FNP 3P Practice Exam 2
High-Yield Study Guide
Built from the 150 tested concepts and answer rationales. Use this guide for active
recall, not as a substitute for current clinical guidelines or faculty instruction.
How to Use This Guide
First pass: read the clinical rule and cover the “Exam cue” sentence.
Second pass: import the companion flashcards and mark uncertain cards.
Final pass: practice recognizing emergencies, first tests, first-line treatments, and referral thresholds.
Core Test-Taking Framework
Stabilize before diagnosing: Airway, breathing, circulation, altered mental status, stroke signs, thunderclap
headache, meningismus, and severe respiratory distress override routine outpatient workups.
Start with the safest decisive test: Pregnancy testing precedes radiation in reproductive-age patients; ultrasound
is favored for AAA screening, infant hip dysplasia, and intussusception.
Treat the patient, not an isolated result: Confirm unexpected abnormalities when the patient is stable; avoid
antibiotics for asymptomatic bacteriuria except in defined situations such as pregnancy.
Match treatment intensity to risk: Comorbidities, pregnancy, age, organ function, frailty, and functional
impairment change drug choice, dose, and referral urgency.
Prevention
10. How is a tuberculin skin test interpreted?
Exam cue: Measure induration, not redness, at 48–72 hours; the positive cutoff depends on the patient’s risk
category.
12. Should low-dose aspirin be started for primary prevention after age 60?
Exam cue: Generally no, because bleeding risk usually outweighs benefit; individualize using current guidance.
45. Where are significant vaccine adverse events reported?
Exam cue: The Vaccine Adverse Event Reporting System (VAERS).
113. What hepatitis A vaccine advice applies to an infant traveling internationally?
Exam cue: Infants 6–11 months may receive an early travel dose, then still complete the routine series after 12
months.
Cardiovascular
49. How should a newly detected murmur in pregnancy be evaluated?
Exam cue: With echocardiography when the murmur is new, concerning, or accompanied by symptoms.
FNP 3P Practice Exam 2 • Original study aid • Verify time-sensitive guidelines
, 61. What evaluation is appropriate for xanthelasma?
Exam cue: Obtain a lipid panel and assess for secondary dyslipidemia, while recognizing levels may be normal.
74. How much does a moderate-intensity statin lower LDL cholesterol?
Exam cue: Approximately 30%–49%.
86. What are major target-organ complications of untreated hypertension?
Exam cue: LV hypertrophy, CKD, stroke, retinopathy, cognitive decline, and peripheral arterial disease.
99. What chest-pain pattern suggests acute pericarditis?
Exam cue: Sharp pleuritic pain after a viral illness that improves sitting up or leaning forward.
109. Why does severe aortic stenosis cause exertional syncope or dyspnea?
Exam cue: Fixed outflow obstruction prevents cardiac output from rising enough to meet exertional demand.
123. What is an essential initial test after unexplained syncope?
Exam cue: A 12-lead ECG to evaluate for arrhythmia or conduction disease.
Vascular
1. What is the preferred diagnostic test for suspected lower-extremity DVT?
Exam cue: Venous duplex ultrasonography; it evaluates venous compressibility and flow without radiation.
34. What recent event is a major pulmonary embolism risk factor?
Exam cue: Major surgery—especially hip replacement—because of immobility and tissue injury.
133. What is the preferred initial test for peripheral arterial disease?
Exam cue: Ankle-brachial index; values below 0.9 suggest PAD and above 1.3 may indicate noncompressible
calcified vessels.
139. What is initial management for chronic venous insufficiency?
Exam cue: Compression stockings, leg elevation, exercise, skin care, and avoidance of prolonged standing.
Pulmonary
47. What is initial inhaled therapy for symptomatic COPD with low exacerbation risk (GOLD B)?
Exam cue: A long-acting muscarinic antagonist plus a long-acting beta2 agonist.
59. What distinguishes exercise-induced bronchoconstriction?
Exam cue: Symptoms are triggered primarily by exercise and improve with rest or pre-exercise bronchodilator
therapy.
72. What delivery method helps a patient who cannot compress an inhaler because of hand OA?
Exam cue: A nebulized medication delivery system; other adapted inhaler devices may also help.
84. What environmental factors commonly trigger asthma?
Exam cue: Smoke, pollution, pests, animal dander, mold, dust, odors, cold air, humidity, and respiratory infections.
107. What defines GOLD group E COPD?
Exam cue: Two or more moderate exacerbations in a year or at least one requiring hospitalization, regardless of
symptom burden.
118. What raises the risk for drug-resistant Streptococcus pneumoniae?
Exam cue: Age over 65, immunosuppression, daycare exposure, heavy alcohol use, or recent beta-lactam antibiotics.
