FNP Leik Practice Test 1 | Study Guide & Practice Questions | 2026 -2027
Which of the following findings is assoc. with thyroid D. Myxedema
hypofunction? Myxedema or myxedema coma is seen in patients with severe hypothyroidism. It
A. Graves Disease refers to the skin changes (thickened skin) seen in chronic severe hypothyroidism. It
B. Eye Disorder is a medcial emergency with mortality rates exceeding 20%. It is tx with very high
C. Thyroid storm doses of thyroid hormone.
D. Myxedema A thyroid storm occurs when there is the extreme elevation of thyroid hormone.
Thyroid storm is life-threatening; if left untreated, the mortality rate is about 90%.
Call 911 if suspected.
Graves Disease is associated with thyroid hyperfunction
A 14 y/o boy is brought in by his mother, who reports that D. Celiac Disease
her son has been complaining for several months of Celiac Disease is also known as celiac sprue Patients should avoid gluten, which
recurrent bloating, stomach upset and occasional loose causes malabsorption (diarrhea, gas, bloating, and abd pain). Foods to avoid are
stools. She reports that he has difficulty gaining wt. and is wheat, rye, and barley. Oats do not damage mucosa in celiac disease. Antifiadins
short for his age. She has noticed that his symptoms IgA and IgG are elevated in almost all patients (90%)
worsen after eating large amounts of crackers, cookies,
and bread. She denies seeing blood in the boy's stool.
Which of the following conditions is most likely?
A. Amebiasis
B. Malabsorption
C. Chron's
D. Celiac Disease
A 67 y/o female patient presents with a 3 day old cat bite D. Amoxicillin -Clavulante(Augmentin)
that has become swollen, reddened and painful to touch. The patient present with symptoms associated with Pasteurella multocida, which is
The NP notes there is purulent drng at the site of the bite. an anerobic gram-negative coccobacillus found in the oropharynx of healthy cats,
Which medication will the nurse practitioner prescribe? dogs, and other animals. The dx of the bacteria can be made with a gram stain
A. Gentamycin culture; however, a broad spectrum antibiotic that targets Pasteurella, as well as
B Tetanus toxoid other gram-positive and gram neg bacteria, is preferred for prescribed prophylaxis.
C. Rabies prophylaxis Amox-Clav is a recommended antibiotic for prophylactic tx. Aminoglycosides such
D. Amoxicillin -Clavulante(Augmentin) as gentamycin have demonstrated poor activity against P. multocida. Tetanus
toxoids is necessary only if the patient has received their last tetanus vaccine
greater than 5 years prior. Rabies is unnecessary unless there is a possibility of
exposure after a risk assessment.
A 14 year old girl with short stature, swollen hands and B. Karotype
feet, and a webbed neck presents to the clinic. Upon
assessment she is found to be at Tanner stage I. Which
test will the NP order to confirm diagnosis?
A. CT scan
B. Karotype
C. Prolactin level
D. Xray of the hand
A 67 y/o woman with a 30 pack a year hx of smoking B. COPD
presents for a routine annual physical examination. She COPD is a progressive lung disease that includes emphysema and chronic
c/o being easily short of breath and is frequently fatigued. bronchitis. The most common risk factor is long-term cigarette smoke (80-90%).
Physical examination reveals diminished breath sound, Another cause is alpha-1 trypsin deficiency and chronic fume exposure. The three
hyprresonance, and hypertrophied respiratory accessory cardinal symptoms of COPD are dyspnea, chronic cough, and sputum production.
muscles. Her CBC reveals elevated HCT and her PFT The lungs are hyperinflated which changes the shape of the chest and diaphragm,
results show increased total lung capacity. Which dx is making the mechanics of breathing more difficult Excess mucus and obstructed
most correct? airflow from progressive thickening and stiffening of the airways finish breath sound.
