ANCC FNP Board Exam Newest 2026/2027 Actual
Exam| ANCC Family Nurse Practitioner (Fnp-Bc™)
Certification Exam With Complete 350 Real Exam
Questions And Correct Verified Answers/ Already
Graded A+
350 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Cardiovascular
2 Respiratory
3 Endocrine
4 Gastrointestinal
5 Musculoskeletal
6 Dermatology
7 Women’s Health
8 Men’s Health
9 Pediatrics
10 Geriatrics
11 Mental Health
12 Infectious Disease
13 Professional Role
,Q1
A 55-year-old male with hypertension and diabetes has a blood pressure of 145/90 mmHg.
According to JNC 8, what is the target blood pressure for this patient?
A) <140/90 mmHg
B) <130/80 mmHg CORRECT
C) <150/90 mmHg
D) <120/70 mmHg
Rationale
For patients with diabetes or CKD, JNC 8 recommends a target BP <130/80 mmHg.
Q2
A 62-year-old female presents with fatigue, weight gain, and cold intolerance. TSH is elevated and
free T4 is low. What is the most likely diagnosis?
A) Hyperthyroidism
B) Hypothyroidism CORRECT
C) Subclinical hyperthyroidism
D) Euthyroid sick syndrome
Rationale
Elevated TSH with low free T4 indicates primary hypothyroidism.
Q3
A 45-year-old male with a BMI of 32 has a fasting glucose of 110 mg/dL and A1c of 6.0%. What is
the diagnosis?
A) Type 2 diabetes
B) Prediabetes CORRECT
C) Normal glucose tolerance
2
,D) Type 1 diabetes
Rationale
A1c 5.7-6.4% and fasting glucose 100-125 mg/dL indicate prediabetes.
Q4
A 28-year-old female presents with dysuria, frequency, and suprapubic pain. Urinalysis shows
leukocytes and nitrites. What is the first-line treatment?
A) Ciprofloxacin
B) Nitrofurantoin CORRECT
C) Amoxicillin
D) Doxycycline
Rationale
Nitrofurantoin is first-line for uncomplicated cystitis.
Q5
A 70-year-old male with COPD presents with increased dyspnea and purulent sputum. What is the
most appropriate antibiotic?
A) Amoxicillin
B) Doxycycline CORRECT
C) Cephalexin
D) Trimethoprim-sulfamethoxazole
Rationale
Doxycycline or macrolides are first-line for outpatient COPD exacerbation without risk factors.
3
, Q6
A 35-year-old female requests contraception. She has a history of migraine with aura. Which
contraceptive is contraindicated?
A) Progestin-only pill
B) Combined oral contraceptive CORRECT
C) Copper IUD
D) Levonorgestrel IUD
Rationale
Estrogen-containing contraceptives increase stroke risk in migraine with aura.
Q7
A 50-year-old male presents with a painless lump in the right testicle. What is the next step?
A) Scrotal ultrasound CORRECT
B) Scrotal ultrasound
C) Biopsy
D) CT abdomen
Rationale
Ultrasound is the initial imaging for suspected testicular mass.
Q8
A 65-year-old female with osteoporosis has a T-score of −2.8. What is the first-line medication?
A) Raloxifene
B) Alendronate CORRECT
C) Teriparatide
D) Denosumab
4
Exam| ANCC Family Nurse Practitioner (Fnp-Bc™)
Certification Exam With Complete 350 Real Exam
Questions And Correct Verified Answers/ Already
Graded A+
350 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Cardiovascular
2 Respiratory
3 Endocrine
4 Gastrointestinal
5 Musculoskeletal
6 Dermatology
7 Women’s Health
8 Men’s Health
9 Pediatrics
10 Geriatrics
11 Mental Health
12 Infectious Disease
13 Professional Role
,Q1
A 55-year-old male with hypertension and diabetes has a blood pressure of 145/90 mmHg.
According to JNC 8, what is the target blood pressure for this patient?
A) <140/90 mmHg
B) <130/80 mmHg CORRECT
C) <150/90 mmHg
D) <120/70 mmHg
Rationale
For patients with diabetes or CKD, JNC 8 recommends a target BP <130/80 mmHg.
Q2
A 62-year-old female presents with fatigue, weight gain, and cold intolerance. TSH is elevated and
free T4 is low. What is the most likely diagnosis?
A) Hyperthyroidism
B) Hypothyroidism CORRECT
C) Subclinical hyperthyroidism
D) Euthyroid sick syndrome
Rationale
Elevated TSH with low free T4 indicates primary hypothyroidism.
Q3
A 45-year-old male with a BMI of 32 has a fasting glucose of 110 mg/dL and A1c of 6.0%. What is
the diagnosis?
A) Type 2 diabetes
B) Prediabetes CORRECT
C) Normal glucose tolerance
2
,D) Type 1 diabetes
Rationale
A1c 5.7-6.4% and fasting glucose 100-125 mg/dL indicate prediabetes.
Q4
A 28-year-old female presents with dysuria, frequency, and suprapubic pain. Urinalysis shows
leukocytes and nitrites. What is the first-line treatment?
A) Ciprofloxacin
B) Nitrofurantoin CORRECT
C) Amoxicillin
D) Doxycycline
Rationale
Nitrofurantoin is first-line for uncomplicated cystitis.
Q5
A 70-year-old male with COPD presents with increased dyspnea and purulent sputum. What is the
most appropriate antibiotic?
A) Amoxicillin
B) Doxycycline CORRECT
C) Cephalexin
D) Trimethoprim-sulfamethoxazole
Rationale
Doxycycline or macrolides are first-line for outpatient COPD exacerbation without risk factors.
3
, Q6
A 35-year-old female requests contraception. She has a history of migraine with aura. Which
contraceptive is contraindicated?
A) Progestin-only pill
B) Combined oral contraceptive CORRECT
C) Copper IUD
D) Levonorgestrel IUD
Rationale
Estrogen-containing contraceptives increase stroke risk in migraine with aura.
Q7
A 50-year-old male presents with a painless lump in the right testicle. What is the next step?
A) Scrotal ultrasound CORRECT
B) Scrotal ultrasound
C) Biopsy
D) CT abdomen
Rationale
Ultrasound is the initial imaging for suspected testicular mass.
Q8
A 65-year-old female with osteoporosis has a T-score of −2.8. What is the first-line medication?
A) Raloxifene
B) Alendronate CORRECT
C) Teriparatide
D) Denosumab
4
