ANCC | FNP
OBJECTIVE ASSESSMENT - EXAM
Family Nurse
Practitioner
ANCC Certification Exam Prep
150 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Health Promotion & Disease Prevention Neurologic & Musculoskeletal Disorders
Cardiovascular & Respiratory Disorders Pediatric & Adolescent Health
Endocrine & Metabolic Conditions Women's & Men's Health
COVER PAGE - 1
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 1 of 77
, SECTION 1 | Health Promotion & Disease Prevention | Q1-Q25 | ANCC FNP Exam Prep 2026/2027
Q1 Question 1 of 150
A 52-year-old male presents for an annual wellness visit and asks about colorectal cancer screening.
He has no family history of colorectal cancer and is asymptomatic. The FNP should recommend
which screening approach as the preferred initial test?
A. Colonoscopy every 10 years beginning at age 45
B. Colonoscopy every 5 years beginning at age 50
C. Fecal occult blood test annually beginning at age 60
D. Flexible sigmoidoscopy every 3 years beginning at age 55
Correct Answer: A
Rationale:
Current guidelines recommend beginning colorectal cancer screening at age 45 for average-risk adults,
with colonoscopy every 10 years as the preferred structural test that allows for both detection and removal
of precancerous polyps. Starting at age 50 or 60 delays screening past the recommended age, and 5-year
intervals expose patients to unnecessary procedural risk without added benefit for average-risk individuals.
Q2 Question 2 of 150
A 45-year-old female with a BMI of 32 kg/m2 asks for advice on weight loss. She has tried multiple
commercial diets without success and reports minimal physical activity due to a sedentary office job.
The FNP should recommend which initial approach as most effective for sustained weight loss?
A very-low-calorie diet of 800 kcal per day for rapid initial loss
A comprehensive lifestyle intervention combining diet, exercise, and behavioral therapy
Prescription phentermine as monotherapy for 12 months
Bariatric surgery referral without trying lifestyle changes first
Correct Answer: B
Rationale:
A comprehensive lifestyle intervention that combines a reduced-calorie diet, increased physical activity,
and behavioral therapy produces sustained weight loss of 5 to 10 percent of body weight and is
recommended as first-line therapy for overweight and obese adults. Very-low-calorie diets carry high
recidivism rates, pharmacotherapy is reserved for select patients and rarely used alone, and bariatric
surgery requires prior failed lifestyle intervention for most patients.
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 2 of 77
, SECTION 1 | Health Promotion & Disease Prevention | Q1-Q25 | ANCC FNP Exam Prep 2026/2027
Q3 Question 3 of 150
A 60-year-old male with a 30-pack-year smoking history asks about lung cancer screening. He quit
smoking 6 months ago and is currently asymptomatic. The FNP should recommend which screening
test based on USPSTF guidelines?
Annual chest x-ray starting at age 50
Annual low-dose CT scan of the chest starting at age 50
Annual low-dose CT scan of the chest for adults aged 50-80 with a 20 pack-year history who
currently smoke or quit within 15 years
Sputum cytology every 2 years starting at age 55
Correct Answer: C
Rationale:
The USPSTF recommends annual low-dose CT screening for lung cancer in adults aged 50 to 80 who
have a 20 pack-year smoking history and currently smoke or quit within the past 15 years. Chest x-ray has
not been shown to reduce lung cancer mortality, sputum cytology lacks sensitivity, and the age range of 55
to 74 used in older guidelines has been expanded to 50 to 80 in current recommendations.
Q4 Question 4 of 150
A 35-year-old female presents for a well-woman exam. She is sexually active with a male partner and
uses oral contraceptives. She has no history of abnormal Pap smears. The FNP should recommend
which cervical cancer screening schedule?
A. Pap smear alone every 3 years
B. HPV testing annually
C. Pap smear annually
D. HPV testing alone every 5 years, or cotesting every 5 years, or Pap alone every 3 years
Correct Answer: D
Rationale:
For women aged 30 to 65, current guidelines allow HPV testing alone every 5 years, cotesting with Pap
and HPV every 5 years, or Pap smear alone every 3 years. Annual Pap smears are no longer
recommended due to the slow progression of cervical dysplasia, and HPV testing alone every 5 years
offers excellent sensitivity for high-grade lesions.
