ANCC FNP BOARDS EXAM| |COMPLETE
MOST TESTED QUESTIONS AND VERIFIED
ANSWERS |(100% CORRECT
SOLUTIONS)|GET IT A+ RIGHT!!
Q1. A 45-year-old female presents with fatigue, weight gain, and
cold intolerance. Her TSH is 8.2 mIU/L and free T4 is low. What is
the most likely diagnosis?
A) Graves' disease B) Hashimoto's thyroiditis
C) Subacute thyroiditis D) Toxic multinodular goiter
Correct ,,,answer,,,: B
Rationale: Elevated TSH with low free T4 indicates primary
hypothyroidism; the most common cause in iodine-sufficient areas is
Hashimoto's thyroiditis. Weight gain, fatigue, and cold intolerance are
classic symptoms .
,Q2. A 28-year-old male presents with acute onset of scrotal pain,
nausea, and vomiting. The left testicle is swollen and exquisitely
tender. What is the priority action?
A) Order a scrotal ultrasound
B) Immediate urology referral for surgical exploration
C) Prescribe antibiotics for epididymitis
D) Apply ice and elevate the scrotum
Correct ,,,answer,,,: B
Rationale: Sudden severe testicular pain with nausea and vomiting is
testicular torsion until proven otherwise. This is a surgical emergency;
immediate exploration is needed to salvage the testicle .
Q3. A 6-month-old infant is brought in for a well-child visit. Which
milestone should the nurse practitioner expect?
A) Walking independently
B) Rolling from back to front
C) Using a pincer grasp
D) Speaking two-word phrases
Correct ,,,answer,,,: B
Rationale: Rolling over typically occurs around 4-6 months. Walking,
pincer grasp, and two-word phrases develop later .
,Q4. A 35-year-old female with a history of migraines with aura asks
about contraception. Which method is contraindicated?
A) Copper intrauterine device
B) Combined oral contraceptives
C) Progestin-only pills
D) Etonogestrel implant
Correct ,,,answer,,,: B
Rationale: Combined oral contraceptives are contraindicated in women
with migraines with aura due to increased stroke risk. Progestin-only
methods and copper IUD are safe alternatives .
Q5. A 60-year-old male with type 2 diabetes and hypertension has a
blood pressure of 148/92 mmHg on lisinopril 20 mg daily. What is
the most appropriate next step?
A) Add a thiazide diuretic
B) Increase lisinopril to 40 mg
C) Switch to an ARB
D) Add a beta-blocker
Correct ,,,answer,,,: A
Rationale: For patients not at goal on an ACE inhibitor, adding a
thiazide diuretic or calcium channel blocker is recommended before
maximizing ACE inhibitor dose .
, Q6. A 25-year-old female presents with recurrent episodes of
throbbing unilateral headache with photophobia and nausea lasting
4-72 hours. What is the most likely diagnosis?
A) Tension headache
B) Cluster headache
C) Migraine without aura
D) Temporal arteritis
Correct ,,,answer,,,: C
Rationale: Migraine presents with recurrent, typically unilateral,
throbbing headaches lasting 4-72 hours with associated photophobia,
phonophobia, or nausea .
Q7. A 5-year-old child has a fever of 102°F, conjunctivitis, and a
vesicular rash that started on the trunk and spread peripherally.
What is the most likely diagnosis?
A) Measles
B) Varicella (chickenpox)
C) Herpes zoster
D) Impetigo
Correct ,,,answer,,,: B
Rationale: Varicella presents with fever, conjunctivitis, and a pruritic
vesicular rash that starts centrally and spreads outward .
MOST TESTED QUESTIONS AND VERIFIED
ANSWERS |(100% CORRECT
SOLUTIONS)|GET IT A+ RIGHT!!
Q1. A 45-year-old female presents with fatigue, weight gain, and
cold intolerance. Her TSH is 8.2 mIU/L and free T4 is low. What is
the most likely diagnosis?
A) Graves' disease B) Hashimoto's thyroiditis
C) Subacute thyroiditis D) Toxic multinodular goiter
Correct ,,,answer,,,: B
Rationale: Elevated TSH with low free T4 indicates primary
hypothyroidism; the most common cause in iodine-sufficient areas is
Hashimoto's thyroiditis. Weight gain, fatigue, and cold intolerance are
classic symptoms .
,Q2. A 28-year-old male presents with acute onset of scrotal pain,
nausea, and vomiting. The left testicle is swollen and exquisitely
tender. What is the priority action?
A) Order a scrotal ultrasound
B) Immediate urology referral for surgical exploration
C) Prescribe antibiotics for epididymitis
D) Apply ice and elevate the scrotum
Correct ,,,answer,,,: B
Rationale: Sudden severe testicular pain with nausea and vomiting is
testicular torsion until proven otherwise. This is a surgical emergency;
immediate exploration is needed to salvage the testicle .
Q3. A 6-month-old infant is brought in for a well-child visit. Which
milestone should the nurse practitioner expect?
A) Walking independently
B) Rolling from back to front
C) Using a pincer grasp
D) Speaking two-word phrases
Correct ,,,answer,,,: B
Rationale: Rolling over typically occurs around 4-6 months. Walking,
pincer grasp, and two-word phrases develop later .
,Q4. A 35-year-old female with a history of migraines with aura asks
about contraception. Which method is contraindicated?
A) Copper intrauterine device
B) Combined oral contraceptives
C) Progestin-only pills
D) Etonogestrel implant
Correct ,,,answer,,,: B
Rationale: Combined oral contraceptives are contraindicated in women
with migraines with aura due to increased stroke risk. Progestin-only
methods and copper IUD are safe alternatives .
Q5. A 60-year-old male with type 2 diabetes and hypertension has a
blood pressure of 148/92 mmHg on lisinopril 20 mg daily. What is
the most appropriate next step?
A) Add a thiazide diuretic
B) Increase lisinopril to 40 mg
C) Switch to an ARB
D) Add a beta-blocker
Correct ,,,answer,,,: A
Rationale: For patients not at goal on an ACE inhibitor, adding a
thiazide diuretic or calcium channel blocker is recommended before
maximizing ACE inhibitor dose .
, Q6. A 25-year-old female presents with recurrent episodes of
throbbing unilateral headache with photophobia and nausea lasting
4-72 hours. What is the most likely diagnosis?
A) Tension headache
B) Cluster headache
C) Migraine without aura
D) Temporal arteritis
Correct ,,,answer,,,: C
Rationale: Migraine presents with recurrent, typically unilateral,
throbbing headaches lasting 4-72 hours with associated photophobia,
phonophobia, or nausea .
Q7. A 5-year-old child has a fever of 102°F, conjunctivitis, and a
vesicular rash that started on the trunk and spread peripherally.
What is the most likely diagnosis?
A) Measles
B) Varicella (chickenpox)
C) Herpes zoster
D) Impetigo
Correct ,,,answer,,,: B
Rationale: Varicella presents with fever, conjunctivitis, and a pruritic
vesicular rash that starts centrally and spreads outward .
