ANCC FNP ACTUAL EXAM NEWEST 2025 & 2026
COMPLETE 350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+ ANCC FAMILY NURSING PRACTITIONER 2026
The psychiatric mental health nurse practitioner (PMHNP) joined the local National Alliance on
Mental Illness Board. Serving as a board member to advocate for access to care and parity of
services is an example of which standard of professional performance?
A. consultation
B. practice
C. collegiality
D. leadership D. leadership
You notice that you have begun to care less about your patient's needs. You are tired, unhappy
and unsatisfied in your job. You talk to your office confidant, another psychiatric nurse
practitioner about your feelings and concerns about how this might impact your practice.
Together, you discuss your need to:
A. Avoid those things about your present employment that upset you and get involved in a yoga
class
B. Leave your present employment in nursing and find a different career path in something that
fulfills you better
C. Leave your present employment and find a different career in nursing that fulfills you better
D. Reduce your present workload to get more rest and practice better living, eating, exercise
and living skills D. Reduce your present workload to get more rest and practice better
living, eating, exercise and living skills
Psychiatric-mental health nurse practitioners seeking admitting privileges at a community
hospital with inpatient psychiatric services need to influence policymakers at which of the
following levels?
A. Local hospital
B. State legislature
C. State board of nursing
D. County board of health A. Local hospital
Which of the following would not be included in a progress note?
A. Standardized outcome measures
B. Incident report on medication error
C. Risk/benefit analysis for change in medication
D. Patient's self-rating on target symptoms B. Incident report on medication error
1|Page
,You are treating a new patient. He indicated that he is Muslim and follows all of the principles of
that religion. He is suffering from depression. What special considerations should you take to
help him in his treatment?
A. Refer him to a male therapist and continue to research medications that do not contain blood
or horse byproducts
B. Refer him to a male therapist and continue to research medication that do not contain vanilla
products
C. Refer him to a male practitioner for medications and continue to research medications that
do not contain any fish or animal fats
D. Refer him to a male practitioner for medications and explain the patient's need to use
medication that contain no gelatin products D. Refer him to a male practitioner for medications
and explain the patient's need to use medication that contain no gelatin products
As a nurse practitioner (NP), you teach your patients that mental illness is no different from any
other physical illness that a person suffers. IN classes for the community, you emphasize that
everybody has a brain and it is another organ in the body. You remind your audience that illness
in the brain is no different from illness in the heart, lungs or liver. This is an example of:
A. Reducing stigma
B. Holistic Dynamism
C. Cross education
D. Integrated health A. Reducing stigma
A mobile crisis team responded to an emergency call by a residential care home (RCH) manager.
A 65 y/o resident had becoming increasingly agitated, insisted that the RCH cook was poisoning
her food, and verbally threatened the cook. The RCH manager had found several days of the
resident's medications hidden in her dresser drawer. Which is the most appropriate intervention
by the mobile crisis team?
