ANCC PRACTICE QUESTIONS EXAM|PMHNP
CERTIFICATION EXAM REVIEW & STUDY
GUIDE WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
A 57-year-old male patient arrives at the emergency department with substernal chest
pain. An electrocardiogram reveals ST segment depression in leads V3 and V4. Before
administering nitrates, an acute care nurse practitioner assesses the patient's use of:
(a) angiotensin-converting enzyme inhibitors.
(b) aspirin.
(c) beta-blockers.
(d) phosphodiesterase inhibitors.
(d) phosphodiesterase inhibitors.
For an 84-year-old patient who undergoes surgery, the most accurate predictor of
mortality and patient outcome is:
(a) a low score on a Mini-Mental State Examination.
(b) an impaired functional status.
(c) the availability of social support.
(d) the patient's chronological age.
(b) an impaired functional status.
An acute care nurse practitioner performs a cardiac assessment on a patient with a
confirmed mitral valve prolapse. During which activity does the nurse practitioner
expect the patient's murmur to diminish?
1|Page
,(a) Inhaling
(b) Sitting
(c) Squatting
(d) Standing
(c) Squatting
A 21-year-old patient is admitted to the intensive care unit with a severe closed head
injury. The patient's family is becoming louder and more insistent about seeing the
patient. To establish a therapeutic relationship with the family, an acute care nurse
practitioner's initial action is to:
(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure.
(a) acknowledge the family's anxiety.
Which drug is associated with increased lipoprotein levels?
(a) Furosemide (Lasix).
(b) Hydrochlorothiazide (HCTZ).
(c) Spironolactone (Aldactone).
(d) Triamterene (Dyrenium).
(b) Hydrochlorothiazide (HCTZ).
What is the main reason for administering a progestational medication to
perimenopausal women who use estrogen?
(a) Preventing hot flashes.
(b) Preventing osteoporosis.
(c) Promoting growth of the uterine lining.
(d) Decrease the risk of endometrial hyperplasia.
(d) Decrease the risk of endometrial hyperplasia.
2|Page
,The family nurse practitioner asks a patient to perform rapid, alternating movements of
the hands to evaluate:
(a) cerebellar functioning.
(b) cognitive functioning.
(c) reflex arc functioning.
(d) stereognostic functioning.
(a) cerebellar functioning.
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that his or
her parent died in his or her 40s from liver cancer. The nurse practitioner assesses that
the patient is at risk for:
(a) hepatitis B.
(b) malaria.
(c) tularemia.
(d) tyrosinemia.
(a) hepatitis B.
A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac
bypass surgery. The patient brings his father with him into the examination room. The
family nurse practitioner provides culturally sensitive care by:
(a) asking the patient's father if he has any questions regarding his son's care.
(b) asking the patient's father to leave the room due to confidentiality issues.
(c) performing the examination without commenting to the patient's father.
(d) performing the examination, then telling the patient's father the examination
findings.
(a) asking the patient's father if he has any questions regarding his son's care.
A difficult aspect of determining occupational exposure to disease is the:
(a) confidentiality of the information within company records.
(b) inaccuracy of occupational disease reporting.
3|Page
, (c) long latency period between exposure and disease development.
(d) reliance on workers' memories.
(c) long latency period between exposure and disease development.
The family nurse practitioner exhibits professional leadership by:
(a) adding clinical protocols to the nurse practitioner scope of practice.
(b) comparing the workplace roles of the registered nurse and the nurse practitioner.
(c) creating a task force to address scope-of-practice concerns.
(d) lobbying to eliminate continuing education requirements.
(c) creating a task force to address scope-of-practice concerns.
To comply with regulations for third-party payor reimbursement and documentation, a
family nurse practitioner correlates:
(a) evaluation and management code with history, examination and medical decision
making.
(b) health outcomes with physical examination findings and plan of care.
(c) medication orders and treatment plan with electronic billing.
(d) patient privacy with informed consent.
(a) evaluation and management code with history, examination and medical decision
making.
The family nurse practitioner examines a patient who has sustained a non-work-related
injury that interferes with the patient's ability to perform his or her job. The patient does
not qualify for medical disability and has a reasonable chance of engaging in a suitable
occupation with proper therapy. The nurse practitioner recommends that the patient
apply for:
(a) Family and Medical Leave Act benefits.
