ANCC Family Nurse Practitioner
Certification (FNP-BC™) Exam
Questions with correct Answers
2025/2026 ( A+ GRADED 100%
VERIFIED).
43-year-old patient with past medical history of mild asthma in his childhood presents
for management of hypertension. He has heard that some antihypertensive
medications can worsen breathing in asthmatic patients. Which of the following
medications would be most likely to cause bronchospasm in a patient with asthma?
A. Metoprolol
B. Atenolol
C. Propranolol
D. Bisoprolol - Correct Answer: C. Propranolol
A 10-month-old girl with no prior medical history presents to the emergency room
with signs of bronchiolitis. The patient's parents report that she developed a cough 3
days ago, and today she developed rhinorrhea, wheezing, and a fever of 100.4°F.
Physical examination reveals a temperature of 100.5°F, and wheezing is evident on
pulmonary exam. Physical examination also reveals right tympanic membrane
fullness, with loss of light reflex and erythema. The patient keeps pulling on her ear.
It is December, and this is the 10th patient this month who has presented with the
same symptoms. Which of the following is the most appropriate therapy for this
patient?
A. Amoxicillin with analgesics
B. Bronchodilators
C. Corticosteroids
D. Ribavirin - Correct Answer: A. Amoxicillin with analgesics
A 12-year-old boy complains of abrupt onset of scrotal pain upon awakening this
morning. He has had nausea and vomiting for the past hour. He is afebrile and his
heart rate is 100/minute. His scrotum is red and swollen and the right testicle is
higher than the left. When you stroke the inner thigh on the right, there is no
movement of the testicle. Which of the following is an indicated treatment for this
condition?
,A. Manual reduction
B. Antibiotics
C. Topical azole cream
D. Chemotherapy - Correct Answer: A. Manual reduction
A 12-year-old male patient present for evaluation of a painful pimple on his eyelid.
On exam, you find a 3 mm fluctuant pustule on the margin his right eyelid with no
exudate. What is this likely to be?
A. Chalazion
B. Molluscum contagiosum
C. Hordeolum
D. Blepharitis - Correct Answer: C. Hordeolum
A 14-year-old female basketball player presents with anterior knee pain that is
exacerbated by jumping. She denies any specific injury. There is no effusion,
joint-line tenderness, or instability. She has tenderness to palpation over the tibial
tubercle. What is the most likely diagnosis, and what is the appropriate
management?
A. Meniscal tear and arthroscopic surgery
B. Osgood-Schlatter disease and rest, ice, and anti-inflammatories
C. Anterior cruciate ligament tear and physical therapy
D. Patellofemoral pain syndrome and realignment surgery - Correct Answer: B.
Osgood-Schlatter disease and rest, ice, and anti-inflammatories
A 14-year-old female presents for a pre-sports physical. She complains of back
discomfort when she "sits at school for a long time." Her exam reveals scoliosis with
a left-sided curve. An MRI of the spine is indicated to rule out which of the following
conditions?
A. Intraspinal syrinx
B. Narrowing of disk space
C. Schmorl nodes
D. Irregularities in vertebral endplates - Correct Answer: A. Intraspinal syrinx
A 14-year-old female soccer player presents for right knee pain and swelling. She
states during a game over the weekend, she injured her knee. She does not recall
the mechanism of injury, but her knee gave way and she heard a "pop." She noticed
some swelling within an hour and has had pain since. She has no history of a knee
injury. She denies any locking but feels instability in her knee. On examination, you
notice mild to moderate anterior swelling. She has some physiologic knee valgus
deformity. She is tender over the medial patellar edge on palpation. Her range of
motion is limited due to the pain and swelling. She has negative varus and valgus
,stress tests and a negative Lachman's test with good end-point. The patient also has
a negative anterior and posterior drawer test and a negative McMurray test. She has
some patellar apprehension. Her right knee X-rays show some soft-tissue swelling
but no fracture or othe - Correct Answer: D. Patellar sub-luxation
A 15-year-old female presents for evaluation for painful menstrual cycle. She has a
history of migraines with aura. She had her first menstrual cycle at the age of 12
years. Over the last few years, each period has lasted 6-7 days and occurs once
every 29 days.