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 3 of 77
, SECTION 1 | Health Promotion & Disease Prevention | Q1-Q25 | ANCC FNP Exam Prep 2026/2027
Q5 Question 5 of 150
A 50-year-old male presents for a routine physical. His blood pressure is 132/82 mmHg on two
separate occasions one week apart. He has no history of cardiovascular disease. Based on current
guidelines, the FNP should classify this blood pressure as which category?
A. Stage 1 hypertension
B. Elevated blood pressure
C. Normal blood pressure
D. Stage 2 hypertension
Correct Answer: A
Rationale:
Under the 2017 ACC/AHA guidelines, systolic readings of 130 to 139 mmHg or diastolic readings of 80 to
89 mmHg are classified as Stage 1 hypertension. Normal blood pressure is less than 120/80, elevated
blood pressure is systolic 120 to 129 with diastolic less than 80, and Stage 2 hypertension is systolic at
least 140 or diastolic at least 90.
Q6 Question 6 of 150
A 42-year-old female requests vaccination against influenza. She reports a severe egg allergy
characterized by hives only after ingestion. The FNP should recommend which approach?
Administer the influenza vaccine in an inpatient setting under medical supervision
Administer any licensed, recommended influenza vaccine in the usual outpatient setting
Defer influenza vaccination indefinitely due to egg allergy
Administer only the live attenuated nasal spray vaccine
Correct Answer: B
Rationale:
Persons with a history of egg allergy characterized by hives alone can receive any licensed, recommended
influenza vaccine in the usual outpatient setting without additional precautions, per current ACIP guidance.
Severe egg reactions involving angioedema, respiratory distress, or epinephrine use should still be
vaccinated in a supervised medical setting, and live attenuated nasal spray is not preferred based on egg
allergy alone.
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 4 of 77
OBJECTIVE ASSESSMENT - EXAM
Family Nurse
Practitioner
ANCC Certification Exam Prep
150 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Health Promotion & Disease Prevention Neurologic & Musculoskeletal Disorders
Cardiovascular & Respiratory Disorders Pediatric & Adolescent Health
Endocrine & Metabolic Conditions Women's & Men's Health
COVER PAGE - 1
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 1 of 77
, SECTION 1 | Health Promotion & Disease Prevention | Q1-Q25 | ANCC FNP Exam Prep 2026/2027
Q1 Question 1 of 150
A 52-year-old male presents for an annual wellness visit and asks about colorectal cancer screening.
He has no family history of colorectal cancer and is asymptomatic. The FNP should recommend
which screening approach as the preferred initial test?
A. Colonoscopy every 10 years beginning at age 45
B. Colonoscopy every 5 years beginning at age 50
C. Fecal occult blood test annually beginning at age 60
D. Flexible sigmoidoscopy every 3 years beginning at age 55
Correct Answer: A
Rationale:
Current guidelines recommend beginning colorectal cancer screening at age 45 for average-risk adults,
with colonoscopy every 10 years as the preferred structural test that allows for both detection and removal
of precancerous polyps. Starting at age 50 or 60 delays screening past the recommended age, and 5-year
intervals expose patients to unnecessary procedural risk without added benefit for average-risk individuals.
Q2 Question 2 of 150
A 45-year-old female with a BMI of 32 kg/m2 asks for advice on weight loss. She has tried multiple
commercial diets without success and reports minimal physical activity due to a sedentary office job.
The FNP should recommend which initial approach as most effective for sustained weight loss?
A very-low-calorie diet of 800 kcal per day for rapid initial loss
A comprehensive lifestyle intervention combining diet, exercise, and behavioral therapy
Prescription phentermine as monotherapy for 12 months
Bariatric surgery referral without trying lifestyle changes first
Correct Answer: B
Rationale:
A comprehensive lifestyle intervention that combines a reduced-calorie diet, increased physical activity,
and behavioral therapy produces sustained weight loss of 5 to 10 percent of body weight and is
recommended as first-line therapy for overweight and obese adults. Very-low-calorie diets carry high
recidivism rates, pharmacotherapy is reserved for select patients and rarely used alone, and bariatric
surgery requires prior failed lifestyle intervention for most patients.
