ANCC FNP ACTUAL EXAM NEWEST 2026 ACTUAL COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS

ANCC FNP ANCC FNP ANCC FNP ACTUAL EXAM NEWEST 2026 ACTUAL COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS The Lachman Maneuver is used to detect which of the following? A: Instability of the knee B: Nerve Damage of the knee due to past knee injuries C: Integrity of the patellar tendon D: Tears of the meniscus - Correct Ans-instability of the knee A 28-year old multipara who is at 32 weeks gestation presents to your office complaining of a sudden onset of small amounts of bright-red vaginal bleeding. She has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely? A: placenta abruptio B: placenta previa C: acute cervicitis D: Molar Pregnancy (hydatidiform mole) - Correct Ans-Placental previa A 30 year old woman who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large number of cells that have BLURRED margins. Very few white blood cells are seen. The vaginal pH is 6.0. What is most likely? A: Trichomonas infections B: Bacterial Vaginosis C: Candidal infection D: A normal finding - Correct Ans-Bacterial Vaginosis Signs and symptoms of depression include all of the following except: A: anhedonia B: Low Self-esteem C: Apathy ANCC FNP ANCC FNP D: Apraxia - Correct Ans-apraxia All of the following are cover under Medicare part B except: A: person aged 65 years or older B: Durable medical equipment C: Mammograms annually starting at age 50 D: outpatient anesthesiologists services - Correct Ans-Outpatient Anesthesiologist services All of the following are complications of severe preeclampsia except: A: Liver Failure B: Hypertensive Encephalopathy C: Pulmonary Edema D: Placenta Previa - Correct Ans-Placenta Previa Koplik's spots are associated with: A: poxvirus infections B: Rubeola C: Kawasaki's disease D: Rubella - Correct Ans-Rubeola A middle-aged woman who works in the housekeeping department of a hospital presents to the employee health clinic with a complaint of a needlestick to her left thumb. The needle was in one of the garbage bags from the ER. The patient had a little bleeding that stopped spontaneously. Which of the following is the next step? A: order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible B: recommend a tetanus booster in 1 week C: offer the patient hepatitis B immunoglobulin D: order a chest xray - Correct Ans-Order an ELISA test as soon as possible. A 20year old patient has recently been diagnosed with migraines. The NP is educating the pt about factors that are known to be trigger for migraine headaches. WHich of the following is INCORRECT advice ? A: avoid foods high in tyramine content B: avoid foods high in potassium content C: get enough sleep D: avoid fermented foods - Correct Ans-Avoid foods with high potassium content Hegar's sign is considered a: A: positive sign of pregnancy B: Probable sign of pregnancy C: presumptive sign of pregnancy ANCC FNP ANCC FNP D: Problem in pregnancy - Correct Ans-Probable sign of pregnancy. The positive signs for pregnancy include: A. palpation of the fetus and auscultation of fetal heart tones by the NP B: palpation of the fetus and a positive quantitative serum pregnancy test C: Fetal heart tones and a positive quantitative serum pregnancy test D: fetal heart tones and feeling of movement of the fetus by the mother - Correct Ans Palpation of the fetus and Auscultation of the fetal heart tones. Chadwick's Sign is characterized by: A: softening of the cervix B: Blue coloration of the cervix and vagina C: softening of the uterine isthmus D: nausea and vomiting during the first trimester of pregnancy - Correct Ans-Blue coloration of the vagina and cervix Rovsing's Sign is associated with which of the following? A: an acute abdomen, such as during a ruptured appendix B: knee instability C: Damage to the meniscus of the knee D: Acute cholelithiasis - Correct Ans-An acute abdomen such as during a ruptured appendix a patient is positive for anti-HCV (hepatitis C virus Antibody). WHat is the next step to further evaluate this patient? A: refer the patient to a gastroenterologist B order a hepatitis C RNA test C. order a hepatitis B comprehensive panel D. The pt is immune to hep C and no further testing is indicated - Correct Ans-Order a hepatitis C RNA test During a routine physical exam of an elderly woman, a triangular thickening of the bulbar conjunctivia on the temporal side is noted to be encroaching on the cornea. She denies any eye pain or visual