Family Nurse Practitioner Exam Prep: High-Yield Practice Q&A (2026)

Family Nurse Practitioner
Exam Prep: High-Yield
Practice Q&A (2026)




A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to control her
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Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is currently
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complaining of pain on her right hip and on both knees. She has increased her dose of
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ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in pain and would
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like something stronger. Which of the following statements is the best explanation of the
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effects of ibuprofen (Motrin) on her disease?e e e e e e




A) It increases the chances of adverse effects to her health
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B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
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C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
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D) None of the statements are true - correct answersB) It inhibits the effect of renal
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prostaglandins and blunts the effectiveness of the diuretic. e e e e e e e




NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which predisposes the
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kidney to ischemia. NSAIDs and diuretics can cause acute prerenal failure by decreasing
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renal blood flow. e e




2. All of the following are infections that affect mostly the labia and vagina except:
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A) Bacterialvaginosis
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B) Candidiasis
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C) Trichomoniasis
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D) Chlamydia trachomatis - correct answersD) Chlamydia trachomatis
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,Infections that commonly affect the labia and vagina include bacterial vaginosis, candidiasis,
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and trichomoniasis. Chlamydia trachomatis commonly affects the cervix, endometrial lining ,
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fallopian tubes, and pelvic cavity. e e e e




The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
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A) Cholecystitis
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B) Acute appendicitis
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C) Inguinal hernia
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D) Gastriculcer - correct answersB) Acute appendicitis.
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Signs and symptoms of an acute abdomen include invol- untary guarding, rebound
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tenderness, boardlike abdomen, and a positive obtu- rator and psoas sign. A positive e e e e e e e e e e e e e




obturator sign occurs when pain is elicted by internal rotation of the right hip from 90 degrees
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hip/knee flexion. The psoas sign is positive when pain occurs with passive extension of the
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thigh while the patient is lying on his/her side with knees extended, or when pain occurs with
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active flexion of his/her thigh at the hip. e e e e e e e




Treatment for mild preeclampsia includes all of the following except: e e e e e e e e e




A) Bed rest except for bathroom privileges
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B) Close monitoring of weight and blood pressure
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C) Close follow-up of urinary protein, serum creatinine, and platelet count
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D) A prescription of methyldopa (Aldomet) to control blood pressure - correct answersD) A
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prescription of methyldopa (Aldomet) to control blood pressure e e e e e e e e




Recommended care for women diagnosed with preeclampsia includes bed rest with bath- e e e e e e e e e e e e




room privileges, weight and BP monitoring, and closely following urine protein and serum
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protein, creatinine, and platelet counts. Oral medications are not used as first-line treatment.
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All of the following services are covered under Medicare Part A except:
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A) Inpatienthospitalizations
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B) Medicines administered to a patient while hospitalized
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C) Nursing home care
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D) Surgeons - correct answersC) Nursing home care
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Medicare A coverage includes inpatient hospitalization and skilled care given in a certified
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skilled nursing facility. Most nursing home care is custodial care (help with bathing, dressing,
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using a bathroom, and eating). This care is not covered by Medicare A.
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A 28-year-old student is seen in the school health clinic with complaints of a hacking cough
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that is productive of small amounts of sputum and a runny nose. He does not take any
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medications, denies any allergies, and has no significant medical history. Physical e e e e e e e e e e e




examination reveals a low-grade temperature of 99.9 degrees Fahrenheit, respirations of e e e e e e e e e e e

,16/min, a pulse of 90 beats per minute, and diffuse fine crackles in the base of the lungs. A
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chest radiograph (x-ray) shows diffuse infiltrates on the lower lobe of the right lung. The total
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white blood cell count is 10,500/uL. What is the most likely diagnosis?
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A) Streptococcal pneumonia
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B) Mycoplasma pneumonia
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C) Acute bronchitis
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D) Legionnaires disease - correct answersB) Mycoplasma pneumonia
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Mycoplasma pneumonia is the organism most com- monly seen in children and young adults. e e e e e e e e e e e e e e




It is easily spread from droplets, from sneezing and coughing, in close proximity. Diagnosis is
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based on symptoms and x-ray results of infiltrates in lower lobes.
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A 39-year-old migrant worker presents to the clinic 2.5 days after a purified protein derivative
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(PPD) test. What minimum size of induration would be considered posi- tive for this patient?
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A) 3 mm B) 5 mm C) 10 mm D) 15 mm - correct answersC) 10 mm
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The PPD is administered on the volar aspect of the lower arm and read 48 hours after the test is
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given. The PPD result must have induration and measure 10 mm or greater to be positive in a
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low-risk patient. Induration (firmness with palpation) must be present. If the site has erythema
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but no induration, result would be negative. Color is not important.
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All of the following are correct statements regarding the role of the person named in a durable
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power of attorney except: e e e




A) The agent's decisions are legally binding
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B) The agent can make decisions in other areas of the patient's life such as financial
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issues
C) The agent can decide for the patient who is on life support when that life support
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can be terminated e e




D) The patient's spouse has a right to override the agent's decisions - correct answersD) The
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patient's spouse has a right to override the agent's decisions e e e e e e e e e e




The person named in a durable power of attorney (the agent) is designated by the patient to
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make all medical decisions, as well as any decisions regarding the patient's private affairs in
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the event that the patient becomes incompetent and unable to make his/her own decisions.
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No one has the ability to override the agent's decision.
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All of the following are true statements regarding Munchausen syndrome except:
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A) It is considered a mental illness
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B) The patient has a medical illness that causes an anxiety reaction and denial
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C) The patient fakes an illness in order to gain attention from health care providers
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D) The patient has an inconsistent medical history along with a past history of
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, frequent hospitalizations - correct answersB) The patient has a medical illness that causes an
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anxiety reaction and denial e e e e




Munchausen syndrome is a psychiatric disorder in which the patient fakes a medical illness or e e e e e e e e e e e e e e e




disorder to gain attention from health care provid- ers. These patients commonly use the
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emergency department frequently to gain attention. e e e e e




Which of the following antihypertensive medications should the nurse practitioner avoid
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when treating patients with emphysema?
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A) Calcium channel blockers
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B) Angiotensin-converting enzyme (ACE) inhibitors
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C) Beta-blockers
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D) Diuretics - correct answersC) Beta-blockers
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Beta-blockers should be avoided in patients with a history of emphysema. Studies have e e e e e e e e e e e e e




shown evidence of a reduction in forced expiratory volume in 1 second (FEV1), increased
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airway hyperresponsiveness, and inhibition of bronchodilator response to beta agonists in
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patients receiving non-selective beta- blockers and high doses of cardioselective beta-
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blockers.

A 30-year-old chef complains of pruritic hives over her chest and arms but denies difficulty
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swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of
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the following interventions is most appropriate?
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A) Perform a complete and thorough history
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B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
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C) Give an injection of epinephrine 1:1000 intramuscularly stat
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D) Call 911 - correct answersA) Perform a complete and thorough history
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Prior to prescribing medications, a complete and thorough history must be performed to
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determine possible causes of hives. The patient denied difficulty with swallowing and
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breathing, so there was no medical emergency to require calling 911.
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Which of the following findings is most likely in young primigravidas with pregnancy-induced
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hypertension?

A) Abdominal cramping and constipation
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B) Edema of the face and the upper extremities
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C) Shortness of breath
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D) Dysuria and frequency - correct answersB) Edema of the face and the upper extremities
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Common signs and symptoms of pregnancy-induced hypertension include edema of the
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face and the upper extremities, weight gain, blurred vision, elevated BP, proteinuria, and
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headaches.