FA M I LY N U R S E P R A C T I T I O N E R C E R T I F I C AT I O N R E V I E W
EENT / FNP
Board Review
Comprehensive Practice Questions with Rationales
Topic Focus: Eyes, Ears, Nose & Throat — FNP Certification
Edition 1 · July 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — EENT / FNP Board Review 2
EENT / FNP Board Review Page 1
,EENT / FNP BOARD REVIEW INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. Each question is derived directly from EENT Family Nurse Practitioner board
review content and formatted in exam style.
Category: Eyes, Ears, Nose & Throat — Comprehensive Review
1 A patient presents to clinic with the complaint of a red eye. Which assessment below
rules out the most worrisome diagnoses?
A Normal visual acuity
B Normal intraocular pressure
C Absence of pain
D Normal pupillary response
Why A is correct: Normal visual acuity rules out the most worrisome diagnoses, including
infectious keratitis, iritis, and acute angle-closure glaucoma.
B — Normal IOP can be misleading; acute angle-closure can have normal IOP between
attacks.
C — Absence of pain may not rule out serious pathology.
D — Pupillary response can be normal in some serious conditions.
, 2 AV nicking on fundoscopic examination indicates:
A Chronic hypertension with atherosclerotic changes in retinal vasculature
B Acute hypertension
C Diabetes mellitus
D Glaucoma
Why A is correct: AV nicking indicates chronic hypertension with atherosclerotic changes in
the retinal vasculature.
B — Acute hypertension typically shows papilledema and flame hemorrhages.
C — Diabetes shows microaneurysms and dot-blot hemorrhages.
D — Glaucoma shows optic disc cupping.
3 Which medication can an older adult use for the common cold if they have
hypertension and glaucoma?
A Guaifenesin
B Pseudoephedrine
C Oxymetolazine
D Diphenhydramine
Why A is correct: Guaifenesin is safe for older adults with hypertension and glaucoma.
Pseudoephedrine increases blood pressure, oxymetolazine can cross mucous membranes
and increase blood pressure, and diphenhydramine has anticholinergic properties that are
not good for glaucoma.
B — Pseudoephedrine can increase blood pressure.
C — Oxymetolazine can cross mucous membranes and increase blood pressure.
D — Diphenhydramine has anticholinergic properties that are not good for glaucoma.
EENT / FNP
Board Review
Comprehensive Practice Questions with Rationales
Topic Focus: Eyes, Ears, Nose & Throat — FNP Certification
Edition 1 · July 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — EENT / FNP Board Review 2
EENT / FNP Board Review Page 1
,EENT / FNP BOARD REVIEW INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. Each question is derived directly from EENT Family Nurse Practitioner board
review content and formatted in exam style.
Category: Eyes, Ears, Nose & Throat — Comprehensive Review
1 A patient presents to clinic with the complaint of a red eye. Which assessment below
rules out the most worrisome diagnoses?
A Normal visual acuity
B Normal intraocular pressure
C Absence of pain
D Normal pupillary response
Why A is correct: Normal visual acuity rules out the most worrisome diagnoses, including
infectious keratitis, iritis, and acute angle-closure glaucoma.
B — Normal IOP can be misleading; acute angle-closure can have normal IOP between
attacks.
C — Absence of pain may not rule out serious pathology.
D — Pupillary response can be normal in some serious conditions.
, 2 AV nicking on fundoscopic examination indicates:
A Chronic hypertension with atherosclerotic changes in retinal vasculature
B Acute hypertension
C Diabetes mellitus
D Glaucoma
Why A is correct: AV nicking indicates chronic hypertension with atherosclerotic changes in
the retinal vasculature.
B — Acute hypertension typically shows papilledema and flame hemorrhages.
C — Diabetes shows microaneurysms and dot-blot hemorrhages.
D — Glaucoma shows optic disc cupping.
3 Which medication can an older adult use for the common cold if they have
hypertension and glaucoma?
A Guaifenesin
B Pseudoephedrine
C Oxymetolazine
D Diphenhydramine
Why A is correct: Guaifenesin is safe for older adults with hypertension and glaucoma.
Pseudoephedrine increases blood pressure, oxymetolazine can cross mucous membranes
and increase blood pressure, and diphenhydramine has anticholinergic properties that are
not good for glaucoma.
B — Pseudoephedrine can increase blood pressure.
C — Oxymetolazine can cross mucous membranes and increase blood pressure.
D — Diphenhydramine has anticholinergic properties that are not good for glaucoma.