A. Bronchogenic carcinoma COPD creates a high hematocrit percentage because of chronic hypoxemia.
B. COPD
C. Chronic bronchitis
D. CHF
An elderly male presents to the clinic for a routine physical D. Senile actinic keratosis
examination. The NP notes multiple rough, scaly patches Senile actinic keratosis is considered the most common precancerous lesion of
on the patients forearms and face and back of his ears. squamous cell carcinoma in older adults. Actinic keratosis is a rough, scaly patch on
Which dx is most likely: the skin that dev. from years of exposure to the sun. It is most commonly found on
A. seborrheic keratosis the face, lips, ears, back of hands, forearms, scalp, or neck. Sinle purpura presents
B. Senile purpura as bright, puple-colored patches located on the forearms and hands and are
C. Lentigines benightn. Lintigines, also known as liver sparts are brown-colored macules located
D. Senile actinic keratosis on the hands and forearms of older adults and are benign. Seborrheic keratoses
are soft, wartlike benign lesions that fequently appear on the back and trunk of older
adults.
, FNP Leik Practice Test 1 | Study Guide & Practice Questions | 2026 -2027
The NP is assessing a 69 y/o male with a hx of IV drug use C. Hep C
as a young adult. He presents with fatigue and nausea. The CDC recommends Hep C screening in adults born from 1945 through 1965.
Which screening will the NP recommend for this pt Hep C is transmitted by sharing needles and can become a chronic infection. IV
A. cxr drug users and persons w/in this age group are considered high risk for Hep C.
B. Urine specimen Given the hx, cxr, ua , and electroencephalogram would not be indicated.
C. Hep C
D. Electroencephalogram
The NP is performing an assessment of a 6 month old. A. palmar grasp of objects
What motor skills are expected at this age? B. sits up
A. palmar grasp of objects
B. sits up
C. stands independently
D. moves from one piece of furniture to another
E. feeds self without assistance
The Np is manging a stable middle-aged adult with C. Quadrivalent inactivated influenza vaccine (QIV)
emphysema. In addition to reinforcing smoking cessation An older adult with a chronic respiratory disease should receive an annual QIV,
and medication schedules, which annual intervention will which is appropriate to administer to patients six mo and older. The LAIV is
the nurse practitioner recommend? administered via nasal spray for patients aged 2 to 49. PPSV23 and PCV13 are
A. Pneumococcal polysaccaride (PPSV23) both for pneumococcal protection. PPSV23 si recommended for individuals aged 65
B. Live attenuated influenza vaccine (LAIV) and adults aged 19 to 64 who smoke. PCV13 is recommended for children younger
C. Quadrivalent inactivated influenza vaccine (QIV) than two years.
D. Pneumococcal conjugace vaccine (PCV13)
During a sports participaton exam of a 14-year-old high C. This is a normal finding in some young athletes.
school athlete, the NP notices a split on the S2 component It is common to hear a split S2 heart sound over the pulmonic area of the heart with
of the heart sound during deep inspiration. She notes that inspiration.As long as it disappears with expiration, with no other abnormal
it disappears upon expiration. The heart rate is regular, symtoms, this a a normal finding. The sound is caused by the splitting of the aortic
and no murmurs are auscultated. Which of the following is and pulmonic components
correct:
A. This is an abnormal finding and should be evaluated
further by a cardiologist
B. A stress test should be ordered
C. This is a normal finding in some young athletes
D. an EKG should be performed
Which finding will the NP expect to see in a 13 y/o male B. Delayed puberty
with Cushing's syndrome?
A. Excess estrogen
B. Delayed puberty
C. Pseudogynecomastia
D. Accelerated growth in height
Which life style factor is associated with secondary B. Smoking
polycythemia? Secondary polycythemia vera is associated with chronic hypoxia. Hypoxia causes
A. obesity an increase in erythropoetin, which stimulates the production of mature red blood
B. Smoking cells from the bone marrow. there is a high incidence of secondary polycythemia in
C. Alcohol abuse chronic cigarette smokers compared with the general population, as they often
D. Sedentary lifestyle experience hypoxia. Obesity, alcohol abuse and a sedentary lifestyle are not
associated with secondary polycythemia vera.
