ANCC FNP BOARD Exam V2

ANCC FNP BOARD Exam V2 (Latest Update 2025 / 2026) Questions and Verified Answers | Grade A | 100% Correct

Question:

Which of the following is used to confirm a diagnosis of Hashimoto's thyroiditis?

A.Serum thyroid-stimulating hormone (TSH) B.Free T4 test C.Antithyroid peroxidase and antithyroglobulin antibodies D.Thyroid ultrasound

Answer:

Solution: C

Antithyroid peroxidase and antithyroglobulin antibodies.

These are the two types of antibodies that are positive in Hashimoto's thyroiditis. Antithyroid peroxidase antibody is also known as antimicrosomal antibody. Hashimoto's thyroiditis is the most common cause of hypothyroidism in the United States. The serum TSH and free T4 are tests for 1 / 4

hypothyroidism, but they are not specific for Hashimoto's thyroiditis, an autoimmune disease.

Question:

While reviewing some lab reports, the nurse practitioner notes that one of the results for her teenage male patient is abnormal. The liver function tests are all normal except for a slight elevation in the alkaline phosphatase level. The patient is a member of a soccer team and denies any recent injury. Which of the following statements is true?

• It is an indication of possible liver damage from alcohol; order a liver

ultrasound to rule out fatty liver

• This is a normal finding due to the skeletal growth spurt in this age group
• The patient needs to be evaluated further for pancreatic disease
• The patient needs an ultrasound of the liver to rule out fatty liver and a

referral to a pediatric rheumatologist

Answer:

Solution: B

This is a normal finding due to the skeletal growth spurt in this age group.

Alkaline phosphatase is part of a group of related enzymes. The bone form of the enzyme creates the alkaline conditions it requires to be most active with a chemical reaction involving the osteoblasts. The rapid bone growth and increased deposit of calcium during growth spurts and adolescence elevates the alkaline phosphatase level. 2 / 4

Question:

The ELISA and Western blot tests are used to detect which of the following?

A. HIV RNA

B. HIV DNA

• HIV antibodies
• HIV antigen

Answer:

Solution: C

HIV antibodies.

The ELISA (enzyme-linked immunosorbent assay) and Western blot tests detect only HIV antibodies. That is why there is a "window period" with HIV infection. If the test is performed too early in the infection, it will be falsely negative because there may not yet be enough antibodies against HIV to trigger a positive result.

Question:

A 14-year-old girl with amenorrhea is tested for pregnancy and has a positive result. The patient tells the nurse practitioner (NP) that she is seriously considering terminating the pregnancy. She tells the NP that she wants to be referred to a Planned Parenthood clinic. The NP's personal beliefs and religious beliefs are pro-life. Which of the following is the best action for the NP?

• / 4

• The NP should tell the patient about her personal beliefs and advise her

against getting an abortion

• The NP should advise the patient that a peer who is working with the NP

can help answer the patient's questions more thoroughly

• The NP should excuse herself from the case
• The NP should refer the patient to an obstetrician

Answer:

Solution: B

The NP should advise the patient that a peer who is working with the NP can help answer the patient's questions more thoroughly.

In general, discussing personal beliefs is considered unprofessional behavior.Respecting the patient's right to choose is an example of supporting patient autonomy.

Question:

A nurse expert is called to testify in a malpractice lawsuit. The nurse will:

• Testify about the actions she would have taken in a similar situation
• Testify about the standards of nursing care as they apply to the facts in the

case

• Testify about the laws that govern healthcare in the area
• Provide an expert opinion of the other nurse's actions

Answer:

• / 4