ANCC preexam Questions and
Answers Updated 2026
AM43-year-
oldMmaleMrecentlyMunderwentMthreeMmonthsMworthMofMlifestyleMinterventionsMbutMonly
MhadMaMmoderateMchangeMinMoverallMbloodMpressureMreadingsMatMhome.MAtMtoday'sM
visit,MhisMbloodMpressureMisMconsistentMwithMhisMhomeMreadings,MandMisM138/85.MThe
MnurseMpractitionerMknowsMthatMaccordingMtoMtheMAHAMguidelines,MweMshouldMbeginM
initiatingMmedicationsMforMaMstageM1MhypertensiveMpatientMatMwhatMASCVDMcutoffMpoi
nt?
A.
7.5%
Incorrect
B.
10%
Correct
C.
15%
Incorrect
D.
20%M-MAnswerM10%
AMmiddle-
agedMfemaleMpresentsMtoMyourMclinicMtoday.MSheMhasMaMhistoryMofMsmoking,Mhyperte
nsion,MtypeMIIMdiabetes,MandMosteoporosis.MSheMhasMbeenMonMlisinoprilM(Prinvil)M10Mm
gMdailyMforMtheMpastMfiveMyearsMandMmetforminM(Glucophage)M500MmgMtwiceMdaily.M
UponMyourMphysicalMexamMyouMnoticeMasymmetric,Mnon-
pittingMswellingMaroundMherMupperMlipMwhichMtheMpatientMstatesMstartedMyesterdayMni
ghtMandMisMpainless.MSheMalsoMreportsMdiffuseMabdominalMpainMandMdiarrhea.MTheMres
tMofMtheMphysicalMexamMwasMbenign.MHerMfastingMbloodMglucoseMisM130.MHerMvitalMs
ignsMareMasMfollows:MBP:M141/87MmmHg,MHR:M92Mbpm,MRR:M12MbreathsMperMminute,
MO2:M96%MonMroomMair.MWhatMisMtheMmostMimportantMthingMforMtheMnurseMpractiti
onerMtoMdo?
A.
AssessMherMreadinessMforMsmokingMcessation
Incorrect
B.
,AddMchlorthalidoneM(Chlorthalid)MforMhypertensionMcontrolMbecauseMsheMhasMosteoporosi
s
Incorrect
C.
OrderMabdominalMCTMscan
Incorrect
D.
DiscontinueMherMlisinM-MAnswerMDiscontinueMherMlisinoprilM(Prinivil)
AMpatientMcallsMtheMofficeMcomplainingMofMaMsuddenMonsetMofM"cobwebMlikeMlines"M
movingMinMandMoutMofMherMcentralMvisionMinMtheMrightMeye.MSheMisMnotMinManyMp
ainMandMisMaskingMifMsheMneedsMtoMcomeMinMandMbeMseen.MWhatMshouldMtheMnurs
eMpractitionerMadviseMherMtoMdo?
A.
ReferMtoMophthalmologyMimmediately
Correct
B.
LayMdownMinMaMdarkMroom,McloseMherMeyes,MandMwaitMforMitMtoMimprove
Incorrect
C.
ComeMintoMyourMofficeMtoMbeMassessedMthisMafternoon
Incorrect
D.
PickMupMprescriptionMforMantibioticMeyeMdropsMatMherMpharmacyM-
MAnswerMReferMtoMophthalmologyMimmediately
AMgroupMofMnewMnurseMpractitionersMareMevaluatingMtheMstrengthMofMevidenceMofMso
meMnewMasthmaMguidelines.MWhichMofMtheMfollowingMwouldMbeMatMtheMbottomMofMt
heMhierarchyMofMevidence?
A.
SystematicMreview
Incorrect
B.
,Editorial
Correct
C.
CohortMstudy
Incorrect
D.
RandomizedMcontrolledMtrialM-MAnswerMEditorial
AM55-year-
oldMmaleMpatientMreportsMincreasingMissuesMwithMerectileMdysfunctionMoverMtheMlastMsi
xMmonths.MHeMisMrequestingMtoMbeMplacedMonMtadalafilM(Cialis)MforMcontrolMofMthisM
condition.MWhichMofMtheMfollowingMisMcriticalMforMtheMnurseMpractitionerMtoMorderMpri
orMtoMprescribingMthisMmedication?
