ANCC FNP Board Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the best first-line treatment for mild to moderate allergic rhinitis?
✔✔Intranasal corticosteroids.
What should a family nurse practitioner monitor in a patient on long-term amiodarone therapy?
✔✔Thyroid function and liver enzymes.
What is the most appropriate screening test for colorectal cancer in average-risk adults starting at
age 45?
✔✔Fecal immunochemical test (FIT) annually.
What is a red flag symptom in a patient presenting with new-onset headache?
✔✔Sudden onset described as “worst headache of my life.”
What is the primary treatment for a child diagnosed with acute otitis media and no penicillin
allergy?
1
,✔✔Amoxicillin.
What lab value should be monitored in a patient taking lisinopril?
✔✔Serum potassium.
What is the next step if a Pap test shows ASC-US and the patient is HPV-positive?
✔✔Refer for colposcopy.
What should a nurse practitioner recommend for smoking cessation in a pregnant woman?
✔✔Behavioral therapy and counseling.
What is a hallmark finding in iron deficiency anemia?
✔✔Microcytic, hypochromic red blood cells.
What is the most appropriate action for a 2-year-old with no verbal communication?
✔✔Refer for speech and hearing evaluation.
What is the most common cause of bronchiolitis in infants?
2
,✔✔Respiratory syncytial virus (RSV).
What is a key symptom of generalized anxiety disorder?
✔✔Excessive worry for more days than not over at least six months.
What vaccination is contraindicated in pregnancy?
✔✔MMR (measles, mumps, rubella).
What is the diagnostic test of choice for suspected deep vein thrombosis?
✔✔Venous Doppler ultrasound.
What is the first-line treatment for uncomplicated urinary tract infection in women?
✔✔Nitrofurantoin.
What is the gold standard test for diagnosing diabetes mellitus?
✔✔Fasting plasma glucose ≥126 mg/dL on two separate occasions.
What is the recommended screening for hyperlipidemia in healthy adults?
3
, ✔✔Every 5 years starting at age 20.
What is the most appropriate treatment for a child with streptococcal pharyngitis?
✔✔Penicillin V.
What intervention is most appropriate for a patient with BMI of 36 and poorly controlled
hypertension?
✔✔Refer for weight loss management and dietary counseling.
What finding indicates diabetic retinopathy on fundoscopic exam?
✔✔Cotton wool spots and microaneurysms.
What is the best management for a patient with newly diagnosed stage 1 hypertension?
✔✔Lifestyle modifications for 3-6 months.
What lab result confirms a diagnosis of hypothyroidism?
✔✔Elevated TSH and low free T4.
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the best first-line treatment for mild to moderate allergic rhinitis?
✔✔Intranasal corticosteroids.
What should a family nurse practitioner monitor in a patient on long-term amiodarone therapy?
✔✔Thyroid function and liver enzymes.
What is the most appropriate screening test for colorectal cancer in average-risk adults starting at
age 45?
✔✔Fecal immunochemical test (FIT) annually.
What is a red flag symptom in a patient presenting with new-onset headache?
✔✔Sudden onset described as “worst headache of my life.”
What is the primary treatment for a child diagnosed with acute otitis media and no penicillin
allergy?
1
,✔✔Amoxicillin.
What lab value should be monitored in a patient taking lisinopril?
✔✔Serum potassium.
What is the next step if a Pap test shows ASC-US and the patient is HPV-positive?
✔✔Refer for colposcopy.
What should a nurse practitioner recommend for smoking cessation in a pregnant woman?
✔✔Behavioral therapy and counseling.
What is a hallmark finding in iron deficiency anemia?
✔✔Microcytic, hypochromic red blood cells.
What is the most appropriate action for a 2-year-old with no verbal communication?
✔✔Refer for speech and hearing evaluation.
What is the most common cause of bronchiolitis in infants?
2
,✔✔Respiratory syncytial virus (RSV).
What is a key symptom of generalized anxiety disorder?
✔✔Excessive worry for more days than not over at least six months.
What vaccination is contraindicated in pregnancy?
✔✔MMR (measles, mumps, rubella).
What is the diagnostic test of choice for suspected deep vein thrombosis?
✔✔Venous Doppler ultrasound.
What is the first-line treatment for uncomplicated urinary tract infection in women?
✔✔Nitrofurantoin.
What is the gold standard test for diagnosing diabetes mellitus?
✔✔Fasting plasma glucose ≥126 mg/dL on two separate occasions.
What is the recommended screening for hyperlipidemia in healthy adults?
3
, ✔✔Every 5 years starting at age 20.
What is the most appropriate treatment for a child with streptococcal pharyngitis?
✔✔Penicillin V.
What intervention is most appropriate for a patient with BMI of 36 and poorly controlled
hypertension?
✔✔Refer for weight loss management and dietary counseling.
What finding indicates diabetic retinopathy on fundoscopic exam?
✔✔Cotton wool spots and microaneurysms.
What is the best management for a patient with newly diagnosed stage 1 hypertension?
✔✔Lifestyle modifications for 3-6 months.
What lab result confirms a diagnosis of hypothyroidism?
✔✔Elevated TSH and low free T4.
4
