ANCC FNP Exam Complete Package
Bundle 2026 Family Nurse Practitioner
Certification Prep Complete Practice
Questions with Detailed Rationales
SECTION 1: HEALTH PROMOTION AND DISEASE
PREVENTION
Question 1
A 45-year-old female presents for her annual wellness exam. She has
a family history of breast cancer (mother diagnosed at age 52).
According to the USPSTF guidelines, when should she begin breast
cancer screening?
A) Age 40
B) Age 45
C) Age 50
D) Age 55
Correct Answer: A) Age 40
Rationale: The USPSTF recommends that women with a family history
of breast cancer (first-degree relative diagnosed before age 50)
should begin screening mammography at age 40. For average-risk
women, screening should begin at age 50 (C). The USPSTF
recommends biennial screening mammography for women aged
,50-74. Women aged 40-49 should make an individual decision based
on their risk factors and preferences.
Question 2
A 65-year-old male presents for his annual physical. He has a
30-pack-year smoking history. According to the USPSTF guidelines,
which screening test is recommended for lung cancer?
A) Chest X-ray annually
B) Low-dose CT scan annually
C) Sputum cytology
D) Pulmonary function tests
Correct Answer: B) Low-dose CT scan annually
Rationale: The USPSTF recommends annual screening for lung cancer
with low-dose computed tomography (LDCT) in adults aged 50-80
years who have a 20 pack-year smoking history and currently smoke
or have quit within the past 15 years. Screening should be
discontinued once a person has not smoked for 15 years or develops
a health problem that substantially limits life expectancy. Chest X-ray
(A) and sputum cytology (C) are not recommended for screening.
Question 3
A 52-year-old female presents for her annual exam. She has a history
of hypertension and obesity. According to the USPSTF guidelines,
which screening test is recommended for type 2 diabetes?
,A) Fasting plasma glucose
B) Hemoglobin A1c
C) Oral glucose tolerance test
D) All of the above
Correct Answer: D) All of the above
Rationale: The USPSTF recommends screening for type 2 diabetes in
adults aged 35-70 who are overweight or obese. Screening can be
done with fasting plasma glucose (A), hemoglobin A1c (B), or oral
glucose tolerance test (C). All are acceptable screening methods. The
frequency of screening depends on the patient's risk factors. Patients
with pre-diabetes should be screened annually.
Question 4
A 55-year-old male with a history of hypertension is being evaluated.
According to the USPSTF guidelines, which of the following is
recommended for screening for abdominal aortic aneurysm (AAA)?
A) Ultrasound screening once in men aged 65-75 who have ever
smoked
B) CT scan screening annually
C) Abdominal X-ray
D) Physical examination only
Correct Answer: A) Ultrasound screening once in men aged 65-75 who
have ever smoked
, Rationale: The USPSTF recommends one-time screening for
abdominal aortic aneurysm (AAA) with ultrasonography in men aged
65-75 who have ever smoked. Women who have never smoked do not
benefit from screening. Women aged 65-75 who have ever smoked
may be offered screening on an individual basis. CT scan (B) and
abdominal X-ray (C) are not recommended for screening.
Question 5
A 60-year-old female presents for her annual exam. According to the
USPSTF guidelines, which of the following is recommended for
colorectal cancer screening?
A) Colonoscopy every 10 years
B) Fecal immunochemical test (FIT) annually
C) CT colonography every 5 years
D) All of the above
Correct Answer: D) All of the above
Rationale: The USPSTF recommends screening for colorectal cancer
in adults aged 50-75 years. Several screening modalities are
acceptable, including: (A) Colonoscopy every 10 years, (B) FIT
annually, (C) CT colonography every 5 years, and (D) All of the above.
The choice of screening method should be based on patient
preference, risks, and resources. Screening is also recommended for
adults aged 45-49 on an individual basis.
Question 6
A 55-year-old female presents for her annual exam. She has a history
Bundle 2026 Family Nurse Practitioner
Certification Prep Complete Practice
Questions with Detailed Rationales
SECTION 1: HEALTH PROMOTION AND DISEASE
PREVENTION
Question 1
A 45-year-old female presents for her annual wellness exam. She has
a family history of breast cancer (mother diagnosed at age 52).
According to the USPSTF guidelines, when should she begin breast
cancer screening?
A) Age 40
B) Age 45
C) Age 50
D) Age 55
Correct Answer: A) Age 40
Rationale: The USPSTF recommends that women with a family history
of breast cancer (first-degree relative diagnosed before age 50)
should begin screening mammography at age 40. For average-risk
women, screening should begin at age 50 (C). The USPSTF
recommends biennial screening mammography for women aged
,50-74. Women aged 40-49 should make an individual decision based
on their risk factors and preferences.
Question 2
A 65-year-old male presents for his annual physical. He has a
30-pack-year smoking history. According to the USPSTF guidelines,
which screening test is recommended for lung cancer?
A) Chest X-ray annually
B) Low-dose CT scan annually
C) Sputum cytology
D) Pulmonary function tests
Correct Answer: B) Low-dose CT scan annually
Rationale: The USPSTF recommends annual screening for lung cancer
with low-dose computed tomography (LDCT) in adults aged 50-80
years who have a 20 pack-year smoking history and currently smoke
or have quit within the past 15 years. Screening should be
discontinued once a person has not smoked for 15 years or develops
a health problem that substantially limits life expectancy. Chest X-ray
(A) and sputum cytology (C) are not recommended for screening.
Question 3
A 52-year-old female presents for her annual exam. She has a history
of hypertension and obesity. According to the USPSTF guidelines,
which screening test is recommended for type 2 diabetes?
,A) Fasting plasma glucose
B) Hemoglobin A1c
C) Oral glucose tolerance test
D) All of the above
Correct Answer: D) All of the above
Rationale: The USPSTF recommends screening for type 2 diabetes in
adults aged 35-70 who are overweight or obese. Screening can be
done with fasting plasma glucose (A), hemoglobin A1c (B), or oral
glucose tolerance test (C). All are acceptable screening methods. The
frequency of screening depends on the patient's risk factors. Patients
with pre-diabetes should be screened annually.
Question 4
A 55-year-old male with a history of hypertension is being evaluated.
According to the USPSTF guidelines, which of the following is
recommended for screening for abdominal aortic aneurysm (AAA)?
A) Ultrasound screening once in men aged 65-75 who have ever
smoked
B) CT scan screening annually
C) Abdominal X-ray
D) Physical examination only
Correct Answer: A) Ultrasound screening once in men aged 65-75 who
have ever smoked
, Rationale: The USPSTF recommends one-time screening for
abdominal aortic aneurysm (AAA) with ultrasonography in men aged
65-75 who have ever smoked. Women who have never smoked do not
benefit from screening. Women aged 65-75 who have ever smoked
may be offered screening on an individual basis. CT scan (B) and
abdominal X-ray (C) are not recommended for screening.
Question 5
A 60-year-old female presents for her annual exam. According to the
USPSTF guidelines, which of the following is recommended for
colorectal cancer screening?
A) Colonoscopy every 10 years
B) Fecal immunochemical test (FIT) annually
C) CT colonography every 5 years
D) All of the above
Correct Answer: D) All of the above
Rationale: The USPSTF recommends screening for colorectal cancer
in adults aged 50-75 years. Several screening modalities are
acceptable, including: (A) Colonoscopy every 10 years, (B) FIT
annually, (C) CT colonography every 5 years, and (D) All of the above.
The choice of screening method should be based on patient
preference, risks, and resources. Screening is also recommended for
adults aged 45-49 on an individual basis.
Question 6
A 55-year-old female presents for her annual exam. She has a history