A.
CompleteMmetabolicMprofile
Incorrect
B.
Echocardiogram
Incorrect
C.
EKG
Correct
D.
CompleteMbloodMcountM-MAnswerMEKG
YouMareMperformingManMannualMexamMandMpapMsmearMonMaM39-year-
oldMwomanMwhoMstatesMsheMhasMneverMhadMaMmammogramMbefore.MAMcloseMfriend
MofMhersMwasMjustMdiagnosedMwithMbreastMcancerMandMsheMisMwantingMtoMknowMmo
reMaboutMherMriskMandMwhenMsheMshouldMbeginMscreening.MWhatMinMherMhistoryMwo
uldMbeMconsideredMaMriskMfactorMforMbreastMcancer?
A.
SheMisM39MyearsMold
Incorrect
B.
, HerMonlyMchildMisMaMstepMdaughter
Correct
C.
SheMstartedMmenarcheMatMageM13
Incorrect
D.
HerMgreatMgrandmotherMwasMdiagnosedMwithMbreastMcancerMatMageM68M-
MAnswerMHerMonlyMchildMisMaMstepMdaughter
YouMrecentlyMdiagnosedMyourMpatientMwithMsciatica.MYouMaskMtheMpatientMtoMperform
MtheMsquatMandMriseMexam,MandMyouMfoundMthatMthereMisMaMdiminishedMkneeMjerk.
MWhichMofMtheMfollowingMisMtheMrootMcauseMofMhisMsciaticaMbasedMonMthisMfinding?
A.
L3
Incorrect
B.
L4
Correct
C.
L5
Incorrect
D.
S1M-MAnswerML4
YouMareMassessingMaMpatientMforMacuteMabdominalMpain.MWithMtheMpatientMsupineMan
dMrightMkneeMflexed,MyouMperformMinwardMrotationMonMtheMpatient'sMhip.MWhatMman
euverMisMthisMandMwhatMareMyouMassessingMfor?
A.
Iliopsoas/psoasMsignMtoMassessMforMappendicitis
Incorrect
B.
ObturatorMsignMtoMassessMforMcholecystitis
Incorrect
Answers Updated 2026
AM43-year-
oldMmaleMrecentlyMunderwentMthreeMmonthsMworthMofMlifestyleMinterventionsMbutMonly
MhadMaMmoderateMchangeMinMoverallMbloodMpressureMreadingsMatMhome.MAtMtoday'sM
visit,MhisMbloodMpressureMisMconsistentMwithMhisMhomeMreadings,MandMisM138/85.MThe
MnurseMpractitionerMknowsMthatMaccordingMtoMtheMAHAMguidelines,MweMshouldMbeginM
initiatingMmedicationsMforMaMstageM1MhypertensiveMpatientMatMwhatMASCVDMcutoffMpoi
nt?
A.
7.5%
Incorrect
B.
10%
Correct
C.
15%
Incorrect
D.
20%M-MAnswerM10%
AMmiddle-
agedMfemaleMpresentsMtoMyourMclinicMtoday.MSheMhasMaMhistoryMofMsmoking,Mhyperte
nsion,MtypeMIIMdiabetes,MandMosteoporosis.MSheMhasMbeenMonMlisinoprilM(Prinvil)M10Mm
gMdailyMforMtheMpastMfiveMyearsMandMmetforminM(Glucophage)M500MmgMtwiceMdaily.M
UponMyourMphysicalMexamMyouMnoticeMasymmetric,Mnon-
pittingMswellingMaroundMherMupperMlipMwhichMtheMpatientMstatesMstartedMyesterdayMni
ghtMandMisMpainless.MSheMalsoMreportsMdiffuseMabdominalMpainMandMdiarrhea.MTheMres
tMofMtheMphysicalMexamMwasMbenign.MHerMfastingMbloodMglucoseMisM130.MHerMvitalMs
ignsMareMasMfollows:MBP:M141/87MmmHg,MHR:M92Mbpm,MRR:M12MbreathsMperMminute,
MO2:M96%MonMroomMair.MWhatMisMtheMmostMimportantMthingMforMtheMnurseMpractiti
onerMtoMdo?
A.
AssessMherMreadinessMforMsmokingMcessation
Incorrect
B.
