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FNP Board Review Questions - Complete Study Guide with Verified Answers

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Ace your Family Nurse Practitioner board certification exam with this comprehensive review guide featuring latest updated questions and verified answers. This complete study resource covers advanced pharmacology, cardiology, pulmonology, endocrinology, dermatology, women's health, pediatrics, geriatrics, and evidence-based practice with detailed clinical rationales. Essential for FNP students and graduates preparing for AANP and ANCC board certification success.

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FNP BOARD REVIEW QUESTIONS AND
ANSWER; LATEST UPDATED VERSION
2026; ALREADY GRADED A+


______________ medications are among the most
commonly used medications by women in the first
trimester of pregnancy.


A) Antiepileptic drugs
B) Antibiotics
C) Antihypertensives
D) Opioids - correct answer- B) Antibiotics


27-year old male with lupus has a eGFR of 48 and Ā1C of
7.2%, newly diagnosed with T2DM.
1) What medication is first choice in this patient? -
correct answer- 1) Metformin (can be given as
long as the GFT is > 45, monitor closely)


35-year old female with newly diagnosed impaired fasting
glucose and Ā1C of 5.9%

,1) What medication is first-line?
2) What if she is contemplating pregnancy? - correct
answer- 1) Metformin
2) Metformin is OK in pregnancy


35-year old obese male with hx of T2DM is on the max
dose of Metformin. His Ā1C is 7.6 (goal < 7%). He desires
weight loss and is needle-phobic.
1) What medication class should be considered
2) Which med class(es) should be avoided? - correct
answer- 1) SGLT-2 inhibitor (canagliflozin -
Invokana, empagliflozin - Jardiance)
2)Sulfonylureas (a/w weight gain)
GLP-1, insulin (injectables)


82-year old male with T2DM is currently on max dose of
Metformin. His Ā1C is 7.9%.
1) What is your plan at this visit for his Ā1C? - correct
answer- 1) A reasonable Ā1C goal for his age is
<8%. Review lifestyle modifications and decrease carb
intake

,A 19-year old college student (otherwise healthy,
nonsmoker) was diagnosed with community-acquired
pneumonia by CXR a couple days ago. She has been taking
amoxillin with clavulanate 875 mg BID for the past 48
hours. She returns today for a follow-up appointment.


Her vitals 2 days ago: BP 120/72, HR 96, T 103F, RR
24/min, Ó2 sats 92%.
Her vitals today: BP 130/80, HR 100, T 102.2, RR 24/min,
Ó2 sats 94%.


How would you manager her today?


A) Repeat CXR, CBC, and start levofloxacin
B) Start azithromycin 5-day pack
C) Continue with amoxicillin-clavulanate for another 24
hours
D) Stop amoxicillin-clavulanate and start doxcycline 100
mg BID x 7 days - correct answer- D) Stop

, amoxicillin-clavulanate and start doxycycline 100 mg BID x
7 days


She most likely has an atypical pathogen (mycoplasma
pneumoniae or chlamydophila pneumoniae), which
should be treated with a macrolide or doxycycline


A 19-year old man presents with stage 1 HTN. Which of
the following is correct concerning his participation in
sport activities?


A) Full activity should be encouraged
B) Weight lifting is contraindicated
C) He should have an exercise tolerance test
D) A beta-adrenergic antagonist should be prescribed -
correct answer- A) Full activity should be
encouraged


A 22-year old female wants to know if she can start a
walking program. She has been diagnosed with mitral

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