Barkley FNP ACTUAL EXAM ALL
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% VERIFIED SOLUTIONS
| UPDATED PER LATEST GUIDELINES |
GRADED A+
EXAM OVERVIEW
The Barkley FNP Practice Exam mirrors the AANP and ANCC certification formats. The
AANP exam consists of 150 questions (135 scored) with a 3-hour time limit, covering
four core domains:
• Assessment (32%)
• Diagnosis (27%)
• Plan (27%)
• Evaluation (15%)
Key Content Areas: Health promotion, disease prevention, health assessment,
differential diagnosis, diagnostic testing, evidence-based management of acute and
chronic conditions, pharmacologic and nonpharmacologic treatment, patient education,
and primary care across the lifespan.
SECTION 1: HEALTH PROMOTION, DISEASE
PREVENTION, AND SCREENING (Questions 1-25)
,Question 1
A 55-year-old woman with no chronic conditions asks which screening tests are
recommended for her age. According to the USPSTF, which combination of
screenings should the FNP recommend?
A) Mammogram every 2 years, colonoscopy every 10 years, annual Pap smear
B) Mammogram every 2 years, colonoscopy every 10 years, Pap smear every 3 years or
HPV testing every 5 years
C) Mammogram annually, colonoscopy every 5 years, Pap smear every 5 years
D) Mammogram annually, CT colonography every 5 years, Pap smear every year
Answer: B) Mammogram every 2 years, colonoscopy every 10 years, Pap smear
every 3 years or HPV testing every 5 years
Rationale: For average-risk women aged 50-74, USPSTF recommends biennial
mammography. Colorectal cancer screening (colonoscopy every 10 years) is
recommended from ages 45-75. Cervical cancer screening: Pap smear every 3 years (age
21-65) or primary HPV testing every 5 years (age 30-65). Annual Pap is not
recommended.
Question 2
A 65-year-old man with a 40-pack-year smoking history asks about lung cancer
screening. According to USPSTF, which of the following criteria must be met for
annual low-dose CT screening?
A) Age 55-80, current smoker, any smoking history
B) Age 50-80, ≥ 20 pack-year history, currently smoke or quit within the past 15 years
C) Age 60-75, ≥ 30 pack-year history, quit within 5 years
D) Age 50-70, any smoking history, family history of lung cancer
,Answer: B) Age 50-80, ≥ 20 pack-year history, currently smoke or quit within the
past 15 years
Rationale: USPSTF recommends annual low-dose CT for adults aged 50-80 with a ≥20
pack-year history who currently smoke or have quit within the past 15 years. Screening
stops if the person has not smoked for 15 years or develops a health problem limiting
life expectancy.
Question 3
A 12-year-old child received the first dose of HPV vaccine at age 11. The FNP
should recommend:
A) No further doses are needed
B) A second dose 6-12 months later, completing the series
C) A second dose at age 13 and a third at age 15
D) Restarting the series if more than 1 year has passed
Answer: B) A second dose 6-12 months later, completing the series
Rationale: For immunocompetent children who initiate the HPV series before age 15,
only two doses are recommended, with the second dose given 6-12 months after the
first. A three-dose series is recommended for those starting at age 15 or older, or for
immunocompromised individuals.
Question 4
, The FNP is counseling a 26-year-old sexually active woman about contraceptive
options. She has a history of migraines without aura and is a nonsmoker. Which
contraceptive method is safe to prescribe?
A) Combined oral contraceptive (ethinyl estradiol/norgestimate)
B) Transdermal contraceptive patch
C) Copper intrauterine device (IUD)
D) Vaginal ring
Answer: A) Combined oral contraceptive (ethinyl estradiol/norgestimate)
Rationale: Combined hormonal contraceptives are contraindicated in women with
migraines with aura due to increased stroke risk. However, migraines without aura in a
woman under 35 who does not smoke are not a contraindication. COCs are category 2
(advantages outweigh risks) for this patient.
Question 5
A 60-year-old man with a 30-year history of type 2 diabetes presents for an annual
physical. Which of the following screening tests should the FNP prioritize?
