ANCC FNP EXAM VERSION 1 FAMILY NURSE PRACTITIONER 2026/2027 – 350 QUESTIONS AND
ANSWERS | 100% VERIFIED | DETAILED RATIONALES – PASS GUARANTEED – A+ GRADED
Course: ANCC FNP Family Nurse Practitioner Version 1 2026/2027 | 350 Questions Mixed: A=80 B=84 C=95 D=91 | 100%
Verified | Pass Guaranteed
TABLE OF CONTENT
1. I. Assessment & Physical Examination - HEENT, Cardiac, Respiratory, GI, GU, Musculoskeletal, Neuro
2. II. Health Promotion & Disease Prevention - USPSTF Screening Guidelines - Cervical, Breast, Prostate, Colorectal
3. III. Cardiovascular - HTN JNC 8, HF, Afib CHA2DS2-VASc, Chest Pain, Hyperlipidemia
4. IV. Respiratory - Asthma, COPD GOLD, Croup, Epiglottitis, Pneumonia, Centor Criteria Strep
5. V. Endocrine & Metabolic - DM2 Metformin, HHS vs DKA, Thyroid, PCOS Rotterdam, Obesity
6. VI. Pediatrics - Vaccines MMR Schedule, AOM Watchful Waiting, Lead Screening, Growth & Development
7. VII. Women's Health - Contraception OCP Contraindications, Menopause HRT, Pap Guidelines, STI Chlamydia Treatment
8. VIII. Geriatrics - Beers Criteria, Delirium vs Dementia, Polypharmacy, Falls
9. IX. Hematology & Anemia - Microcytic Differential Iron Deficiency vs Thalassemia, Labs
10. X. Genitourinary & Renal - UTI Uncomplicated First-Line, BPH, AKI, eGFR Metformin
11. XI. Psychiatric & Mental Health - Depression PHQ-9, Bipolar Maintenance, Anxiety, PHQ-9 Scoring
12. XII. Neurology - Headache, Seizures, Stroke, Dizziness
13. XIII. Musculoskeletal - Osteoarthritis, Rheumatoid, Back Pain, Gout
14. XIV. Pharmacology - Antibiotics, Antidepressants, Antihypertensives, Antidiabetics, Vaccines
15. XV. Practice Questions - 350 Verified Questions with Rationales - Each Question Asked Like Real ANCC Exam
16. XVI. Answer Key with Detailed Rationales & Guidelines JNC 8, GOLD, USPSTF, CDC
17. XVII. Study Guide - Currently Updated 2026/2027 - Pass Guaranteed - A+ Graded
,ANCC FNP EXAM - PRACTICE QUESTIONS - EACH QUESTION ASKED LIKE REAL EXAM - 350 QUESTIONS
Based on ANCC FNP Blueprint 2026/2027 - Assessment, Diagnosis, Planning, Evaluation - JNC 8, GOLD, USPSTF, CDC Guidelines. 100% Verified.
1. [FNP V1] Prostate screening PSA - shared decision?
A. No screening
B. Screen at 40 all
C. Age 55-69 shared decision per USPSTF, high risk black men or family hx consider earlier
D. All men screen
Answer: C
Rationale: PSA 55-69 shared decision.
2. [FNP V1] Depression screening - PHQ-9 score 20 means?
A. No depression
B. Mild
C. Minimal
D. Severe depression - PHQ-9 20-27 severe, assess suicide, consider therapy + SSRI + referral
Answer: D
Rationale: PHQ-9: 5-9 mild, 10-14 moderate, 15-19 mod-severe, 20-27 severe.
3. [FNP V1] Child with barky cough, inspiratory stridor worse at night - diagnosis?
A. Asthma
B. Bronchiolitis
C. Croup (laryngotracheobronchitis) - racemic epi, steroids, humidified air
D. Epiglottitis
Answer: C
Rationale: Croup: barky cough, stridor, worse night, steeple sign. Treat racemic epi, dexamethasone.
4. [FNP V1] Asthma - albuterol side effects?
A. Bradycardia
B. Tachycardia, tremor, nervousness
C. Weight gain
D. No effects
Answer: B
Rationale: Albuterol beta2 tachycardia tremor.
5. [FNP V1] Geriatric - delirium vs dementia?
A. Both chronic
B. Delirium acute fluctuating inattention, altered LOC, reversible cause - dementia chronic progressive memory, normal LOC
C. Same
D. Both acute
Answer: B
Rationale: Delirium acute fluctuating, dementia chronic progressive.
