ANCC FNP Exam Review, Questions And Answers,
Latest Update 2025, Score 100%.
The posterior fontanel should be completely closed by: - ANSWER-3 months
On auscultation of the chest, a split s2 is best heard at:
A: 2 ICS, right sternal border
B: 2 ICS, Left sternal border
C: 5th ICS, midclavicular line
D: 4 ICS, left sternal border - ANSWER-2nd ICS left sternal border
The most common type of skin malignancy in the united states is:
A: squamous cell skin cancer
B: Basal cell carcinoma
C: Melanoma
D: dysplastic nevi - ANSWER-Basal Cell Carcinoma
All of the following patients have an increased risk of developing adverse effects from metformin
(Glucophage) except:
A: pts with renal disease
B: pts with hypoxia
C: Obese pts
D: pts who are alcoholics - ANSWER-obese patients
Which of the following classes of drugs is implicated with blunting the signs and symptoms of
hypoglycemia in diabetics?
A; CCB
B: Diuretics
C: Beta Blockers
D: ARB - ANSWER-Beta blockers
All of the following factors increase the risk of mortality for patients diagnosed w/ bacterial
pneumonia except:
A: alcoholism
B: very young/old
C: Multiple lobar involvement
D: hypertension - ANSWER-Hypertension
The bacterium responsible for the highest mortality for pts with community-acquired pneumonia is:
A: streptococcus pneumoniae
B: mycoplasma pneumoniae
C: Moraxella catarrhalis
D: Haemophilus influenzae - ANSWER-Streptococcus pneumoniae
What is the least common pathogen found in CAP?
A: moraxella catarrhalis
B: Streptococcus pneumoniae
C: pseudomonas aeruginosa
D: mycoplasma pneumonia - ANSWER-Pseudomonas Aeruginosa
The following statements are true about Wilms' tumor EXCEPT:
A: the most frequent clinical sign is a palpable abdominal mass
B: it is a congenital tumor of the kidneys
, C: microscopic or gross hematuria is sometimes present
D: the tumor commonly crosses the midline of the abdomen when it is discovered. - ANSWER-the
tumor commonly crosses the midline of the abdomen when it is discovered.
a 40-year old cashier complains of periods of dizziness and palpitations that have a sudden onset. The
EKG shows P waves before each QRS complex and a heart rate of 170beats/min. A carotid massage
decreases the heart rate to 80bpm. These findings best describe?
A: ventricular tachycardia
B: paroxysmal atrial tachycardia
C: afib
D: vfib - ANSWER-Paroxysmal atrial tachycardia
Which of the following drug classes is indicated for initial tx of an uncomplicated case of helicobacter
pylori- negative peptic ulcer?
A: PPI
B: H2 receptor antagonists
C: antibiotics
D: antacids - ANSWER-H2 Receptor antagonists
Which of the following is correct regarding the best site to listen for mitral regurgitation ?
A it is best heard in the apical area during S2
B: it is best heard at the base during S1
C: it is best heard at the apex during S1
D: it is best heard at the base during S2. - ANSWER-it is best heard at the apex during S1
Orchitis is caused by which of the following?>
A: mumps virus
B: measles virus
C: chlamydia trachomatis
D: chronic UTI that are not treated adequately - ANSWER-Mumps Virus
all of the following drugs interfere with the metabolism of oral contraceptives except:
A: tetracycline
B: rifampin
C: phenytoin (Dilantin)
D: ciprofloxacin - ANSWER-Ciprofloxacin
which of the following is the most common cause of nongonococcal urethritis?
A: ecoli
B: chlamydia trachomatis
C: neisseria gonorrhoeae
D: mycoplasma genitalium - ANSWER-Chlamydia trachomatis
A 35-year old sexually active man presents with a 1-week hx of fever and pain over the left scrotum. It
is accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He denies
flank pain, nausea, and vomiting. He reports that the pain is lessened when he uses scrotal-support
briefs. The urinalysis shows 2+ blood and a large number of leukocytes. What is the likely diagnosis?
A: acute UTI
B: acute pyelonephritis
C: acute orchitis
D: acute epididymitis - ANSWER-Acute epididymitis
a kindergarten teacher is dx'd with acute streptococcal pharyngitis. On exam, her throat is a bright-
red color with no tonsillar exudate, and clear mucus is seen on the lower nasal turbinates. The
urinalysis shows a large amount of white blood cells and is positive for nitrites. The patient has a sulfa
allergy and thinks she is also allergic to PCN. Which of the following is the best tx chocie?