A. Admission to the state psychiatric hospital
B. Admission to the gero-psychiatric unit at the community hospital
C. Admission to the crisis stabilization unit
D. Admission to a nursing home C. Admission to the crisis stabilization unit
The Nurse Practitioner (NP) requires all patients to have a set of laboratory tests done each year
to check changes in values as a safety measure. The patient states that these labs were done at
his Internal Medicine Physician's office within the last month. The NP states that she will accept
those labs as long as they cover all of the labs that she requires for the yearly check. The patient
then verbally gives the NP his Internal Medicine Physician's office number to call and requests
that she get the lab results. The NP then:
A. Gets a signed release of information from the patient for the Internal Medicine Physician for
the laboratory results
2|Page
,B. Calls the internal Medicine office and verbally requests that they fax over the laboratory
results
C. Mails a formal request to the Internal Medicine Office and physician requesting the
laboratory results
D. Faxes a formal request to the Internal medicine Office and physic A. Gets a signed
release of information from the patient for the Internal Medicine Physician for the laboratory
results
The Veterans Health Administration (VHA) is asking to let its advanced practice registered nurses
(APRNs) work independently, even in states that normally require physician oversight. You begin
a writing campaign within your state nursing association and American Psychiatric Nurses
Association to convince your stat's congressmen and senators to vote for the bills associated
with this legislation. You are:
A. Advocating for the role and value of Nurse Practitioners (NP)
B. Advocating for the Nurse Practitioners (NP) to practice to the full extent of their education
and training
C. Advocating for the total removal of physician supervision of Nurse Practitioners (NP)
D. Advocating for the healthcare of the nation's Veterans B. Advocating for the Nurse
Practitioners (NP) to practice to the full extent of their education and training
A primary care nurse practitioner consults the Psychiatric-Mental Health Nurse practitioner for
guidance on medication management for a family member she is prescribing medication for
bipolar I disorder, because the family member does not hae health insurance and cannot afford
to see a mental health provider. What would be the most appropriate response by the
Psychiatric and Mental health Nurse Practitioner?
A. Recommend free clinic and report nurse practitioner to state board of nursing for practice
violation
B. Recommend that she not manage a family member's medication and recommend free clinic
C. Offer to see the patient pro bono and manage medication
D. Determine acuity and phase of bipolar I disorder to advise on appropriate generic
medications B. Recommend that she not manage a family member's medication and
recommend free clinic
You are in a meeting of your state nurse practitioner legislative group. The group's director has
asked you to present information on a law bill (LB) that is being presented for public hearing in
the state legislature. The information covers how best to approach securing support from the
state's health and Human Services Committee (state senators and congressmen). As you begin
to present the information, two of your colleagues on the committee begin to talk over you
about their ideas and will not quiet down. The group directors does not intervene to settle the
meeting. You decide to:
3|Page
, A. Confront the speakers for their ill behavior and ask them to be quiet until you have finished
your presentation
B. Ignore the speakers and ask the group directors to settle the room so that you can finish your
presentation
C. Talk over the colleagues. Ask them to allow you to finish before they make comments. Take
questions at the end D. Clear your voice and ask for attention. When that does not work, stop
speaking until the situation resolves. If it does not resolve, sit down quietly until the behavior
stops.
You are a Psychiatric Nurse Practitioner (NP) working in a hospital health system. The hospital
administration has implemented a productivity system where all the Psychiatrists and NPs in the
department of psychiatry will now have to see four patients per hour. You have informed
administration that this is not a good system because many patients are in fragile mental and
physical health, require case management, and need extensive care during their medication
management sessions to achieve good management of their symptoms and recovery. The
hospital administration has reinforced that the productivity system will stay in place and is
mandatory. If it is not met, persons not meeting the quota will be penalized. You inform the
administration that you cannot work under these conditions. Administration informs you that
you are abandoning your patients. You:
A. Make the decision to stay, as you cannot abandon your patients C. Make the decision to leave
your position, as you cannot support a system that disregards the needs of the patient
Which of the following is not associated with increased validity in a clinical research trial?
A. Confounder
B. Randomization
C. Outcome measure
D. Sample Size A. Confounder
During a session, your patient asks to be able to contact you via your Facebook page on the
internet. You reply:
A. I cannot do that because Facebook does not protect your Private Health Information
B. I would be happy to use Facebook but you will have to use a private message so that you can
be anonymous
C. I cannot do that because I have a concealed Facebook identity; and I cannot reveal that to my
patients
D. I would be happy to communicate with you. It makes it easier for me to reach you this way
A. I cannot do that because Facebook does not protect your Private Health Information
A Psychiatric-Mental Health Nurse Practitioner providing psychiatric consultation makes a home
visit after the police found an 86 y/o widow wandering the streets at 4am after emergency call
from her daughter. The woman has been living with her daughter for the past ten years after
her husband died. Her daughter is a 66 y/o, single, retired schoolteacher, appears then,
4|Page
COMPLETE 350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+ ANCC FAMILY NURSING PRACTITIONER 2026
The psychiatric mental health nurse practitioner (PMHNP) joined the local National Alliance on
Mental Illness Board. Serving as a board member to advocate for access to care and parity of
services is an example of which standard of professional performance?
