ANCC FNP CERTIFICATION EXAM QUESTION BANK 2025 ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
When performing a sports physical exam on Kevin, a healthy 16-year-old boy, which question in the history is
important to ask Kevin or his guardian?
1. Did anyone in your family ever have sudden cardiac death?
2. Does anyone in your family have elevated cholesterol levels?
3. Did you ever have any injury requiring stitches?
4. Does anyone in your family have a history of asthma? - ✔✔✔ Correct Answer > Did anyone in your
family ever have sudden cardiac death (The risk of sudden death during sports activities from hypertrophic
cardiomyopathy may be greatly reduced with a thorough cardiac history and examination. If a child has a
relative who died of sudden cardiac disease before age 55, that child could possibly have hypertrophic
cardiomyopathy)
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which protozoal infection
of the bowel?
1. Giardiasis.
2. Amebiasis.
3. Cryptosporidiosis.
4. Escherichia coli. - ✔✔✔ Correct Answer > Cryptosporidiosis (Cryptosporidiosis, a protozoal
infection of the bowel, is common in immunocompromised clients. It causes villous atrophy and mild
inflammatory changes and may secrete an enterotoxin)
For which patient would you administer the human papillomavirus (HPV) vaccination?
1. Susie, age 7.
2. Janice, age 17, who had a baby 6 months ago and is breastfeeding.
3. Alice, age 18, who is allergic to yeast.
4. Jill, age 25, who is pregnant. - ✔✔✔ Correct Answer > Janice, age 17, who had a baby 6 months ago
and is breastfeeding (Women who are lactating or immunocompromised are eligible to receive the vaccine. It
is also recommended for females aged 9 to 25 years, regardless of whether they have had sex yet and even if
the women already have a history of genital warts, a positive HPV test, or an abnormal Pap test)
Page 1 of 74
, ANCC FNP CERTIFICATION EXAM QUESTION BANK 2025 ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
Max, age 35, states that he thinks he has an ear infection because he just flew back from a business trip and
feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
1. Prescribe nasal steroids and oral decongestants.
2. Prescribe antibiotic ear drops.
3. Prescribe systemic antibiotics.
4. Refer Max to an ear, nose, and throat specialist - ✔✔✔ Correct Answer > Prescribe nasal steroids
and oral decongestants (Barotrauma of the auditory canal, causing a sensation of abnormal middle ear
pressure, may be relieved by the use of nasal steroids and oral decongestants. There is no infection, just
swelling of the airways, which causes the sensation of abnormal pressure)
The FNP asks a patient to perform rapid, alternating movements of the hands to evaluate:
1. cerebellar function
2. cognitive function
3. reflex arc function
4. stereognostic function - ✔✔✔ Correct Answer > 1. cerebellar function
A 38 yo Vietnamese patient tells the FNP that his parent died in her 40s from liver cancer. That patient is at
risk for:
1. hepatitis B
2. malaria
3. tularemia
4. tyrosenemia - ✔✔✔ Correct Answer > 1. hepatitis B
A difficult aspect of determining occupational exposure to disease is the:
1. confidentiality of the information in company records
2. inaccuracy of disease reporting
Page 2 of 74
, ANCC FNP CERTIFICATION EXAM QUESTION BANK 2025 ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
3. long latency period between exposure and disease development
4. reliance on workers' memories - ✔✔✔ Correct Answer > 3. long latency period between exposure
and disease development
To comply with regulations for third-party payor reimbursement and documentation, a family nurse
practitioner correlates:
1. evaluation and management code with history, examination and medical decision making.
2. health outcomes with physical examination findings and plan of care. 3.medication orders and
treatment plan with electronic billing.
4. patient privacy with informed consent. - ✔✔✔ Correct Answer > 1. evaluation and management code with
history, examination and medical decision making.
The family nurse practitioner examines a patient who has sustained a non-work- related injury that interferes
with the patient's ability to perform his or her job. The patient does not qualify for medical disability and has a
reasonable chance of engaging in a suitable occupation with proper therapy. The nurse practitioner
recommends that the patient apply for:
1. Family and Medical Leave Act benefits.
2. home health services.
3. Social Security benefits.
4. vocational rehabilitation services. - ✔✔✔ Correct Answer > 4.vocational rehabilitation services.
A 45-year-old patient who is an opera singer reports progressive hoarseness for the last four weeks. The
hoarseness began after a three-hour opera performance. The patient does not smoke and reports no weight
loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this
patient by:
1. ordering a computed tomography scan of the head.
2. ordering an immediate lateral neck x-ray.
3. prescribing systemic antibiotics and cool mist inhalations.
Page 3 of 74
, ANCC FNP CERTIFICATION EXAM QUESTION BANK 2025 ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
4. requesting a referral for evaluation of the larynx. - ✔✔✔ Correct Answer > 4. requesting a referral
for evaluation of the larynx.
Routine immunization guidelines recommend administering the hepatitis B vaccine at birth and repeating
doses at:
1. one month and six months.
2. one month and two months.
3. four months and two years.
4. six months and 12 months. - ✔✔✔ Correct Answer > 1. one month and six months.
A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin (Lipitor). The
family nurse practitioner explains that the medication is prescribed for:
1. cancer prevention.
2. primary prevention.
3. secondary prevention.
4. tertiary prevention. - ✔✔✔ Correct Answer > 4. tertiary prevention.
Which health promotion strategy is most appropriate for adolescents who are obese?
1. individual-based behavior modification.
2. Motivational interviewing.
3. Parents should regulate meals.
4. Presenting video case studies. - ✔✔✔ Correct Answer > 2. Motivational interviewing.
Treatment of viral conjunctivitis includes the use of:
1. antihistamine/decongestant drops.