A: augmentin 500mg PO BID
Latest Update 2025, Score 100%.
The posterior fontanel should be completely closed by: - ANSWER-3 months
On auscultation of the chest, a split s2 is best heard at:
A: 2 ICS, right sternal border
B: 2 ICS, Left sternal border
C: 5th ICS, midclavicular line
D: 4 ICS, left sternal border - ANSWER-2nd ICS left sternal border
The most common type of skin malignancy in the united states is:
A: squamous cell skin cancer
B: Basal cell carcinoma
C: Melanoma
D: dysplastic nevi - ANSWER-Basal Cell Carcinoma
All of the following patients have an increased risk of developing adverse effects from metformin
(Glucophage) except:
A: pts with renal disease
B: pts with hypoxia
C: Obese pts
D: pts who are alcoholics - ANSWER-obese patients
Which of the following classes of drugs is implicated with blunting the signs and symptoms of
hypoglycemia in diabetics?
A; CCB
B: Diuretics
C: Beta Blockers
D: ARB - ANSWER-Beta blockers
All of the following factors increase the risk of mortality for patients diagnosed w/ bacterial
pneumonia except:
A: alcoholism
B: very young/old
C: Multiple lobar involvement
D: hypertension - ANSWER-Hypertension
The bacterium responsible for the highest mortality for pts with community-acquired pneumonia is:
A: streptococcus pneumoniae
B: mycoplasma pneumoniae
C: Moraxella catarrhalis
D: Haemophilus influenzae - ANSWER-Streptococcus pneumoniae
What is the least common pathogen found in CAP?
A: moraxella catarrhalis
B: Streptococcus pneumoniae
C: pseudomonas aeruginosa
D: mycoplasma pneumonia - ANSWER-Pseudomonas Aeruginosa
The following statements are true about Wilms' tumor EXCEPT:
A: the most frequent clinical sign is a palpable abdominal mass
B: it is a congenital tumor of the kidneys
, C: microscopic or gross hematuria is sometimes present
D: the tumor commonly crosses the midline of the abdomen when it is discovered. - ANSWER-the
tumor commonly crosses the midline of the abdomen when it is discovered.
a 40-year old cashier complains of periods of dizziness and palpitations that have a sudden onset. The
EKG shows P waves before each QRS complex and a heart rate of 170beats/min. A carotid massage
decreases the heart rate to 80bpm. These findings best describe?
A: ventricular tachycardia
B: paroxysmal atrial tachycardia
C: afib
D: vfib - ANSWER-Paroxysmal atrial tachycardia
Which of the following drug classes is indicated for initial tx of an uncomplicated case of helicobacter
pylori- negative peptic ulcer?
A: PPI
B: H2 receptor antagonists
C: antibiotics
D: antacids - ANSWER-H2 Receptor antagonists
Which of the following is correct regarding the best site to listen for mitral regurgitation ?
A it is best heard in the apical area during S2
B: it is best heard at the base during S1
C: it is best heard at the apex during S1
D: it is best heard at the base during S2. - ANSWER-it is best heard at the apex during S1
Orchitis is caused by which of the following?>
A: mumps virus
B: measles virus
C: chlamydia trachomatis
D: chronic UTI that are not treated adequately - ANSWER-Mumps Virus
all of the following drugs interfere with the metabolism of oral contraceptives except:
A: tetracycline
B: rifampin
C: phenytoin (Dilantin)
D: ciprofloxacin - ANSWER-Ciprofloxacin
which of the following is the most common cause of nongonococcal urethritis?
A: ecoli
B: chlamydia trachomatis
C: neisseria gonorrhoeae
D: mycoplasma genitalium - ANSWER-Chlamydia trachomatis
A 35-year old sexually active man presents with a 1-week hx of fever and pain over the left scrotum. It
is accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He denies
flank pain, nausea, and vomiting. He reports that the pain is lessened when he uses scrotal-support
briefs. The urinalysis shows 2+ blood and a large number of leukocytes. What is the likely diagnosis?
A: acute UTI
B: acute pyelonephritis
C: acute orchitis
D: acute epididymitis - ANSWER-Acute epididymitis
a kindergarten teacher is dx'd with acute streptococcal pharyngitis. On exam, her throat is a bright-
red color with no tonsillar exudate, and clear mucus is seen on the lower nasal turbinates. The
urinalysis shows a large amount of white blood cells and is positive for nitrites. The patient has a sulfa
allergy and thinks she is also allergic to PCN. Which of the following is the best tx chocie?
A: augmentin 500mg PO BID