Which test will confrim a dx of prostate cancer? D. Tissue biopsy
A. PSA biopsy and pathology exam of prostate tissue is used to confirm a dx of prostate
B. Digital rectal exam cancer. CBC is not used to diagnose prostate cancer. A mass can be palpated with
C. CBC with dif DRE however this does not confirm a dx of prostate cancer. PSA is a screening test
D. Tissue biopsy for prostate cancer, but it is not used to confirm a final dx.
, FNP Leik Practice Test 1 | Study Guide & Practice Questions | 2026 -2027
A 60 y/o female truck driver presents to the op urgent care A. order an MRI of the lumbosacral spine ASAP
cinic of a hospital complaining of the worsening of her low The pt has new onset numbness of the perineal area(saddle anesthesia), the
back pain the past few days. Pain is accompanied by n/t in sciatica is worsening, and the deep tendn reflexes of the lower ext are decreased
the perineal area. She describes the pain as "sharp and on the affected side Rule out cauda equine syndrome and order an MRI (prefered
burning" and points to the left buttock. She reports that the test). The MRI can detect nerve root compression, herniated disk, cancer, and
pain started on the mid-buttock of the left leg and recently spinal stenosis (narrowing of the spinal canal). In addition the pt needs to follow up
started to go down the lateral aspect of the leg toward the with a neurologist as soon as possible.
top of the foot. During the physical exam, the ankle jerk
and the knee jerk reflex are 1+ on the affected leg and 2+
on the other leg. The pedal, posterior tibialis, and popliteal
pulses are the same on both legs. Which of the following
tests should the NP consider for this patient?
A. order an MRI of the lumbosacral spine ASAP
B. Write an RX for ibuprofen 800 mg qid with a muscle
relaxant and advise the pt to follow up with her primary
care prover within 3 days.
C. Refer the pt to an orthopedic surgeon
D. Ordering an imaging study of the spine is premature
because the majority of low back cases resolve within 10
to 12 weeks
When assessing a pt using the snellen chart the NP A. The pt can see at 20 feet what a person with normal vision sees at 80 feet.
records the visual acuity as 20/80. What does this The bottom number is the distance at which a person with normal eyesigt can read
assessment mean? the same line. A pt with 20/80 vision can see at 20 feet what a person with normal
A. The pt can see at 20 feet what a person with normal vision can see at 80 feet. Presbyopia is caused by loss of elasticity of the lenses
vision sees at 80 feet. which make it difficulty to focus on close objects.
B. The pt can see at 80 feet what a person with normal
vison sees at 20 feet.
C. The pt has experienced a 20% decrease in acuity in
one eye and an 80% decrease in the opposite eye..
D. The patient has presbyopia.
An obese 28 year old female pt is seen in the office with B. Metabolic syndrome
acne, hirsutism, and oligmenorrhea. Bood is drawn for a C. Infertility
few androgen index (FAI), and results reveal a 9.8 level. D. Type 2 DM
The dx is PCOS which puts the pt at additional risk for
which conditions (select all that apply) A dx of PCOS carries with it a risk of developing CHD, type 2 DB, metabolic
A. CHF syndrom and infertility because of the high levels of androgens in the body.
B. Metabolic syndrome Endometriosis and chf are not complications of PCOS
C. Infertility
D. Type 2 DM
E. Endometriosis
A middle-aged hypertensive male presents to a public C) Bacterial pneumonia
health clinic with complaints of an acute onset of fever,
chills, and cough that is productive of rusty-colored
sputum. The patient reports episodes of sharp pains on the
left side of his back and chest whenever he is coughing.
His temperature is 102.2 degrees Fahrenheit, the pulse is
100/min, and the BP is 130/80. The urinalysis does not
show leukocytes, nitrites, or blood. This finding is most
consistent with:
A) Atypical pneumonia
B) An upper urinary tract infection
C) Bacterial pneumonia
D) Acute pyelonephritis
During a physical assessment, the NP palpates the RUQ C. murphy sign
while the patient takes a deep inspiration. Which
diagnostic test is being performed?
