ANCC FAMILY NURSE PRACTITIONER CERTIFICATION EXAM
REVIEW 2026/2027 | HIGH-YIELD PRACTICE QUESTIONS |
CORRECT ANSWERS
1. What substance use is suggested by the presence of friable nasal turbinates
in an adolescent?
Marijuana use
Prescription drug abuse
Cocaine use
Alcohol use
2. A new mother comes into the clinic and states that her baby has a bunch of
little white spots all over his face. The nurse's best response is.
They are called milia and they are normal and will go away on their
own
The whole house needs to quarantine
He is having an allergic reaction, go to a doctor
Is he experiencing any other symptoms
3. Describe the significance of the P wave in an ECG and what its absence
indicates about heart rhythm.
The P wave indicates normal heart function, and its absence suggests
a heart block.
The P wave indicates ventricular contraction, and its absence suggests
ventricular fibrillation.
The P wave is unrelated to heart rhythm and its absence has no
clinical significance.
, The P wave represents atrial depolarization, and its absence
indicates that the heart is in atrial fibrillation, where the atria do not
contract effectively.
4. A mother says there are small white spots on her infant's nose and chin. What
are these spots called?
Milia
Newborn rash
Telangiectatic nevi
Mongolian spots
5. What type of infection is commonly associated with swollen anterior cervical
lymph nodes?
Fungal infection
Viral infection
Streptococcal infection
Bacterial infection
6. What TB reading indicated a positive for a healthy healthcare worker?
<5mm
≥ 10 mm
≥ 15 mm
≥ 5mm
7. A common condition associated with fibromyalgia is:
Sleep disturbance
, Visual disturbance
Increased energy levels
Hyperactivity
8. A 40-year-old Maori nurse presents with a history of palpitations. ECG shows
an irregularly irregular rhythm, no P waves, and F waves. What is it?
Re-entry arrhythmia
Nodal tachycardia
Atrial fibrillation
Atrial flutter
9. What will indicate chronic renal failure?
Decreased creatine & GFR & increased urea
Increased creatine, BUN & GFR
Increased creatine & GFR & decreased BUN
Increased creatine & BUN, decreased GFR
10. In a patient presenting with frequent anterior epistaxis, how would the
identification of the Kasmaul Triangle influence your management plan?
It would guide the investigation of potential causes of the
nosebleeds.
It would suggest immediate surgical intervention.
, It would indicate the need for allergy testing.
It would recommend a change in dietary habits.
11. In individuals at high risk of exposure to or infection with TB (such as
healthcare workers), what size of induration is considered a positive result for
the tuberculin skin test (TST)?
Greater than 20 mm
Greater than 15 mm
Greater than 10 mm
Greater than 5 mm
12. Which virus is responsible for causing Hand Foot Mouth Disease?
Coxsackie virus
Herpes simplex virus
Influenza virus
Varicella zoster virus
13. Polymyalgia rheumatica is characterized by
A proximal myalgia of the hip and shoulder girdles
Morning stiffness that lasts for more than 1 hour
Patients may describe great difficulty rising from a chair
all of the above
14. Describe the significance of cupping of the disc in relation to intracranial
pressure.
REVIEW 2026/2027 | HIGH-YIELD PRACTICE QUESTIONS |
CORRECT ANSWERS
1. What substance use is suggested by the presence of friable nasal turbinates
in an adolescent?
Marijuana use
Prescription drug abuse
Cocaine use
Alcohol use
2. A new mother comes into the clinic and states that her baby has a bunch of
little white spots all over his face. The nurse's best response is.
They are called milia and they are normal and will go away on their
own
The whole house needs to quarantine
He is having an allergic reaction, go to a doctor
Is he experiencing any other symptoms
3. Describe the significance of the P wave in an ECG and what its absence
indicates about heart rhythm.
The P wave indicates normal heart function, and its absence suggests
a heart block.
The P wave indicates ventricular contraction, and its absence suggests
ventricular fibrillation.
The P wave is unrelated to heart rhythm and its absence has no
clinical significance.
, The P wave represents atrial depolarization, and its absence
indicates that the heart is in atrial fibrillation, where the atria do not
contract effectively.
4. A mother says there are small white spots on her infant's nose and chin. What
are these spots called?
Milia
Newborn rash
Telangiectatic nevi
Mongolian spots
5. What type of infection is commonly associated with swollen anterior cervical
lymph nodes?
Fungal infection
Viral infection
Streptococcal infection
Bacterial infection
6. What TB reading indicated a positive for a healthy healthcare worker?
<5mm
≥ 10 mm
≥ 15 mm
≥ 5mm
7. A common condition associated with fibromyalgia is:
Sleep disturbance
, Visual disturbance
Increased energy levels
Hyperactivity
8. A 40-year-old Maori nurse presents with a history of palpitations. ECG shows
an irregularly irregular rhythm, no P waves, and F waves. What is it?
Re-entry arrhythmia
Nodal tachycardia
Atrial fibrillation
Atrial flutter
9. What will indicate chronic renal failure?
Decreased creatine & GFR & increased urea
Increased creatine, BUN & GFR
Increased creatine & GFR & decreased BUN
Increased creatine & BUN, decreased GFR
10. In a patient presenting with frequent anterior epistaxis, how would the
identification of the Kasmaul Triangle influence your management plan?
It would guide the investigation of potential causes of the
nosebleeds.
It would suggest immediate surgical intervention.
, It would indicate the need for allergy testing.
It would recommend a change in dietary habits.
11. In individuals at high risk of exposure to or infection with TB (such as
healthcare workers), what size of induration is considered a positive result for
the tuberculin skin test (TST)?
Greater than 20 mm
Greater than 15 mm
Greater than 10 mm
Greater than 5 mm
12. Which virus is responsible for causing Hand Foot Mouth Disease?
Coxsackie virus
Herpes simplex virus
Influenza virus
Varicella zoster virus
13. Polymyalgia rheumatica is characterized by
A proximal myalgia of the hip and shoulder girdles
Morning stiffness that lasts for more than 1 hour
Patients may describe great difficulty rising from a chair
all of the above
14. Describe the significance of cupping of the disc in relation to intracranial
pressure.
