ANCC FNP Board Exam Questions and
Answers (2026/2027) | Updated
Review | A+ Verified
• When providing culturally competent health care services to an American Indian
elder, the nurse practitioner understands which is traditionally true? -✓✓The
"Medicine Wheel" is used by many for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four directions; north,
south, east, and west. Traditionally each tribe has different meanings for each
direction and they may represent the season of the year or stage of life. It is aimed
at providing a holistic view of life.
________________________________________
An understanding of different cultural preferences leads to cultural competence in
healthcare. Some patients may value traditional culture and preferences as it relates
to healthcare. These individual preferences should be included in the interview and
treatment plan for patients.
Traditionally, the American Indian culture values a holistic approach to health care
integrating the person, lifestyle, environment, family, and religion. Patients
adhering to these traditional cultural practices often feel that illness is due to a lack
of harmony with the physical body, mind, spirit, and emotions. Patients may seek
care from western medicine for specific ailments while also consulting with
traditional healers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural factors and assess
each individual's healthcare literacy in order to provide culturally competent care.
• The nurse practitioner sees an older adult patient in the clinic with the primary
report of hearing loss and a sensation of fullness in the right ear. The nurse
practitioner suspects conductive hearing loss. Which could contribute to this? -
✓✓Cerumen, commonly called earwax, is a combination of secretions and
sloughed epithelial cells that protects the ears from infection, water, and insects. It
is normally expelled from the ear canal through natural jaw movement. When this
self-cleaning process fails, cerumen can become impacted. Cerumen impaction
occludes the ear canal and can press against the tympanic membrane, resulting in
conductive hearing loss.
,_________________________________________
Conductive hearing is the transition of sound from the external and middle ear to
the inner ear. Conductive hearing loss is caused by problems in the external and
middle ear that interfere with the transmission of sound and its conversion to
mechanical vibration. Causes of conductive hearing loss include obstruction of the
external auditory canal by cerumen, foreign bodies, debris from otitis externa, and
large exocytosis and osteomas.
Sensorineural hearing loss involves difficulty converting mechanical vibrations to
electrical potential in the cochlea or in auditory nerve transmission to the brain. It
is mostly caused by permanent damage in the organ of Corti. It can be caused by
age-related hearing loss, noise trauma, medications, autoimmune diseases,
mechanical trauma, Meniere disease, infection, and neoplasm (acoustic neuroma).
Approximately one-third of older adults between the ages of 61 and 70 years have
hearing loss. More than 90% of adults older than 85 years of age have hearing loss.
The most common type of hearing loss is age-related and sensorineural. All adults
older than 60 years of age should be screened for hearing loss at periodic health
examinations.
• An otherwise healthy adult patient presents to the clinic with a diagnosis of
community-acquired pneumonia and no recent antibiotic therapy. Which is the best
option for treatment? -✓✓Amoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-line
therapy for adults without comorbidities.
_____________________________________________
Community-acquired pneumonia (CAP) is pneumonia not acquired in a hospital or
long-term care facility. Patients with suspected CAP should receive a chest X-ray
for diagnosis. The Pneumonia Severity Index should be used to assist in decisions
regarding the need for hospitalization in patients with CAP.
According to the American Thoracic Society (ATS) and the Infectious Diseases
Society of America (IDSA) 2019 guidelines, the initial treatment of CAP for most
patients is amoxicillin or doxycycline. Macrolides are an option for treatment, but
are no longer recommended routinely as first-line treatment, given increased
macrolide resistance. This is a change from the 2007 ATS/IDSA guidelines.
Respiratory fluoroquinolones and amoxicillin/clavulanate should be used in
patients who fail first-line medications, have significant comorbidities, have had
recent antibiotic therapy, are allergic to alternative agents, or have a documented
infection with highly drug-resistant pneumococci.
, • A patient presents to the clinic for conception counseling. She recently stopped
taking oral contraceptives and would like to become pregnant. Which statement
about conception safety after stopping oral contraceptives is correct? -✓✓
• You have a 35-year-old female patient who is complaining of wrist pain. She is
an administrative assistant who does a great deal of computer work in her job. You
will test her for carpal tunnel syndrome. When you tap at the volar surface of the
wrist you are performing which of the following tests? -✓✓Tinel's sign
• A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the
following? -✓✓Zollinger-Ellison syndrome
• A 16-year-old male is in the office. He has a insect bite on his left forearm and
you suspect a brown recluse spider bite. What medical management would you
provide? -✓✓ice pack and elevation of the area
• In addition to being overweight, the American Diabetes Association recommends
type 2 diabetes mellitus testing in adults who: -✓✓have an HDL level of < 35
mg/dL
• Which of the following found on an ECG would confirm atrial fibrillation? -✓✓-
absent P waves
-irregular ventricular rate
• As an FNP you understand that all of the following statements about chronic
heart failure are accurate EXCEPT: -✓✓-The preponderance is in females until the
age of 75, then there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
• The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP
plans to prescribe Benadryl for this. What is a possible adverse effect with the use
of Benadryl for this patient? -✓✓urinary retention
• You are testing a client suspected of having Parkinson's disease. You support the
client's elbow with his forearm extended in your hand and grasp his wrist, flexing
Answers (2026/2027) | Updated
Review | A+ Verified
• When providing culturally competent health care services to an American Indian
elder, the nurse practitioner understands which is traditionally true? -✓✓The
"Medicine Wheel" is used by many for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four directions; north,
south, east, and west. Traditionally each tribe has different meanings for each
direction and they may represent the season of the year or stage of life. It is aimed
at providing a holistic view of life.
