Walden University \NURS 6501 ANCC ACTUAL
PRACTICE EXAM AND RETAKE QUESTIONS 2026-
2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION
A 7-year-old child presents with group A streptococcal infection
confirmed by throat culture. Past history includes treatment for positive
streptococcal infection with erythromycin (EryPed oral suspension) 3
weeks ago. What is the most appropriate next intervention?
1. Treat with amoxicillin for 10 days.
2. Obtain culture for all household members.
3. Treat with azithromycin (Zithromax) for 10 days.
4. Intramuscular Penicillin.
ANSWERS: treat with amoxicillin for 10 days
,A 16-year-old female adolescent is brought to the nurse practitioner's
office by her mother, who is concerned about her daughter's recent
weight loss. History reveals that the daughter was consistently in the 50th
percentile for weight, but is now in the 10th percentile. The mother states
that she is concerned that her daughter is purging herself after meals
since she often goes to the restroom after eating and remains there for a
long period of time. The daughter denies any self-induced vomiting,
starvation or excessive activity. She does state that she jogs five miles a
day and is in good condition. In addition to a complete blood count with
differential, which of the following laboratory tests will be most helpful
for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolytes, FSH, stool for occult blood
ANSWERS: electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
An adult female who is homeless presents for an initial obstetric visit at
34 weeks of pregnancy. She is diagnosed with Chlamydia trachomatis
infection. What complication will her newborn be most at risk?
1. Conjunctivitis
2. Hearing loss
3. Pneumonitis
4. Meningitis
ANSWERS: conjunctivitis
, A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On physical examination
today, his vital signs reveal P = 120 and capillary refill of 3 seconds. The
patient's eyes are sunken and his extremities are mottled and cool to the
touch. The treatment plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output.
ANSWERS: hospitalization for IV fluid replacement
A nurse practitioner places a 76-year-old patient on nifedipine
(Procardia) 10 mg t.i.d. for angina. The patient is unable to remember to
take the medication at the scheduled times. The practitioner should:
1. discontinue the issue with the patient's daughter.
2. change the dose to extended release 30 mg daily.
3. reinforce the importance of taking the medication.
4. increase the dosage to 20 mg b.i.d.
ANSWERS: change the dose to extended release 30mg daily
A pediatric male is present with his mother, who states that he is
extremely restless at night and constantly scratches his anal area. Which
diagnostic procedure would confirm a diagnosis of pinworm infestation?
1. The patch test
2. Examination of bed linens
3. Examination of transparent tape sample from perianal skin
4. Blood tests for anemia and eosinophilia
ANSWERS: examination of transparent tape sample from perianal skin
PRACTICE EXAM AND RETAKE QUESTIONS 2026-
2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION
A 7-year-old child presents with group A streptococcal infection
confirmed by throat culture. Past history includes treatment for positive
streptococcal infection with erythromycin (EryPed oral suspension) 3
weeks ago. What is the most appropriate next intervention?
1. Treat with amoxicillin for 10 days.
2. Obtain culture for all household members.
3. Treat with azithromycin (Zithromax) for 10 days.
4. Intramuscular Penicillin.
ANSWERS: treat with amoxicillin for 10 days
,A 16-year-old female adolescent is brought to the nurse practitioner's
office by her mother, who is concerned about her daughter's recent
weight loss. History reveals that the daughter was consistently in the 50th
percentile for weight, but is now in the 10th percentile. The mother states
that she is concerned that her daughter is purging herself after meals
since she often goes to the restroom after eating and remains there for a
long period of time. The daughter denies any self-induced vomiting,
starvation or excessive activity. She does state that she jogs five miles a
day and is in good condition. In addition to a complete blood count with
differential, which of the following laboratory tests will be most helpful
for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolytes, FSH, stool for occult blood
ANSWERS: electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
An adult female who is homeless presents for an initial obstetric visit at
34 weeks of pregnancy. She is diagnosed with Chlamydia trachomatis
infection. What complication will her newborn be most at risk?
1. Conjunctivitis
2. Hearing loss
3. Pneumonitis
4. Meningitis
ANSWERS: conjunctivitis
, A 2-year-old male presents for reevaluation. Two days ago, he had four
episodes of vomiting and six diarrheal stools. On physical examination
today, his vital signs reveal P = 120 and capillary refill of 3 seconds. The
patient's eyes are sunken and his extremities are mottled and cool to the
touch. The treatment plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output.
ANSWERS: hospitalization for IV fluid replacement
A nurse practitioner places a 76-year-old patient on nifedipine
(Procardia) 10 mg t.i.d. for angina. The patient is unable to remember to
take the medication at the scheduled times. The practitioner should:
1. discontinue the issue with the patient's daughter.
2. change the dose to extended release 30 mg daily.
3. reinforce the importance of taking the medication.
4. increase the dosage to 20 mg b.i.d.
ANSWERS: change the dose to extended release 30mg daily
A pediatric male is present with his mother, who states that he is
extremely restless at night and constantly scratches his anal area. Which
diagnostic procedure would confirm a diagnosis of pinworm infestation?
1. The patch test
2. Examination of bed linens
3. Examination of transparent tape sample from perianal skin
4. Blood tests for anemia and eosinophilia
ANSWERS: examination of transparent tape sample from perianal skin
