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Family Nurse Practitioner (FNP) Exam Prep Notes 2025–2026 | Complete Clinical Review Guide | High-Yield Study Notes, Practice Questions & Memory Tricks

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Comprehensive Family Nurse Practitioner (FNP) Exam Prep Notes for 2025–2026 designed to simplify difficult clinical concepts and improve exam performance. This study guide includes high-yield clinical review notes, diagnostic approaches, treatment strategies, pharmacology pearls, preventive care, differential diagnosis shortcuts, rapid revision sheets, and practice-style exam preparation material across major systems. Topics covered include: * Cardiovascular Disorders * Respiratory Disorders * Endocrine Disorders * Gastrointestinal Disorders * Neurology * Women’s Health * Pediatrics * Dermatology * Infectious Diseases * Geriatrics * Psychiatric Disorders * Preventive Care * Pharmacology Essentials * Diagnostic Interpretation * Lab Values & Clinical Red Flags The notes are organized in a simplified clinical format with: * Overview * Symptoms * Diagnosis * Management * Clinical Pearls * Exam Traps * Quick Memory Aids Perfect for last-minute FNP board review and rapid clinical revision Created for : * FNP students * Nursing students * Board exam revision * Rapid clinical review * Last-minute study preparation Designed with clean formatting, simplified explanations, and easy-to-read high-yield summaries for faster retention and efficient studying. Updated for 2025–2026 review preparation.

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Premium Clinical Review Guide, 2025–2026
Original high-yield study notes for FNP board preparation Updated for review use through Early 2026

Educational use only. These notes are designed for exam preparation and rapid clinical reasoning practice. They are
not a substitute for local protocols, specialty consultation, drug labeling, or individualized patient care. Guideline
details change; verify dosing, contraindications, vaccine schedules, and screening intervals at the point of care.



Contents
1 Introduction to FNP Exam Strategy 6

1.1 How to Think Like the Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

1.2 Best Way to Use This Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

1.3 Current Guideline Anchors .......................................... 6

2 High-Yield Clinical Review 6

2.1 Primary Care Safety Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6


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,FNP Exam Notes 2025–2026 High-Yield Clinical Review
2.2 Board-Style Decision Rules .......................................... 7

3 Cardiovascular Disorders 7

3.1 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

3.2 Hypertensive Emergency and Urgency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

3.3 Hyperlipidemia and ASCVD Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

3.4 Stable Angina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

3.5 Acute Coronary Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

3.6 Heart Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

3.7 Atrial Fibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

3.8 Deep Vein Thrombosis and Pulmonary Embolism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

3.9 Peripheral Arterial Disease .......................................... 10

3.10 Heart Murmurs and Aortic Stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

4 Respiratory Disorders 10

4.1 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

4.2 COPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

4.3 Community-Acquired Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11


4.4 Acute Bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.5 Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.6 Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.7 Allergic Rhinitis ................................................ 12

4.8 Acute Bacterial Rhinosinusitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

5 Endocrine Disorders 13

5.1 Type 2 Diabetes Mellitus ........................................... 13

5.2 Type 1 Diabetes and Diabetic Ketoacidosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

5.3 Hypoglycemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

5.4 Hypothyroidism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

5.5 Hyperthyroidism and Graves Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

5.6 Thyroid Nodules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

5.7 Osteoporosis .................................................. 15

5.8 Adrenal Insufficiency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

6 Gastrointestinal Disorders 16

6.1 Gastroesophageal Reflux Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16


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,FNP Exam Notes 2025–2026 High-Yield Clinical Review
6.2 Peptic Ulcer Disease and H. pylori . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

6.3 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

6.4 Cholecystitis and Biliary Colic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

6.5 Diverticulitis .................................................. 17

6.6 Irritable Bowel Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

6.7 Inflammatory Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

6.8 Viral Hepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

6.9 Acute Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

7 Neurology 19

7.1 Stroke and Transient Ischemic Attack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

7.2 Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

7.3 Tension-Type and Cluster Headache . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

7.4 Seizure Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

7.5 Bell Palsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

7.6 Parkinson Disease ............................................... 20

7.7 Dementia and Delirium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

7.8 Peripheral Neuropathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

8 Musculoskeletal Disorders 21

8.1 Low Back Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

8.2 Osteoarthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

8.3 Rheumatoid Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22


8.4 Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

8.5 Septic Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

8.6 Fibromyalgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

8.7 Carpal Tunnel Syndrome ........................................... 23

9 Dermatology 24

9.1 Atopic Dermatitis ............................................... 24

9.2 Contact Dermatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

9.3 Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

9.4 Acne Vulgaris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

9.5 Cellulitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

9.6 Impetigo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25


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, FNP Exam Notes 2025–2026 High-Yield Clinical Review
9.7 Tinea and Candidiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

9.8 Scabies and Pediculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

9.9 Melanoma and Skin Cancer Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

9.10 Herpes Zoster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

10 Infectious Diseases 27

10.1 Uncomplicated Lower UTI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

10.2 Pyelonephritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

10.3 Chlamydia and Gonorrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

10.4 Pelvic Inflammatory Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

10.5 HIV Screening and Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

10.6 Lyme Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

10.7 Infectious Mononucleosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

10.8 Skin Abscess and Community MRSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

11 Women’s Health 29

11.1 Contraception Counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

11.2 Pregnancy: Initial Prenatal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

11.3 Preeclampsia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

11.4 Gestational Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

11.5 Vaginitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

11.6 Abnormal Uterine Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

11.7 Polycystic Ovary Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

11.8 Menopause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

11.9 Breast Mass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

12 Pediatrics 32

12.1 Well-Child Growth and Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

12.2 Acute Otitis Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33


12.3 Streptococcal Pharyngitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

12.4 Croup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

12.5 Bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

12.6 Pediatric Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

12.7 Kawasaki Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

12.8 Common Pediatric Viral Exanthems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34


4

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Maria T. Codina Leik, MSN, APRN, BC, FNP-C Family Nurse Practitioner Certification
Publisher: 2007 ISBN: 9780826111364 Edition: Unknown

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