FITZGERALD-ALIGNED FNP BOARD REVIEW
2025/2026 PRACTICE EXAM
Original Multiple-Choice Questions
Bold Correct Answers | Rationales Directly Under Each Question
Alignment includes:
Prevention, hematology concepts, ENT/eye, dermatology, thyroid/endocrine disorders, headache/neurology,
GI/hepatic disease, respiratory disease, diabetes, cardiovascular disorders, GU/GYN problems, mental-health
principles, older-adult care, pediatrics, assessment, diagnosis, intervention, evaluation, and pharmacology-
oriented reasoning.
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
,Prevention
1. A 52-year-old adult with no symptoms asks about preventive care. Which approach best reflects
primary prevention?
A. Administering an indicated vaccine
B. Treating established pneumonia
C. Rehabilitating after stroke
D. Monitoring a known malignancy
Correct Answer: A. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
2. During an FNP board-review visit, a 52-year-old adult with no symptoms asks about preventive care.
Which approach best reflects primary prevention?
A. Treating established pneumonia
B. Rehabilitating after stroke
C. Monitoring a known malignancy
D. Administering an indicated vaccine
Correct Answer: D. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
3. Which response best applies to this clinical principle: A 52-year-old adult with no symptoms asks
about preventive care. Which approach best reflects primary prevention?
A. Rehabilitating after stroke
B. Monitoring a known malignancy
C. Administering an indicated vaccine
D. Treating established pneumonia
Correct Answer: C. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
4. A nurse practitioner is prioritizing the following issue. A 52-year-old adult with no symptoms asks
about preventive care. Which approach best reflects primary prevention?
A. Monitoring a known malignancy
B. Administering an indicated vaccine
C. Treating established pneumonia
D. Rehabilitating after stroke
Correct Answer: B. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
5. Which answer represents the best board-style interpretation? A 52-year-old adult with no symptoms
asks about preventive care. Which approach best reflects primary prevention?
A. Administering an indicated vaccine
B. Treating established pneumonia
C. Rehabilitating after stroke
D. Monitoring a known malignancy
Correct Answer: A. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
6. Which activity is an example of secondary prevention?
A. Screening an asymptomatic eligible adult for hypertension
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
, B. Physical therapy after hip fracture
C. Palliative care
D. Smoking-cessation counseling before disease
Correct Answer: A. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
7. During an FNP board-review visit, which activity is an example of secondary prevention?
A. Physical therapy after hip fracture
B. Palliative care
C. Smoking-cessation counseling before disease
D. Screening an asymptomatic eligible adult for hypertension
Correct Answer: D. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
8. Which response best applies to this clinical principle: Which activity is an example of secondary
prevention?
A. Palliative care
B. Smoking-cessation counseling before disease
C. Screening an asymptomatic eligible adult for hypertension
D. Physical therapy after hip fracture
Correct Answer: C. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
9. A nurse practitioner is prioritizing the following issue. Which activity is an example of secondary
prevention?
A. Smoking-cessation counseling before disease
B. Screening an asymptomatic eligible adult for hypertension
C. Physical therapy after hip fracture
D. Palliative care
Correct Answer: B. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
10. Which answer represents the best board-style interpretation? Which activity is an example of
secondary prevention?
A. Screening an asymptomatic eligible adult for hypertension
B. Physical therapy after hip fracture
C. Palliative care
D. Smoking-cessation counseling before disease
Correct Answer: A. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
, Cardiology
11. A patient has exertional chest pressure relieved by rest. Which diagnosis is most concerning?
A. GERD only
B. Panic disorder only
C. Costochondritis
D. Stable myocardial ischemia/angina
Correct Answer: D. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
12. During an FNP board-review visit, a patient has exertional chest pressure relieved by rest. Which
diagnosis is most concerning?
A. Panic disorder only
B. Costochondritis
C. Stable myocardial ischemia/angina
D. GERD only
Correct Answer: C. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
13. Which response best applies to this clinical principle: A patient has exertional chest pressure
relieved by rest. Which diagnosis is most concerning?
A. Costochondritis
B. Stable myocardial ischemia/angina
C. GERD only
D. Panic disorder only
Correct Answer: B. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
14. A nurse practitioner is prioritizing the following issue. A patient has exertional chest pressure
relieved by rest. Which diagnosis is most concerning?
A. Stable myocardial ischemia/angina
B. GERD only
C. Panic disorder only
D. Costochondritis
Correct Answer: A. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
15. Which answer represents the best board-style interpretation? A patient has exertional chest
pressure relieved by rest. Which diagnosis is most concerning?
A. GERD only
B. Panic disorder only
C. Costochondritis
D. Stable myocardial ischemia/angina
Correct Answer: D. Stable myocardial ischemia/angina
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
2025/2026 PRACTICE EXAM
Original Multiple-Choice Questions
Bold Correct Answers | Rationales Directly Under Each Question
Alignment includes:
Prevention, hematology concepts, ENT/eye, dermatology, thyroid/endocrine disorders, headache/neurology,
GI/hepatic disease, respiratory disease, diabetes, cardiovascular disorders, GU/GYN problems, mental-health
principles, older-adult care, pediatrics, assessment, diagnosis, intervention, evaluation, and pharmacology-
oriented reasoning.