changes. Which of the following is most likely? A: corneal Arcus B: pterygium C: pinguecula D: chalazion - Correct Ans-Pterygium A young primagravida reports to you that she is starting to feel the baby's movements in her uterus. This is considered to be which of the following? A: presumptive sign B: probable sign ANCC FNP ANCC FNP C: positive sign D possible sign - Correct Ans-presumptive sign Which of the following viral infections is associated with occasional abnormal forms of lymphocytes during an acute infection? A: Cytomegalovirus (CMV) B epstein-barr virus (EBV) C: Human papillomavirus (HPV) D: coxsackievirus - Correct Ans-Epstein-Barr virus EBV What does a potassium hydroxide (KOH) prep help the nurse practitioner diagnose? A: Herpes zoster infections B: Fungal infections C: Herpes simplex infections D: Viral infections - Correct Ans-Fungal infections A menopausal woman with osteopenia is attending a dietary education class. Which of the following foods are recommended? A: yogurt and sardines B: spinach and red meat C: Cheese and red meat D: low-fat cheese and whole grain - Correct Ans-Yogurt and sardines a patient who has been prescribed warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green vegetables because: A: the high vitamin K level will decrease the INR B: they have too much ascorbic acid, which can interact with the medicine C: the high-fiber content will decrease the absorption of the warfarin (coumadin) D: The vitamins in the vegetables will bind with, and inactivate, the warfarin (Coumadin) - Correct Ans-The high vitamin K levels will decrease the INR You note a HIGH pitched and BLOWING pansystolic murmur while assessing a 70-year old male patient. It is a grade 2/6 and is best heard at the apical area. Which of the following is most likely? A: ventricular Septal Defect B: Tricuspid regurgitation C: Mitral regurgitation D: mitral stenosis - Correct Ans-Mitral regurgitation you are reviewing a pap smear result for a 25-year old woman. Which of the following cells should be obtained in a pap smear sample to be classified as a satisfactory specimen? A: clue cells and endometrial cells B: vaginal cells and cervical cells C: squamous epithelial cells and endocervical cells ANCC FNP ANCC FNP D: leukocytes and RBC's - Correct Ans-Squamous epithelial cells and endocervical cells Koilonychia is associated with which of the following conditions? A: lead poisoning B: beta thalassemia trait C: B12 deficiency anemia D: Iron-deficiency anemia - Correct Ans-Iron-deficiency anemia Heberden's nodes are commonly found in which of the following diseases? A: rheumatoid arthritis B: Degenerative Joint disease C: Psoriatic arthritis D: septic arthritis - Correct Ans-Degenerative Joint disease (OA) Swim therapy (aqua therapy) for a 13-year old with cerebral palsy is an example of: A: primary prevention B: Secondary prevention C: tertiary prevention D: health prevention - Correct Ans-Tertiary Prevention A small abscess on a hair follicle on the eyelid is called: A: hordeolum B: Pterygium C: Pinguecula D: ptosis - Correct Ans-hordeolum Beta Thalassemia minor is considered a: A: macrocytic anemia B: normocytic anemia C: microcytic anemia D: hemolytic anemia - Correct Ans-microcytic anemia A bulla is defined as: A: A solid nodule less than 1cm in size B: a superficial vesicle filled with serous fluid greater than 1cm in size C: a maculopapular lesion D: a shallow ulcer - Correct Ans-A superficial vesicle filled with serous fluid greater than 1cm in size All of the following findings are associated with the secondary stage of an infection by the organism Treponema pallidum except: A: condyloma acuminata B: maculopapular rash of the palms and soles C: lymphadenopathy D: condyloma lata - Correct Ans-Condyloma acuminata ANCC FNP ANCC FNP You note bony nodules at the proximal interphalangeal joints on both the hands of your 65 yr old female pt. Which of the following is most likely? A. Bouchard's node B. Herberden's node C. Osteoarthritic nodules D. Tophi deposits - Correct Ans-Bouchard's nodes an asthmatic exacerbation is characterized by all of the following symptoms except: A: tachycardia B: severe wheezing C: Chronic coughing D: tachypnea - Correct Ans-Chronic Coughing while assessing for a cardiac murmur, the first time that a thrill can palpated is at: A: grade 2 B: grade 3 C: Grade 4 D: grade 5 - Correct Ans-Grade 4 Podagra is associated with which of the following? A) RA B) Gout C) Osteoarthritis D) Septic arthritis - Correct