ANCC FNP BOARD EXAM 2025
QUESTIONS AND ANSWERS.
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? - Correct 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.
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? - Correct 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? - Correct 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? - Correct 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: - Correct answer-have an HDL level
of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? -
Correct answer--absent P waves
-irregular ventricular rate
, Page |2
As an FNP you understand that all of the following statements about chronic heart
failure are accurate EXCEPT: - Correct 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? - Correct 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? - Correct answer-cogwheeling
Which of the following is a normal physiologic change during pregnancy? -
Correct 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.
The complex network of nerve fibers that innervate the organs within the abdomen
like the gastrointestinal tract, pancreas, and gall bladder is the - Correct answer-
enteric nervous system
Aplastic anemia would be classified as which of the following? - Correct answer-
normocytic anemia
Charles Darwin wrote On the Origin of Species about human evolution. He also is
known for which of the following? - Correct answer-developing the "baby journal"
as a systematic method to document observed behavioral development
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? - Correct
answer-Schedule a CXR
, Page |3
The nurse practitioner should not cross certain boundaries with patients. Which of
the following would not be considered crossing one of these boundaries? - Correct
answer-Not sharing personal information with the patient
The United States Preventive Services Task Force recommends screening older
patients for depression: - Correct answer-at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral route
from contaminated food? - Correct answer-Hep A
If a patient is diagnosed with left-heart failure, which of the following medications
would the nurse practitioner more than likely use for treatment? - Correct answer-
Lasix
When counseling patients who smoke cigarettes, which of the following is NOT
good management advice? - Correct 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? - Correct answer-Action
Paul is a 67-year-old male patient with type 2 diabetes. In managing this patient's
care which of the following lab tests would you have done for Paul every 3 - 6
months? - Correct answer-A1c
A middle-age female patient presents to the clinic with a recurrence of mild
hidradenitis suppurativa after topical therapies failed. Which first-line treatment is
recommended? - Correct answer-Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line
treatment for hidradenitis suppurativa.
__________________________________________________