ANCC FNP Exam, Questions and Answers 2025 (Graded
100%)
The Lachman Maneuver is used to detect which of the following?
A: Instability of the knee
B: Nerve Damage of the knee due to past knee injuries
C: Integrity of the patellar tendon
D: Tears of the meniscus - ANSWER-instability of the knee
A 28-year old multipara who is at 32 weeks gestation presents to your office complaining of a sudden
onset of small amounts of bright-red vaginal bleeding. She has had several episodes and appears
anxious.
On exam, her uterus is soft to palpation.
Which of the following is most likely?
A: placenta abruptio
B: placenta previa
C: acute cervicitis
D: Molar Pregnancy (hydatidiform mole) - ANSWER-Placental previa
A 30 year old woman who is sexually active complains of a large amount of milk-like vaginal discharge
for several weeks. A microscopy slide reveals a large number of cells that have BLURRED margins.
Very few white blood cells are seen. The vaginal pH is 6.0.
What is most likely?
A: Trichomonas infections
B: Bacterial Vaginosis
C: Candidal infection
D: A normal finding - ANSWER-Bacterial Vaginosis
Signs and symptoms of depression include all of the following except:
A: anhedonia
B: Low Self-esteem
C: Apathy
D: Apraxia - ANSWER-apraxia
All of the following are cover under Medicare part B except:
A: person aged 65 years or older
B: Durable medical equipment
C: Mammograms annually starting at age 50
D: outpatient anesthesiologists services - ANSWER-Outpatient Anesthesiologist services
All of the following are complications of severe preeclampsia except:
A: Liver Failure
B: Hypertensive Encephalopathy
C: Pulmonary Edema
D: Placenta Previa - ANSWER-Placenta Previa
, Koplik's spots are associated with:
A: poxvirus infections
B: Rubeola
C: Kawasaki's disease
D: Rubella - ANSWER-Rubeola
A middle-aged woman who works in the housekeeping department of a hospital presents to the
employee health clinic with a complaint of a needlestick to her left thumb. The needle was in one of
the garbage bags from the ER. The patient had a little bleeding that stopped spontaneously.
Which of the following is the next step?
A: order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible
B: recommend a tetanus booster in 1 week
C: offer the patient hepatitis B immunoglobulin
D: order a chest xray - ANSWER-Order an ELISA test as soon as possible.
A 20year old patient has recently been diagnosed with migraines. The NP is educating the pt about
factors that are known to be trigger for migraine headaches. WHich of the following is INCORRECT
advice ?
A: avoid foods high in tyramine content
B: avoid foods high in potassium content
C: get enough sleep
D: avoid fermented foods - ANSWER-Avoid foods with high potassium content
Hegar's sign is considered a:
A: positive sign of pregnancy
B: Probable sign of pregnancy
C: presumptive sign of pregnancy
D: Problem in pregnancy - ANSWER-Probable sign of pregnancy.
The positive signs for pregnancy include:
A. palpation of the fetus and auscultation of fetal heart tones by the NP
B: palpation of the fetus and a positive quantitative serum pregnancy test
C: Fetal heart tones and a positive quantitative serum pregnancy test
D: fetal heart tones and feeling of movement of the fetus by the mother - ANSWER-Palpation of the
fetus and Auscultation of the fetal heart tones.
Chadwick's Sign is characterized by:
A: softening of the cervix
B: Blue coloration of the cervix and vagina
C: softening of the uterine isthmus
D: nausea and vomiting during the first trimester of pregnancy - ANSWER-Blue coloration of the
vagina and cervix
Rovsing's Sign is associated with which of the following?
A: an acute abdomen, such as during a ruptured appendix
B: knee instability
C: Damage to the meniscus of the knee
D: Acute cholelithiasis - ANSWER-An acute abdomen such as during a ruptured appendix
a patient is positive for anti-HCV (hepatitis C virus Antibody). WHat is the next step to further evaluate
this patient?