6. [FNP V1] Elderly with confusion, polyuria, polydipsia, glucose 600 - what?
A. Normal
B. DKA
C. Hypoglycemia
D. HHS - Hyperosmolar Hyperglycemic State, elderly, glucose >600, no ketosis, dehydration
Answer: D
Rationale: HHS: elderly type 2, glucose >600, hyperosmolar, dehydration, no ketosis, altered mental.
7. [FNP V1] Menopause - when to give HRT?
A. All women
B. No HRT ever
C. All >60
D. Moderate-severe vasomotor symptoms, <60yo and <10y since menopause, no contraindication - lowest dose shortest duration
Answer: D
Rationale: HRT for vasomotor symptoms <60 and <10y since menopause, no hx breast cancer/VTE.
8. [FNP V1] Child vaccine - MMR schedule?
A. Only 1 dose
B. 12-15 months first, 4-6 years second
C. Birth
D. At 6 months
Answer: B
Rationale: MMR 12-15mo and 4-6y.
9. [FNP V1] Auscultation - S3 in 70yo with HF means?
, A. Volume overload, HF exacerbation - assess weight, crackles, JVD, edema, BNP
B. Normal
C. No significance
D. Healthy athlete
Answer: A
Rationale: S3 in older adult = volume overload HF, not normal like in young athlete.
10. [FNP V1] Elderly with confusion, polyuria, polydipsia, glucose 600 - what?
A. DKA
B. HHS - Hyperosmolar Hyperglycemic State, elderly, glucose >600, no ketosis, dehydration
C. Hypoglycemia
D. Normal
Answer: B
Rationale: HHS: elderly type 2, glucose >600, hyperosmolar, dehydration, no ketosis, altered mental.
11. [FNP V1] Lead screening - when?
A. Only adults
B. Never
C. Only once
D. Risk assessment at 6,9,12,18,24mo and 3-6y, test if risk
Answer: D
Rationale: Lead risk assessment at well child visits.
12. [FNP V1] Heart failure - ACE cough switch to?
A. Double ACE
B. ARB (losartan) - less cough, monitor K+/creatinine
C. No switch
D. Stop all
Answer: B
Rationale: ACE cough -> ARB.
13. [FNP V1] Lead screening - when?
A. Never
B. Risk assessment at 6,9,12,18,24mo and 3-6y, test if risk
C. Only adults
D. Only once
Answer: B
Rationale: Lead risk assessment at well child visits.
14. [FNP V1] HTN emergency vs urgency?
A. No difference
B. Same
C. Only emergency has high BP
D. Emergency BP high + acute target organ damage - need IV, Urgency high BP no organ damage - oral meds, close f/u
Answer: D
Rationale: Emergency = organ damage (chest pain, neuro, AKI, pulmonary edema), Urgency = no organ damage.
15. [FNP V1] Contraception - combined OCP contraindication?
A. No contraindication
B. Only HTN
C. Smoker >35, HTN uncontrolled, migraine with aura, history VTE, breast cancer, smoker
D. Only smoker
Answer: C
Rationale: Combined OCP contraindications: smoker >35, migraine aura, VTE, breast cancer, uncontrolled HTN.
16. [FNP V1] Geriatric - delirium vs dementia?
A. Delirium acute fluctuating inattention, altered LOC, reversible cause - dementia chronic progressive memory, normal LOC
B. Same
C. Both acute
D. Both chronic
Answer: A
Rationale: Delirium acute fluctuating, dementia chronic progressive.
17. [FNP V1] Geriatric - Beers criteria - avoid?
A. Acetaminophen
B. Metformin
C. Lisinopril
D. Meperidine, diphenhydramine, benzodiazepines, muscle relaxants - falls, cognitive
, Answer: D
Rationale: Beers avoid anticholinergics, benzos, meperidine, muscle relaxants in elderly.
18. [FNP V1] Asthma - albuterol side effects?
A. Tachycardia, tremor, nervousness
B. Weight gain
C. No effects
D. Bradycardia
Answer: A
Rationale: Albuterol beta2 tachycardia tremor.
19. [FNP V1] Contraception - combined OCP contraindication?
A. Smoker >35, HTN uncontrolled, migraine with aura, history VTE, breast cancer, smoker
B. Only HTN
C. No contraindication
D. Only smoker
Answer: A
Rationale: Combined OCP contraindications: smoker >35, migraine aura, VTE, breast cancer, uncontrolled HTN.