Ans-Gout Which type of hepatitis virus infection is more likely to result in chronic hepatitis and increased risk of developing hepatocellular carcinoma? - Correct Ans-Both Hepatitis B and Hepatitis C A medium-pitched mid systolic murmur is best heard at the right second ICS. It radiates to the NECK. Which of the following is correct? A: aortic stenosis B: pulmonic stenosis C: aortic regurgitation D: mitral stenosis: - Correct Ans-Aortic Stenosis What is the caloric content of infant formula and breast milk? A: 10kcal/30ml B: 15kcal/30ml C: 20kcal/30ml D: 25kcal/30ml - Correct Ans-20kcal/30ml A patient who recently returned from a vacation in Latin America complains of a severe headache and stiff neck that were accompanied by a high fever for the past 12 hours. While examing the pt, the NP flexes both the pts hips and legs and then tells the pt to straighten them against resistance. The name of this test is: ANCC FNP ANCC FNP A: kernig's maneuver B: Brudzinski's maneuver C: Murphy's sign D: Homan's sign - Correct Ans-Kernigs maneuver RhoGAM's mechanism of action: - Correct Ans-destruction of Rh-positive fetal red blood cells that are present in the mother's circulatory system. It is given to Rh negative mothers during the 28th week of pregnancy. Which of the following findings is associated with thyroid hypofunction? A: graves disease B Eye disorder C Thyroid Storm D Myxedema - Correct Ans-Myxedema Which of the following conditions is associated with a positive Auspitz sign? A: contact dermatitis B: seborrheic dermatitis C: systemic lupus erythematous D: psoriasis - Correct Ans-Psoriasis Which of the following is used to confirm a dx of hashimoto's thyroiditis? A: Serum TSH B: Free T4 C: Anti-thyroid peroxidase and anti-thyroglobulin antibodies D: Thyroid ultrasound - Correct Ans-Anti-thyroid peroxidase and anti-thyroglobulin antibodies All of the following statements reflect inadequate breast milk production except: A: full term infant is at birth weight by the second week of life B: fewer than 6 wet diapers and fewer than 4 stools per day C: Infant is nursing fewer than 8 times in a 24 hour peroid D: weight loss more than 10% of birth weight - Correct Ans-full-term infant is at birth weight by the second week of life A fracture on the navicular area of the wrist is usually caused by falling forward and landing on the hands. The affected wrist is hyperextended to break the fall. The NP is aware that all of the following statements are true regarding a fx of the schaphoid bone of the wrist except. A: it has a higher rate of unonunion compared with the other bones in the wrist when it is fractured B: The fx frequently does not show up on an xray film when it is taken immediately after injury. C The xray film will show the fx if the film is repeated in 2 weeks. D. These fractures always require surgical intervention to stabilize the joint. - Correct Ans-These fx's always require surgical intervention to stabilize the joint ANCC FNP ANCC FNP Which of the following is considered an objective finding in patients who have a case of suppurative otitis media? A: erythema of tympanic membrane B: Decreased mobility of the tympanic membrane as measured by tympanogram. C: Displacement of the light reflex D: Bulging of the tympanic membrane - Correct Ans-Decreased mobility of the tympanic membrane as measured by tympanogram. During a routine phycial exam of a 90-year old woman. a LOW pitched diastolic murmur grade 2/6 is auscultated. it is located on the 5th ICS on the left side of the midclavicular line. Which of the following identifications is correct? - Correct Ans-Mitral Stenosis which of the following is considered abnormal result on a weber test? - Correct Ans Lateralization to 1 ear The span of the normal adult liver is? - Correct Ans-6-15cm in the midclavicular line A pt who is complaining of a new onset of severe headache is being examined. The pt is instructed to lie down on the examining table while the NP flexes his head and neck forward to his chest. The patient reacts quickly flexing his hip and knee. What is the name of this positive finding? - Correct Ans-brudzinski's sign which of the following drugs is recommended by the CDC for prophylaxis after exposure to Bacillus Anthracis? - Correct Ans-Ciprofloxacin (cipro) All of the followign are included in the criteria used to diagnose pts with AIDS except: A: profound fatigue B: Thrush C: Kaposi's sarcoma D: Hairy leukoplakia of the tongue - Correct Ans-Profound fatigue