Ancc Fnp Board Exam Newest 2026 Actual Exam
Ancc Family Nurse Practitioner (Fnp-Bc™)
Certification Exam With Complete 175 Real Exam
Questions And Correct Verified Answers Already
Graded A+
1. A 58-year-old patient with hypertension has a blood pressure of 168/96 mm Hg at two
separate office visits. Which initial intervention is most appropriate if there is no evidence of
target-organ damage?
A. Reassure the patient
B. Initiate lifestyle modification and antihypertensive therapy as indicated
C. Start aspirin therapy
D. Refer immediately for renal artery angiography
Correct Answer: B
Rationale: Persistent stage 2 hypertension generally warrants pharmacologic treatment along
with lifestyle modification. Evaluation should also address cardiovascular risk and possible
secondary causes when indicated.
2. Which lifestyle intervention has the greatest evidence for lowering blood pressure in a
patient with hypertension?
A. Increasing sodium intake
B. Following the DASH dietary pattern
C. Increasing processed-food consumption
D. Eliminating all carbohydrates
Correct Answer: B
Rationale: The DASH diet emphasizes fruits, vegetables, whole grains, and reduced sodium and
can significantly reduce blood pressure.
,3. A 62-year-old patient has an LDL-C of 190 mg/dL. Which treatment is generally indicated?
A. No treatment unless symptoms occur
B. High-intensity statin therapy
C. Low-dose aspirin only
D. Fibrate monotherapy
Correct Answer: B
Rationale: An LDL-C ≥190 mg/dL is an indication for high-intensity statin therapy regardless of
calculated 10-year ASCVD risk.
4. A patient taking a statin reports severe unexplained muscle pain and weakness. What
laboratory test is most appropriate?
A. Serum amylase
B. Creatine kinase
C. Troponin
D. TSH only
Correct Answer: B
Rationale: Creatine kinase can help evaluate significant statin-associated muscle injury,
particularly when symptoms are severe.
5. Which symptom is most characteristic of peripheral arterial disease?
A. Calf pain with walking that improves with rest
B. Bilateral hand tremors
C. Pain relieved by exercise
D. Generalized itching
Correct Answer: A
Rationale: Intermittent claudication is exertional limb pain caused by inadequate arterial
perfusion.
6. A patient has unilateral calf swelling, warmth, and tenderness. What is the priority
diagnostic consideration?
,A. Osteoarthritis
B. Deep vein thrombosis
C. Cellulitis only
D. Peripheral neuropathy
Correct Answer: B
Rationale: Unilateral swelling, warmth, and tenderness are concerning for DVT and warrant
appropriate diagnostic evaluation.
7. A patient with suspected DVT develops sudden dyspnea and pleuritic chest pain. Which
complication is most concerning?
A. Pneumonia
B. Pulmonary embolism
C. Asthma
D. Pleural effusion
Correct Answer: B
Rationale: DVT can embolize to the lungs, causing potentially life-threatening pulmonary
embolism.
8. Which symptom is most suggestive of heart failure?
A. Orthopnea
B. Increased appetite
C. Isolated ear pain
D. Photophobia
Correct Answer: A
Rationale: Orthopnea, paroxysmal nocturnal dyspnea, peripheral edema, and exertional
dyspnea are common manifestations of heart failure.
9. A patient with heart failure gains 3 lb over 2 days. What should the FNP suspect?
A. Improved cardiac function
B. Fluid retention
, C. Dehydration
D. Hypoglycemia
Correct Answer: B
Rationale: Rapid weight gain in heart failure commonly indicates fluid accumulation.
10. Which medication class commonly improves mortality in patients with heart failure with
reduced ejection fraction?
A. ACE inhibitors
B. Antacids
C. Antihistamines
D. Proton-pump inhibitors
Correct Answer: A
Rationale: ACE inhibitors have established benefits in HFrEF, including reduction in morbidity
and mortality.
11. A patient with atrial fibrillation has an elevated stroke risk. Which therapy may be
indicated to reduce thromboembolism?
A. Anticoagulation
B. Antibiotic therapy
C. Bronchodilator therapy
D. Proton-pump inhibitor therapy
Correct Answer: A
Rationale: Stroke prevention in atrial fibrillation is based on thromboembolic risk assessment
and may require oral anticoagulation.
