Family Nurse Practitioner (FNP) Certification Exam
Verified Questions, Correct Answers, and Detailed
Explanations for Students||Already Graded A+
1. A 45-year-old patient presents with polyuria, polydipsia, and
fasting glucose of 145 mg/dL. What is the most appropriate
diagnosis?
A. Impaired fasting glucose
B. Normal glucose
C. Type 2 diabetes mellitus
D. Prediabetes
Answer: C
Fasting glucose ≥126 mg/dL meets diagnostic criteria for diabetes.
2. A child with suspected otitis media has a bulging, erythematous
tympanic membrane with purulent effusion. First-line therapy is:
A. Azithromycin
B. Amoxicillin
C. Cefdinir
D. Levofloxacin
Answer: B
Amoxicillin is first-line unless allergy or recent use.
3. A 68-year-old male with COPD has increased sputum production,
worsening dyspnea, and purulence. Treatment includes:
A. Oral steroids only
B. Antibiotics plus bronchodilators
C. Oxygen only
D. Chest physiotherapy only
,Answer: B
All three cardinal symptoms indicate need for antibiotics.
4. A patient with hypothyroidism on levothyroxine has TSH 9.0.
Best action?
A. Decrease dose
B. Increase dose
C. Stop medication
D. Recheck in 6 months
Answer: B
High TSH indicates under-replacement.
5. A 4-year-old with barky cough and inspiratory stridor at night
most likely has:
A. Asthma
B. Epiglottitis
C. Croup
D. RSV
Answer: C
Croup presents with barky cough and stridor, especially at night.
6. A patient with dysuria and positive nitrites likely has:
A. Chlamydia
B. E. coli UTI
C. Viral cystitis
D. Renal stones
Answer: B
Nitrites suggest gram-negative bacteria, most commonly E. coli.
,7. Best screening test for colorectal cancer in an average-risk 50-
year-old:
A. CT scan
B. Colonoscopy every 10 years
C. Fecal culture
D. Sigmoidoscopy every 2 years
Answer: B
Colonoscopy is preferred screening beginning at age 45–50.
8. A 70-year-old female with osteoporosis should receive:
A. Calcium only
B. Bisphosphonate therapy
C. Vitamin D only
D. Testosterone
Answer: B
Bisphosphonates reduce fracture risk.
9. First-line therapy for generalized anxiety disorder:
A. Benzodiazepines
B. SSRIs
C. Beta-blockers
D. TCAs
Answer: B
SSRIs are first-line for chronic anxiety.
10. A patient presents with vesicular rash in dermatomal pattern.
Diagnosis?
, A. Cellulitis
B. Eczema
C. Herpes zoster
D. Psoriasis
Answer: C
Shingles presents in a unilateral dermatomal pattern.
11. A diabetic patient with microalbuminuria should begin:
A. Thiazide
B. ACE inhibitor
C. NSAID
D. Beta-blocker
Answer: B
ACE inhibitors protect renal function in diabetes.
12. Most effective emergency contraception:
A. Condoms
B. Copper IUD
C. Levonorgestrel pill
D. Rhythm method
Answer: B
Copper IUD is most effective up to 5 days after intercourse.
13. A patient with chronic GERD should undergo endoscopy if they
have:
A. Mild reflux
B. Burping
Verified Questions, Correct Answers, and Detailed
Explanations for Students||Already Graded A+
1. A 45-year-old patient presents with polyuria, polydipsia, and
fasting glucose of 145 mg/dL. What is the most appropriate
diagnosis?
A. Impaired fasting glucose
B. Normal glucose
C. Type 2 diabetes mellitus
D. Prediabetes
Answer: C
Fasting glucose ≥126 mg/dL meets diagnostic criteria for diabetes.
2. A child with suspected otitis media has a bulging, erythematous
tympanic membrane with purulent effusion. First-line therapy is:
A. Azithromycin
B. Amoxicillin
C. Cefdinir
D. Levofloxacin
Answer: B
Amoxicillin is first-line unless allergy or recent use.
3. A 68-year-old male with COPD has increased sputum production,
worsening dyspnea, and purulence. Treatment includes:
A. Oral steroids only
B. Antibiotics plus bronchodilators
C. Oxygen only
D. Chest physiotherapy only
,Answer: B
All three cardinal symptoms indicate need for antibiotics.
4. A patient with hypothyroidism on levothyroxine has TSH 9.0.
Best action?
A. Decrease dose
B. Increase dose
C. Stop medication
D. Recheck in 6 months
Answer: B
High TSH indicates under-replacement.
5. A 4-year-old with barky cough and inspiratory stridor at night
most likely has:
A. Asthma
B. Epiglottitis
C. Croup
D. RSV
Answer: C
Croup presents with barky cough and stridor, especially at night.
6. A patient with dysuria and positive nitrites likely has:
A. Chlamydia
B. E. coli UTI
C. Viral cystitis
D. Renal stones
Answer: B
Nitrites suggest gram-negative bacteria, most commonly E. coli.
,7. Best screening test for colorectal cancer in an average-risk 50-
year-old:
A. CT scan
B. Colonoscopy every 10 years
C. Fecal culture
D. Sigmoidoscopy every 2 years
Answer: B
Colonoscopy is preferred screening beginning at age 45–50.
8. A 70-year-old female with osteoporosis should receive:
A. Calcium only
B. Bisphosphonate therapy
C. Vitamin D only
D. Testosterone
Answer: B
Bisphosphonates reduce fracture risk.
9. First-line therapy for generalized anxiety disorder:
A. Benzodiazepines
B. SSRIs
C. Beta-blockers
D. TCAs
Answer: B
SSRIs are first-line for chronic anxiety.
10. A patient presents with vesicular rash in dermatomal pattern.
Diagnosis?
, A. Cellulitis
B. Eczema
C. Herpes zoster
D. Psoriasis
Answer: C
Shingles presents in a unilateral dermatomal pattern.
11. A diabetic patient with microalbuminuria should begin:
A. Thiazide
B. ACE inhibitor
C. NSAID
D. Beta-blocker
Answer: B
ACE inhibitors protect renal function in diabetes.
12. Most effective emergency contraception:
A. Condoms
B. Copper IUD
C. Levonorgestrel pill
D. Rhythm method
Answer: B
Copper IUD is most effective up to 5 days after intercourse.
13. A patient with chronic GERD should undergo endoscopy if they
have:
A. Mild reflux
B. Burping
