ANCC FNP Boards Exam 2026/2027 Questions and Update Correct

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ANCC FNP Board Exam (Questions and Answers, )

Question 1: 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.

Question 2: When providing culturally competent health care

services to an American Indian elder, the nurse practitioner understands which is traditionally true?

CORRECT ANSWER : The "Medicine Wheel" is used by many

for the purpose of health and healing The "Medicine Wheel" is traditionally used and contains four directions; north, south, east, and west. Traditionally each tribe has different meanings for each direction and they may represent the season of the year or stage of life. It is aimed at providing a holistic view of life.

Question 3: The nurse practitioner sees an older adult patient in

the clinic with the primary report of hearing loss and a sensation

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of fullness in the right ear. The nurse practitioner suspects conductive hearing loss. Which could contribute to this?

CORRECT ANSWER : Cerumen, commonly called earwax, is a

combination of secretions and sloughed epithelial cells that protects the ears from infection, water, and insects. It is normally expelled from the ear canal through natural jaw movement. When this self-cleaning process fails, cerumen can become impacted. Cerumen impaction occludes the ear canal and can press against the tympanic membrane, resulting in conductive hearing loss.

Question 4: An otherwise healthy adult patient presents to the

clinic with a diagnosis of community-acquired pneumonia and no recent antibiotic therapy. Which is the best option for treatment?

CORRECT ANSWER : Amoxicillin

High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-line therapy for adults without comorbidities.

Question 5: A patient presents to the clinic for conception

counseling. She recently stopped taking oral contraceptives and

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would like to become pregnant. Which statement about conception safety after stopping oral contraceptives is correct?

CORRECT ANSWER : [Answer not provided in the text]

Question 6: 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

Question 7: 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

Question 8: 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

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Question 9: 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

Question 10: Which of the following found on an ECG would

confirm atrial fibrillation?

CORRECT ANSWER : -absent P waves

-irregular ventricular rate

Question 11: 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.

Question 12: 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