Over the last 6 months, she has experienced pain in her lower abdominal and upper
thighs during the first few days of her menstrual cycle. She has missed 2-3 days of
school each month due to the pain. She denies sexual activity. She has not tried any
over the counter medications for the pain. Which of the following would be the
first-line treatment for her condition?
A. Norgestrel 0.3mg/ethinyl estradiol 30ug Q day for 30 days
B. Transdermal patch containing 6 mg norelgestromin and 75mg EE
C. Acetaminophen 500mg Q4-6 hours
D. Naproxen 500mg once, then 250 mg Q6-8 hours - Correct Answer: D. Naproxen
500mg once, then 250 mg Q6-8 hours
A 15-year-old female who is 10 weeks pregnant presents with complaints of vaginal
bleeding, abdominal pain, vomiting, and muscle spasms for the last 4 hours. Her BP
is 165/110. She is febrile, has cold extremities, and is trembling. Abdominal
ultrasound confirms a miscarriage with no retained products of conception.
Withdrawal from which of the following substances could lead to miscarriage in this
female?
A. Codeine
B. Cannabis
C. Cocaine
D. Nicotine - Correct Answer: A. Codeine
A 15-year-old male presents with knee pain which began after kneeing an opponent
in a martial arts competition. The pain has not subsided within several weeks, and
the patient is not able to participate in his regular activities. You order radiological
studies of the left knee, which reveal a bony fragment in the medial condyle of the
femur. What is an osteochondritis dissecans (OCD) lesion?
A. Bone or cartilage fragment with diminished blood supply from trauma or vascular
insult
B. Osteophyte (bone spur) growth into cartilage
C. Non-union growth plate fracture
D. Area of plasma cells in ligaments of spine - Correct Answer: A.
, Bone or cartilage fragment with diminished blood supply from trauma or vascular
insult
A 15-year-old male with no PMH presents with shoulder pain that has occurred for
several months. He has been playing baseball for the last 3 years and began feeling
pain in his arm and shoulder when he started learning and practicing the
breaking-ball pitch over the last 6 months. He denies any trauma. Pain only occurs
when the patient is pitching and is relieved by rest. Pain also tends to occur in the
deceleration portion of his pitch and is not related to temperature or time of day. The
patient's temperature is 98°F, HR is 70, RR is 14, and BP is 110/75. Physical exam
shows pinpoint tenderness where the shoulder meets with the arm. What is the most
likely diagnosis?
A. Thoracic outlet syndrome
B. Rotator cuff tendinitis
C. Shoulder impingement
D. Proximal humerus stress injury (little leaguer's shoulder) - Correct Answer: D.
Proximal humerus stress injury (little leaguer's shoulder)
A 16-year old boy in New Hampshire presents with a painful, erythematous elbow
that has gotten worse over the past week. He denies any constitutional symptoms
such as fever, swollen lymph nodes, or weight loss. On physical exam, his right
elbow is warm and tender to palpation. He denies any history of rashes. He often
enjoys hiking in the woods. An arthrocentesis is performed which ruled out gout.
Which of the following treatments should be initiated for this suspected disease?
A. Azithromycin
B. Ceftriaxone
C. Corticosteroids
D. Doxycycline - Correct Answer: D. Doxycycline
A 16-year-old male presents at the office with his parents for a wellness check. What
are the most common locations of osteochondritis dessicans (OCD) lesions in
pediatric patients?
A. Cervical, thoracic, and lumbar spine
B. Knee, ankle, and elbow
C. Pelvis, toe, and nasal plate
D. Eye, ear, and palate - Correct Answer: B. Knee, ankle, and elbow
A 16-year-old male presents because he is concerned about acne. He first began to
notice worsening acne 6 months ago and began using over-the-counter benzoyl
peroxide and, after 3 months, saw his primary care physician who prescribed
tretinoin and oral tetracycline. He states that he has been using both medications for
Certification (FNP-BC™) Exam
Questions with correct Answers
2025/2026 ( A+ GRADED 100%
VERIFIED).