(b) home health services.
4|Page
CERTIFICATION EXAM REVIEW & STUDY
GUIDE WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
A 57-year-old male patient arrives at the emergency department with substernal chest
pain. An electrocardiogram reveals ST segment depression in leads V3 and V4. Before
administering nitrates, an acute care nurse practitioner assesses the patient's use of:
(a) angiotensin-converting enzyme inhibitors.
(b) aspirin.
(c) beta-blockers.
(d) phosphodiesterase inhibitors.
(d) phosphodiesterase inhibitors.
For an 84-year-old patient who undergoes surgery, the most accurate predictor of
mortality and patient outcome is:
(a) a low score on a Mini-Mental State Examination.
(b) an impaired functional status.
(c) the availability of social support.
(d) the patient's chronological age.
(b) an impaired functional status.
An acute care nurse practitioner performs a cardiac assessment on a patient with a
confirmed mitral valve prolapse. During which activity does the nurse practitioner
expect the patient's murmur to diminish?
1|Page
,(a) Inhaling
(b) Sitting
(c) Squatting
(d) Standing
(c) Squatting
A 21-year-old patient is admitted to the intensive care unit with a severe closed head
injury. The patient's family is becoming louder and more insistent about seeing the
patient. To establish a therapeutic relationship with the family, an acute care nurse
practitioner's initial action is to:
(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure.
(a) acknowledge the family's anxiety.
Which drug is associated with increased lipoprotein levels?
(a) Furosemide (Lasix).
(b) Hydrochlorothiazide (HCTZ).
(c) Spironolactone (Aldactone).
(d) Triamterene (Dyrenium).
(b) Hydrochlorothiazide (HCTZ).
What is the main reason for administering a progestational medication to
perimenopausal women who use estrogen?
(a) Preventing hot flashes.
(b) Preventing osteoporosis.
(c) Promoting growth of the uterine lining.
(d) Decrease the risk of endometrial hyperplasia.
(d) Decrease the risk of endometrial hyperplasia.
2|Page
,The family nurse practitioner asks a patient to perform rapid, alternating movements of
the hands to evaluate:
(a) cerebellar functioning.
(b) cognitive functioning.
(c) reflex arc functioning.
(d) stereognostic functioning.
(a) cerebellar functioning.
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that his or
her parent died in his or her 40s from liver cancer. The nurse practitioner assesses that
the patient is at risk for:
(a) hepatitis B.
(b) malaria.
(c) tularemia.
(d) tyrosinemia.
(a) hepatitis B.
A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac
bypass surgery. The patient brings his father with him into the examination room. The
family nurse practitioner provides culturally sensitive care by:
(a) asking the patient's father if he has any questions regarding his son's care.
(b) asking the patient's father to leave the room due to confidentiality issues.
(c) performing the examination without commenting to the patient's father.
(d) performing the examination, then telling the patient's father the examination
findings.
(a) asking the patient's father if he has any questions regarding his son's care.
A difficult aspect of determining occupational exposure to disease is the:
(a) confidentiality of the information within company records.
(b) inaccuracy of occupational disease reporting.
3|Page
, (c) long latency period between exposure and disease development.
(d) reliance on workers' memories.
(c) long latency period between exposure and disease development.
The family nurse practitioner exhibits professional leadership by:
(a) adding clinical protocols to the nurse practitioner scope of practice.
(b) comparing the workplace roles of the registered nurse and the nurse practitioner.
(c) creating a task force to address scope-of-practice concerns.
(d) lobbying to eliminate continuing education requirements.
(c) creating a task force to address scope-of-practice concerns.
To comply with regulations for third-party payor reimbursement and documentation, a
family nurse practitioner correlates:
(a) evaluation and management code with history, examination and medical decision
making.
(b) health outcomes with physical examination findings and plan of care.
(c) medication orders and treatment plan with electronic billing.
(d) patient privacy with informed consent.
(a) evaluation and management code with history, examination and medical decision
making.
The family nurse practitioner examines a patient who has sustained a non-work-related
injury that interferes with the patient's ability to perform his or her job. The patient does
not qualify for medical disability and has a reasonable chance of engaging in a suitable
occupation with proper therapy. The nurse practitioner recommends that the patient
apply for:
(a) Family and Medical Leave Act benefits.
(b) home health services.
4|Page