A) Abdominal aortic aneurysm screening
B) Dilated eye exam
C) Colorectal cancer screening
D) All of the above
Answer: D) All of the above
Rationale: Patients with diabetes require annual dilated eye exams for retinopathy
screening. Men aged 65-75 with a smoking history should have one-time AAA
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% VERIFIED SOLUTIONS
| UPDATED PER LATEST GUIDELINES |
GRADED A+
EXAM OVERVIEW
The Barkley FNP Practice Exam mirrors the AANP and ANCC certification formats. The
AANP exam consists of 150 questions (135 scored) with a 3-hour time limit, covering
four core domains:
• Assessment (32%)
• Diagnosis (27%)
• Plan (27%)
• Evaluation (15%)
Key Content Areas: Health promotion, disease prevention, health assessment,
differential diagnosis, diagnostic testing, evidence-based management of acute and
chronic conditions, pharmacologic and nonpharmacologic treatment, patient education,
and primary care across the lifespan.
SECTION 1: HEALTH PROMOTION, DISEASE
PREVENTION, AND SCREENING (Questions 1-25)
,Question 1
A 55-year-old woman with no chronic conditions asks which screening tests are
recommended for her age. According to the USPSTF, which combination of
screenings should the FNP recommend?
A) Mammogram every 2 years, colonoscopy every 10 years, annual Pap smear
B) Mammogram every 2 years, colonoscopy every 10 years, Pap smear every 3 years or
HPV testing every 5 years
C) Mammogram annually, colonoscopy every 5 years, Pap smear every 5 years
D) Mammogram annually, CT colonography every 5 years, Pap smear every year
Answer: B) Mammogram every 2 years, colonoscopy every 10 years, Pap smear
every 3 years or HPV testing every 5 years
Rationale: For average-risk women aged 50-74, USPSTF recommends biennial
mammography. Colorectal cancer screening (colonoscopy every 10 years) is
recommended from ages 45-75. Cervical cancer screening: Pap smear every 3 years (age
21-65) or primary HPV testing every 5 years (age 30-65). Annual Pap is not
recommended.
Question 2
A 65-year-old man with a 40-pack-year smoking history asks about lung cancer
screening. According to USPSTF, which of the following criteria must be met for
annual low-dose CT screening?
A) Age 55-80, current smoker, any smoking history
B) Age 50-80, ≥ 20 pack-year history, currently smoke or quit within the past 15 years
C) Age 60-75, ≥ 30 pack-year history, quit within 5 years
D) Age 50-70, any smoking history, family history of lung cancer
,Answer: B) Age 50-80, ≥ 20 pack-year history, currently smoke or quit within the
past 15 years
Rationale: USPSTF recommends annual low-dose CT for adults aged 50-80 with a ≥20
pack-year history who currently smoke or have quit within the past 15 years. Screening
stops if the person has not smoked for 15 years or develops a health problem limiting
life expectancy.
Question 3
A 12-year-old child received the first dose of HPV vaccine at age 11. The FNP
should recommend:
A) No further doses are needed
B) A second dose 6-12 months later, completing the series
C) A second dose at age 13 and a third at age 15
D) Restarting the series if more than 1 year has passed
Answer: B) A second dose 6-12 months later, completing the series
Rationale: For immunocompetent children who initiate the HPV series before age 15,
only two doses are recommended, with the second dose given 6-12 months after the
first. A three-dose series is recommended for those starting at age 15 or older, or for
immunocompromised individuals.
Question 4
, The FNP is counseling a 26-year-old sexually active woman about contraceptive
options. She has a history of migraines without aura and is a nonsmoker. Which
contraceptive method is safe to prescribe?
A) Combined oral contraceptive (ethinyl estradiol/norgestimate)
B) Transdermal contraceptive patch
C) Copper intrauterine device (IUD)
D) Vaginal ring
Answer: A) Combined oral contraceptive (ethinyl estradiol/norgestimate)
Rationale: Combined hormonal contraceptives are contraindicated in women with
migraines with aura due to increased stroke risk. However, migraines without aura in a
woman under 35 who does not smoke are not a contraindication. COCs are category 2
(advantages outweigh risks) for this patient.
Question 5
A 60-year-old man with a 30-year history of type 2 diabetes presents for an annual
physical. Which of the following screening tests should the FNP prioritize?
A) Abdominal aortic aneurysm screening
B) Dilated eye exam
C) Colorectal cancer screening
D) All of the above
Answer: D) All of the above
Rationale: Patients with diabetes require annual dilated eye exams for retinopathy
screening. Men aged 65-75 with a smoking history should have one-time AAA