________________________________________
An understanding of different cultural preferences leads to cultural competence in
healthcare. Some patients may value traditional culture and preferences as it relates
to healthcare. These individual preferences should be included in the interview and
treatment plan for patients.
Traditionally, the American Indian culture values a holistic approach to health care
integrating the person, lifestyle, environment, family, and religion. Patients
adhering to these traditional cultural practices often feel that illness is due to a lack
of harmony with the physical body, mind, spirit, and emotions. Patients may seek
care from western medicine for specific ailments while also consulting with
traditional healers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural factors and assess
each individual's healthcare literacy in order to provide culturally competent care.
• The nurse practitioner sees an older adult patient in the clinic with the primary
report of hearing loss and a sensation of fullness in the right ear. The nurse
practitioner suspects conductive hearing loss. Which could contribute to this? -
✓✓Cerumen, commonly called earwax, is a combination of secretions and
sloughed epithelial cells that protects the ears from infection, water, and insects. It
is normally expelled from the ear canal through natural jaw movement. When this
self-cleaning process fails, cerumen can become impacted. Cerumen impaction
occludes the ear canal and can press against the tympanic membrane, resulting in
conductive hearing loss.
,_________________________________________
Conductive hearing is the transition of sound from the external and middle ear to
the inner ear. Conductive hearing loss is caused by problems in the external and
middle ear that interfere with the transmission of sound and its conversion to
mechanical vibration. Causes of conductive hearing loss include obstruction of the
external auditory canal by cerumen, foreign bodies, debris from otitis externa, and
large exocytosis and osteomas.
Sensorineural hearing loss involves difficulty converting mechanical vibrations to
electrical potential in the cochlea or in auditory nerve transmission to the brain. It
is mostly caused by permanent damage in the organ of Corti. It can be caused by
age-related hearing loss, noise trauma, medications, autoimmune diseases,
mechanical trauma, Meniere disease, infection, and neoplasm (acoustic neuroma).
Approximately one-third of older adults between the ages of 61 and 70 years have
hearing loss. More than 90% of adults older than 85 years of age have hearing loss.
The most common type of hearing loss is age-related and sensorineural. All adults
older than 60 years of age should be screened for hearing loss at periodic health
examinations.
• An otherwise healthy adult patient presents to the clinic with a diagnosis of
community-acquired pneumonia and no recent antibiotic therapy. Which is the best
option for treatment? -✓✓Amoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-line
therapy for adults without comorbidities.
_____________________________________________
Community-acquired pneumonia (CAP) is pneumonia not acquired in a hospital or
long-term care facility. Patients with suspected CAP should receive a chest X-ray
for diagnosis. The Pneumonia Severity Index should be used to assist in decisions
regarding the need for hospitalization in patients with CAP.
According to the American Thoracic Society (ATS) and the Infectious Diseases
Society of America (IDSA) 2019 guidelines, the initial treatment of CAP for most
patients is amoxicillin or doxycycline. Macrolides are an option for treatment, but
are no longer recommended routinely as first-line treatment, given increased
macrolide resistance. This is a change from the 2007 ATS/IDSA guidelines.
Respiratory fluoroquinolones and amoxicillin/clavulanate should be used in
patients who fail first-line medications, have significant comorbidities, have had
recent antibiotic therapy, are allergic to alternative agents, or have a documented
infection with highly drug-resistant pneumococci.
, • A patient presents to the clinic for conception counseling. She recently stopped
taking oral contraceptives and would like to become pregnant. Which statement
about conception safety after stopping oral contraceptives is correct? -✓✓
• You have a 35-year-old female patient who is complaining of wrist pain. She is
an administrative assistant who does a great deal of computer work in her job. You
will test her for carpal tunnel syndrome. When you tap at the volar surface of the
wrist you are performing which of the following tests? -✓✓Tinel's sign
• A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the
following? -✓✓Zollinger-Ellison syndrome
• A 16-year-old male is in the office. He has a insect bite on his left forearm and
you suspect a brown recluse spider bite. What medical management would you
provide? -✓✓ice pack and elevation of the area
• In addition to being overweight, the American Diabetes Association recommends
type 2 diabetes mellitus testing in adults who: -✓✓have an HDL level of < 35
mg/dL
• Which of the following found on an ECG would confirm atrial fibrillation? -✓✓-
absent P waves
-irregular ventricular rate
• As an FNP you understand that all of the following statements about chronic
heart failure are accurate EXCEPT: -✓✓-The preponderance is in females until the
age of 75, then there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
• The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP
plans to prescribe Benadryl for this. What is a possible adverse effect with the use
of Benadryl for this patient? -✓✓urinary retention
• You are testing a client suspected of having Parkinson's disease. You support the
client's elbow with his forearm extended in your hand and grasp his wrist, flexing
