Family Nurse Practitioner ANCC Certification Newest
2026/2027 Exam Prep Test Bank with 150 most recent
exam questions and correct verified answers/ ANCC FNP
exam Prep Latest
The adult-gerontology primary care nurse practitioner plans to provide
smoking cessation education at a community center to older adults and
their families. The nurse practitioner designs the program based on
knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger
smokers.
(d) receive more instruction to quit from health care providers than
younger smokers. - Answer-(b) are more likely to be successful at
quitting than younger smokers.
An 84-year-old patient arrives at the office for an initial visit. The
patient questions the need for colorectal screening, since 10 years have
passed since the last colonoscopy. The adult-gerontology primary care
nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - Answer-(d) watchful waiting.
To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient with
swelling in the lower extremities?
,(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. - Answer-(b) Brain natriuretic peptide test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count. - Answer-(a) Liver function studies.
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term history of
multiple sexual partners. The patient's physical examination reveals
abdominal tenderness with icteric sclerae and skin. Which laboratory
test confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - Answer-(d) Surface antigen.
For two to three months, a 78-year-old patient has not been taking
levothyroxine (Synthroid) as prescribed. The patient now has symptoms
of increasing constipation, lethargy, and weakness. The adult-
gerontology primary care nurse practitioner anticipates that laboratory
tests will show that the patient's:
,(a) T4 level decreased, and TSH level increased.
(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased. - Answer-(a) T4
level decreased, and TSH level increased.
A 68-year-old patient has sustained an unintended weight loss of 15 lb
(6.8 kg) over the last two months but reports feeling well. The patient's
problems include depression, tobacco abuse, obesity, and dyslipidemia.
His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and
famotidine (Pepcid). The adult-gerontology primary care nurse
practitioner performs which THREE actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone. - Answer-(b) Conducts a
depression screening.
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic - Answer-(a) normochromic normocytic
, A 14-year-old, male patient has some general concerns about eczema, as
his twin brother was recently diagnosed with this condition. The patient
reports urticaria and a rash on his posterior knees bilaterally. The three
factors that put the patient at risk for eczema are a family history of
eczema, a personal history of allergic rhinitis, and a history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis - Answer-(a) asthma
A patient has hyperactive reflexes of the lower extremities. The adult-
gerontology primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(b) flexing the leg at the knee, rotating it externally, and striking the
Achilles tendon with the percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position while
supporting the knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the
foot with the sharp end of the percussion hammer. - Answer-(c) sharply
dorsiflexing the foot and maintaining this position while supporting the
knee.
A 70-year-old, female patient is having her yearly evaluation. The adult-
gerontology primary care nurse practitioner gives which physical
examination finding the highest priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
2026/2027 Exam Prep Test Bank with 150 most recent
exam questions and correct verified answers/ ANCC FNP
exam Prep Latest
The adult-gerontology primary care nurse practitioner plans to provide
smoking cessation education at a community center to older adults and
their families. The nurse practitioner designs the program based on
knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger
smokers.
(d) receive more instruction to quit from health care providers than
younger smokers. - Answer-(b) are more likely to be successful at
quitting than younger smokers.
An 84-year-old patient arrives at the office for an initial visit. The
patient questions the need for colorectal screening, since 10 years have
passed since the last colonoscopy. The adult-gerontology primary care
nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - Answer-(d) watchful waiting.
To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient with
swelling in the lower extremities?
,(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. - Answer-(b) Brain natriuretic peptide test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count. - Answer-(a) Liver function studies.
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term history of
multiple sexual partners. The patient's physical examination reveals
abdominal tenderness with icteric sclerae and skin. Which laboratory
test confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - Answer-(d) Surface antigen.
For two to three months, a 78-year-old patient has not been taking
levothyroxine (Synthroid) as prescribed. The patient now has symptoms
of increasing constipation, lethargy, and weakness. The adult-
gerontology primary care nurse practitioner anticipates that laboratory
tests will show that the patient's:
,(a) T4 level decreased, and TSH level increased.
(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased. - Answer-(a) T4
level decreased, and TSH level increased.
A 68-year-old patient has sustained an unintended weight loss of 15 lb
(6.8 kg) over the last two months but reports feeling well. The patient's
problems include depression, tobacco abuse, obesity, and dyslipidemia.
His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and
famotidine (Pepcid). The adult-gerontology primary care nurse
practitioner performs which THREE actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone. - Answer-(b) Conducts a
depression screening.
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic - Answer-(a) normochromic normocytic
, A 14-year-old, male patient has some general concerns about eczema, as
his twin brother was recently diagnosed with this condition. The patient
reports urticaria and a rash on his posterior knees bilaterally. The three
factors that put the patient at risk for eczema are a family history of
eczema, a personal history of allergic rhinitis, and a history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis - Answer-(a) asthma
A patient has hyperactive reflexes of the lower extremities. The adult-
gerontology primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(b) flexing the leg at the knee, rotating it externally, and striking the
Achilles tendon with the percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position while
supporting the knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the
foot with the sharp end of the percussion hammer. - Answer-(c) sharply
dorsiflexing the foot and maintaining this position while supporting the
knee.
A 70-year-old, female patient is having her yearly evaluation. The adult-
gerontology primary care nurse practitioner gives which physical
examination finding the highest priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
