ANCC FNP Practice test exam Questions with complete
solutions verified by experts 2026/2027
Meds to avoid prescribing in sulfa allergy - correct answer sensitive to thiazides, loop
diuretics, some protease inhibitors (used in tx of hiv)
Reye's syndrome - correct answer sudden onset of mental status changes, emesis,
and liver dysfunction after taking aspirin.
Stage 1- severe vomiting, diarrhea, lethargy, stupor, and elevated alt and ast
Stage 2- personality changes, irritability, aggression, and hyperactive reflexes
Stage 3-5- present with confusion, delirium, cerebral edema, coma, seizures and death
Side effects of thiazide diuretics - correct answer hyperglycemia, hyperuricemia,
hypertriglycermia and hypercholesteremia, hypokalemia, hyonatremia
Hypomagnesemia
Chlamydia trachomatis treatment for partner - correct answer azithromycin one dose
Doxycycline for 7 days
Benzathine peniciilin - correct answer syphilis
Lithium toxicity - correct answer seizures, slurred speech, increased urination, and
increased thirst
Phenytoin (dilantin) toxicity - correct answer nystagmus, ataxia, confusion
Carbamazepine (tegretol) toxicity - correct answer skin rash and jaundice
,Digoxin (lanoxin) toxicity - correct answer nausea, vomiting, confusion, yellowish-green
halos in patient's vision
Hypokalemia, hypercalcemia
Thiazide effect on bone health - correct answer decrease calcium excretion by the
kidneys and stimulate osteoblast production
Dilantin therapeutic level? - correct answer 10-20 mcg/ml
Finkelstein's test - correct answer diagnose de quervain's tenosynovisits
Tx for de quervain tenosynovitis - correct answer ice pack and take nsaids such
ibuprofen for discomfort
Steroid injection
Rarely need surgical intervention
Tetrcyclines age - correct answer not prescribed under 9 years old
Mupriocin - correct answer preferred first-line therapy for children with impetigo
Medication of choice for hypothyroidism - correct answer levo t4
T3- short 1/2 life and would require patient to take multiple times a day
Diphenhydramine (benadryl) side effects - correct answer sedation
Confusion
,Urinary retention and incontinence
Shingles - correct answer outbreak lasts about 3-5 weeks
Can cause postherpetic neuralgia- prescribe gabapentin
Contraindication to coc - correct answer tia
Undiagnosed vaginal bleeding
Active hep a infection
Combination of statin and niacin - correct answer increased risk of drug-induced
hepatitis and rhabdo
Pertussis (whooping cough) treatment - correct answer macrolides (axithro, erythro,
clarithro)
Indication of penicillin - correct answer strep throat
Otitis media
Cecphalosporins - correct answer gram-positive cocci bacteria
Quinolones - correct answer gran-negative and atypical
Aspirin effect on platelets - correct answer effect on platelet function is irreversible and
lasts 10 days
1/2 life of aspirin is only 15-20min
Treatment for chlamydia - correct answer 1st choice- azithromycin
, Blood-brain barrier infants - correct answer not fully developed for several months,
therefore the infant is at increased risk of cns toxicity and sensitivity to pharm agents
Infants body system - correct answer decreased renal excretion
Gastric emptying porlonged and irreregular
Depo - correct answer long term use increased risk of bone loss
avoid use with osteopenia, osteoporosis, long term amenorrhea and in underweight
women with anorexia
Bisphosphonates - correct answer first line tx for osteoporosis
Screening test for lung cancer - correct answer low dose ct (annual if 30 pack yr hx,
quit less that 15 yo, and age 55-80)
How long does it take for antibodies to develop in body after getting inactivated
influenza vaccine? - correct answer 2 weeks
Ibs (irritable bowel syndrome) - correct answer functional disorder in which colon
tissue is normal
Ibd (inflammatory bowel disease) - correct answer severe inflammation of the intestinal
tract
Sensitivity - correct answer rule in positive
Specificity - correct answer rule out negative
Developmental milestones for 1 year old - correct answer walk
solutions verified by experts 2026/2027
Meds to avoid prescribing in sulfa allergy - correct answer sensitive to thiazides, loop
diuretics, some protease inhibitors (used in tx of hiv)
Reye's syndrome - correct answer sudden onset of mental status changes, emesis,
and liver dysfunction after taking aspirin.