20. [FNP V1] Depression screening - PHQ-9 score 20 means?
A. Mild
B. Minimal
C. Severe depression - PHQ-9 20-27 severe, assess suicide, consider therapy + SSRI + referral
D. No depression
Answer: C
Rationale: PHQ-9: 5-9 mild, 10-14 moderate, 15-19 mod-severe, 20-27 severe.
21. [FNP V1] UTI in elderly woman - uncomplicated - first-line?
A. Nitrofurantoin or TMP-SMX if susceptible - avoid cipro first-line per guidelines
B. No treatment
C. Cipro always
D. IV antibiotics
Answer: A
Rationale: Uncomplicated cystitis first-line nitrofurantoin or TMP-SMX if local resistance <20%.
22. [FNP V1] Geriatric - Beers criteria - avoid?
A. Meperidine, diphenhydramine, benzodiazepines, muscle relaxants - falls, cognitive
B. Acetaminophen
C. Lisinopril
D. Metformin
Answer: A
Rationale: Beers avoid anticholinergics, benzos, meperidine, muscle relaxants in elderly.
23. [FNP V1] STI - chlamydia treatment?
A. No treatment
B. No partner treatment
C. Only azithro
D. Doxycycline 100mg BID 7d first-line, or azithromycin - treat partners, retest 3 months
Answer: D
Rationale: Chlamydia doxycycline first-line 7d, partner treatment, retest 3mo.
24. [FNP V1] Child with barky cough, inspiratory stridor worse at night - diagnosis?
A. Epiglottitis
B. Asthma
C. Bronchiolitis
D. Croup (laryngotracheobronchitis) - racemic epi, steroids, humidified air
Answer: D
Rationale: Croup: barky cough, stridor, worse night, steeple sign. Treat racemic epi, dexamethasone.
25. [FNP V1] Contraception - combined OCP contraindication?
A. No contraindication
B. Smoker >35, HTN uncontrolled, migraine with aura, history VTE, breast cancer, smoker
C. Only HTN
D. Only smoker
Answer: B
Rationale: Combined OCP contraindications: smoker >35, migraine aura, VTE, breast cancer, uncontrolled HTN.
26. [FNP V1] Pap screening guidelines USPSTF 2026?
A. Never screen
ANSWERS | 100% VERIFIED | DETAILED RATIONALES – PASS GUARANTEED – A+ GRADED
Course: ANCC FNP Family Nurse Practitioner Version 1 2026/2027 | 350 Questions Mixed: A=80 B=84 C=95 D=91 | 100%
Verified | Pass Guaranteed
TABLE OF CONTENT
1. I. Assessment & Physical Examination - HEENT, Cardiac, Respiratory, GI, GU, Musculoskeletal, Neuro
2. II. Health Promotion & Disease Prevention - USPSTF Screening Guidelines - Cervical, Breast, Prostate, Colorectal
3. III. Cardiovascular - HTN JNC 8, HF, Afib CHA2DS2-VASc, Chest Pain, Hyperlipidemia
4. IV. Respiratory - Asthma, COPD GOLD, Croup, Epiglottitis, Pneumonia, Centor Criteria Strep
5. V. Endocrine & Metabolic - DM2 Metformin, HHS vs DKA, Thyroid, PCOS Rotterdam, Obesity
6. VI. Pediatrics - Vaccines MMR Schedule, AOM Watchful Waiting, Lead Screening, Growth & Development
7. VII. Women's Health - Contraception OCP Contraindications, Menopause HRT, Pap Guidelines, STI Chlamydia Treatment
8. VIII. Geriatrics - Beers Criteria, Delirium vs Dementia, Polypharmacy, Falls
9. IX. Hematology & Anemia - Microcytic Differential Iron Deficiency vs Thalassemia, Labs
10. X. Genitourinary & Renal - UTI Uncomplicated First-Line, BPH, AKI, eGFR Metformin
11. XI. Psychiatric & Mental Health - Depression PHQ-9, Bipolar Maintenance, Anxiety, PHQ-9 Scoring
12. XII. Neurology - Headache, Seizures, Stroke, Dizziness
13. XIII. Musculoskeletal - Osteoarthritis, Rheumatoid, Back Pain, Gout
14. XIV. Pharmacology - Antibiotics, Antidepressants, Antihypertensives, Antidiabetics, Vaccines
15. XV. Practice Questions - 350 Verified Questions with Rationales - Each Question Asked Like Real ANCC Exam
16. XVI. Answer Key with Detailed Rationales & Guidelines JNC 8, GOLD, USPSTF, CDC
17. XVII. Study Guide - Currently Updated 2026/2027 - Pass Guaranteed - A+ Graded
,ANCC FNP EXAM - PRACTICE QUESTIONS - EACH QUESTION ASKED LIKE REAL EXAM - 350 QUESTIONS
Based on ANCC FNP Blueprint 2026/2027 - Assessment, Diagnosis, Planning, Evaluation - JNC 8, GOLD, USPSTF, CDC Guidelines. 100% Verified.