43-year-old patient with past medical history of mild asthma in his childhood presents
for management of hypertension. He has heard that some antihypertensive
medications can worsen breathing in asthmatic patients. Which of the following
medications would be most likely to cause bronchospasm in a patient with asthma?
A. Metoprolol
B. Atenolol
C. Propranolol
D. Bisoprolol - Correct Answer: C. Propranolol
A 10-month-old girl with no prior medical history presents to the emergency room
with signs of bronchiolitis. The patient's parents report that she developed a cough 3
days ago, and today she developed rhinorrhea, wheezing, and a fever of 100.4°F.
Physical examination reveals a temperature of 100.5°F, and wheezing is evident on
pulmonary exam. Physical examination also reveals right tympanic membrane
fullness, with loss of light reflex and erythema. The patient keeps pulling on her ear.
It is December, and this is the 10th patient this month who has presented with the
same symptoms. Which of the following is the most appropriate therapy for this
patient?
A. Amoxicillin with analgesics
B. Bronchodilators
C. Corticosteroids
D. Ribavirin - Correct Answer: A. Amoxicillin with analgesics
A 12-year-old boy complains of abrupt onset of scrotal pain upon awakening this
morning. He has had nausea and vomiting for the past hour. He is afebrile and his
heart rate is 100/minute. His scrotum is red and swollen and the right testicle is
higher than the left. When you stroke the inner thigh on the right, there is no
movement of the testicle. Which of the following is an indicated treatment for this
condition?
,A. Manual reduction
B. Antibiotics
C. Topical azole cream
D. Chemotherapy - Correct Answer: A. Manual reduction
A 12-year-old male patient present for evaluation of a painful pimple on his eyelid.
On exam, you find a 3 mm fluctuant pustule on the margin his right eyelid with no
exudate. What is this likely to be?
A. Chalazion
B. Molluscum contagiosum
C. Hordeolum
D. Blepharitis - Correct Answer: C. Hordeolum
A 14-year-old female basketball player presents with anterior knee pain that is
exacerbated by jumping. She denies any specific injury. There is no effusion,
joint-line tenderness, or instability. She has tenderness to palpation over the tibial
tubercle. What is the most likely diagnosis, and what is the appropriate
management?
A. Meniscal tear and arthroscopic surgery
B. Osgood-Schlatter disease and rest, ice, and anti-inflammatories
C. Anterior cruciate ligament tear and physical therapy
D. Patellofemoral pain syndrome and realignment surgery - Correct Answer: B.
Osgood-Schlatter disease and rest, ice, and anti-inflammatories
A 14-year-old female presents for a pre-sports physical. She complains of back
discomfort when she "sits at school for a long time." Her exam reveals scoliosis with
a left-sided curve. An MRI of the spine is indicated to rule out which of the following
conditions?
A. Intraspinal syrinx
B. Narrowing of disk space
C. Schmorl nodes
D. Irregularities in vertebral endplates - Correct Answer: A. Intraspinal syrinx
A 14-year-old female soccer player presents for right knee pain and swelling. She
states during a game over the weekend, she injured her knee. She does not recall
the mechanism of injury, but her knee gave way and she heard a "pop." She noticed
some swelling within an hour and has had pain since. She has no history of a knee
injury. She denies any locking but feels instability in her knee. On examination, you
notice mild to moderate anterior swelling. She has some physiologic knee valgus
deformity. She is tender over the medial patellar edge on palpation. Her range of
motion is limited due to the pain and swelling. She has negative varus and valgus
,stress tests and a negative Lachman's test with good end-point. The patient also has
a negative anterior and posterior drawer test and a negative McMurray test. She has
some patellar apprehension. Her right knee X-rays show some soft-tissue swelling
but no fracture or othe - Correct Answer: D. Patellar sub-luxation
A 15-year-old female presents for evaluation for painful menstrual cycle. She has a
history of migraines with aura. She had her first menstrual cycle at the age of 12
years. Over the last few years, each period has lasted 6-7 days and occurs once
every 29 days.