Page 4 of 74
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
When performing a sports physical exam on Kevin, a healthy 16-year-old boy, which question in the history is
important to ask Kevin or his guardian?
1. Did anyone in your family ever have sudden cardiac death?
2. Does anyone in your family have elevated cholesterol levels?
3. Did you ever have any injury requiring stitches?
4. Does anyone in your family have a history of asthma? - ✔✔✔ Correct Answer > Did anyone in your
family ever have sudden cardiac death (The risk of sudden death during sports activities from hypertrophic
cardiomyopathy may be greatly reduced with a thorough cardiac history and examination. If a child has a
relative who died of sudden cardiac disease before age 55, that child could possibly have hypertrophic
cardiomyopathy)
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which protozoal infection
of the bowel?
1. Giardiasis.
2. Amebiasis.
3. Cryptosporidiosis.
4. Escherichia coli. - ✔✔✔ Correct Answer > Cryptosporidiosis (Cryptosporidiosis, a protozoal
infection of the bowel, is common in immunocompromised clients. It causes villous atrophy and mild
inflammatory changes and may secrete an enterotoxin)
For which patient would you administer the human papillomavirus (HPV) vaccination?
1. Susie, age 7.
2. Janice, age 17, who had a baby 6 months ago and is breastfeeding.
3. Alice, age 18, who is allergic to yeast.
4. Jill, age 25, who is pregnant. - ✔✔✔ Correct Answer > Janice, age 17, who had a baby 6 months ago
and is breastfeeding (Women who are lactating or immunocompromised are eligible to receive the vaccine. It
is also recommended for females aged 9 to 25 years, regardless of whether they have had sex yet and even if
the women already have a history of genital warts, a positive HPV test, or an abnormal Pap test)
Page 1 of 74
, ANCC FNP CERTIFICATION EXAM QUESTION BANK 2025 ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
Max, age 35, states that he thinks he has an ear infection because he just flew back from a business trip and
feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
1. Prescribe nasal steroids and oral decongestants.
2. Prescribe antibiotic ear drops.
3. Prescribe systemic antibiotics.
4. Refer Max to an ear, nose, and throat specialist - ✔✔✔ Correct Answer > Prescribe nasal steroids
and oral decongestants (Barotrauma of the auditory canal, causing a sensation of abnormal middle ear
pressure, may be relieved by the use of nasal steroids and oral decongestants. There is no infection, just
swelling of the airways, which causes the sensation of abnormal pressure)
The FNP asks a patient to perform rapid, alternating movements of the hands to evaluate:
1. cerebellar function
2. cognitive function
3. reflex arc function
4. stereognostic function - ✔✔✔ Correct Answer > 1. cerebellar function
A 38 yo Vietnamese patient tells the FNP that his parent died in her 40s from liver cancer. That patient is at
risk for:
1. hepatitis B
2. malaria
3. tularemia
4. tyrosenemia - ✔✔✔ Correct Answer > 1. hepatitis B
A difficult aspect of determining occupational exposure to disease is the:
1. confidentiality of the information in company records
2. inaccuracy of disease reporting
Page 2 of 74
, ANCC FNP CERTIFICATION EXAM QUESTION BANK 2025 ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
3. long latency period between exposure and disease development
4. reliance on workers' memories - ✔✔✔ Correct Answer > 3. long latency period between exposure
and disease development
To comply with regulations for third-party payor reimbursement and documentation, a family nurse
practitioner correlates:
1. evaluation and management code with history, examination and medical decision making.
2. health outcomes with physical examination findings and plan of care. 3.medication orders and
treatment plan with electronic billing.
4. patient privacy with informed consent. - ✔✔✔ Correct Answer > 1. evaluation and management code with
history, examination and medical decision making.
The family nurse practitioner examines a patient who has sustained a non-work- related injury that interferes
with the patient's ability to perform his or her job. The patient does not qualify for medical disability and has a
reasonable chance of engaging in a suitable occupation with proper therapy. The nurse practitioner
recommends that the patient apply for:
1. Family and Medical Leave Act benefits.
2. home health services.
3. Social Security benefits.
4. vocational rehabilitation services. - ✔✔✔ Correct Answer > 4.vocational rehabilitation services.
A 45-year-old patient who is an opera singer reports progressive hoarseness for the last four weeks. The
hoarseness began after a three-hour opera performance. The patient does not smoke and reports no weight
loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this
patient by:
1. ordering a computed tomography scan of the head.
2. ordering an immediate lateral neck x-ray.
3. prescribing systemic antibiotics and cool mist inhalations.
Page 3 of 74
, ANCC FNP CERTIFICATION EXAM QUESTION BANK 2025 ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+/ GUARANTEED EXCELLENCE PASS
4. requesting a referral for evaluation of the larynx. - ✔✔✔ Correct Answer > 4. requesting a referral
for evaluation of the larynx.
Routine immunization guidelines recommend administering the hepatitis B vaccine at birth and repeating
doses at:
1. one month and six months.
2. one month and two months.
3. four months and two years.
4. six months and 12 months. - ✔✔✔ Correct Answer > 1. one month and six months.
A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin (Lipitor). The
family nurse practitioner explains that the medication is prescribed for:
1. cancer prevention.
2. primary prevention.
3. secondary prevention.
4. tertiary prevention. - ✔✔✔ Correct Answer > 4. tertiary prevention.
Which health promotion strategy is most appropriate for adolescents who are obese?
1. individual-based behavior modification.
2. Motivational interviewing.
3. Parents should regulate meals.
4. Presenting video case studies. - ✔✔✔ Correct Answer > 2. Motivational interviewing.
Treatment of viral conjunctivitis includes the use of:
1. antihistamine/decongestant drops.
Page 4 of 74
