Page 1 of 120
ANCC FAMILY NURSE PRACTITIONER BOARD CERTIFICATION (FNP-
BC) EXAM QUESTIONS WITH DETAILED- VERIFIED ANSWERS-
ALREADY GRADED A+ || NEWEST EXAM
Nursing
This ANCC FNP-BC practice exam covers the five core domains of the
Family Nurse Practitioner certification: Assessment (health history,
physical exam, screening, diagnostics), Diagnosis (differential diagnosis,
interpretation, clinical reasoning), Planning (treatment planning, patient
education, collaboration), Implementation (pharmacologic and non-
pharmacologic management, procedural skills), and Evaluation
(monitoring outcomes, adjusting plans).
SECTION 1: ASSESSMENT (Health History, Physical Exam, Screening,
& Diagnostic Testing)
QUESTION 1
A 58-year-old male with a 40-pack-year smoking history presents for a
routine physical examination. He reports a chronic cough that has been
present for the past six months. His vital signs are: blood pressure
148/92 mmHg, heart rate 78 bpm, respiratory rate 16/min, and oxygen
saturation 97% on room air. On auscultation, you note decreased breath
sounds at the right lung base with occasional wheezing. Which of the
following is the most appropriate initial screening test for this patient?
A. Chest X-ray
B. Sputum cytology
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C. Low-dose computed tomography (LDCT) scan
D. Pulmonary function testing
Correct Answer: C. Low-dose computed tomography (LDCT) scan
Rationale: The USPSTF recommends annual lung cancer screening with
LDCT for adults aged 50-80 years with a 20 pack-year smoking history
who currently smoke or have quit within the past 15 years. This patient
meets the criteria for lung cancer screening. A chest X-ray is not
recommended for screening. Sputum cytology has low sensitivity.
Pulmonary function testing would assess for COPD but is not the primary
screening test for lung cancer.
QUESTION 2
A 72-year-old female presents for a wellness visit. She has a history of
hypertension and hyperlipidemia. Her last colonoscopy was performed
12 years ago and was normal. She has no family history of colorectal
cancer. Which of the following is the most appropriate recommendation
regarding colorectal cancer screening?
A. Repeat colonoscopy now
B. Repeat colonoscopy in 3 years
C. Repeat colonoscopy in 5 years
D. Discontinue colorectal cancer screening
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Correct Answer: A. Repeat colonoscopy now
Rationale: For average-risk individuals, colonoscopy is recommended
every 10 years starting at age 45. If a colonoscopy is normal, the next
screening is due in 10 years. However, this patient had her last
colonoscopy 12 years ago, so she is overdue. Screening for colorectal
cancer is recommended through age 75, after which shared decision-
making is advised. Since she is 72 and within the screening window, a
repeat colonoscopy is indicated now.
QUESTION 3
A 35-year-old G3P2 female presents for her first prenatal visit at 10
weeks gestation. She has a history of gestational diabetes in her previous
pregnancy. Her BMI is 32 kg/m². Which of the following screening tests
should be performed at this visit?
A. 1-hour glucose tolerance test
B. 3-hour glucose tolerance test
C. Hemoglobin A1c
D. Fasting blood glucose
Correct Answer: C. Hemoglobin A1c
Rationale: For pregnant patients with risk factors for undiagnosed type 2
diabetes (such as obesity and history of gestational diabetes), early
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screening for overt diabetes is recommended at the first prenatal visit
using standard diagnostic criteria, including hemoglobin A1c, fasting
glucose, or random glucose. The 1-hour and 3-hour glucose tolerance
tests are typically performed between 24-28 weeks gestation for
gestational diabetes screening.
QUESTION 4
A 68-year-old male presents with complaints of progressive difficulty
with urination, including weak stream, hesitancy, and nocturia (waking 3-
4 times per night). His digital rectal examination reveals a symmetrically
enlarged, smooth prostate. His PSA level is 2.8 ng/mL. Which of the
following is the most likely diagnosis?
A. Prostate cancer
B. Benign prostatic hyperplasia (BPH)
C. Prostatitis
D. Urethral stricture
Correct Answer: B. Benign prostatic hyperplasia (BPH)
Rationale: The symptoms of weak stream, hesitancy, and nocturia with a
symmetrically enlarged, smooth prostate on DRE are classic for BPH.
Prostate cancer typically presents with a hard, nodular prostate on
examination and may be associated with an elevated PSA. Prostatitis
often presents with pain and fever. Urethral stricture is less common and
usually associated with a history of trauma or infection.
