Family Nurse Practitioner Certification (FNP-BC™) Exam (2025/2026 Edition) – Verified Questions with Correct Answers

Family Nurse Practitioner Certification (FNP-
BC™) Exam With Correct Answers –
2025/2026 Edition
Section 1: Introduction
This document contains verified and 100% correct answers for the Family Nurse Practitioner
Certification (FNP-BC™) Exam, updated for the 2025/2026 academic cycle.
It includes primary care across the lifespan, advanced health assessment, pharmacology,
clinical decision-making, and evidence-based practice.
Graded A+ and structured in alignment with ANCC certification standards to ensure exam
success and clinical competence.

Section 2: Exam Questions and Answers
Format: 150 multiple-choice questions with four answer choices (A–D). Correct answers
highlighted. Includes rationales based on ANCC standards.

Question 1
A 6-year-old presents with fever and sore throat. The FNP observes tonsillar exudate and
cervical lymphadenopathy. What is the most likely diagnosis?
A) Viral pharyngitis
B) Streptococcal pharyngitis
C) Mononucleosis
D) Allergic rhinitis
Correct Answer: B) Streptococcal pharyngitis
Rationale: Exudate and lymphadenopathy suggest bacterial infection. ANCC Standard:
Clinical Decision-Making.

Question 2
A 45-year-old with hypertension is prescribed lisinopril. What should the FNP monitor?
A) Blood glucose levels
B) Blood pressure and potassium levels
C) Liver function only
D) Respiratory rate only
Correct Answer: B) Blood pressure and potassium levels
Rationale: Lisinopril may cause hypotension and hyperkalemia. ANCC Standard:
Pharmacology.

Question 3
An 80-year-old reports falls at home. What should the FNP assess first?
A) Dietary intake
B) Home environment and mobility
C) Pain level only
D) Social history
Correct Answer: B) Home environment and mobility

,Rationale: Identifies fall risks across the lifespan. ANCC Standard: Advanced Health
Assessment.

Question 4
A 30-year-old with type 2 diabetes has a HbA1c of 8.5%. What should the FNP recommend?
A) Continue current regimen
B) Intensify lifestyle modifications and adjust medications
C) Stop glucose monitoring
D) Increase carbohydrate intake
Correct Answer: B) Intensify lifestyle modifications and adjust medications
Rationale: HbA1c >7% indicates poor control. ANCC Standard: Primary Care Across the
Lifespan.

Question 5
A 12-year-old presents with wheezing and shortness of breath. What is the priority
intervention?
A) Administer oral steroids
B) Administer albuterol via nebulizer
C) Restrict physical activity
D) Order chest X-ray immediately
Correct Answer: B) Administer albuterol via nebulizer
Rationale: Albuterol relieves acute asthma symptoms. ANCC Standard: Clinical Decision-
Making.

Question 6
A 55-year-old with COPD reports increased dyspnea. What should the FNP assess?
A) Blood glucose only
B) Oxygen saturation and respiratory rate
C) Pain level only
D) Dietary intake
Correct Answer: B) Oxygen saturation and respiratory rate
Rationale: Indicates exacerbation severity. ANCC Standard: Advanced Health Assessment.

Question 7
A 25-year-old female presents with dysuria and frequency. What is the first-line treatment for
uncomplicated UTI?
A) Amoxicillin
B) Nitrofurantoin
C) Ceftriaxone
D) Azithromycin
Correct Answer: B) Nitrofurantoin
Rationale: Guideline-recommended for uncomplicated UTI. ANCC Standard: Pharmacology.

Question 8
A 70-year-old with heart failure reports weight gain of 3 kg in 2 days. What should the FNP
do?
A) Encourage high-sodium foods
B) Assess for edema and adjust diuretics
C) Restrict all physical activity
D) Ignore the symptoms

, Correct Answer: B) Assess for edema and adjust diuretics
Rationale: Weight gain suggests fluid retention. ANCC Standard: Primary Care Across the
Lifespan.

Question 9
A 40-year-old with migraines is prescribed sumatriptan. What should the FNP teach?
A) Take daily for prevention
B) Take at onset of headache
C) Avoid reporting chest pain
D) Take with meals only
Correct Answer: B) Take at onset of headache
Rationale: Sumatriptan is for acute migraine relief. ANCC Standard: Pharmacology.

Question 10
A 3-month-old presents with fever and irritability. What should the FNP do?
A) Prescribe oral antibiotics immediately
B) Perform a full septic workup
C) Encourage home remedies
D) Monitor without intervention
Correct Answer: B) Perform a full septic workup
Rationale: Fever in infants requires thorough evaluation. ANCC Standard: Clinical
Decision-Making.

Question 11
A 50-year-old with hyperlipidemia is prescribed atorvastatin. What should the FNP monitor?
A) Blood glucose only
B) Liver function and muscle pain
C) Pain level only
D) Respiratory rate only
Correct Answer: B) Liver function and muscle pain
Rationale: Atorvastatin may cause hepatotoxicity and myopathy. ANCC Standard:
Pharmacology.

Question 12
A 65-year-old reports new-onset confusion. What should the FNP assess first?
A) Dietary intake
B) Neurological status and medication history
C) Pain level only
D) Social history
Correct Answer: B) Neurological status and medication history
Rationale: Confusion may indicate delirium or medication effects. ANCC Standard:
Advanced Health Assessment.

Question 13
A 20-year-old with suspected mononucleosis has a positive monospot test. What should the
FNP recommend?
A) Resume contact sports immediately
B) Avoid strenuous activity and rest
C) Prescribe antibiotics
D) Ignore symptoms