Secure your Family Nurse Practitioner certification with the “ANCC FNP Certification Exam (Family Nurse Practitioner (FNP) Exam) by ANCC Actual Past Exam with 175 Questions with 100% Correct Answers and Rationale,” the ultimate preparation resource for the ANCC FNP exam in 2025. Crafted for nursing professionals aiming to excel in primary care, this test bank delivers 175 meticulously selected multiple-choice questions (MCQs) sourced from actual past ANCC FNP exams, offering an authentic and comprehensive practice experience that mirrors the real test down to its core.
Fully aligned with the ANCC’s 2024-2025 exam blueprint, this product covers the five key domains: Assessment, Diagnosis, Planning, Implementation, and Evaluation, spanning care across all age groups—infants, children, adults, and the elderly. Each of the 175 questions—matching the exact number on the ANCC FNP exam (150 scored + 25 pretest)—is paired with a 100% verified correct answer and an in-depth rationale, illuminating critical topics like chronic disease management (e.g., diabetes care plans), clinical diagnostics (e.g., interpreting EKGs), pharmacology (e.g., pediatric dosing), and preventive care (e.g., screening guidelines). This isn’t just a study aid; it’s a window into the exam’s complexity, fostering the clinical judgment FNPs need in practice.
Developed by expert nurse practitioners and educators with deep insight into ANCC standards, this test bank replicates the exam’s 3.5-hour format and question style, including scenario-based items that test real-world decision-making. Whether you’re refining your skills in differential diagnosis or mastering patient education strategies, this resource is perfect for intensive study, group prep, or a final confidence boost. Delivered as an instant digital download, it provides immediate access to the full question set, ensuring you’re ready to achieve the passing score of 350 (out of 500) and step into your FNP role with authority. Don’t just aim to pass—ace the ANCC FNP exam with this precise, expert-backed prep tool for 2025!
Preview
Question 1
A 6-year-old child presents with a fever, sore throat, and white patches on the tonsils. What is the
most likely diagnosis?
A) Viral pharyngitis
B) Streptococcal pharyngitis
C) Mononucleosis
D) Allergic rhinitis
Correct Answer: B) Streptococcal pharyngitis
Rationale: White patches on the tonsils with fever and sore throat strongly suggest streptococcal
pharyngitis (strep throat), commonly caused by Streptococcus pyogenes. Viral pharyngitis
typically lacks exudate, mononucleosis may include fatigue and lymphadenopathy, and allergic
rhinitis involves nasal symptoms.
Question 2
Which medication is first-line treatment for hypertension in a 45-year-old patient with no
comorbidities?
A) Lisinopril
B) Metoprolol
C) Amlodipine
D) Losartan
Correct Answer: A) Lisinopril
Rationale: ACE inhibitors like lisinopril are first-line for uncomplicated hypertension per JNC 8
guidelines, especially in patients under 60. Beta-blockers (metoprolol) and calcium channel
blockers (amlodipine) are alternatives, and losartan (an ARB) is similar but less commonly first
line.
Question 3
A 30-year-old female reports irregular menstrual cycles and excessive hair growth. What is the
most likely diagnosis?
A) Hypothyroidism
B) Polycystic ovary syndrome (PCOS)
C) Cushing’s syndrome
D) Hyperprolactinemia
Correct Answer: B) Polycystic ovary syndrome (PCOS)
Rationale: Irregular cycles and hirsutism are hallmark signs of PCOS, often due to androgen
excess. Hypothyroidism may cause irregular cycles but not hirsutism, Cushing’s includes central
obesity, and hyperprolactinemia typically causes galactorrhea.
Question 4
What is the recommended screening frequency for colorectal cancer in a 50-year-old with no risk
factors?
A) Every 2 years
B) Every 5 years
C) Every 10 years
D) Annually
Correct Answer: C) Every 10 years
Rationale: The USPSTF recommends colonoscopy every 10 years starting at age 45–50 for
average-risk individuals. Shorter intervals apply to higher-risk patients.
Question 5
A 65-year-old male with type 2 diabetes has an A1C of 8.5%. What is the next step in
management?
A) Continue current therapy
B) Add metformin
C) Initiate insulin
D) Increase physical activity alone
Correct Answer: C) Initiate insulin
Rationale: An A1C > 8% despite therapy suggests poor control. Insulin is appropriate when oral
agents (e.g., metformin) fail. Adding metformin assumes it’s not already used, and exercise alone
won’t suffice.
A 6-year-old child presents with a fever, sore throat, and white patches on the tonsils. What is the
most likely diagnosis?
A) Viral pharyngitis
B) Streptococcal pharyngitis
C) Mononucleosis
D) Allergic rhinitis
Correct Answer: B) Streptococcal pharyngitis
Rationale: White patches on the tonsils with fever and sore throat strongly suggest streptococcal
pharyngitis (strep throat), commonly caused by Streptococcus pyogenes. Viral pharyngitis
typically lacks exudate, mononucleosis may include fatigue and lymphadenopathy, and allergic
rhinitis involves nasal symptoms.
Question 2
Which medication is first-line treatment for hypertension in a 45-year-old patient with no
comorbidities?
A) Lisinopril
B) Metoprolol
C) Amlodipine
D) Losartan
Correct Answer: A) Lisinopril
Rationale: ACE inhibitors like lisinopril are first-line for uncomplicated hypertension per JNC 8
guidelines, especially in patients under 60. Beta-blockers (metoprolol) and calcium channel
blockers (amlodipine) are alternatives, and losartan (an ARB) is similar but less commonly first
line.
Question 3
A 30-year-old female reports irregular menstrual cycles and excessive hair growth. What is the
most likely diagnosis?
A) Hypothyroidism
B) Polycystic ovary syndrome (PCOS)
C) Cushing’s syndrome
D) Hyperprolactinemia
Correct Answer: B) Polycystic ovary syndrome (PCOS)
Rationale: Irregular cycles and hirsutism are hallmark signs of PCOS, often due to androgen
excess. Hypothyroidism may cause irregular cycles but not hirsutism, Cushing’s includes central
obesity, and hyperprolactinemia typically causes galactorrhea.
Question 4
What is the recommended screening frequency for colorectal cancer in a 50-year-old with no risk
factors?
A) Every 2 years
B) Every 5 years
C) Every 10 years
D) Annually
Correct Answer: C) Every 10 years
Rationale: The USPSTF recommends colonoscopy every 10 years starting at age 45–50 for
average-risk individuals. Shorter intervals apply to higher-risk patients.
Question 5
A 65-year-old male with type 2 diabetes has an A1C of 8.5%. What is the next step in
management?
A) Continue current therapy
B) Add metformin
C) Initiate insulin
D) Increase physical activity alone
Correct Answer: C) Initiate insulin
Rationale: An A1C > 8% despite therapy suggests poor control. Insulin is appropriate when oral
agents (e.g., metformin) fail. Adding metformin assumes it’s not already used, and exercise alone
won’t suffice.
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