ANCC FNP 2025 ACTUAL EXAM
ANCC FNP 2025 ACTUAL EXAM WITH 120 REAL EXAM
QUESTIONS AND CORRECT ANSWERS (100% CORRECT
ANSWERS GRADED A+) ANCC FAMILY NURSE PRACTITIONER
ACTUAL EXAM 2025/2026 (NEW!!)
An otherwise-healthy 32-year-old G2P2 calls her primary obstetrician in January, 8
days after an uncomplicated vaginal delivery at 39 weeks. She has had fevers to
101.9°F, cough, and muscle aches. She thinks that one of her friends may have had
a similar illness the past week. She received the influenza vaccine during her
pregnancy. She has no vaginal bleeding or discharge and no abdominal pain
besides the aforementioned myalgias. She is breastfeeding. She has had a slight
loss of appetite but otherwise no gastrointestinal upset. Which of the following
steps is indicated?
A. Conservative management of symptoms without antiviral medication
B. Maternal-neonatal separation
C. Temporary cessation of breastfeeding (i.e. dumping breast milk and formula
feeding)
D. Admission to hospital
Correct Answer: B. Maternal-neonatal separation
A 44-year old male with known celiac disease presents with developed vesicles
and pustules on his elbows, buttocks, and knees. He does admit to eating gluten
while on vacation. He is wondering what treatments are available for his rash.
How should you counsel this patient?
A. Dapsone will clear the skin lesions in 24-48 hours but will not decrease his risk
of gastrointestinal lymphoma.
B. Dapsone will clear the skin lesions in 24-48 hours and will decrease his risk of
gastrointestinal lymphoma.
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, ANCC FNP 2025 ACTUAL EXAM
C. A gluten-free diet will clear the skin lesions in 24-48 hours but will not decrease
the risk of gastrointestinal lymphoma.
D. A gluten-free diet will clear the skin lesions in 24-48 hours and will decrease the
risk of gastrointestinal lymphoma.
Correct Answer: A.
Dapsone will clear the skin lesions in 24-48 hours but will not decrease his risk of
gastrointestinal lymphoma.
A one week-old newborn is noted to have bilateral bloody eye discharge. The baby
was born to a 21-year-old G1P1 mother who had no prenatal care. On exam he
has red and thickened conjunctivae. What is the most likely cause of the neonate's
eye problems?
A. Silver nitrate
B. Chlamydial conjunctivitis
C. Gonococcal ophthalmia
D. S. aureus
Correct Answer: B. Chlamydial conjunctivitis
A client with RA (Rheumatoid Arthritis) presents for follow-up. What is the best
evaluative question the nurse practitioner can ask that will help determine the
severity of disease?
A. "Were you able to drive the car to your appointment today?"
B. "Were you able to fix dinner last night?"
C. "How long does it take for your joints to loosen up after you get up in the
morning?"
D. "How many pounds can you carry?"
Correct Answer: C. "How long does it take for your joints to loosen up after you
get up in the morning?"
2|Page
, ANCC FNP 2025 ACTUAL EXAM
Which of the following is true regarding febrile seizures in children?
A. Two thirds of children will have a second seizure
B. It is normal for a child to lose conscious during a febrile seizure
C. Febrile seizures will lead to epilepsy later in the child's life
D. Febrile seizures are not dangerous once they pass
Correct Answer: B. It is normal for a child to lose conscious during a febrile seizure
A nurse practitioner is sued by a patient she saw in her clinic. When considering a
malpractice lawsuit, which of the following is correct?
A. The nurse practitioner is the plaintiff in this case
B. The nurse practitioner is the defendant in the case
C. During the trial phase, medical records will be requested
D. If damages are awarded, they will only include reasonable fees for medical
expenses
Correct Answer: B. The nurse practitioner is the defendant in the case
A 56-year-old female presents to the allergist with a stuffy nose. She has been
taking the topical nasal decongestant Afrin for the past month and is unable to
stop taking it without having great trouble breathing through the nose. She is
diagnosed with rhinitis medicamentosa. Which of the following could be used to
wean her from this topical decongestant?
A. Systemic steroids
B. Systemic antibiotics
C. Topical decongestants
D. Systemic antihistamines
Correct Answer: A. Systemic steroids
A 20-year-old male with no PMH presents with shoulder pain that has occurred
for more than 8 months. He has been a baseball pitcher for several years and
3|Page
, ANCC FNP 2025 ACTUAL EXAM
started feeling tenderness around his shoulder region 8 months ago. He denies
any trauma but states that several months ago, he felt a pull on his shoulder when
he threw a screwball, resulting in pain after the incident. The pain has not
progressed since the incident and improved with rest and NSAIDs. The pain is not
related to temperature or time of day and did improve with lidocaine injection.
The patient's temperature = 98°F, HR = 70, RR = 14, and BP = 110/75. Physical
exam shows tremendous difficulty in lifting his left arm above his head
accompanied by pain. There is also a clicking sound when the arm is raised. Which
of the following is NOT consistent with this patient's condition?
A. Patient's sport
B. More common in younger patients
C. Difficulty in liftin
Correct Answer: B. More common in younger patients
What is the confirmatory test most commonly used when an initial screening test
for HIV is positive?
A. Viral load (PCR)
B. Western Blot
C. ELISA
D. CD 4 count
Correct Answer: B. Western Blot
A patient complains of intolerable itching in the pubic area. On examination, the
nurse practitioner notes erythematous papules and tiny white specks in the pubic
hair. Which of the following would you not expect to present as above?