Over the last 6 months, she has experienced pain in her lower abdominal and upper
thighs during the first few days of her menstrual cycle. She has missed 2-3 days of
school each month due to the pain. She denies sexual activity. She has not tried any
over the counter medications for the pain. Which of the following would be the
first-line treatment for her condition?
A. Norgestrel 0.3mg/ethinyl estradiol 30ug Q day for 30 days
B. Transdermal patch containing 6 mg norelgestromin and 75mg EE
C. Acetaminophen 500mg Q4-6 hours
D. Naproxen 500mg once, then 250 mg Q6-8 hours - Correct Answer: D. Naproxen
500mg once, then 250 mg Q6-8 hours
A 15-year-old female who is 10 weeks pregnant presents with complaints of vaginal
bleeding, abdominal pain, vomiting, and muscle spasms for the last 4 hours. Her BP
is 165/110. She is febrile, has cold extremities, and is trembling. Abdominal
ultrasound confirms a miscarriage with no retained products of conception.
Withdrawal from which of the following substances could lead to miscarriage in this
female?
A. Codeine
B. Cannabis
C. Cocaine
D. Nicotine - Correct Answer: A. Codeine
A 15-year-old male presents with knee pain which began after kneeing an opponent
in a martial arts competition. The pain has not subsided within several weeks, and
the patient is not able to participate in his regular activities. You order radiological
studies of the left knee, which reveal a bony fragment in the medial condyle of the
femur. What is an osteochondritis dissecans (OCD) lesion?
A. Bone or cartilage fragment with diminished blood supply from trauma or vascular
insult
B. Osteophyte (bone spur) growth into cartilage
C. Non-union growth plate fracture
D. Area of plasma cells in ligaments of spine - Correct Answer: A.
, Bone or cartilage fragment with diminished blood supply from trauma or vascular
insult
A 15-year-old male with no PMH presents with shoulder pain that has occurred for
several months. He has been playing baseball for the last 3 years and began feeling
pain in his arm and shoulder when he started learning and practicing the
breaking-ball pitch over the last 6 months. He denies any trauma. Pain only occurs
when the patient is pitching and is relieved by rest. Pain also tends to occur in the
deceleration portion of his pitch and is not related to temperature or time of day. The
patient's temperature is 98°F, HR is 70, RR is 14, and BP is 110/75. Physical exam
shows pinpoint tenderness where the shoulder meets with the arm. What is the most
likely diagnosis?
A. Thoracic outlet syndrome
B. Rotator cuff tendinitis
C. Shoulder impingement
D. Proximal humerus stress injury (little leaguer's shoulder) - Correct Answer: D.
Proximal humerus stress injury (little leaguer's shoulder)
A 16-year old boy in New Hampshire presents with a painful, erythematous elbow
that has gotten worse over the past week. He denies any constitutional symptoms
such as fever, swollen lymph nodes, or weight loss. On physical exam, his right
elbow is warm and tender to palpation. He denies any history of rashes. He often
enjoys hiking in the woods. An arthrocentesis is performed which ruled out gout.
Which of the following treatments should be initiated for this suspected disease?
A. Azithromycin
B. Ceftriaxone
C. Corticosteroids
D. Doxycycline - Correct Answer: D. Doxycycline
A 16-year-old male presents at the office with his parents for a wellness check. What
are the most common locations of osteochondritis dessicans (OCD) lesions in
pediatric patients?
A. Cervical, thoracic, and lumbar spine
B. Knee, ankle, and elbow
C. Pelvis, toe, and nasal plate
D. Eye, ear, and palate - Correct Answer: B. Knee, ankle, and elbow
A 16-year-old male presents because he is concerned about acne. He first began to
notice worsening acne 6 months ago and began using over-the-counter benzoyl
peroxide and, after 3 months, saw his primary care physician who prescribed
tretinoin and oral tetracycline. He states that he has been using both medications for