A. markle test
B. rovsing sign
C. murphy sign
D. psoas sign
Which of the following findings is assoc. with thyroid D. Myxedema
hypofunction? Myxedema or myxedema coma is seen in patients with severe hypothyroidism. It
A. Graves Disease refers to the skin changes (thickened skin) seen in chronic severe hypothyroidism. It
B. Eye Disorder is a medcial emergency with mortality rates exceeding 20%. It is tx with very high
C. Thyroid storm doses of thyroid hormone.
D. Myxedema A thyroid storm occurs when there is the extreme elevation of thyroid hormone.
Thyroid storm is life-threatening; if left untreated, the mortality rate is about 90%.
Call 911 if suspected.
Graves Disease is associated with thyroid hyperfunction
A 14 y/o boy is brought in by his mother, who reports that D. Celiac Disease
her son has been complaining for several months of Celiac Disease is also known as celiac sprue Patients should avoid gluten, which
recurrent bloating, stomach upset and occasional loose causes malabsorption (diarrhea, gas, bloating, and abd pain). Foods to avoid are
stools. She reports that he has difficulty gaining wt. and is wheat, rye, and barley. Oats do not damage mucosa in celiac disease. Antifiadins
short for his age. She has noticed that his symptoms IgA and IgG are elevated in almost all patients (90%)
worsen after eating large amounts of crackers, cookies,
and bread. She denies seeing blood in the boy's stool.
Which of the following conditions is most likely?
A. Amebiasis
B. Malabsorption
C. Chron's
D. Celiac Disease
A 67 y/o female patient presents with a 3 day old cat bite D. Amoxicillin -Clavulante(Augmentin)
that has become swollen, reddened and painful to touch. The patient present with symptoms associated with Pasteurella multocida, which is
The NP notes there is purulent drng at the site of the bite. an anerobic gram-negative coccobacillus found in the oropharynx of healthy cats,
Which medication will the nurse practitioner prescribe? dogs, and other animals. The dx of the bacteria can be made with a gram stain
A. Gentamycin culture; however, a broad spectrum antibiotic that targets Pasteurella, as well as
B Tetanus toxoid other gram-positive and gram neg bacteria, is preferred for prescribed prophylaxis.
C. Rabies prophylaxis Amox-Clav is a recommended antibiotic for prophylactic tx. Aminoglycosides such
D. Amoxicillin -Clavulante(Augmentin) as gentamycin have demonstrated poor activity against P. multocida. Tetanus
toxoids is necessary only if the patient has received their last tetanus vaccine
greater than 5 years prior. Rabies is unnecessary unless there is a possibility of
exposure after a risk assessment.
A 14 year old girl with short stature, swollen hands and B. Karotype
feet, and a webbed neck presents to the clinic. Upon
assessment she is found to be at Tanner stage I. Which
test will the NP order to confirm diagnosis?
A. CT scan
B. Karotype
C. Prolactin level
D. Xray of the hand
A 67 y/o woman with a 30 pack a year hx of smoking B. COPD
presents for a routine annual physical examination. She COPD is a progressive lung disease that includes emphysema and chronic
c/o being easily short of breath and is frequently fatigued. bronchitis. The most common risk factor is long-term cigarette smoke (80-90%).
Physical examination reveals diminished breath sound, Another cause is alpha-1 trypsin deficiency and chronic fume exposure. The three
hyprresonance, and hypertrophied respiratory accessory cardinal symptoms of COPD are dyspnea, chronic cough, and sputum production.
muscles. Her CBC reveals elevated HCT and her PFT The lungs are hyperinflated which changes the shape of the chest and diaphragm,
results show increased total lung capacity. Which dx is making the mechanics of breathing more difficult Excess mucus and obstructed
most correct? airflow from progressive thickening and stiffening of the airways finish breath sound.
