ANCC FNP BOARD 2026 QUESTIONS AND WELL DETAILED
ANSWERS
You have a 35-year-old female patient who is complaining of wrist pain. She is an
administrative assistant who does a great deal of computer work in her job. You will test
her for carpal tunnel syndrome. When you tap at the volar surface of the wrist you are
performing which of the following tests? - ANSWER>>Tinel's sign
A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the following? -
ANSWER>>Zollinger-Ellison syndrome
A 16-year-old male is in the office. He has a insect bite on his left forearm and you
suspect a brown recluse spider bite. What medical management would you provide? -
ANSWER>>ice pack and elevation of the area
In addition to being overweight, the American Diabetes Association recommends type 2
diabetes mellitus testing in adults who: - ANSWER>>have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? - ANSWER>>-
absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic heart
failure are accurate EXCEPT: - ANSWER>>-The preponderance is in females until the
age of 75, then there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP plans
to prescribe Benadryl for this. What is a possible adverse effect with the use of Benadryl
for this patient? - ANSWER>>urinary retention
You are testing a client suspected of having Parkinson's disease. You support the
client's elbow with his forearm extended in your hand and grasp his wrist, flexing the
forearm. You find rigid resistance to this motion. This is considered which of the
following? - ANSWER>>cogwheeling
The complex network of nerve fibers that innervate the organs within the abdomen like
the gastrointestinal tract, pancreas, and gall bladder is the - ANSWER>>enteric nervous
system
, Aplastic anemia would be classified as which of the following? - ANSWER>>normocytic
anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is
known for which of the following? - ANSWER>>developing the "baby journal" as a
systematic method to document observed behavioral development
Your patient has AIDS. He is in the hospital suffering from an infection. He presented
with severe watery diarrhea, abdominal cramps, nausea, malaise and has an electrolyte
imbalance. Which of the following opportunistic infections do these symptoms best
describe? - ANSWER>>cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as many as 30-40
stools per day. The patient also has abdominal cramps, nausea, malaise and tests will
show an electrolyte balance.
A patient with sensitive skin had a TB skin test but has no symptoms. He returns with
redness and swelling that appears positive. What is the next step? -
ANSWER>>Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients. Which of the
following would not be considered crossing one of these boundaries? - ANSWER>>Not
sharing personal information with the patient
The United States Preventive Services Task Force recommends screening older
patients for depression: - ANSWER>>at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral route from
contaminated food? - ANSWER>>Hep A
Which of the following is a normal physiologic change during pregnancy? -
ANSWER>>-Cardiac output increases by 1/3 by the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
If a patient is diagnosed with left-heart failure, which of the following medications would
the nurse practitioner more than likely use for treatment? - ANSWER>>Lasix
When counseling patients who smoke cigarettes, which of the following is NOT good
management advice? - ANSWER>>For asymptomatic adults, instruct the patient on
how it is easier to stop now than when symptomatic.
According to Prochaska and DiClemente, the 5 stages of preparation for patient change
would include which of the following? - ANSWER>>Action
ANSWERS
You have a 35-year-old female patient who is complaining of wrist pain. She is an
administrative assistant who does a great deal of computer work in her job. You will test
her for carpal tunnel syndrome. When you tap at the volar surface of the wrist you are
performing which of the following tests? - ANSWER>>Tinel's sign
A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the following? -
ANSWER>>Zollinger-Ellison syndrome
A 16-year-old male is in the office. He has a insect bite on his left forearm and you
suspect a brown recluse spider bite. What medical management would you provide? -
ANSWER>>ice pack and elevation of the area
In addition to being overweight, the American Diabetes Association recommends type 2
diabetes mellitus testing in adults who: - ANSWER>>have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? - ANSWER>>-
absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic heart
failure are accurate EXCEPT: - ANSWER>>-The preponderance is in females until the
age of 75, then there is equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP plans
to prescribe Benadryl for this. What is a possible adverse effect with the use of Benadryl
for this patient? - ANSWER>>urinary retention
You are testing a client suspected of having Parkinson's disease. You support the
client's elbow with his forearm extended in your hand and grasp his wrist, flexing the
forearm. You find rigid resistance to this motion. This is considered which of the
following? - ANSWER>>cogwheeling
The complex network of nerve fibers that innervate the organs within the abdomen like
the gastrointestinal tract, pancreas, and gall bladder is the - ANSWER>>enteric nervous
system
, Aplastic anemia would be classified as which of the following? - ANSWER>>normocytic
anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is
known for which of the following? - ANSWER>>developing the "baby journal" as a
systematic method to document observed behavioral development
Your patient has AIDS. He is in the hospital suffering from an infection. He presented
with severe watery diarrhea, abdominal cramps, nausea, malaise and has an electrolyte
imbalance. Which of the following opportunistic infections do these symptoms best
describe? - ANSWER>>cryptosporidiosis
Cryptosporidiosis presents with severe watery diarrhea - sometimes as many as 30-40
stools per day. The patient also has abdominal cramps, nausea, malaise and tests will
show an electrolyte balance.
A patient with sensitive skin had a TB skin test but has no symptoms. He returns with
redness and swelling that appears positive. What is the next step? -
ANSWER>>Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients. Which of the
following would not be considered crossing one of these boundaries? - ANSWER>>Not
sharing personal information with the patient
The United States Preventive Services Task Force recommends screening older
patients for depression: - ANSWER>>at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral route from
contaminated food? - ANSWER>>Hep A
Which of the following is a normal physiologic change during pregnancy? -
ANSWER>>-Cardiac output increases by 1/3 by the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
If a patient is diagnosed with left-heart failure, which of the following medications would
the nurse practitioner more than likely use for treatment? - ANSWER>>Lasix
When counseling patients who smoke cigarettes, which of the following is NOT good
management advice? - ANSWER>>For asymptomatic adults, instruct the patient on
how it is easier to stop now than when symptomatic.
According to Prochaska and DiClemente, the 5 stages of preparation for patient change
would include which of the following? - ANSWER>>Action