A: refer the patient to a gastroenterologist
B order a hepatitis C RNA test
100%)
The Lachman Maneuver is used to detect which of the following?
A: Instability of the knee
B: Nerve Damage of the knee due to past knee injuries
C: Integrity of the patellar tendon
D: Tears of the meniscus - ANSWER-instability of the knee
A 28-year old multipara who is at 32 weeks gestation presents to your office complaining of a sudden
onset of small amounts of bright-red vaginal bleeding. She has had several episodes and appears
anxious.
On exam, her uterus is soft to palpation.
Which of the following is most likely?
A: placenta abruptio
B: placenta previa
C: acute cervicitis
D: Molar Pregnancy (hydatidiform mole) - ANSWER-Placental previa
A 30 year old woman who is sexually active complains of a large amount of milk-like vaginal discharge
for several weeks. A microscopy slide reveals a large number of cells that have BLURRED margins.
Very few white blood cells are seen. The vaginal pH is 6.0.
What is most likely?
A: Trichomonas infections
B: Bacterial Vaginosis
C: Candidal infection
D: A normal finding - ANSWER-Bacterial Vaginosis
Signs and symptoms of depression include all of the following except:
A: anhedonia
B: Low Self-esteem
C: Apathy
D: Apraxia - ANSWER-apraxia
All of the following are cover under Medicare part B except:
A: person aged 65 years or older
B: Durable medical equipment
C: Mammograms annually starting at age 50
D: outpatient anesthesiologists services - ANSWER-Outpatient Anesthesiologist services
All of the following are complications of severe preeclampsia except:
A: Liver Failure
B: Hypertensive Encephalopathy
C: Pulmonary Edema
D: Placenta Previa - ANSWER-Placenta Previa
, Koplik's spots are associated with:
A: poxvirus infections
B: Rubeola
C: Kawasaki's disease
D: Rubella - ANSWER-Rubeola
A middle-aged woman who works in the housekeeping department of a hospital presents to the
employee health clinic with a complaint of a needlestick to her left thumb. The needle was in one of
the garbage bags from the ER. The patient had a little bleeding that stopped spontaneously.
Which of the following is the next step?
A: order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible
B: recommend a tetanus booster in 1 week
C: offer the patient hepatitis B immunoglobulin
D: order a chest xray - ANSWER-Order an ELISA test as soon as possible.
A 20year old patient has recently been diagnosed with migraines. The NP is educating the pt about
factors that are known to be trigger for migraine headaches. WHich of the following is INCORRECT
advice ?
A: avoid foods high in tyramine content
B: avoid foods high in potassium content
C: get enough sleep
D: avoid fermented foods - ANSWER-Avoid foods with high potassium content
Hegar's sign is considered a:
A: positive sign of pregnancy
B: Probable sign of pregnancy
C: presumptive sign of pregnancy
D: Problem in pregnancy - ANSWER-Probable sign of pregnancy.
The positive signs for pregnancy include:
A. palpation of the fetus and auscultation of fetal heart tones by the NP
B: palpation of the fetus and a positive quantitative serum pregnancy test
C: Fetal heart tones and a positive quantitative serum pregnancy test
D: fetal heart tones and feeling of movement of the fetus by the mother - ANSWER-Palpation of the
fetus and Auscultation of the fetal heart tones.
Chadwick's Sign is characterized by:
A: softening of the cervix
B: Blue coloration of the cervix and vagina
C: softening of the uterine isthmus
D: nausea and vomiting during the first trimester of pregnancy - ANSWER-Blue coloration of the
vagina and cervix
Rovsing's Sign is associated with which of the following?
A: an acute abdomen, such as during a ruptured appendix
B: knee instability
C: Damage to the meniscus of the knee
D: Acute cholelithiasis - ANSWER-An acute abdomen such as during a ruptured appendix
a patient is positive for anti-HCV (hepatitis C virus Antibody). WHat is the next step to further evaluate
this patient?
A: refer the patient to a gastroenterologist
B order a hepatitis C RNA test
