ANCC POST EXAM QUESTIONS AND 100% CORRECT
ANSWERS 2025 RATED A+
A 43-year-old male recently underwent three months worth of lifestyle
interventions but only had a moderate change in overall blood
pressure readings at home. At today's visit, his blood pressure is
consistent with his home readings, and is 138/85. The nurse
practitioner knows that according to the AHA guidelines, we should
begin initiating medications for a stage 1 hypertensive patient at what
ASCVD cutoff point?
A. 7.5% Incorrect
B. 10% Correct
C. 15% Incorrect
D. 20%: 10%
A middle-aged female presents to your clinic today. She has a history
of smoking, hypertension, type II diabetes, and osteoporosis. She has
been on lisinopril (Prinvil) 10 mg daily for the past five years and
metformin (Glu- cophage) 500 mg twice daily. Upon your physical exam
you notice asymmetric, non-pitting swelling around her upper lip
which the patient states started yesterday night and is painless. She
also reports diffuse abdominal pain and diarrhea. The rest of the
physical exam was benign. Her fasting blood glucose is 130. Her vital
signs are as follows: BP: 141/87 mmHg, HR: 92 bpm, RR: 12 breaths
per minute, O2: 96% on room air. What is the most important thing for
the nurse practitioner to do?
A. Assess her readiness for smoking cessation Incorrect
B. Add chlorthalidone (Chlorthalid) for hypertension control because
she has osteoporosis Incorrect
C. Order abdominal CT scan Incorrect
D. Discontinue her lisin: Discontinue her lisinopril (Prinivil)
A patient calls the office complaining of a sudden onset of "cobweb
like lines" moving in and out of her central vision in the right eye. She
,is not in any pain and is asking if she needs to come in and be seen.
What should the nurse practitioner advise her to do?
A. Refer to ophthalmology immediately Correct
B. Lay down in a dark room, close her eyes, and wait for it to improve
Incorrect
C. Come into your office to be assessed this afternoon Incorrect
D. Pick up prescription for antibiotic eye drops at her pharmacy: Refer
to ophthal- mology immediately
A group of new nurse practitioners are evaluating the strength of
evidence of some new asthma guidelines. Which of the following would
be at the bottom of the hierarchy of evidence?
A. Systematic review Incorrect
B. Editorial Correct
C. Cohort study Incorrect
D. Randomized controlled trial: Editorial
A 55-year-old male patient reports increasing issues with erectile
dysfunc- tion over the last six months. He is requesting to be placed on
tadalafil (Cialis) for control of this condition. Which of the following is
critical for the nurse practitioner to order prior to prescribing this
medication?
A. Complete metabolic profile Incorrect
B. Echocardiogram Incorrect
C. EKG Correct
D. Complete blood count: EKG
You are performing an annual exam and pap smear on a 39-year-old
woman who states she has never had a mammogram before. A close
friend of hers was just diagnosed with breast cancer and she is
wanting to know more about her risk and when she should begin
screening. What in her history would be considered a risk factor for
breast cancer?
A. She is 39 years old Incorrect
,B. Her only child is a step daughter Correct
C. She started menarche at age 13 Incorrect
D. Her great grandmother was diagnosed with breast cancer at age 68:
Her only child is a step daughter
You recently diagnosed your patient with sciatica. You ask the patient
to perform the squat and rise exam, and you found that there is a
diminished knee jerk. Which of the following is the root cause of his
sciatica based on this finding?
A. L3 Incorrect
B. L4 Correct
C. L5 Incorrect
D. S1: L4
You are assessing a patient for acute abdominal pain. With the patient
supine and right knee flexed, you perform inward rotation on the
patient's hip. What maneuver is this and what are you assessing for?
A. Iliopsoas/psoas sign to assess for appendicitis Incorrect
B. Obturator sign to assess for cholecystitis Incorrect
C. Rovsing's sign to assess for appendicitis Incorrect
D. Obturator sign to assess for appendicitis: Obturator sign to assess for
appendici- tis
An 85-year-old woman presents to the clinic today for a follow up x-
ray. She states that she had x-rays completed 11 days after a fall at
home but the imaging was negative at that time. Due to the nature of
her fall, she was instructed to come in for an additional set of x-rays if
the pain persisted. The nurse practitioner knows that if this patient
has a fracture today, it is most likely which of the following?
A. ACL tear Incorrect
B. Ankle sprain Incorrect
C. Scaphoid fracture Correct
, D. Metatarsal fracture: Scaphoid fracture
Your 63-year-old male patient with vague abdominal pain has a
triglyceride level of 899. Which of the following clinical signs would be
most concerning given this lab value?
A. Markle sign Incorrect
B. Chvostek's sign Incorrect
C. Cullen's sign Correct
D. Blumberg sign: Cullen's sign
Patients with polycystic ovarian syndrome (PCOS) may develop all of
the following except:
A. Insulin resistance Incorrect
B. Hyperlipidemia Incorrect
C. Endometrial cancer Incorrect
D. Breast cancer: Breast cancer
Upon a digital rectal examination, the nurse practitioner notes a warm
and boggy prostate. This finding is consistent with which diagnosis?
A. Prostatitis Correct
B. Benign prostatic hyperplasia (BPH) Incorrect
C. Prostate cancer Incorrect
D. Epididymitis: Prostatitis
A 67-year-old male patient is currently being treated for benign
prostatic hyperplasia. He is concerned that his finasteride (Proscar) is
not adequately treating his symptoms. Which of the following
questions is most important to ask this patient to do a further
assessment?
