ANCC FNP Exam Prep – Study Guide & Original Practice Q&A Bank Original Practice Questions with Answers & Detailed Rationales

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ANCC FNP Exam Prep – Study Guide & Original Practice Q&A Bank Original

Practice Questions with Answers & Detailed Rationales




About the ANCC FNP Exam

The ANCC Family Nurse Practitioner certification exam is a

competency-based exam that assesses clinical knowledge

and skills across the lifespan. The exam consists of 175

questions (150 scored + 25 pretest) with a 3.5-hour time

limit.



Exam Content Areas

Domain Percentage


Assessment and Diagnosis 25%


Clinical Management 50%



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Domain Percentage


Professional Role 25%




Key Content Areas
1. Cardiovascular

• Hypertension (JNC 8, ACC/AHA)

• Hyperlipidemia

• Coronary artery disease

• Heart failure (HFrEF, HFpEF)

• Atrial fibrillation and arrhythmias

• Valvular disorders

• Peripheral arterial disease

• Venous insufficiency and DVT

2. Respiratory

• Asthma (GINA guidelines)

• COPD (GOLD guidelines)

• Pneumonia (CAP, HAP)

• Tuberculosis

• Acute bronchitis

• Sinusitis and pharyngitis

• Allergic rhinitis

• Pulmonary embolism

3. Endocrine



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• Diabetes mellitus (Type 1 and Type 2)

• Thyroid disorders (hypo/hyperthyroidism)

• Adrenal disorders

• Pituitary disorders

• Obesity management

4. Gastrointestinal

• GERD

• Peptic ulcer disease

• Hepatitis (A, B, C)

• Cholecystitis and cholelithiasis

• Pancreatitis

• Diverticulitis

• Irritable bowel syndrome

• Inflammatory bowel disease

• Celiac disease

5. Genitourinary and Renal

• Urinary tract infections

• Pyelonephritis

• Nephrolithiasis

• Chronic kidney disease

• Acute kidney injury

• Benign prostatic hyperplasia

• Erectile dysfunction

• Incontinence

6. Women's Health

• Contraception

• Menopause and HRT

• Abnormal uterine bleeding

• Cervical cancer screening

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• Breast cancer screening

• Vaginitis and STIs

• Pregnancy (prenatal care, common complications)

7. Men's Health

• Prostate cancer screening

• Testicular disorders

• Erectile dysfunction

• Hypogonadism

8. Musculoskeletal

• Osteoarthritis

• Rheumatoid arthritis

• Gout

• Low back pain

• Osteoporosis

• Fractures

• Sprains and strains

• Bursitis and tendinopathy

9. Neurological

• Headaches (migraine, tension, cluster)

• Stroke and TIA

• Seizure disorders

• Multiple sclerosis

• Parkinson's disease

• Peripheral neuropathy

• Dementia and delirium

10. Dermatology

• Acne

• Rosacea

• Eczema and dermatitis

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• Psoriasis

• Skin cancers (basal cell, squamous cell, melanoma)

• Fungal infections

• Bacterial infections (cellulitis, impetigo)

• Viral infections (herpes, warts, molluscum)

11. Hematology and Oncology

• Anemia (iron deficiency, B12, folate, hemolytic)

• Leukemia and lymphoma

• Breast, lung, colon, prostate cancers

• Cancer screening guidelines

12. Infectious Disease

• Upper respiratory infections

• Pneumonia

• UTIs

• STIs

• HIV

• Tuberculosis

• Lyme disease

• Influenza and COVID-19

13. Pediatrics

• Well-child visits and immunizations

• Developmental milestones

• Common pediatric illnesses (otitis media, pharyngitis, bronchiolitis, croup)

• Asthma in children

• ADHD and autism screening

• Childhood obesity

14. Geriatrics

• Polypharmacy and Beers Criteria

• Falls and frailty

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• Dementia and delirium

• End-of-life and palliative care

• Medicare wellness visits

15. Professional Role

• Scope of practice

• Legal and ethical issues

• Health policy

• Evidence-based practice

• Quality improvement

• Cultural competence

• Health promotion and disease prevention




Original Questions (Questions 1–350+)

Section 1: Cardiovascular

1. A 55-year-old male presents with blood pressure readings

of 145/85 mmHg on two separate visits. He has no diabetes,

CKD, or cardiovascular disease. Per ACC/AHA guidelines,

what is the most appropriate initial management?

A. Lifestyle modifications and initiate antihypertensive

medication
B. Lifestyle modifications only, recheck in 3 months

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