Family Nurse Practitioner Exam ANCC
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the first-line treatment for newly diagnosed hypertension in a healthy adult?
✔✔Lifestyle modifications and dietary changes.
What lab value should be monitored closely when prescribing ACE inhibitors?
✔✔Serum potassium.
What is the best diagnostic tool for confirming a suspected stress fracture?
✔✔MRI.
What screening test is used to assess risk for colorectal cancer starting at age 45?
✔✔Colonoscopy.
What is the primary goal when managing type 2 diabetes in an older adult?
✔✔Prevent complications and maintain functional independence.
1
,What should a nurse practitioner do before initiating a statin in a patient with hyperlipidemia?
✔✔Check liver function tests.
What is a key symptom of generalized anxiety disorder?
✔✔Excessive worry lasting at least 6 months.
What vaccine should be administered to all adults over age 65?
✔✔Pneumococcal vaccine.
What is the most appropriate response to a parent refusing childhood vaccinations?
✔✔Provide education and document informed refusal.
What is the recommended first-line pharmacological treatment for depression in primary care?
✔✔Selective serotonin reuptake inhibitors (SSRIs).
What condition must be ruled out in a patient presenting with unilateral leg swelling and pain?
✔✔Deep vein thrombosis (DVT).
2
,What lab test confirms a urinary tract infection?
✔✔Urine culture.
What finding is most concerning in a breast exam?
✔✔Hard, immobile, non-tender mass.
What is the most important lifestyle change for newly diagnosed prediabetes?
✔✔Increased physical activity and weight loss.
What is a common adverse effect of metformin?
✔✔Gastrointestinal upset.
What is the best approach when managing mild acne in a teenager?
✔✔Topical retinoids and patient education.
What should be included in the management plan for a child with suspected ADHD?
✔✔Behavioral therapy and school-based intervention.
3
, What condition is characterized by facial drooping, arm weakness, and slurred speech?
✔✔Stroke.
What is a red flag symptom in a patient with new-onset headache?
✔✔Sudden onset “worst headache of life.”
What is the most common cause of bacterial pneumonia in adults?
✔✔Streptococcus pneumoniae.
What counseling point is important for patients starting oral contraceptives?
✔✔Use backup contraception for the first 7 days.
What is the gold standard diagnostic test for asthma?
✔✔Spirometry.
What physical exam finding is typical in otitis media?
✔✔Bulging tympanic membrane with decreased mobility.
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the first-line treatment for newly diagnosed hypertension in a healthy adult?
✔✔Lifestyle modifications and dietary changes.
What lab value should be monitored closely when prescribing ACE inhibitors?
✔✔Serum potassium.
What is the best diagnostic tool for confirming a suspected stress fracture?
✔✔MRI.
What screening test is used to assess risk for colorectal cancer starting at age 45?
✔✔Colonoscopy.
What is the primary goal when managing type 2 diabetes in an older adult?
✔✔Prevent complications and maintain functional independence.
1
,What should a nurse practitioner do before initiating a statin in a patient with hyperlipidemia?
✔✔Check liver function tests.
What is a key symptom of generalized anxiety disorder?
✔✔Excessive worry lasting at least 6 months.
What vaccine should be administered to all adults over age 65?
✔✔Pneumococcal vaccine.
What is the most appropriate response to a parent refusing childhood vaccinations?
✔✔Provide education and document informed refusal.
What is the recommended first-line pharmacological treatment for depression in primary care?
✔✔Selective serotonin reuptake inhibitors (SSRIs).
What condition must be ruled out in a patient presenting with unilateral leg swelling and pain?
✔✔Deep vein thrombosis (DVT).
2
,What lab test confirms a urinary tract infection?
✔✔Urine culture.
What finding is most concerning in a breast exam?
✔✔Hard, immobile, non-tender mass.
What is the most important lifestyle change for newly diagnosed prediabetes?
✔✔Increased physical activity and weight loss.
What is a common adverse effect of metformin?
✔✔Gastrointestinal upset.
What is the best approach when managing mild acne in a teenager?
✔✔Topical retinoids and patient education.
What should be included in the management plan for a child with suspected ADHD?
✔✔Behavioral therapy and school-based intervention.
3
, What condition is characterized by facial drooping, arm weakness, and slurred speech?
✔✔Stroke.
What is a red flag symptom in a patient with new-onset headache?
✔✔Sudden onset “worst headache of life.”
What is the most common cause of bacterial pneumonia in adults?
✔✔Streptococcus pneumoniae.
What counseling point is important for patients starting oral contraceptives?
✔✔Use backup contraception for the first 7 days.
What is the gold standard diagnostic test for asthma?
✔✔Spirometry.
What physical exam finding is typical in otitis media?
✔✔Bulging tympanic membrane with decreased mobility.
4