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
,Prevention
1. A 52-year-old adult with no symptoms asks about preventive care. Which approach best reflects
primary prevention?
A. Administering an indicated vaccine
B. Treating established pneumonia
C. Rehabilitating after stroke
D. Monitoring a known malignancy
Correct Answer: A. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
2. During an FNP board-review visit, a 52-year-old adult with no symptoms asks about preventive care.
Which approach best reflects primary prevention?
A. Treating established pneumonia
B. Rehabilitating after stroke
C. Monitoring a known malignancy
D. Administering an indicated vaccine
Correct Answer: D. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
3. Which response best applies to this clinical principle: A 52-year-old adult with no symptoms asks
about preventive care. Which approach best reflects primary prevention?
A. Rehabilitating after stroke
B. Monitoring a known malignancy
C. Administering an indicated vaccine
D. Treating established pneumonia
Correct Answer: C. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
4. A nurse practitioner is prioritizing the following issue. A 52-year-old adult with no symptoms asks
about preventive care. Which approach best reflects primary prevention?
A. Monitoring a known malignancy
B. Administering an indicated vaccine
C. Treating established pneumonia
D. Rehabilitating after stroke
Correct Answer: B. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
5. Which answer represents the best board-style interpretation? A 52-year-old adult with no symptoms
asks about preventive care. Which approach best reflects primary prevention?
A. Administering an indicated vaccine
B. Treating established pneumonia
C. Rehabilitating after stroke
D. Monitoring a known malignancy
Correct Answer: A. Administering an indicated vaccine
Rationale: Primary prevention aims to prevent disease before it occurs; immunization is a classic example.
6. Which activity is an example of secondary prevention?
A. Screening an asymptomatic eligible adult for hypertension
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
, B. Physical therapy after hip fracture
C. Palliative care
D. Smoking-cessation counseling before disease
Correct Answer: A. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
7. During an FNP board-review visit, which activity is an example of secondary prevention?
A. Physical therapy after hip fracture
B. Palliative care
C. Smoking-cessation counseling before disease
D. Screening an asymptomatic eligible adult for hypertension
Correct Answer: D. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
8. Which response best applies to this clinical principle: Which activity is an example of secondary
prevention?
A. Palliative care
B. Smoking-cessation counseling before disease
C. Screening an asymptomatic eligible adult for hypertension
D. Physical therapy after hip fracture
Correct Answer: C. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
9. A nurse practitioner is prioritizing the following issue. Which activity is an example of secondary
prevention?
A. Smoking-cessation counseling before disease
B. Screening an asymptomatic eligible adult for hypertension
C. Physical therapy after hip fracture
D. Palliative care
Correct Answer: B. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
10. Which answer represents the best board-style interpretation? Which activity is an example of
secondary prevention?
A. Screening an asymptomatic eligible adult for hypertension
B. Physical therapy after hip fracture
C. Palliative care
D. Smoking-cessation counseling before disease
Correct Answer: A. Screening an asymptomatic eligible adult for hypertension
Rationale: Secondary prevention detects disease early through screening so treatment can begin before
complications develop.
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
, Cardiology
11. A patient has exertional chest pressure relieved by rest. Which diagnosis is most concerning?
A. GERD only
B. Panic disorder only
C. Costochondritis
D. Stable myocardial ischemia/angina
Correct Answer: D. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
12. During an FNP board-review visit, a patient has exertional chest pressure relieved by rest. Which
diagnosis is most concerning?
A. Panic disorder only
B. Costochondritis
C. Stable myocardial ischemia/angina
D. GERD only
Correct Answer: C. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
13. Which response best applies to this clinical principle: A patient has exertional chest pressure
relieved by rest. Which diagnosis is most concerning?
A. Costochondritis
B. Stable myocardial ischemia/angina
C. GERD only
D. Panic disorder only
Correct Answer: B. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
14. A nurse practitioner is prioritizing the following issue. A patient has exertional chest pressure
relieved by rest. Which diagnosis is most concerning?
A. Stable myocardial ischemia/angina
B. GERD only
C. Panic disorder only
D. Costochondritis
Correct Answer: A. Stable myocardial ischemia/angina
Rationale: Predictable exertional pressure relieved by rest is characteristic of stable angina and warrants
cardiovascular evaluation.
15. Which answer represents the best board-style interpretation? A patient has exertional chest
pressure relieved by rest. Which diagnosis is most concerning?
A. GERD only
B. Panic disorder only
C. Costochondritis
D. Stable myocardial ischemia/angina
Correct Answer: D. Stable myocardial ischemia/angina
Fitzgerald-Aligned FNP Board Review | 150 Original Practice Questions | 2025/2026
