Hesi Exit Family Nurse Practitioner-
questions for FNP review Latest 2026-
2027 Updated
• Airway occlusion . Answer: Complete occlusion indicated by holding throat with both
hands; incomplete occlusion allows coughing, talking, or crying.
• Acute otitis media . Answer: Expected objective finding: Tympanic membrane
immobility, hallmark of AOM.
• Erythema infectious rash . Answer: Young adults may present with a reddened
exanthema on hands and feet with distinct margins at wrist and ankle joints.
• Skin cancer risk . Answer: High risk factor: Work on a crew that paves highways due to
exposure to ultraviolet light.
• Peritoneal irritation . Answer: Expected physical finding: Abdominal guarding and
possible rebound tenderness; decreased bowel sounds may be present.
• Pincer grasp . Answer: Developmental milestone at 9 months for a child to use a
pincer grasp.
• Valsalva maneuver . Answer: Technique to detect abnormal heart sounds, particularly
in hypertrophic cardiomyopathy.
• Type 2 diabetes control . Answer: Target value indication: HS glucose levels between
100 and 140 mg/dL.
• Appropriate developmental task . Answer: Married with two sons and an active social
life at age 31 reflects meeting the Intimacy versus Isolation task.
• Osgood-Schlatter disease . Answer: Consistent symptom: Knee pain with running,
jumping, going up steps, and kneeling due to overuse syndrome.
• Bell's palsy . Answer: Physical exam finding: Inability to puff out cheek due to
unilateral facial nerve paresis or paralysis.
• Deep vein thrombosis . Answer: Factor in patient's history: Oral contraceptive pill use
among other risk factors like pregnancy, smoking, older age, or clotting disorders.
• PTSD traits . Answer: Hypersomnia is not a trait found in PTSD, which consists of
reexperiencing, avoidance, and hyperarousal symptoms.
, • Kidney stone indicator . Answer: Besides pain, hematuria is a key indicator in patients
with kidney stones.
• Infectious mononucleosis . Answer: Pathognomonic finding: Lymphadenopathy,
almost always present; absence questions the diagnosis.
• Tender points vs. trigger points . Answer: Difference: Palpation of trigger points causes
pain radiation, while tender points do not.
• Visual acuity 20/40 . Answer: Interpretation: Ability to see at 20 feet what a normal eye
sees at 40 feet; Snellen chart assessment.
• Dementia assessment . Answer: Sign of complex cognitive tasks: Difficulty balancing
the checkbook indicates reasoning ability problem, a sign of dementia.
• Annular lesions . Answer: Expected arrangement: Circular or ring shape; different from
reticular, clustered, or gyrate patterns.
• Child abuse suspicion . Answer: Increased suspicion: Multiple bruises on arms and
face in varying colors indicate repeated trauma, not typical play injuries.
• Circle copying age . Answer: Developmental milestone: Child can copy a circle at 3
years of age.
• Pinworm symptoms in children . Answer: After rectal itching, typical symptom: Intense
rectal itching followed by symptoms like perianal itching and irritability.
• Perianal excoriation . Answer: Common in children due to itching in the perianal area.
• Prostate cancer . Answer: Suspected with a firm, distinct palpable lesion.
• Posterior nosebleed . Answer: Blood seen running down the oropharynx.
• Amenorrhea . Answer: Associated with excessive exercise and nutritional deficits.
• Asthma diagnosis . Answer: Supported by a history of recurrent skin problems since
infancy.
• Risky drinking in pregnancy . Answer: Detected best by questions about tolerance in
history.
• Hyperlipidemia suspicion . Answer: Raised by soft, yellowish plaques in the medial
canthal area.
• Amblyopia diagnosis . Answer: Indicated by tilting head to one side for better vision.
questions for FNP review Latest 2026-
2027 Updated
• Airway occlusion . Answer: Complete occlusion indicated by holding throat with both
hands; incomplete occlusion allows coughing, talking, or crying.
• Acute otitis media . Answer: Expected objective finding: Tympanic membrane
immobility, hallmark of AOM.
• Erythema infectious rash . Answer: Young adults may present with a reddened
exanthema on hands and feet with distinct margins at wrist and ankle joints.
• Skin cancer risk . Answer: High risk factor: Work on a crew that paves highways due to
exposure to ultraviolet light.
• Peritoneal irritation . Answer: Expected physical finding: Abdominal guarding and
possible rebound tenderness; decreased bowel sounds may be present.
• Pincer grasp . Answer: Developmental milestone at 9 months for a child to use a
pincer grasp.
• Valsalva maneuver . Answer: Technique to detect abnormal heart sounds, particularly
in hypertrophic cardiomyopathy.
• Type 2 diabetes control . Answer: Target value indication: HS glucose levels between
100 and 140 mg/dL.
• Appropriate developmental task . Answer: Married with two sons and an active social
life at age 31 reflects meeting the Intimacy versus Isolation task.
• Osgood-Schlatter disease . Answer: Consistent symptom: Knee pain with running,
jumping, going up steps, and kneeling due to overuse syndrome.
• Bell's palsy . Answer: Physical exam finding: Inability to puff out cheek due to
unilateral facial nerve paresis or paralysis.
• Deep vein thrombosis . Answer: Factor in patient's history: Oral contraceptive pill use
among other risk factors like pregnancy, smoking, older age, or clotting disorders.
• PTSD traits . Answer: Hypersomnia is not a trait found in PTSD, which consists of
reexperiencing, avoidance, and hyperarousal symptoms.
, • Kidney stone indicator . Answer: Besides pain, hematuria is a key indicator in patients
with kidney stones.
• Infectious mononucleosis . Answer: Pathognomonic finding: Lymphadenopathy,
almost always present; absence questions the diagnosis.
• Tender points vs. trigger points . Answer: Difference: Palpation of trigger points causes
pain radiation, while tender points do not.
• Visual acuity 20/40 . Answer: Interpretation: Ability to see at 20 feet what a normal eye
sees at 40 feet; Snellen chart assessment.
• Dementia assessment . Answer: Sign of complex cognitive tasks: Difficulty balancing
the checkbook indicates reasoning ability problem, a sign of dementia.
• Annular lesions . Answer: Expected arrangement: Circular or ring shape; different from
reticular, clustered, or gyrate patterns.
• Child abuse suspicion . Answer: Increased suspicion: Multiple bruises on arms and
face in varying colors indicate repeated trauma, not typical play injuries.
• Circle copying age . Answer: Developmental milestone: Child can copy a circle at 3
years of age.
• Pinworm symptoms in children . Answer: After rectal itching, typical symptom: Intense
rectal itching followed by symptoms like perianal itching and irritability.
• Perianal excoriation . Answer: Common in children due to itching in the perianal area.
• Prostate cancer . Answer: Suspected with a firm, distinct palpable lesion.
• Posterior nosebleed . Answer: Blood seen running down the oropharynx.
• Amenorrhea . Answer: Associated with excessive exercise and nutritional deficits.
• Asthma diagnosis . Answer: Supported by a history of recurrent skin problems since
infancy.
• Risky drinking in pregnancy . Answer: Detected best by questions about tolerance in
history.
• Hyperlipidemia suspicion . Answer: Raised by soft, yellowish plaques in the medial
canthal area.
• Amblyopia diagnosis . Answer: Indicated by tilting head to one side for better vision.