A. Bronchogenic carcinoma COPD creates a high hematocrit percentage because of chronic hypoxemia.
B. COPD
C. Chronic bronchitis
D. CHF
An elderly male presents to the clinic for a routine physical D. Senile actinic keratosis
examination. The NP notes multiple rough, scaly patches Senile actinic keratosis is considered the most common precancerous lesion of
on the patients forearms and face and back of his ears. squamous cell carcinoma in older adults. Actinic keratosis is a rough, scaly patch on
Which dx is most likely: the skin that dev. from years of exposure to the sun. It is most commonly found on
A. seborrheic keratosis the face, lips, ears, back of hands, forearms, scalp, or neck. Sinle purpura presents
B. Senile purpura as bright, puple-colored patches located on the forearms and hands and are
C. Lentigines benightn. Lintigines, also known as liver sparts are brown-colored macules located
D. Senile actinic keratosis on the hands and forearms of older adults and are benign. Seborrheic keratoses
are soft, wartlike benign lesions that fequently appear on the back and trunk of older
adults.
, FNP Leik Practice Test 1 | Study Guide & Practice Questions | 2026 -2027
The NP is assessing a 69 y/o male with a hx of IV drug use C. Hep C
as a young adult. He presents with fatigue and nausea. The CDC recommends Hep C screening in adults born from 1945 through 1965.
Which screening will the NP recommend for this pt Hep C is transmitted by sharing needles and can become a chronic infection. IV
A. cxr drug users and persons w/in this age group are considered high risk for Hep C.
B. Urine specimen Given the hx, cxr, ua , and electroencephalogram would not be indicated.
C. Hep C
D. Electroencephalogram
The NP is performing an assessment of a 6 month old. A. palmar grasp of objects
What motor skills are expected at this age? B. sits up
A. palmar grasp of objects
B. sits up
C. stands independently
D. moves from one piece of furniture to another
E. feeds self without assistance
The Np is manging a stable middle-aged adult with C. Quadrivalent inactivated influenza vaccine (QIV)
emphysema. In addition to reinforcing smoking cessation An older adult with a chronic respiratory disease should receive an annual QIV,
and medication schedules, which annual intervention will which is appropriate to administer to patients six mo and older. The LAIV is
the nurse practitioner recommend? administered via nasal spray for patients aged 2 to 49. PPSV23 and PCV13 are
A. Pneumococcal polysaccaride (PPSV23) both for pneumococcal protection. PPSV23 si recommended for individuals aged 65
B. Live attenuated influenza vaccine (LAIV) and adults aged 19 to 64 who smoke. PCV13 is recommended for children younger
C. Quadrivalent inactivated influenza vaccine (QIV) than two years.
D. Pneumococcal conjugace vaccine (PCV13)
During a sports participaton exam of a 14-year-old high C. This is a normal finding in some young athletes.
school athlete, the NP notices a split on the S2 component It is common to hear a split S2 heart sound over the pulmonic area of the heart with
of the heart sound during deep inspiration. She notes that inspiration.As long as it disappears with expiration, with no other abnormal
it disappears upon expiration. The heart rate is regular, symtoms, this a a normal finding. The sound is caused by the splitting of the aortic
and no murmurs are auscultated. Which of the following is and pulmonic components
correct:
A. This is an abnormal finding and should be evaluated
further by a cardiologist
B. A stress test should be ordered
C. This is a normal finding in some young athletes
D. an EKG should be performed
Which finding will the NP expect to see in a 13 y/o male B. Delayed puberty
with Cushing's syndrome?
A. Excess estrogen
B. Delayed puberty
C. Pseudogynecomastia
D. Accelerated growth in height
Which life style factor is associated with secondary B. Smoking
polycythemia? Secondary polycythemia vera is associated with chronic hypoxia. Hypoxia causes
A. obesity an increase in erythropoetin, which stimulates the production of mature red blood
B. Smoking cells from the bone marrow. there is a high incidence of secondary polycythemia in
C. Alcohol abuse chronic cigarette smokers compared with the general population, as they often
D. Sedentary lifestyle experience hypoxia. Obesity, alcohol abuse and a sedentary lifestyle are not
associated with secondary polycythemia vera.
