ANCC FNP Board Exam Study Guide
Part 2 Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the best initial treatment for a child diagnosed with otitis media with effusion but no pain
or fever?
✔✔Watchful waiting with re-evaluation in 3 months
What is the recommended screening test for type 2 diabetes in asymptomatic adults aged 40 to
70 who are overweight?
✔✔Hemoglobin A1C
Which vaccine should be given during every pregnancy regardless of previous immunization
status?
✔✔Tdap
What is the first-line medication for newly diagnosed hypertension in a Black adult without
chronic kidney disease?
✔✔Calcium channel blocker
1
,What physical exam finding suggests a positive Murphy’s sign?
✔✔Pain with deep palpation of the right upper quadrant during inspiration
What is the most appropriate management for a patient with a painless breast lump and normal
mammogram but concerning clinical history?
✔✔Refer for ultrasound and possible biopsy
What should be the next step when a patient has a PSA of 7.0 ng/mL?
✔✔Refer to urology for further evaluation
What is a common side effect of metformin that patients should be educated about?
✔✔Gastrointestinal upset such as diarrhea
What is the best diagnostic test to confirm a diagnosis of hypothyroidism?
✔✔TSH and free T4 levels
What physical exam technique helps confirm the presence of a pleural effusion?
✔✔Dullness to percussion over the affected area
2
,Which condition is characterized by a positive Phalen’s and Tinel’s sign?
✔✔Carpal tunnel syndrome
What is the gold standard for confirming a diagnosis of strep throat?
✔✔Throat culture
What is the most appropriate screening method for cervical cancer in a 30-year-old woman with
normal prior tests?
✔✔Pap smear with HPV co-testing every 5 years
What is the typical first symptom in Parkinson’s disease?
✔✔Resting tremor
What is the most likely cause of sudden onset unilateral facial droop that spares the forehead?
✔✔Stroke
3
, Which medication should be avoided in children with a viral illness due to the risk of Reye’s
syndrome?
✔✔Aspirin
What is the most likely cause of nocturnal cough in a child with a history of asthma?
✔✔Poor asthma control
What dietary advice should be given to a patient with iron deficiency anemia?
✔✔Increase intake of red meat and leafy greens
What is the preferred treatment for asymptomatic bacteriuria in a pregnant woman?
✔✔Antibiotic therapy with a pregnancy-safe agent
What is the first-line treatment for allergic rhinitis?
✔✔Intranasal corticosteroids
What is a red flag symptom in a patient with chronic low back pain?
✔✔Bowel or bladder incontinence
4
Part 2 Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the best initial treatment for a child diagnosed with otitis media with effusion but no pain
or fever?
✔✔Watchful waiting with re-evaluation in 3 months
What is the recommended screening test for type 2 diabetes in asymptomatic adults aged 40 to
70 who are overweight?
✔✔Hemoglobin A1C
Which vaccine should be given during every pregnancy regardless of previous immunization
status?
✔✔Tdap
What is the first-line medication for newly diagnosed hypertension in a Black adult without
chronic kidney disease?
✔✔Calcium channel blocker
1
,What physical exam finding suggests a positive Murphy’s sign?
✔✔Pain with deep palpation of the right upper quadrant during inspiration
What is the most appropriate management for a patient with a painless breast lump and normal
mammogram but concerning clinical history?
✔✔Refer for ultrasound and possible biopsy
What should be the next step when a patient has a PSA of 7.0 ng/mL?
✔✔Refer to urology for further evaluation
What is a common side effect of metformin that patients should be educated about?
✔✔Gastrointestinal upset such as diarrhea
What is the best diagnostic test to confirm a diagnosis of hypothyroidism?
✔✔TSH and free T4 levels
What physical exam technique helps confirm the presence of a pleural effusion?
✔✔Dullness to percussion over the affected area
2
,Which condition is characterized by a positive Phalen’s and Tinel’s sign?
✔✔Carpal tunnel syndrome
What is the gold standard for confirming a diagnosis of strep throat?
✔✔Throat culture
What is the most appropriate screening method for cervical cancer in a 30-year-old woman with
normal prior tests?
✔✔Pap smear with HPV co-testing every 5 years
What is the typical first symptom in Parkinson’s disease?
✔✔Resting tremor
What is the most likely cause of sudden onset unilateral facial droop that spares the forehead?
✔✔Stroke
3
, Which medication should be avoided in children with a viral illness due to the risk of Reye’s
syndrome?
✔✔Aspirin
What is the most likely cause of nocturnal cough in a child with a history of asthma?
✔✔Poor asthma control
What dietary advice should be given to a patient with iron deficiency anemia?
✔✔Increase intake of red meat and leafy greens
What is the preferred treatment for asymptomatic bacteriuria in a pregnant woman?
✔✔Antibiotic therapy with a pregnancy-safe agent
What is the first-line treatment for allergic rhinitis?
✔✔Intranasal corticosteroids
What is a red flag symptom in a patient with chronic low back pain?
✔✔Bowel or bladder incontinence
4
