-Reviewing the confidence intervals of related research
During a clinic appointment, an acute care nurse practitioner sees a
56-year-old male patient with a history of hypertension, metabolic
syndrome, and hyperlipidemia. A review of the patient's symptoms
reveals nocturia, occasional heartburn, and transient rhinitis. The
patient asks about the appropriate interval of certain screening
tests for someone his age. The nurse practitioner responds that a:
digital prostate examination should be performed monthly.
prostate-specific antigen should be pe --- correct precise answer --
-prostate-specific antigen should be performed annually.
digital prostate exam: every 4 years
sigmoidoscopy: every 5 years
testicular exam: every month
Which is an accurate statement regarding the formal evaluation of
quality of care?
-Continuous quality improvement (CQI) programs focus on
individual incidents.
-Health care regulatory agencies have not identified an effective
means to measure quality.
, -Hospitals do not receive payment for services if quality of care
evaluations are not performed.
-The Joint Commission mandates that hospitals implement CQI
programs. --- correct precise answer ---The Joint Commission
mandates that hospitals implement CQI programs.
While providing a history, a patient requests that an acute care
nurse practitioner disclose the information gathered with no one
but the patient's spouse. By respecting this request, the nurse
practitioner demonstrates which component of a therapeutic
relationship?
Autonomy
Beneficence
Confidentiality
Empathy --- correct precise answer ---Confidentiality
To improve the health of a population, an acute care nurse
practitioner's intervention is to:
-join a professional nursing organization and run for an
organizational office.
-maintain current certification as an acute care nurse practitioner.
-participate in hospital grand rounds.
Family Nurse Practitioner (FNP) Board Review Exam 2 (2025–
2026) – Real Exam Questions with 100% Correct Answers
Introduction:
This document contains the complete ANCC Family Nurse
Practitioner (FNP) and Acute Care Nurse Practitioner (ACNP) Board
Review Exam Version 1 for 2025–2026, featuring 200 authentic
exam-style questions with verified correct answers (graded A+).
Topics include acute and chronic disease management,
pharmacology,
diagnostic testing, ethics, patient education, and evidence-based
practice. It covers both family and acute care scenarios, making it an
excellent preparation resource for nursing students, board
candidates, and practicing nurse practitioners seeking recertification.
Exam Questions and Answers
An 83-year-old patient arrives in the emergency department in
severe respiratory distress. The patient verbalizes a desire not to be
intubated nor to have cardiopulmonary resuscitation performed.
The patient states that a neighbor has a copy of the patient's
recently signed living will. The acute care nurse practitioner leaves
the bedside momentarily and returns to find the physician
preparing to intubate. The nurse practitioner's initial action is to:
-assist the physician with intubation.
,-c --- correct precise answer ---notify the physician of the
conversation with the patient.
let them make the decision
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 precise answer ---"I understand you have
reservations about the placement of a tracheostomy."
Before initiating a new antihypertensive drug therapy, an acute
care nurse practitioner uses which evidence-based practice
approach?
Discussing the medication choices with a collaborating physician
Discussing the medication's side effects with a colleague
Reviewing the confidence intervals of related research
,Reviewing the institutional formulary --- correct precise answer --
-Reviewing the confidence intervals of related research
During a clinic appointment, an acute care nurse practitioner sees a
56-year-old male patient with a history of hypertension, metabolic
syndrome, and hyperlipidemia. A review of the patient's symptoms
reveals nocturia, occasional heartburn, and transient rhinitis. The
patient asks about the appropriate interval of certain screening
tests for someone his age. The nurse practitioner responds that a:
digital prostate examination should be performed monthly.
prostate-specific antigen should be pe --- correct precise answer --
-prostate-specific antigen should be performed annually.
digital prostate exam: every 4 years
sigmoidoscopy: every 5 years
testicular exam: every month
Which is an accurate statement regarding the formal evaluation of
quality of care?
-Continuous quality improvement (CQI) programs focus on
individual incidents.
-Health care regulatory agencies have not identified an effective
means to measure quality.
, -Hospitals do not receive payment for services if quality of care
evaluations are not performed.
-The Joint Commission mandates that hospitals implement CQI
programs. --- correct precise answer ---The Joint Commission
mandates that hospitals implement CQI programs.
While providing a history, a patient requests that an acute care
nurse practitioner disclose the information gathered with no one
but the patient's spouse. By respecting this request, the nurse
practitioner demonstrates which component of a therapeutic
relationship?
Autonomy
Beneficence
Confidentiality
Empathy --- correct precise answer ---Confidentiality
To improve the health of a population, an acute care nurse
practitioner's intervention is to:
-join a professional nursing organization and run for an
organizational office.
-maintain current certification as an acute care nurse practitioner.
-participate in hospital grand rounds.