A. How long have you been taking this medication?
Correct
B. Do you also have a history of erectile dysfunction? Incorrect
C. Are you taking herbal supplements with your medication? Incorrect
ANSWERS 2025 RATED A+
A 43-year-old male recently underwent three months worth of lifestyle
interventions but only had a moderate change in overall blood
pressure readings at home. At today's visit, his blood pressure is
consistent with his home readings, and is 138/85. The nurse
practitioner knows that according to the AHA guidelines, we should
begin initiating medications for a stage 1 hypertensive patient at what
ASCVD cutoff point?
A. 7.5% Incorrect
B. 10% Correct
C. 15% Incorrect
D. 20%: 10%
A middle-aged female presents to your clinic today. She has a history
of smoking, hypertension, type II diabetes, and osteoporosis. She has
been on lisinopril (Prinvil) 10 mg daily for the past five years and
metformin (Glu- cophage) 500 mg twice daily. Upon your physical exam
you notice asymmetric, non-pitting swelling around her upper lip
which the patient states started yesterday night and is painless. She
also reports diffuse abdominal pain and diarrhea. The rest of the
physical exam was benign. Her fasting blood glucose is 130. Her vital
signs are as follows: BP: 141/87 mmHg, HR: 92 bpm, RR: 12 breaths
per minute, O2: 96% on room air. What is the most important thing for
the nurse practitioner to do?
A. Assess her readiness for smoking cessation Incorrect
B. Add chlorthalidone (Chlorthalid) for hypertension control because
she has osteoporosis Incorrect
C. Order abdominal CT scan Incorrect
D. Discontinue her lisin: Discontinue her lisinopril (Prinivil)
A patient calls the office complaining of a sudden onset of "cobweb
like lines" moving in and out of her central vision in the right eye. She
,is not in any pain and is asking if she needs to come in and be seen.
What should the nurse practitioner advise her to do?
A. Refer to ophthalmology immediately Correct
B. Lay down in a dark room, close her eyes, and wait for it to improve
Incorrect
C. Come into your office to be assessed this afternoon Incorrect
D. Pick up prescription for antibiotic eye drops at her pharmacy: Refer
to ophthal- mology immediately
A group of new nurse practitioners are evaluating the strength of
evidence of some new asthma guidelines. Which of the following would
be at the bottom of the hierarchy of evidence?
A. Systematic review Incorrect
B. Editorial Correct
C. Cohort study Incorrect
D. Randomized controlled trial: Editorial
A 55-year-old male patient reports increasing issues with erectile
dysfunc- tion over the last six months. He is requesting to be placed on
tadalafil (Cialis) for control of this condition. Which of the following is
critical for the nurse practitioner to order prior to prescribing this
medication?
A. Complete metabolic profile Incorrect
B. Echocardiogram Incorrect
C. EKG Correct
D. Complete blood count: EKG
You are performing an annual exam and pap smear on a 39-year-old
woman who states she has never had a mammogram before. A close
friend of hers was just diagnosed with breast cancer and she is
wanting to know more about her risk and when she should begin
screening. What in her history would be considered a risk factor for
breast cancer?
A. She is 39 years old Incorrect
,B. Her only child is a step daughter Correct
C. She started menarche at age 13 Incorrect
D. Her great grandmother was diagnosed with breast cancer at age 68:
Her only child is a step daughter
You recently diagnosed your patient with sciatica. You ask the patient
to perform the squat and rise exam, and you found that there is a
diminished knee jerk. Which of the following is the root cause of his
sciatica based on this finding?
A. L3 Incorrect
B. L4 Correct
C. L5 Incorrect
D. S1: L4
You are assessing a patient for acute abdominal pain. With the patient
supine and right knee flexed, you perform inward rotation on the
patient's hip. What maneuver is this and what are you assessing for?
A. Iliopsoas/psoas sign to assess for appendicitis Incorrect
B. Obturator sign to assess for cholecystitis Incorrect
C. Rovsing's sign to assess for appendicitis Incorrect
D. Obturator sign to assess for appendicitis: Obturator sign to assess for
appendici- tis
An 85-year-old woman presents to the clinic today for a follow up x-
ray. She states that she had x-rays completed 11 days after a fall at
home but the imaging was negative at that time. Due to the nature of
her fall, she was instructed to come in for an additional set of x-rays if
the pain persisted. The nurse practitioner knows that if this patient
has a fracture today, it is most likely which of the following?
A. ACL tear Incorrect
B. Ankle sprain Incorrect
C. Scaphoid fracture Correct
, D. Metatarsal fracture: Scaphoid fracture
Your 63-year-old male patient with vague abdominal pain has a
triglyceride level of 899. Which of the following clinical signs would be
most concerning given this lab value?
A. Markle sign Incorrect
B. Chvostek's sign Incorrect
C. Cullen's sign Correct
D. Blumberg sign: Cullen's sign
Patients with polycystic ovarian syndrome (PCOS) may develop all of
the following except:
A. Insulin resistance Incorrect
B. Hyperlipidemia Incorrect
C. Endometrial cancer Incorrect
D. Breast cancer: Breast cancer
Upon a digital rectal examination, the nurse practitioner notes a warm
and boggy prostate. This finding is consistent with which diagnosis?
A. Prostatitis Correct
B. Benign prostatic hyperplasia (BPH) Incorrect
C. Prostate cancer Incorrect
D. Epididymitis: Prostatitis
A 67-year-old male patient is currently being treated for benign
prostatic hyperplasia. He is concerned that his finasteride (Proscar) is
not adequately treating his symptoms. Which of the following
questions is most important to ask this patient to do a further
assessment?
A. How long have you been taking this medication?
Correct
B. Do you also have a history of erectile dysfunction? Incorrect
C. Are you taking herbal supplements with your medication? Incorrect