1. [FNP V1] Prostate screening PSA - shared decision?
A. No screening
B. Screen at 40 all
C. Age 55-69 shared decision per USPSTF, high risk black men or family hx consider earlier
D. All men screen
Answer: C
Rationale: PSA 55-69 shared decision.
2. [FNP V1] Depression screening - PHQ-9 score 20 means?
A. No depression
B. Mild
C. Minimal
D. Severe depression - PHQ-9 20-27 severe, assess suicide, consider therapy + SSRI + referral
Answer: D
Rationale: PHQ-9: 5-9 mild, 10-14 moderate, 15-19 mod-severe, 20-27 severe.
3. [FNP V1] Child with barky cough, inspiratory stridor worse at night - diagnosis?
A. Asthma
B. Bronchiolitis
C. Croup (laryngotracheobronchitis) - racemic epi, steroids, humidified air
D. Epiglottitis
Answer: C
Rationale: Croup: barky cough, stridor, worse night, steeple sign. Treat racemic epi, dexamethasone.
4. [FNP V1] Asthma - albuterol side effects?
A. Bradycardia
B. Tachycardia, tremor, nervousness
C. Weight gain
D. No effects
Answer: B
Rationale: Albuterol beta2 tachycardia tremor.
5. [FNP V1] Geriatric - delirium vs dementia?
A. Both chronic
B. Delirium acute fluctuating inattention, altered LOC, reversible cause - dementia chronic progressive memory, normal LOC
C. Same
D. Both acute
Answer: B
Rationale: Delirium acute fluctuating, dementia chronic progressive.
6. [FNP V1] Elderly with confusion, polyuria, polydipsia, glucose 600 - what?
A. Normal
B. DKA
C. Hypoglycemia
D. HHS - Hyperosmolar Hyperglycemic State, elderly, glucose >600, no ketosis, dehydration
Answer: D
Rationale: HHS: elderly type 2, glucose >600, hyperosmolar, dehydration, no ketosis, altered mental.
7. [FNP V1] Menopause - when to give HRT?
A. All women
B. No HRT ever
C. All >60
D. Moderate-severe vasomotor symptoms, <60yo and <10y since menopause, no contraindication - lowest dose shortest duration
Answer: D
Rationale: HRT for vasomotor symptoms <60 and <10y since menopause, no hx breast cancer/VTE.
8. [FNP V1] Child vaccine - MMR schedule?
A. Only 1 dose
B. 12-15 months first, 4-6 years second
C. Birth
D. At 6 months
Answer: B
Rationale: MMR 12-15mo and 4-6y.
9. [FNP V1] Auscultation - S3 in 70yo with HF means?
, A. Volume overload, HF exacerbation - assess weight, crackles, JVD, edema, BNP
B. Normal
C. No significance
D. Healthy athlete
Answer: A
Rationale: S3 in older adult = volume overload HF, not normal like in young athlete.
10. [FNP V1] Elderly with confusion, polyuria, polydipsia, glucose 600 - what?
A. DKA
B. HHS - Hyperosmolar Hyperglycemic State, elderly, glucose >600, no ketosis, dehydration
C. Hypoglycemia
D. Normal
Answer: B
Rationale: HHS: elderly type 2, glucose >600, hyperosmolar, dehydration, no ketosis, altered mental.
11. [FNP V1] Lead screening - when?
A. Only adults
B. Never
C. Only once
D. Risk assessment at 6,9,12,18,24mo and 3-6y, test if risk
Answer: D
Rationale: Lead risk assessment at well child visits.
12. [FNP V1] Heart failure - ACE cough switch to?
A. Double ACE
B. ARB (losartan) - less cough, monitor K+/creatinine
C. No switch
D. Stop all
Answer: B
Rationale: ACE cough -> ARB.
13. [FNP V1] Lead screening - when?