,AddMchlorthalidoneM(Chlorthalid)MforMhypertensionMcontrolMbecauseMsheMhasMosteoporosi
s
Incorrect
C.
OrderMabdominalMCTMscan
Incorrect
D.
DiscontinueMherMlisinM-MAnswerMDiscontinueMherMlisinoprilM(Prinivil)
AMpatientMcallsMtheMofficeMcomplainingMofMaMsuddenMonsetMofM"cobwebMlikeMlines"M
movingMinMandMoutMofMherMcentralMvisionMinMtheMrightMeye.MSheMisMnotMinManyMp
ainMandMisMaskingMifMsheMneedsMtoMcomeMinMandMbeMseen.MWhatMshouldMtheMnurs
eMpractitionerMadviseMherMtoMdo?
A.
ReferMtoMophthalmologyMimmediately
Correct
B.
LayMdownMinMaMdarkMroom,McloseMherMeyes,MandMwaitMforMitMtoMimprove
Incorrect
C.
ComeMintoMyourMofficeMtoMbeMassessedMthisMafternoon
Incorrect
D.
PickMupMprescriptionMforMantibioticMeyeMdropsMatMherMpharmacyM-
MAnswerMReferMtoMophthalmologyMimmediately
AMgroupMofMnewMnurseMpractitionersMareMevaluatingMtheMstrengthMofMevidenceMofMso
meMnewMasthmaMguidelines.MWhichMofMtheMfollowingMwouldMbeMatMtheMbottomMofMt
heMhierarchyMofMevidence?
A.
SystematicMreview
Incorrect
B.
,Editorial
Correct
C.
CohortMstudy
Incorrect
D.
RandomizedMcontrolledMtrialM-MAnswerMEditorial
AM55-year-
oldMmaleMpatientMreportsMincreasingMissuesMwithMerectileMdysfunctionMoverMtheMlastMsi
xMmonths.MHeMisMrequestingMtoMbeMplacedMonMtadalafilM(Cialis)MforMcontrolMofMthisM
condition.MWhichMofMtheMfollowingMisMcriticalMforMtheMnurseMpractitionerMtoMorderMpri
orMtoMprescribingMthisMmedication?
A.
CompleteMmetabolicMprofile
Incorrect
B.
Echocardiogram
Incorrect
C.
EKG
Correct
D.
CompleteMbloodMcountM-MAnswerMEKG
YouMareMperformingManMannualMexamMandMpapMsmearMonMaM39-year-
oldMwomanMwhoMstatesMsheMhasMneverMhadMaMmammogramMbefore.MAMcloseMfriend
MofMhersMwasMjustMdiagnosedMwithMbreastMcancerMandMsheMisMwantingMtoMknowMmo
reMaboutMherMriskMandMwhenMsheMshouldMbeginMscreening.MWhatMinMherMhistoryMwo
uldMbeMconsideredMaMriskMfactorMforMbreastMcancer?
A.
SheMisM39MyearsMold
Incorrect
B.
, HerMonlyMchildMisMaMstepMdaughter
Correct
C.
SheMstartedMmenarcheMatMageM13
Incorrect
D.
HerMgreatMgrandmotherMwasMdiagnosedMwithMbreastMcancerMatMageM68M-
MAnswerMHerMonlyMchildMisMaMstepMdaughter
YouMrecentlyMdiagnosedMyourMpatientMwithMsciatica.MYouMaskMtheMpatientMtoMperform
MtheMsquatMandMriseMexam,MandMyouMfoundMthatMthereMisMaMdiminishedMkneeMjerk.
MWhichMofMtheMfollowingMisMtheMrootMcauseMofMhisMsciaticaMbasedMonMthisMfinding?
A.
L3
Incorrect
B.
L4
Correct
C.
L5
Incorrect
D.
S1M-MAnswerML4
YouMareMassessingMaMpatientMforMacuteMabdominalMpain.MWithMtheMpatientMsupineMan
dMrightMkneeMflexed,MyouMperformMinwardMrotationMonMtheMpatient'sMhip.MWhatMman
euverMisMthisMandMwhatMareMyouMassessingMfor?
A.
Iliopsoas/psoasMsignMtoMassessMforMappendicitis
Incorrect
B.
ObturatorMsignMtoMassessMforMcholecystitis
Incorrect