A. Pediculosis pubis
B. Scabies
C. Impetigo
D. Atopic dermatitis
4|Page
ANCC FNP 2025 ACTUAL EXAM WITH 120 REAL EXAM
QUESTIONS AND CORRECT ANSWERS (100% CORRECT
ANSWERS GRADED A+) ANCC FAMILY NURSE PRACTITIONER
ACTUAL EXAM 2025/2026 (NEW!!)
An otherwise-healthy 32-year-old G2P2 calls her primary obstetrician in January, 8
days after an uncomplicated vaginal delivery at 39 weeks. She has had fevers to
101.9°F, cough, and muscle aches. She thinks that one of her friends may have had
a similar illness the past week. She received the influenza vaccine during her
pregnancy. She has no vaginal bleeding or discharge and no abdominal pain
besides the aforementioned myalgias. She is breastfeeding. She has had a slight
loss of appetite but otherwise no gastrointestinal upset. Which of the following
steps is indicated?
A. Conservative management of symptoms without antiviral medication
B. Maternal-neonatal separation
C. Temporary cessation of breastfeeding (i.e. dumping breast milk and formula
feeding)
D. Admission to hospital
Correct Answer: B. Maternal-neonatal separation
A 44-year old male with known celiac disease presents with developed vesicles
and pustules on his elbows, buttocks, and knees. He does admit to eating gluten
while on vacation. He is wondering what treatments are available for his rash.
How should you counsel this patient?
A. Dapsone will clear the skin lesions in 24-48 hours but will not decrease his risk
of gastrointestinal lymphoma.
B. Dapsone will clear the skin lesions in 24-48 hours and will decrease his risk of
gastrointestinal lymphoma.
1|Page
, ANCC FNP 2025 ACTUAL EXAM
C. A gluten-free diet will clear the skin lesions in 24-48 hours but will not decrease
the risk of gastrointestinal lymphoma.
D. A gluten-free diet will clear the skin lesions in 24-48 hours and will decrease the
risk of gastrointestinal lymphoma.
Correct Answer: A.
Dapsone will clear the skin lesions in 24-48 hours but will not decrease his risk of
gastrointestinal lymphoma.
A one week-old newborn is noted to have bilateral bloody eye discharge. The baby
was born to a 21-year-old G1P1 mother who had no prenatal care. On exam he
has red and thickened conjunctivae. What is the most likely cause of the neonate's
eye problems?
A. Silver nitrate
B. Chlamydial conjunctivitis
C. Gonococcal ophthalmia
D. S. aureus
Correct Answer: B. Chlamydial conjunctivitis
A client with RA (Rheumatoid Arthritis) presents for follow-up. What is the best
evaluative question the nurse practitioner can ask that will help determine the
severity of disease?
A. "Were you able to drive the car to your appointment today?"
B. "Were you able to fix dinner last night?"
C. "How long does it take for your joints to loosen up after you get up in the
morning?"
D. "How many pounds can you carry?"
Correct Answer: C. "How long does it take for your joints to loosen up after you
get up in the morning?"
2|Page
, ANCC FNP 2025 ACTUAL EXAM
Which of the following is true regarding febrile seizures in children?
A. Two thirds of children will have a second seizure
B. It is normal for a child to lose conscious during a febrile seizure
C. Febrile seizures will lead to epilepsy later in the child's life
D. Febrile seizures are not dangerous once they pass
Correct Answer: B. It is normal for a child to lose conscious during a febrile seizure
A nurse practitioner is sued by a patient she saw in her clinic. When considering a
malpractice lawsuit, which of the following is correct?
A. The nurse practitioner is the plaintiff in this case
B. The nurse practitioner is the defendant in the case
C. During the trial phase, medical records will be requested
D. If damages are awarded, they will only include reasonable fees for medical
expenses
Correct Answer: B. The nurse practitioner is the defendant in the case
A 56-year-old female presents to the allergist with a stuffy nose. She has been
taking the topical nasal decongestant Afrin for the past month and is unable to
stop taking it without having great trouble breathing through the nose. She is
diagnosed with rhinitis medicamentosa. Which of the following could be used to
wean her from this topical decongestant?
A. Systemic steroids
B. Systemic antibiotics
C. Topical decongestants
D. Systemic antihistamines
Correct Answer: A. Systemic steroids
A 20-year-old male with no PMH presents with shoulder pain that has occurred
for more than 8 months. He has been a baseball pitcher for several years and
3|Page
, ANCC FNP 2025 ACTUAL EXAM
started feeling tenderness around his shoulder region 8 months ago. He denies
any trauma but states that several months ago, he felt a pull on his shoulder when
he threw a screwball, resulting in pain after the incident. The pain has not
progressed since the incident and improved with rest and NSAIDs. The pain is not
related to temperature or time of day and did improve with lidocaine injection.
The patient's temperature = 98°F, HR = 70, RR = 14, and BP = 110/75. Physical
exam shows tremendous difficulty in lifting his left arm above his head
accompanied by pain. There is also a clicking sound when the arm is raised. Which
of the following is NOT consistent with this patient's condition?
A. Patient's sport
B. More common in younger patients
C. Difficulty in liftin
Correct Answer: B. More common in younger patients
What is the confirmatory test most commonly used when an initial screening test
for HIV is positive?
A. Viral load (PCR)
B. Western Blot
C. ELISA
D. CD 4 count
Correct Answer: B. Western Blot
A patient complains of intolerable itching in the pubic area. On examination, the
nurse practitioner notes erythematous papules and tiny white specks in the pubic
hair. Which of the following would you not expect to present as above?
A. Pediculosis pubis
B. Scabies
C. Impetigo
D. Atopic dermatitis
4|Page