A. Never
B. Risk assessment at 6,9,12,18,24mo and 3-6y, test if risk
C. Only adults
D. Only once
Answer: B
Rationale: Lead risk assessment at well child visits.
14. [FNP V1] HTN emergency vs urgency?
A. No difference
B. Same
C. Only emergency has high BP
D. Emergency BP high + acute target organ damage - need IV, Urgency high BP no organ damage - oral meds, close f/u
Answer: D
Rationale: Emergency = organ damage (chest pain, neuro, AKI, pulmonary edema), Urgency = no organ damage.
15. [FNP V1] Contraception - combined OCP contraindication?
A. No contraindication
B. Only HTN
C. Smoker >35, HTN uncontrolled, migraine with aura, history VTE, breast cancer, smoker
D. Only smoker
Answer: C
Rationale: Combined OCP contraindications: smoker >35, migraine aura, VTE, breast cancer, uncontrolled HTN.
16. [FNP V1] Geriatric - delirium vs dementia?
A. Delirium acute fluctuating inattention, altered LOC, reversible cause - dementia chronic progressive memory, normal LOC
B. Same
C. Both acute
D. Both chronic
Answer: A
Rationale: Delirium acute fluctuating, dementia chronic progressive.
17. [FNP V1] Geriatric - Beers criteria - avoid?
A. Acetaminophen
B. Metformin
C. Lisinopril
D. Meperidine, diphenhydramine, benzodiazepines, muscle relaxants - falls, cognitive
, Answer: D
Rationale: Beers avoid anticholinergics, benzos, meperidine, muscle relaxants in elderly.
18. [FNP V1] Asthma - albuterol side effects?
A. Tachycardia, tremor, nervousness
B. Weight gain
C. No effects
D. Bradycardia
Answer: A
Rationale: Albuterol beta2 tachycardia tremor.
19. [FNP V1] Contraception - combined OCP contraindication?
A. Smoker >35, HTN uncontrolled, migraine with aura, history VTE, breast cancer, smoker
B. Only HTN
C. No contraindication
D. Only smoker
Answer: A
Rationale: Combined OCP contraindications: smoker >35, migraine aura, VTE, breast cancer, uncontrolled HTN.
20. [FNP V1] Depression screening - PHQ-9 score 20 means?
A. Mild
B. Minimal
C. Severe depression - PHQ-9 20-27 severe, assess suicide, consider therapy + SSRI + referral
D. No depression
Answer: C
Rationale: PHQ-9: 5-9 mild, 10-14 moderate, 15-19 mod-severe, 20-27 severe.
21. [FNP V1] UTI in elderly woman - uncomplicated - first-line?
A. Nitrofurantoin or TMP-SMX if susceptible - avoid cipro first-line per guidelines
B. No treatment
C. Cipro always
D. IV antibiotics
Answer: A
Rationale: Uncomplicated cystitis first-line nitrofurantoin or TMP-SMX if local resistance <20%.
22. [FNP V1] Geriatric - Beers criteria - avoid?
A. Meperidine, diphenhydramine, benzodiazepines, muscle relaxants - falls, cognitive
B. Acetaminophen
C. Lisinopril
D. Metformin
Answer: A
Rationale: Beers avoid anticholinergics, benzos, meperidine, muscle relaxants in elderly.
23. [FNP V1] STI - chlamydia treatment?
A. No treatment
B. No partner treatment
C. Only azithro
D. Doxycycline 100mg BID 7d first-line, or azithromycin - treat partners, retest 3 months
Answer: D
Rationale: Chlamydia doxycycline first-line 7d, partner treatment, retest 3mo.
24. [FNP V1] Child with barky cough, inspiratory stridor worse at night - diagnosis?
A. Epiglottitis
B. Asthma
C. Bronchiolitis
D. Croup (laryngotracheobronchitis) - racemic epi, steroids, humidified air
Answer: D
Rationale: Croup: barky cough, stridor, worse night, steeple sign. Treat racemic epi, dexamethasone.
25. [FNP V1] Contraception - combined OCP contraindication?
A. No contraindication
B. Smoker >35, HTN uncontrolled, migraine with aura, history VTE, breast cancer, smoker
C. Only HTN
D. Only smoker
Answer: B
Rationale: Combined OCP contraindications: smoker >35, migraine aura, VTE, breast cancer, uncontrolled HTN.
26. [FNP V1] Pap screening guidelines USPSTF 2026?
A. Never screen
