ANCC FNP EXAM 2 LATEST 2025 REAL EXAM|
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
QUESTION :A 65-year-old female smoker presents with a history of Barrett's
esophagus and GERD. The patient reports that her gastroenterologist's
prescription for omeprazole 40 mg daily ran out a few days ago. She is
complaining of severe heartburn and sore throat. During the physical exam, the
NP notes an erythematous posterior pharynx without tonsillar discharge and mild
dental enamel loss on the rear molars. What is the best initial action for the NP to
follow?
A. Refer the patient to an oncologist for a biopsy to rule out esophageal cancer
B. Give the patient a refill of her proton-pump inhibitor (PPI) prescription and
advise her to schedule and appointment with her gastroenterologist
C. Recommend that the patient take over-the-counter Famotidine (Pepcid) twice a
day until she can be seen by the gastroenterologist
D. Switch the patient's prescription to another brand of PPI because her
symptoms are not improving - Correct Answer-B. Give the patient a refill of her
proton-pump inhibitor (PPI) prescription and advise her to schedule and
appointment with her gastroenterologist
1|Page
,QUESTION :A 40-year-old female who is sexually active is being seen by the NP for
her annual gynecologic exam. The patient reports that she has been sexually
active with two male partners for several months. The NP uses liquid cytology for
her Pap exam with co-testing. What is the best explanation for co-testing?
A. The lab will test for the HPV on the same sample used for the Pap test
B. Chlamydia and gonorrhea testing is done after the Pap test on the same visit
C. HIV testing is performed after the gynecologic pelvic exam
D. Liquid cytology testing is performed during the gynecologic exam
- Correct Answer-The lab will test for the HPV on the same sample used for the
Pap test
QUESTION :Which of the following is not considered as a risk factor for colorectal
cancer?
A. Inflammatory bowel disease
B. Irritable bowel syndrome
C. Obesity
D. Tobacco use - Correct Answer-Irritable bowel syndrome
2|Page
,QUESTION :A male patient has type 2 diabetes mellitus and a "sensitive
stomach." Which medication is least likely to cause him GI distress?
A. Naproxen sodium (Anaprox)
B. Aspirin (Bayer's aspirin)
C. Erythromycin (E-mycin)
D. Sucralfate (Carafate) - Correct Answer-Sucralfate (Carafate)
QUESTION :Which of the following best describes Cullen's sign?
A. Cessation of inspiration upon deep palpation of the RUQ of the abdomen
B. Bruising around the peri-umbilical area of the abdomen
C. Deep palpation of the LLQ of the abdomen that causes pain to radiate to the
RLQ
D. Blue-black discoloration that is located on the right flank of the trunk - Correct
Answer-Bruising around the peri-umbilical area of the abdomen
QUESTION :Which of the following is the screening test for hepatitis C virus
(HCV)?
3|Page
, A. Anti-HCV
B. HBsAg
C. Anti-HAV
D. HCV RNA polymerase chain reaction (PCR) - Correct Answer-Anti-HCV
QUESTION :A 45-year-old female with a BMI of 28 complains of intermittent
burning epigastric pain over the past few months. It is worse at night, especially
after a heavy or spicy meal. She goes to sleep about 2 hours after eating. The pain
is partially relieved by antacids or not at all. She is not a smoker and denies
radiation of pain to neck, arms, or jaw; diaphoresis; and dyspnea. What is the next
step?
A. Order a 12-lead EKG
B. Prescribe a proton-pump inhibitor
C. Instruct patient to stop eating at least 4 hours before bedtime, avoid spicy and
heavy meals at night, and lose weight
D. Schedule a fasting lipid profile, including cholesterol, low-density lipoprotein,
high-density lipoprotein, and triglycerides - Correct Answer-Instruct patient to
stop eating at least 4 hours before bedtime, avoid spicy and heavy meals at night,
and lose weight
4|Page
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
QUESTION :A 65-year-old female smoker presents with a history of Barrett's
esophagus and GERD. The patient reports that her gastroenterologist's
prescription for omeprazole 40 mg daily ran out a few days ago. She is
complaining of severe heartburn and sore throat. During the physical exam, the
NP notes an erythematous posterior pharynx without tonsillar discharge and mild
dental enamel loss on the rear molars. What is the best initial action for the NP to
follow?
A. Refer the patient to an oncologist for a biopsy to rule out esophageal cancer
B. Give the patient a refill of her proton-pump inhibitor (PPI) prescription and
advise her to schedule and appointment with her gastroenterologist
C. Recommend that the patient take over-the-counter Famotidine (Pepcid) twice a
day until she can be seen by the gastroenterologist
D. Switch the patient's prescription to another brand of PPI because her
symptoms are not improving - Correct Answer-B. Give the patient a refill of her
proton-pump inhibitor (PPI) prescription and advise her to schedule and
appointment with her gastroenterologist
1|Page
,QUESTION :A 40-year-old female who is sexually active is being seen by the NP for
her annual gynecologic exam. The patient reports that she has been sexually
active with two male partners for several months. The NP uses liquid cytology for
her Pap exam with co-testing. What is the best explanation for co-testing?
A. The lab will test for the HPV on the same sample used for the Pap test
B. Chlamydia and gonorrhea testing is done after the Pap test on the same visit
C. HIV testing is performed after the gynecologic pelvic exam
D. Liquid cytology testing is performed during the gynecologic exam
- Correct Answer-The lab will test for the HPV on the same sample used for the
Pap test
QUESTION :Which of the following is not considered as a risk factor for colorectal
cancer?
A. Inflammatory bowel disease
B. Irritable bowel syndrome
C. Obesity
D. Tobacco use - Correct Answer-Irritable bowel syndrome
2|Page
,QUESTION :A male patient has type 2 diabetes mellitus and a "sensitive
stomach." Which medication is least likely to cause him GI distress?
A. Naproxen sodium (Anaprox)
B. Aspirin (Bayer's aspirin)
C. Erythromycin (E-mycin)
D. Sucralfate (Carafate) - Correct Answer-Sucralfate (Carafate)
QUESTION :Which of the following best describes Cullen's sign?
A. Cessation of inspiration upon deep palpation of the RUQ of the abdomen
B. Bruising around the peri-umbilical area of the abdomen
C. Deep palpation of the LLQ of the abdomen that causes pain to radiate to the
RLQ
D. Blue-black discoloration that is located on the right flank of the trunk - Correct
Answer-Bruising around the peri-umbilical area of the abdomen
QUESTION :Which of the following is the screening test for hepatitis C virus
(HCV)?
3|Page
, A. Anti-HCV
B. HBsAg
C. Anti-HAV
D. HCV RNA polymerase chain reaction (PCR) - Correct Answer-Anti-HCV
QUESTION :A 45-year-old female with a BMI of 28 complains of intermittent
burning epigastric pain over the past few months. It is worse at night, especially
after a heavy or spicy meal. She goes to sleep about 2 hours after eating. The pain
is partially relieved by antacids or not at all. She is not a smoker and denies
radiation of pain to neck, arms, or jaw; diaphoresis; and dyspnea. What is the next
step?
A. Order a 12-lead EKG
B. Prescribe a proton-pump inhibitor
C. Instruct patient to stop eating at least 4 hours before bedtime, avoid spicy and
heavy meals at night, and lose weight
D. Schedule a fasting lipid profile, including cholesterol, low-density lipoprotein,
high-density lipoprotein, and triglycerides - Correct Answer-Instruct patient to
stop eating at least 4 hours before bedtime, avoid spicy and heavy meals at night,
and lose weight
4|Page