FNP 3P Practice Exam 2 • Original study aid • Verify time-sensitive guidelines
High-Yield Study Guide
Built from the 150 tested concepts and answer rationales. Use this guide for active
recall, not as a substitute for current clinical guidelines or faculty instruction.
How to Use This Guide
First pass: read the clinical rule and cover the “Exam cue” sentence.
Second pass: import the companion flashcards and mark uncertain cards.
Final pass: practice recognizing emergencies, first tests, first-line treatments, and referral thresholds.
Core Test-Taking Framework
Stabilize before diagnosing: Airway, breathing, circulation, altered mental status, stroke signs, thunderclap
headache, meningismus, and severe respiratory distress override routine outpatient workups.
Start with the safest decisive test: Pregnancy testing precedes radiation in reproductive-age patients; ultrasound
is favored for AAA screening, infant hip dysplasia, and intussusception.
Treat the patient, not an isolated result: Confirm unexpected abnormalities when the patient is stable; avoid
antibiotics for asymptomatic bacteriuria except in defined situations such as pregnancy.
Match treatment intensity to risk: Comorbidities, pregnancy, age, organ function, frailty, and functional
impairment change drug choice, dose, and referral urgency.
Prevention
10. How is a tuberculin skin test interpreted?
Exam cue: Measure induration, not redness, at 48–72 hours; the positive cutoff depends on the patient’s risk
category.
12. Should low-dose aspirin be started for primary prevention after age 60?
Exam cue: Generally no, because bleeding risk usually outweighs benefit; individualize using current guidance.
45. Where are significant vaccine adverse events reported?
Exam cue: The Vaccine Adverse Event Reporting System (VAERS).
113. What hepatitis A vaccine advice applies to an infant traveling internationally?
Exam cue: Infants 6–11 months may receive an early travel dose, then still complete the routine series after 12
months.
Cardiovascular
49. How should a newly detected murmur in pregnancy be evaluated?
Exam cue: With echocardiography when the murmur is new, concerning, or accompanied by symptoms.
FNP 3P Practice Exam 2 • Original study aid • Verify time-sensitive guidelines
, 61. What evaluation is appropriate for xanthelasma?
Exam cue: Obtain a lipid panel and assess for secondary dyslipidemia, while recognizing levels may be normal.
74. How much does a moderate-intensity statin lower LDL cholesterol?
Exam cue: Approximately 30%–49%.
86. What are major target-organ complications of untreated hypertension?
Exam cue: LV hypertrophy, CKD, stroke, retinopathy, cognitive decline, and peripheral arterial disease.
99. What chest-pain pattern suggests acute pericarditis?
Exam cue: Sharp pleuritic pain after a viral illness that improves sitting up or leaning forward.
109. Why does severe aortic stenosis cause exertional syncope or dyspnea?
Exam cue: Fixed outflow obstruction prevents cardiac output from rising enough to meet exertional demand.
123. What is an essential initial test after unexplained syncope?
Exam cue: A 12-lead ECG to evaluate for arrhythmia or conduction disease.
Vascular
1. What is the preferred diagnostic test for suspected lower-extremity DVT?
Exam cue: Venous duplex ultrasonography; it evaluates venous compressibility and flow without radiation.
34. What recent event is a major pulmonary embolism risk factor?
Exam cue: Major surgery—especially hip replacement—because of immobility and tissue injury.
133. What is the preferred initial test for peripheral arterial disease?
Exam cue: Ankle-brachial index; values below 0.9 suggest PAD and above 1.3 may indicate noncompressible
calcified vessels.
139. What is initial management for chronic venous insufficiency?
Exam cue: Compression stockings, leg elevation, exercise, skin care, and avoidance of prolonged standing.
Pulmonary
47. What is initial inhaled therapy for symptomatic COPD with low exacerbation risk (GOLD B)?
Exam cue: A long-acting muscarinic antagonist plus a long-acting beta2 agonist.
59. What distinguishes exercise-induced bronchoconstriction?
Exam cue: Symptoms are triggered primarily by exercise and improve with rest or pre-exercise bronchodilator
therapy.
72. What delivery method helps a patient who cannot compress an inhaler because of hand OA?
Exam cue: A nebulized medication delivery system; other adapted inhaler devices may also help.
84. What environmental factors commonly trigger asthma?
Exam cue: Smoke, pollution, pests, animal dander, mold, dust, odors, cold air, humidity, and respiratory infections.
107. What defines GOLD group E COPD?
Exam cue: Two or more moderate exacerbations in a year or at least one requiring hospitalization, regardless of
symptom burden.
118. What raises the risk for drug-resistant Streptococcus pneumoniae?
Exam cue: Age over 65, immunosuppression, daycare exposure, heavy alcohol use, or recent beta-lactam antibiotics.
FNP 3P Practice Exam 2 • Original study aid • Verify time-sensitive guidelines
