ANCC FNP CERTIFICATION PREP EXAM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing present
with complains of early morning rise finger-stick blood glucose. A review of an at-home
glucose test reveals increased morning levels. After an increase in the evening insulin
dose, the problem worsens. This is most likely an example of:
a) Insulin Resistance
b) Insulin Allergy
c) The Somogyi Effect
d) Hyperglycemia-induced hypoglycemia.
CORRECT ANSWER
a) The Somogyi Effect
Question 2
A 25-years-old present with a chief complaint of decreased mobility and pain of the right
shoulder exacerbated by movements. The patient reports that he participated in extensive
house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is
intact. No redness or ecchymosis is present. What is the next step to be taken in order to
make a Diagnosis?
a) Palpate the structure around the shoulder
b) Obtain an MIR to evaluate the shoulder
c) Order and X-Ray of the shoulder
d) Request an EMG
1
@THE STUDY VAULT
,Apply SOAPE
CORRECT ANSWER
a) Palpate the structure around the shoulder
Apply SOAPE
Question 3
A 65 years-old male presents to his clinic complaining of increasing fatigue, dyspnea on
exertion ,and ankle edema during the day. He has a history of mild hypertension, for which
he saw his physician years ago. The physician advised the patient to decrease his salt
intake .On physician examination the patient is tachycardia positive for jugular venous
distension, and positive for S3 with a systolic murmur chest X-ray reveals cardiomegaly
with vascular redistribution .The nurse practitioner diagnosis is :
a) Myocardial infarction
b) Pneumonia
c) Congestive heart failure
d) Pleural effusion
CORRECT ANSWER
c) Congestive heart failure
Question 4
A 67-year old patient with type 2 DM, congestive heart failure (CHF), and a mild artery
disease is currently taking daily hydrochlorothiazide 25 mg daily, glipizide 10 mg daily; and
atorvastatin (Lipitor), 20 mg h.s. Which of the following is an accurate statement regarding
this regimen?
a) The glipizide will increase the risk of potassium depletion....
b) The digoxin will increase the risk of hypoglycemia.
2
@THE STUDY VAULT
,c) The hydrochlorothiazide will predispose the patient to digoxin toxicity
d) The atorvastin will worsen the diabetes
CORRECT ANSWER
c) The hydrochlorothiazide will predispose the patient to digoxin toxicity
Question 5
A 14 year-old who fell on her outstretched hand complains of proximal forearm pain X-ray
reveals a positive fat pad sign ,and the fully extend the elbow. No definitive bony changes
are seen on X-ray. The most likely working diagnosis is:
a) Upper extremely sprain.
b) Lateral epiconditis.
c) Radial head fracture
d) Olecranon bursitis
CORRECT ANSWER
c) Radial head fracture
Question 6
A 17 year-old female is suspected to have a Polycystic Ovary Syndrome. In addition to
testosterone the most appropriate diagnostic test will be:
a) BUN, creatinine, electrolytes, and denydroeplandrosterone (DHEA).
b) Complete blood count (BUN) ,creatinine and estrone
c) Fasting blood sugar(FBS) ,CBC, BUN and sex hormone binding globuline
d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroid stimulating
hormone (TSH)
CORRECT ANSWER
3
@THE STUDY VAULT
, d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroid stimulating
hormone (TSH)
Question 7
To assess spinal function at S1-level, which deep tendon reflex should be tested?
a) Achilles
b) Cremasteric
c) Anal wink
d) Patelar
CORRECT ANSWER
a) Achilles
Question 8
A 20 year-old male present with a month history of a "bump on my testicle." He reports
being sexually active, with frequent intercourse with multiple partners, which condition
should be suspected?
a) Cancer of testicles
b) Torsion of the testicles
c) Acute epididymitis
d) Gonorrhea
CORRECT ANSWER
a) Cancer of testicles
4
@THE STUDY VAULT
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing present
with complains of early morning rise finger-stick blood glucose. A review of an at-home
glucose test reveals increased morning levels. After an increase in the evening insulin
dose, the problem worsens. This is most likely an example of:
a) Insulin Resistance
b) Insulin Allergy
c) The Somogyi Effect
d) Hyperglycemia-induced hypoglycemia.