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 2 of 77
, SECTION 1 | Health Promotion & Disease Prevention | Q1-Q25 | ANCC FNP Exam Prep 2026/2027
Q3 Question 3 of 150
A 60-year-old male with a 30-pack-year smoking history asks about lung cancer screening. He quit
smoking 6 months ago and is currently asymptomatic. The FNP should recommend which screening
test based on USPSTF guidelines?
Annual chest x-ray starting at age 50
Annual low-dose CT scan of the chest starting at age 50
Annual low-dose CT scan of the chest for adults aged 50-80 with a 20 pack-year history who
currently smoke or quit within 15 years
Sputum cytology every 2 years starting at age 55
Correct Answer: C
Rationale:
The USPSTF recommends annual low-dose CT screening for lung cancer in adults aged 50 to 80 who
have a 20 pack-year smoking history and currently smoke or quit within the past 15 years. Chest x-ray has
not been shown to reduce lung cancer mortality, sputum cytology lacks sensitivity, and the age range of 55
to 74 used in older guidelines has been expanded to 50 to 80 in current recommendations.
Q4 Question 4 of 150
A 35-year-old female presents for a well-woman exam. She is sexually active with a male partner and
uses oral contraceptives. She has no history of abnormal Pap smears. The FNP should recommend
which cervical cancer screening schedule?
A. Pap smear alone every 3 years
B. HPV testing annually
C. Pap smear annually
D. HPV testing alone every 5 years, or cotesting every 5 years, or Pap alone every 3 years
Correct Answer: D
Rationale:
For women aged 30 to 65, current guidelines allow HPV testing alone every 5 years, cotesting with Pap
and HPV every 5 years, or Pap smear alone every 3 years. Annual Pap smears are no longer
recommended due to the slow progression of cervical dysplasia, and HPV testing alone every 5 years
offers excellent sensitivity for high-grade lesions.
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 3 of 77
, SECTION 1 | Health Promotion & Disease Prevention | Q1-Q25 | ANCC FNP Exam Prep 2026/2027
Q5 Question 5 of 150
A 50-year-old male presents for a routine physical. His blood pressure is 132/82 mmHg on two
separate occasions one week apart. He has no history of cardiovascular disease. Based on current
guidelines, the FNP should classify this blood pressure as which category?
A. Stage 1 hypertension
B. Elevated blood pressure
C. Normal blood pressure
D. Stage 2 hypertension
Correct Answer: A
Rationale:
Under the 2017 ACC/AHA guidelines, systolic readings of 130 to 139 mmHg or diastolic readings of 80 to
89 mmHg are classified as Stage 1 hypertension. Normal blood pressure is less than 120/80, elevated
blood pressure is systolic 120 to 129 with diastolic less than 80, and Stage 2 hypertension is systolic at
least 140 or diastolic at least 90.
Q6 Question 6 of 150
A 42-year-old female requests vaccination against influenza. She reports a severe egg allergy
characterized by hives only after ingestion. The FNP should recommend which approach?
Administer the influenza vaccine in an inpatient setting under medical supervision
Administer any licensed, recommended influenza vaccine in the usual outpatient setting
Defer influenza vaccination indefinitely due to egg allergy
Administer only the live attenuated nasal spray vaccine
Correct Answer: B
Rationale:
Persons with a history of egg allergy characterized by hives alone can receive any licensed, recommended
influenza vaccine in the usual outpatient setting without additional precautions, per current ACIP guidance.
Severe egg reactions involving angioedema, respiratory distress, or epinephrine use should still be
vaccinated in a supervised medical setting, and live attenuated nasal spray is not preferred based on egg
allergy alone.
ANCC FNP Exam Prep - 2026/2027 | Passing Score: 75% | Page 4 of 77
