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Exam (elaborations)

ANCC FNP Boards certification exam. latest updated 2025

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ANCC FNP Boards certification exam. latest updated 2025

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October 24, 2025
Number of pages
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Written in
2025/2026
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ANCC FNP Boards
Study online at https://quizlet.com/_bkc9y3

1. Type 2 Diabetes insulin resistance

2. Screening for Type 2 Dia- every 3 years starting at age 45
betes

3. A1C for Type 2 Diabetes > 6.5%

4. FPG for Type 2 Diabetes > 126

5. 2 hour plasma glucose for > 200
Type 2 Diabetes

6. Random glucose for Type > 200
2 Diabetes

7. A1C for Prediabetes 5.7-6.4%

8. 1st drug or choice for Metformin
Type 2 Diabetes

9. Contraindication for Met- liver cirrhosis or alcohol use disorder; increased serum creatinine
formin

10. Two most common side ef- Diarrhea and Flatulence
fects of Metformin

11. 4 Meds for All Diabetics Aspirin, Metformin, BP, and Statin

12. Target BG after eating < 180

13. Fasting BG Target 70-130

14. Biguanides Metformin (Glucophage)

15. Sulfonylureas (-ide)


, ANCC FNP Boards
Study online at https://quizlet.com/_bkc9y3

Secrete insulin; can cause hypoglycemia and wt gain; for pt's on a
fixed budget (-Ride Price)

16. DPP-4 inhibitors (-gliptin) Reduces A1C by 0.7%

17. GLP-1 agonists (-tide) Helps ppl lose weight (-Tide of the wt); Not for fixed budget

18. When should you consid- A1C > 9% & Fasting glucose > 250
er basal insulin?

19. Basal insulin (Lantus) Once a day at the same time

20. NPH insulin (Humulin N, Lasts from breakfast to dinner; Covers the postprandial spike after
Novolin N) lunch

21. Regular insulin (Humulin Lasts from meal to meal
R, Novolin R)

22. Rapid-acting insulin (Hu- Covers one meal at a time
malog- Lispro)

23. TZD (pioglitazone, rosigli- Contraindicated in heart failure; Associated with bone fractures
tazone)

24. S&S of Hypothyroidism Weight gain, cold intolerance, skin dryness, dementia, bradycardia,
(Myxedema/Hashimotos) and hair dryness

25. S&S of Hyperthyroidism Weight loss, heat intolerance, nervousness, palpitations, diarrhea
(Graves Disease)

26. Hypothyroidism increases Cholesterol

27. Anemia of Hypothy- Macrocytic Anemia
roidism



, ANCC FNP Boards
Study online at https://quizlet.com/_bkc9y3

28. Normal TSH 0.5 - 4.5 mU/L

29. Normal T4 0.8-1.8

30. Primary Hypothyroidism high TSH, low T4

31. Subclinical Hypothy- high TSH, normal T4
roidism

32. Hyperthyroidism Labs Low TSH, high T3 and T4

33. Tx for primary hypothy- Levothyroxine (Synthroid)
roidism

34. Dose of Synthroid in 50-60 50mcg; Check TSH in 6 weeks
years old

35. Dose of Synthroid in 60+ 25mcg; Check TSH in 4-6 weeks
or cardiac disease

36. When to treat subclinical TSH > 10
hypothyroidism?

37. Adverse effects of Accelerated bone loss & Afib
Levothyroxine

38. Gold standard test for Pulmonary function testing
asthma and COPD

39. FEV1/FVC ratio in COPD 0.7

40. Chronic Bronchitis Coughing with excess mucous production for 2+ yrs; airway hyper-
secretion and inflammation

41. Emphysema

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