FNP BARKLEY CERTIFICATION EXAM RATED A+ 2025
NEW UPDATE
FNP CERTIFICATION EXAM PRACTICE QUESTIONS
CARDIOLOGY (20 Questions)
1. A 58-year-old male with hypertension presents with
BP 156/94. He has no comorbidities. According to JNC
8 guidelines, what is the FIRST-line treatment?
A) ACE inhibitor
B) Thiazide diuretic
C) Beta-blocker
D) Calcium channel blocker
2. What is the target LDL for a patient with diabetes
and hypertension?
A) <100 mg/dL
B) <70 mg/dL
C) <130 mg/dL
D) <160 mg/dL
3. A 65-year-old female presents with exertional
dyspnea, orthopnea, and bilateral ankle edema.
Echocardiogram shows EF 35%. Which medication class
has been shown to reduce mortality in this condition?
A) Loop diuretics
,B) Beta-blockers
C) Digoxin
D) Calcium channel blockers
4. Which patient requires endocarditis prophylaxis
before dental procedures?
A) Mitral valve prolapse without regurgitation
B) Prosthetic heart valve
C) Coronary artery stent
D) Hypertension only
PULMONOLOGY (15 Questions)
5. A 45-year-old smoker presents with chronic cough
and progressive shortness of breath. PFTs show
FEV1/FVC 65%. Which is FIRST-line pharmacotherapy?
A) Inhaled corticosteroid
B) Short-acting beta-agonist
C) Long-acting muscarinic antagonist
D) Theophylline
6. According to GOLD guidelines, what defines COPD
exacerbation?
A) Change in baseline dyspnea, cough, or sputum
B) Fever >38.5°C
C) White blood cell count >15,000
D) Oxygen saturation <88%
,7. A patient with asthma uses albuterol 3-4 times
weekly. Which medication should be added?
A) Increase albuterol frequency
B) Inhaled corticosteroid
C) Oral prednisone
D) Leukotriene receptor antagonist
ENDOCRINOLOGY (20 Questions)
8. A1C goal for a 72-year-old with longstanding
diabetes and history of CAD?
A) <6.5%
B) <7.0%
C) <7.5%
D) <8.0%
9. Which oral hypoglycemic is contraindicated in renal
impairment (eGFR 25)?
A) Metformin
B) Sitagliptin
C) Glipizide
D) Empagliflozin
10. Screening recommendation for type 2 diabetes in
asymptomatic adults?
A) Begin at age 35 for all
B) Begin at age 45 for all
, C) Screen BMI ≥25 with one risk factor
D) No routine screening recommended
11. TSH level in a pregnant patient in first trimester
should be maintained below:
A) 1.0 mIU/L
B) 2.5 mIU/L
C) 4.0 mIU/L
D) 5.0 mIU/L
WOMEN'S HEALTH (20 Questions)
12. Current Pap smear guidelines for a 30-year-old
healthy female?
A) Annual Pap alone
B) Pap + HPV co-testing every 5 years
C) Pap every 3 years
D) No screening needed until 35
13. First-line treatment for uncomplicated UTI in non-
pregnant female?
A) Nitrofurantoin 100mg BID x 5 days
B) Ciprofloxacin 250mg BID x 3 days
C) Amoxicillin 500mg TID x 7 days
D) Doxycycline 100mg BID x 7 days
14. When should breast cancer screening begin for
average-risk women?
A) Age 40
NEW UPDATE
FNP CERTIFICATION EXAM PRACTICE QUESTIONS
CARDIOLOGY (20 Questions)
1. A 58-year-old male with hypertension presents with
BP 156/94. He has no comorbidities. According to JNC
8 guidelines, what is the FIRST-line treatment?
A) ACE inhibitor
B) Thiazide diuretic
C) Beta-blocker
D) Calcium channel blocker
2. What is the target LDL for a patient with diabetes
and hypertension?
A) <100 mg/dL
B) <70 mg/dL
C) <130 mg/dL
D) <160 mg/dL
3. A 65-year-old female presents with exertional
dyspnea, orthopnea, and bilateral ankle edema.
Echocardiogram shows EF 35%. Which medication class
has been shown to reduce mortality in this condition?
A) Loop diuretics
,B) Beta-blockers
C) Digoxin
D) Calcium channel blockers
4. Which patient requires endocarditis prophylaxis
before dental procedures?
A) Mitral valve prolapse without regurgitation
B) Prosthetic heart valve
C) Coronary artery stent
D) Hypertension only
PULMONOLOGY (15 Questions)
5. A 45-year-old smoker presents with chronic cough
and progressive shortness of breath. PFTs show
FEV1/FVC 65%. Which is FIRST-line pharmacotherapy?
A) Inhaled corticosteroid
B) Short-acting beta-agonist
C) Long-acting muscarinic antagonist
D) Theophylline
6. According to GOLD guidelines, what defines COPD
exacerbation?
A) Change in baseline dyspnea, cough, or sputum
B) Fever >38.5°C
C) White blood cell count >15,000
D) Oxygen saturation <88%
,7. A patient with asthma uses albuterol 3-4 times
weekly. Which medication should be added?
A) Increase albuterol frequency
B) Inhaled corticosteroid
C) Oral prednisone
D) Leukotriene receptor antagonist
ENDOCRINOLOGY (20 Questions)
8. A1C goal for a 72-year-old with longstanding
diabetes and history of CAD?
A) <6.5%
B) <7.0%
C) <7.5%
D) <8.0%
9. Which oral hypoglycemic is contraindicated in renal
impairment (eGFR 25)?
A) Metformin
B) Sitagliptin
C) Glipizide
D) Empagliflozin
10. Screening recommendation for type 2 diabetes in
asymptomatic adults?
A) Begin at age 35 for all
B) Begin at age 45 for all
, C) Screen BMI ≥25 with one risk factor
D) No routine screening recommended
11. TSH level in a pregnant patient in first trimester
should be maintained below:
A) 1.0 mIU/L
B) 2.5 mIU/L
C) 4.0 mIU/L
D) 5.0 mIU/L
WOMEN'S HEALTH (20 Questions)
12. Current Pap smear guidelines for a 30-year-old
healthy female?
A) Annual Pap alone
B) Pap + HPV co-testing every 5 years
C) Pap every 3 years
D) No screening needed until 35
13. First-line treatment for uncomplicated UTI in non-
pregnant female?
A) Nitrofurantoin 100mg BID x 5 days
B) Ciprofloxacin 250mg BID x 3 days
C) Amoxicillin 500mg TID x 7 days
D) Doxycycline 100mg BID x 7 days
14. When should breast cancer screening begin for
average-risk women?
A) Age 40