ANCC FAMILY NURSE PRACTITIONER BOARD CERTIFICATION (FNP-
BC) EXAM QUESTIONS WITH DETAILED- VERIFIED ANSWERS-
ALREADY GRADED A+ || NEWEST EXAM
Nursing
This ANCC FNP-BC practice exam covers the five core domains of the
Family Nurse Practitioner certification: Assessment (health history,
physical exam, screening, diagnostics), Diagnosis (differential diagnosis,
interpretation, clinical reasoning), Planning (treatment planning, patient
education, collaboration), Implementation (pharmacologic and non-
pharmacologic management, procedural skills), and Evaluation
(monitoring outcomes, adjusting plans).
SECTION 1: ASSESSMENT (Health History, Physical Exam, Screening,
& Diagnostic Testing)
QUESTION 1
A 58-year-old male with a 40-pack-year smoking history presents for a
routine physical examination. He reports a chronic cough that has been
present for the past six months. His vital signs are: blood pressure
148/92 mmHg, heart rate 78 bpm, respiratory rate 16/min, and oxygen
saturation 97% on room air. On auscultation, you note decreased breath
sounds at the right lung base with occasional wheezing. Which of the
following is the most appropriate initial screening test for this patient?
A. Chest X-ray
B. Sputum cytology
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C. Low-dose computed tomography (LDCT) scan
D. Pulmonary function testing
Correct Answer: C. Low-dose computed tomography (LDCT) scan
Rationale: The USPSTF recommends annual lung cancer screening with
LDCT for adults aged 50-80 years with a 20 pack-year smoking history
who currently smoke or have quit within the past 15 years. This patient
meets the criteria for lung cancer screening. A chest X-ray is not
recommended for screening. Sputum cytology has low sensitivity.
Pulmonary function testing would assess for COPD but is not the primary
screening test for lung cancer.
QUESTION 2
A 72-year-old female presents for a wellness visit. She has a history of
hypertension and hyperlipidemia. Her last colonoscopy was performed
12 years ago and was normal. She has no family history of colorectal
cancer. Which of the following is the most appropriate recommendation
regarding colorectal cancer screening?
A. Repeat colonoscopy now
B. Repeat colonoscopy in 3 years
C. Repeat colonoscopy in 5 years
D. Discontinue colorectal cancer screening
,Page 3 of 120
Correct Answer: A. Repeat colonoscopy now
Rationale: For average-risk individuals, colonoscopy is recommended
every 10 years starting at age 45. If a colonoscopy is normal, the next
screening is due in 10 years. However, this patient had her last
colonoscopy 12 years ago, so she is overdue. Screening for colorectal
cancer is recommended through age 75, after which shared decision-
making is advised. Since she is 72 and within the screening window, a
repeat colonoscopy is indicated now.
QUESTION 3
A 35-year-old G3P2 female presents for her first prenatal visit at 10
weeks gestation. She has a history of gestational diabetes in her previous
pregnancy. Her BMI is 32 kg/m². Which of the following screening tests
should be performed at this visit?
A. 1-hour glucose tolerance test
B. 3-hour glucose tolerance test
C. Hemoglobin A1c
D. Fasting blood glucose
Correct Answer: C. Hemoglobin A1c
Rationale: For pregnant patients with risk factors for undiagnosed type 2
diabetes (such as obesity and history of gestational diabetes), early
, Page 4 of 120
screening for overt diabetes is recommended at the first prenatal visit
using standard diagnostic criteria, including hemoglobin A1c, fasting
glucose, or random glucose. The 1-hour and 3-hour glucose tolerance
tests are typically performed between 24-28 weeks gestation for
gestational diabetes screening.
QUESTION 4
A 68-year-old male presents with complaints of progressive difficulty
with urination, including weak stream, hesitancy, and nocturia (waking 3-
4 times per night). His digital rectal examination reveals a symmetrically
enlarged, smooth prostate. His PSA level is 2.8 ng/mL. Which of the
following is the most likely diagnosis?
A. Prostate cancer
B. Benign prostatic hyperplasia (BPH)
C. Prostatitis
D. Urethral stricture
Correct Answer: B. Benign prostatic hyperplasia (BPH)
Rationale: The symptoms of weak stream, hesitancy, and nocturia with a
symmetrically enlarged, smooth prostate on DRE are classic for BPH.
Prostate cancer typically presents with a hard, nodular prostate on
examination and may be associated with an elevated PSA. Prostatitis
often presents with pain and fever. Urethral stricture is less common and
usually associated with a history of trauma or infection.