12. Which ECG finding is characteristic of atrial fibrillation?
A. Regular rhythm with consistent P waves
B. Irregularly irregular rhythm without distinct P waves
C. ST elevation in every lead
D. Wide QRS with fixed rhythm
Ancc Family Nurse Practitioner (Fnp-Bc™)
Certification Exam With Complete 175 Real Exam
Questions And Correct Verified Answers Already
Graded A+
1. A 58-year-old patient with hypertension has a blood pressure of 168/96 mm Hg at two
separate office visits. Which initial intervention is most appropriate if there is no evidence of
target-organ damage?
A. Reassure the patient
B. Initiate lifestyle modification and antihypertensive therapy as indicated
C. Start aspirin therapy
D. Refer immediately for renal artery angiography
Correct Answer: B
Rationale: Persistent stage 2 hypertension generally warrants pharmacologic treatment along
with lifestyle modification. Evaluation should also address cardiovascular risk and possible
secondary causes when indicated.
2. Which lifestyle intervention has the greatest evidence for lowering blood pressure in a
patient with hypertension?
A. Increasing sodium intake
B. Following the DASH dietary pattern
C. Increasing processed-food consumption
D. Eliminating all carbohydrates
Correct Answer: B
Rationale: The DASH diet emphasizes fruits, vegetables, whole grains, and reduced sodium and
can significantly reduce blood pressure.
,3. A 62-year-old patient has an LDL-C of 190 mg/dL. Which treatment is generally indicated?
A. No treatment unless symptoms occur
B. High-intensity statin therapy
C. Low-dose aspirin only
D. Fibrate monotherapy
Correct Answer: B
Rationale: An LDL-C ≥190 mg/dL is an indication for high-intensity statin therapy regardless of
calculated 10-year ASCVD risk.
4. A patient taking a statin reports severe unexplained muscle pain and weakness. What
laboratory test is most appropriate?
A. Serum amylase
B. Creatine kinase
C. Troponin
D. TSH only
Correct Answer: B
Rationale: Creatine kinase can help evaluate significant statin-associated muscle injury,
particularly when symptoms are severe.
5. Which symptom is most characteristic of peripheral arterial disease?
A. Calf pain with walking that improves with rest
B. Bilateral hand tremors
C. Pain relieved by exercise
D. Generalized itching
Correct Answer: A
Rationale: Intermittent claudication is exertional limb pain caused by inadequate arterial
perfusion.
6. A patient has unilateral calf swelling, warmth, and tenderness. What is the priority
diagnostic consideration?
,A. Osteoarthritis
B. Deep vein thrombosis
C. Cellulitis only
D. Peripheral neuropathy
Correct Answer: B
Rationale: Unilateral swelling, warmth, and tenderness are concerning for DVT and warrant
appropriate diagnostic evaluation.
7. A patient with suspected DVT develops sudden dyspnea and pleuritic chest pain. Which
complication is most concerning?
A. Pneumonia
B. Pulmonary embolism
C. Asthma
D. Pleural effusion
Correct Answer: B
Rationale: DVT can embolize to the lungs, causing potentially life-threatening pulmonary
embolism.
8. Which symptom is most suggestive of heart failure?
A. Orthopnea
B. Increased appetite
C. Isolated ear pain
D. Photophobia
Correct Answer: A
Rationale: Orthopnea, paroxysmal nocturnal dyspnea, peripheral edema, and exertional
dyspnea are common manifestations of heart failure.
9. A patient with heart failure gains 3 lb over 2 days. What should the FNP suspect?
A. Improved cardiac function
B. Fluid retention
, C. Dehydration
D. Hypoglycemia
Correct Answer: B
Rationale: Rapid weight gain in heart failure commonly indicates fluid accumulation.
10. Which medication class commonly improves mortality in patients with heart failure with
reduced ejection fraction?
A. ACE inhibitors
B. Antacids
C. Antihistamines
D. Proton-pump inhibitors
Correct Answer: A
Rationale: ACE inhibitors have established benefits in HFrEF, including reduction in morbidity
and mortality.
11. A patient with atrial fibrillation has an elevated stroke risk. Which therapy may be
indicated to reduce thromboembolism?
A. Anticoagulation
B. Antibiotic therapy
C. Bronchodilator therapy
D. Proton-pump inhibitor therapy
Correct Answer: A
Rationale: Stroke prevention in atrial fibrillation is based on thromboembolic risk assessment
and may require oral anticoagulation.
12. Which ECG finding is characteristic of atrial fibrillation?
A. Regular rhythm with consistent P waves
B. Irregularly irregular rhythm without distinct P waves
C. ST elevation in every lead
D. Wide QRS with fixed rhythm