Stage 1- severe vomiting, diarrhea, lethargy, stupor, and elevated alt and ast
Stage 2- personality changes, irritability, aggression, and hyperactive reflexes
Stage 3-5- present with confusion, delirium, cerebral edema, coma, seizures and death
Side effects of thiazide diuretics - correct answer hyperglycemia, hyperuricemia,
hypertriglycermia and hypercholesteremia, hypokalemia, hyonatremia
Hypomagnesemia
Chlamydia trachomatis treatment for partner - correct answer azithromycin one dose
Doxycycline for 7 days
Benzathine peniciilin - correct answer syphilis
Lithium toxicity - correct answer seizures, slurred speech, increased urination, and
increased thirst
Phenytoin (dilantin) toxicity - correct answer nystagmus, ataxia, confusion
Carbamazepine (tegretol) toxicity - correct answer skin rash and jaundice
,Digoxin (lanoxin) toxicity - correct answer nausea, vomiting, confusion, yellowish-green
halos in patient's vision
Hypokalemia, hypercalcemia
Thiazide effect on bone health - correct answer decrease calcium excretion by the
kidneys and stimulate osteoblast production
Dilantin therapeutic level? - correct answer 10-20 mcg/ml
Finkelstein's test - correct answer diagnose de quervain's tenosynovisits
Tx for de quervain tenosynovitis - correct answer ice pack and take nsaids such
ibuprofen for discomfort
Steroid injection
Rarely need surgical intervention
Tetrcyclines age - correct answer not prescribed under 9 years old
Mupriocin - correct answer preferred first-line therapy for children with impetigo
Medication of choice for hypothyroidism - correct answer levo t4
T3- short 1/2 life and would require patient to take multiple times a day
Diphenhydramine (benadryl) side effects - correct answer sedation
Confusion
,Urinary retention and incontinence
Shingles - correct answer outbreak lasts about 3-5 weeks
Can cause postherpetic neuralgia- prescribe gabapentin
Contraindication to coc - correct answer tia
Undiagnosed vaginal bleeding
Active hep a infection
Combination of statin and niacin - correct answer increased risk of drug-induced
hepatitis and rhabdo
Pertussis (whooping cough) treatment - correct answer macrolides (axithro, erythro,
clarithro)
Indication of penicillin - correct answer strep throat
Otitis media
Cecphalosporins - correct answer gram-positive cocci bacteria
Quinolones - correct answer gran-negative and atypical
Aspirin effect on platelets - correct answer effect on platelet function is irreversible and
lasts 10 days
1/2 life of aspirin is only 15-20min
Treatment for chlamydia - correct answer 1st choice- azithromycin
, Blood-brain barrier infants - correct answer not fully developed for several months,
therefore the infant is at increased risk of cns toxicity and sensitivity to pharm agents
Infants body system - correct answer decreased renal excretion
Gastric emptying porlonged and irreregular
Depo - correct answer long term use increased risk of bone loss
avoid use with osteopenia, osteoporosis, long term amenorrhea and in underweight
women with anorexia
Bisphosphonates - correct answer first line tx for osteoporosis
Screening test for lung cancer - correct answer low dose ct (annual if 30 pack yr hx,
quit less that 15 yo, and age 55-80)
How long does it take for antibodies to develop in body after getting inactivated
influenza vaccine? - correct answer 2 weeks
Ibs (irritable bowel syndrome) - correct answer functional disorder in which colon
tissue is normal
Ibd (inflammatory bowel disease) - correct answer severe inflammation of the intestinal
tract
Sensitivity - correct answer rule in positive
Specificity - correct answer rule out negative
Developmental milestones for 1 year old - correct answer walk