Which test will confrim a dx of prostate cancer? D. Tissue biopsy
A. PSA biopsy and pathology exam of prostate tissue is used to confirm a dx of prostate
B. Digital rectal exam cancer. CBC is not used to diagnose prostate cancer. A mass can be palpated with
C. CBC with dif DRE however this does not confirm a dx of prostate cancer. PSA is a screening test
D. Tissue biopsy for prostate cancer, but it is not used to confirm a final dx.
, FNP Leik Practice Test 1 | Study Guide & Practice Questions | 2026 -2027
A 60 y/o female truck driver presents to the op urgent care A. order an MRI of the lumbosacral spine ASAP
cinic of a hospital complaining of the worsening of her low The pt has new onset numbness of the perineal area(saddle anesthesia), the
back pain the past few days. Pain is accompanied by n/t in sciatica is worsening, and the deep tendn reflexes of the lower ext are decreased
the perineal area. She describes the pain as "sharp and on the affected side Rule out cauda equine syndrome and order an MRI (prefered
burning" and points to the left buttock. She reports that the test). The MRI can detect nerve root compression, herniated disk, cancer, and
pain started on the mid-buttock of the left leg and recently spinal stenosis (narrowing of the spinal canal). In addition the pt needs to follow up
started to go down the lateral aspect of the leg toward the with a neurologist as soon as possible.
top of the foot. During the physical exam, the ankle jerk
and the knee jerk reflex are 1+ on the affected leg and 2+
on the other leg. The pedal, posterior tibialis, and popliteal
pulses are the same on both legs. Which of the following
tests should the NP consider for this patient?
A. order an MRI of the lumbosacral spine ASAP
B. Write an RX for ibuprofen 800 mg qid with a muscle
relaxant and advise the pt to follow up with her primary
care prover within 3 days.
C. Refer the pt to an orthopedic surgeon
D. Ordering an imaging study of the spine is premature
because the majority of low back cases resolve within 10
to 12 weeks
When assessing a pt using the snellen chart the NP A. The pt can see at 20 feet what a person with normal vision sees at 80 feet.
records the visual acuity as 20/80. What does this The bottom number is the distance at which a person with normal eyesigt can read
assessment mean? the same line. A pt with 20/80 vision can see at 20 feet what a person with normal
A. The pt can see at 20 feet what a person with normal vision can see at 80 feet. Presbyopia is caused by loss of elasticity of the lenses
vision sees at 80 feet. which make it difficulty to focus on close objects.
B. The pt can see at 80 feet what a person with normal
vison sees at 20 feet.
C. The pt has experienced a 20% decrease in acuity in
one eye and an 80% decrease in the opposite eye..
D. The patient has presbyopia.
An obese 28 year old female pt is seen in the office with B. Metabolic syndrome
acne, hirsutism, and oligmenorrhea. Bood is drawn for a C. Infertility
few androgen index (FAI), and results reveal a 9.8 level. D. Type 2 DM
The dx is PCOS which puts the pt at additional risk for
which conditions (select all that apply) A dx of PCOS carries with it a risk of developing CHD, type 2 DB, metabolic
A. CHF syndrom and infertility because of the high levels of androgens in the body.
B. Metabolic syndrome Endometriosis and chf are not complications of PCOS
C. Infertility
D. Type 2 DM
E. Endometriosis
A middle-aged hypertensive male presents to a public C) Bacterial pneumonia
health clinic with complaints of an acute onset of fever,
chills, and cough that is productive of rusty-colored
sputum. The patient reports episodes of sharp pains on the
left side of his back and chest whenever he is coughing.
His temperature is 102.2 degrees Fahrenheit, the pulse is
100/min, and the BP is 130/80. The urinalysis does not
show leukocytes, nitrites, or blood. This finding is most
consistent with:
A) Atypical pneumonia
B) An upper urinary tract infection
C) Bacterial pneumonia
D) Acute pyelonephritis
During a physical assessment, the NP palpates the RUQ C. murphy sign
while the patient takes a deep inspiration. Which
diagnostic test is being performed?
A. markle test
B. rovsing sign
C. murphy sign
D. psoas sign
