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ANCC preexam Questions and Answers Updated 2026

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ANCC preexam Questions and Answers Updated 2026

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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

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