CORRECT ANSWER
a) The Somogyi Effect
Question 2
A 25-years-old present with a chief complaint of decreased mobility and pain of the right
shoulder exacerbated by movements. The patient reports that he participated in extensive
house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is
intact. No redness or ecchymosis is present. What is the next step to be taken in order to
make a Diagnosis?
a) Palpate the structure around the shoulder
b) Obtain an MIR to evaluate the shoulder
c) Order and X-Ray of the shoulder
d) Request an EMG
1
@THE STUDY VAULT
,Apply SOAPE
CORRECT ANSWER
a) Palpate the structure around the shoulder
Apply SOAPE
Question 3
A 65 years-old male presents to his clinic complaining of increasing fatigue, dyspnea on
exertion ,and ankle edema during the day. He has a history of mild hypertension, for which
he saw his physician years ago. The physician advised the patient to decrease his salt
intake .On physician examination the patient is tachycardia positive for jugular venous
distension, and positive for S3 with a systolic murmur chest X-ray reveals cardiomegaly
with vascular redistribution .The nurse practitioner diagnosis is :
a) Myocardial infarction
b) Pneumonia
c) Congestive heart failure
d) Pleural effusion
CORRECT ANSWER
c) Congestive heart failure
Question 4
A 67-year old patient with type 2 DM, congestive heart failure (CHF), and a mild artery
disease is currently taking daily hydrochlorothiazide 25 mg daily, glipizide 10 mg daily; and
atorvastatin (Lipitor), 20 mg h.s. Which of the following is an accurate statement regarding
this regimen?
a) The glipizide will increase the risk of potassium depletion....
b) The digoxin will increase the risk of hypoglycemia.
2
@THE STUDY VAULT
,c) The hydrochlorothiazide will predispose the patient to digoxin toxicity
d) The atorvastin will worsen the diabetes
CORRECT ANSWER
c) The hydrochlorothiazide will predispose the patient to digoxin toxicity
Question 5
A 14 year-old who fell on her outstretched hand complains of proximal forearm pain X-ray
reveals a positive fat pad sign ,and the fully extend the elbow. No definitive bony changes
are seen on X-ray. The most likely working diagnosis is:
a) Upper extremely sprain.
b) Lateral epiconditis.
c) Radial head fracture
d) Olecranon bursitis
CORRECT ANSWER
c) Radial head fracture
Question 6
A 17 year-old female is suspected to have a Polycystic Ovary Syndrome. In addition to
testosterone the most appropriate diagnostic test will be:
a) BUN, creatinine, electrolytes, and denydroeplandrosterone (DHEA).
b) Complete blood count (BUN) ,creatinine and estrone
c) Fasting blood sugar(FBS) ,CBC, BUN and sex hormone binding globuline
d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroid stimulating
hormone (TSH)
CORRECT ANSWER
3
@THE STUDY VAULT
, d) Follicle stimulating hormone (FSH) luteinizing hormone, prolactin, and thyroid stimulating
hormone (TSH)
Question 7
To assess spinal function at S1-level, which deep tendon reflex should be tested?
a) Achilles
b) Cremasteric
c) Anal wink
d) Patelar
CORRECT ANSWER
a) Achilles
Question 8
A 20 year-old male present with a month history of a "bump on my testicle." He reports
being sexually active, with frequent intercourse with multiple partners, which condition
should be suspected?
a) Cancer of testicles
b) Torsion of the testicles
c) Acute epididymitis
d) Gonorrhea
CORRECT ANSWER
a) Cancer of testicles
4
@THE STUDY VAULT