A. consultation
B. practice
C. collegiality
D. leadership D. leadership
You notice that you have begun to care less about your patient's needs. You are tired, unhappy
and unsatisfied in your job. You talk to your office confidant, another psychiatric nurse
practitioner about your feelings and concerns about how this might impact your practice.
Together, you discuss your need to:
A. Avoid those things about your present employment that upset you and get involved in a yoga
class
B. Leave your present employment in nursing and find a different career path in something that
fulfills you better
C. Leave your present employment and find a different career in nursing that fulfills you better
D. Reduce your present workload to get more rest and practice better living, eating, exercise
and living skills D. Reduce your present workload to get more rest and practice better
living, eating, exercise and living skills
Psychiatric-mental health nurse practitioners seeking admitting privileges at a community
hospital with inpatient psychiatric services need to influence policymakers at which of the
following levels?
A. Local hospital
B. State legislature
C. State board of nursing
D. County board of health A. Local hospital
Which of the following would not be included in a progress note?
A. Standardized outcome measures
B. Incident report on medication error
C. Risk/benefit analysis for change in medication
D. Patient's self-rating on target symptoms B. Incident report on medication error
1|Page
,You are treating a new patient. He indicated that he is Muslim and follows all of the principles of
that religion. He is suffering from depression. What special considerations should you take to
help him in his treatment?
A. Refer him to a male therapist and continue to research medications that do not contain blood
or horse byproducts
B. Refer him to a male therapist and continue to research medication that do not contain vanilla
products
C. Refer him to a male practitioner for medications and continue to research medications that
do not contain any fish or animal fats
D. Refer him to a male practitioner for medications and explain the patient's need to use
medication that contain no gelatin products D. Refer him to a male practitioner for medications
and explain the patient's need to use medication that contain no gelatin products
As a nurse practitioner (NP), you teach your patients that mental illness is no different from any
other physical illness that a person suffers. IN classes for the community, you emphasize that
everybody has a brain and it is another organ in the body. You remind your audience that illness
in the brain is no different from illness in the heart, lungs or liver. This is an example of:
A. Reducing stigma
B. Holistic Dynamism
C. Cross education
D. Integrated health A. Reducing stigma
A mobile crisis team responded to an emergency call by a residential care home (RCH) manager.
A 65 y/o resident had becoming increasingly agitated, insisted that the RCH cook was poisoning
her food, and verbally threatened the cook. The RCH manager had found several days of the
resident's medications hidden in her dresser drawer. Which is the most appropriate intervention
by the mobile crisis team?
A. Admission to the state psychiatric hospital
B. Admission to the gero-psychiatric unit at the community hospital
C. Admission to the crisis stabilization unit
D. Admission to a nursing home C. Admission to the crisis stabilization unit
The Nurse Practitioner (NP) requires all patients to have a set of laboratory tests done each year
to check changes in values as a safety measure. The patient states that these labs were done at
his Internal Medicine Physician's office within the last month. The NP states that she will accept
those labs as long as they cover all of the labs that she requires for the yearly check. The patient
then verbally gives the NP his Internal Medicine Physician's office number to call and requests
that she get the lab results. The NP then:
A. Gets a signed release of information from the patient for the Internal Medicine Physician for
the laboratory results
2|Page
,B. Calls the internal Medicine office and verbally requests that they fax over the laboratory
results
C. Mails a formal request to the Internal Medicine Office and physician requesting the
laboratory results
D. Faxes a formal request to the Internal medicine Office and physic A. Gets a signed
release of information from the patient for the Internal Medicine Physician for the laboratory
results
The Veterans Health Administration (VHA) is asking to let its advanced practice registered nurses
(APRNs) work independently, even in states that normally require physician oversight. You begin
a writing campaign within your state nursing association and American Psychiatric Nurses
Association to convince your stat's congressmen and senators to vote for the bills associated
with this legislation. You are:
A. Advocating for the role and value of Nurse Practitioners (NP)
B. Advocating for the Nurse Practitioners (NP) to practice to the full extent of their education
and training
C. Advocating for the total removal of physician supervision of Nurse Practitioners (NP)
D. Advocating for the healthcare of the nation's Veterans B. Advocating for the Nurse
Practitioners (NP) to practice to the full extent of their education and training
A primary care nurse practitioner consults the Psychiatric-Mental Health Nurse practitioner for
guidance on medication management for a family member she is prescribing medication for
bipolar I disorder, because the family member does not hae health insurance and cannot afford
to see a mental health provider. What would be the most appropriate response by the
Psychiatric and Mental health Nurse Practitioner?
A. Recommend free clinic and report nurse practitioner to state board of nursing for practice
violation
B. Recommend that she not manage a family member's medication and recommend free clinic
C. Offer to see the patient pro bono and manage medication
D. Determine acuity and phase of bipolar I disorder to advise on appropriate generic
medications B. Recommend that she not manage a family member's medication and
recommend free clinic
You are in a meeting of your state nurse practitioner legislative group. The group's director has
asked you to present information on a law bill (LB) that is being presented for public hearing in
the state legislature. The information covers how best to approach securing support from the
state's health and Human Services Committee (state senators and congressmen). As you begin
to present the information, two of your colleagues on the committee begin to talk over you
about their ideas and will not quiet down. The group directors does not intervene to settle the
meeting. You decide to:
3|Page
, A. Confront the speakers for their ill behavior and ask them to be quiet until you have finished
your presentation
B. Ignore the speakers and ask the group directors to settle the room so that you can finish your
presentation
C. Talk over the colleagues. Ask them to allow you to finish before they make comments. Take
questions at the end D. Clear your voice and ask for attention. When that does not work, stop
speaking until the situation resolves. If it does not resolve, sit down quietly until the behavior
stops.
You are a Psychiatric Nurse Practitioner (NP) working in a hospital health system. The hospital
administration has implemented a productivity system where all the Psychiatrists and NPs in the
department of psychiatry will now have to see four patients per hour. You have informed
administration that this is not a good system because many patients are in fragile mental and
physical health, require case management, and need extensive care during their medication
management sessions to achieve good management of their symptoms and recovery. The
hospital administration has reinforced that the productivity system will stay in place and is
mandatory. If it is not met, persons not meeting the quota will be penalized. You inform the
administration that you cannot work under these conditions. Administration informs you that
you are abandoning your patients. You:
A. Make the decision to stay, as you cannot abandon your patients C. Make the decision to leave
your position, as you cannot support a system that disregards the needs of the patient
Which of the following is not associated with increased validity in a clinical research trial?
A. Confounder
B. Randomization
C. Outcome measure
D. Sample Size A. Confounder
During a session, your patient asks to be able to contact you via your Facebook page on the
internet. You reply:
A. I cannot do that because Facebook does not protect your Private Health Information
B. I would be happy to use Facebook but you will have to use a private message so that you can
be anonymous
C. I cannot do that because I have a concealed Facebook identity; and I cannot reveal that to my
patients
D. I would be happy to communicate with you. It makes it easier for me to reach you this way
A. I cannot do that because Facebook does not protect your Private Health Information
A Psychiatric-Mental Health Nurse Practitioner providing psychiatric consultation makes a home
visit after the police found an 86 y/o widow wandering the streets at 4am after emergency call
from her daughter. The woman has been living with her daughter for the past ten years after
her husband died. Her daughter is a 66 y/o, single, retired schoolteacher, appears then,
4|Page
