WGU Family Nurse Practitioner Assessment
PRACTICE TEST 2026 | QUESTIONS WITH
ANSWERS & DETAILED EXPLANATIONS STUDY
GUIDE LATEST UPDATE THIS YEAR INSTANT
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Section 1: Advanced Health Assessment (Questions 1-20)
,1. A 65-year-old male presents with a complaint of "dizzy spells." To assess for
benign paroxysmal positional vertigo (BPPV), the FNP should perform which of
the following tests?
A. Romberg test
B. Dix-Hallpike maneuver
C. Weber test
D. Rinne test
Answer: B
Rationale: The Dix-Hallpike maneuver is the gold standard for diagnosing BPPV.
It involves quickly moving the patient from a sitting to a supine position with the
head turned to one side, which should provoke nystagmus and vertigo if BPPV is
present. A Romberg test assesses proprioception and balance. The Weber and
Rinne tests are used to assess hearing.
,2. During an eye exam on a 70-year-old patient, the FNP notes a cloudy, opaque
lens. This finding is most consistent with:
A. Glaucoma
B. Macular degeneration
C. Cataracts
D. Diabetic retinopathy
Answer: C
Rationale: A cataract is a clouding of the lens in the eye, which is a common age-
related change. Glaucoma is characterized by increased intraocular pressure
and optic nerve damage. Macular degeneration affects the central retina.
Diabetic retinopathy involves damage to the blood vessels of the retina.
3. A patient presents with a "bull's-eye" rash. The FNP should suspect:
A. Lyme disease
, B. Rocky Mountain Spotted Fever
C. Cellulitis
D. Psoriasis
Answer: A
Rationale: Erythema migrans, a "bull's-eye" or target-shaped rash, is the
hallmark sign of early Lyme disease, caused by the bacterium *Borrelia
burgdorferi*. Rocky Mountain Spotted Fever typically presents with a petechial
rash. Cellulitis is a red, swollen, and tender rash. Psoriasis presents with silvery
scales on red plaques.
4. Which of the following is a characteristic finding of a pneumothorax on a chest
X-ray?
A. Infiltrates in the lower lobes
B. A visible pleural line with absent lung markings
C. Cardiomegaly
PRACTICE TEST 2026 | QUESTIONS WITH
ANSWERS & DETAILED EXPLANATIONS STUDY
GUIDE LATEST UPDATE THIS YEAR INSTANT
DOWNLOAD PDF
Section 1: Advanced Health Assessment (Questions 1-20)
,1. A 65-year-old male presents with a complaint of "dizzy spells." To assess for
benign paroxysmal positional vertigo (BPPV), the FNP should perform which of
the following tests?
A. Romberg test
B. Dix-Hallpike maneuver
C. Weber test
D. Rinne test
Answer: B
Rationale: The Dix-Hallpike maneuver is the gold standard for diagnosing BPPV.
It involves quickly moving the patient from a sitting to a supine position with the
head turned to one side, which should provoke nystagmus and vertigo if BPPV is
present. A Romberg test assesses proprioception and balance. The Weber and
Rinne tests are used to assess hearing.
,2. During an eye exam on a 70-year-old patient, the FNP notes a cloudy, opaque
lens. This finding is most consistent with:
A. Glaucoma
B. Macular degeneration
C. Cataracts
D. Diabetic retinopathy
Answer: C
Rationale: A cataract is a clouding of the lens in the eye, which is a common age-
related change. Glaucoma is characterized by increased intraocular pressure
and optic nerve damage. Macular degeneration affects the central retina.
Diabetic retinopathy involves damage to the blood vessels of the retina.
3. A patient presents with a "bull's-eye" rash. The FNP should suspect:
A. Lyme disease
, B. Rocky Mountain Spotted Fever
C. Cellulitis
D. Psoriasis
Answer: A
Rationale: Erythema migrans, a "bull's-eye" or target-shaped rash, is the
hallmark sign of early Lyme disease, caused by the bacterium *Borrelia
burgdorferi*. Rocky Mountain Spotted Fever typically presents with a petechial
rash. Cellulitis is a red, swollen, and tender rash. Psoriasis presents with silvery
scales on red plaques.
4. Which of the following is a characteristic finding of a pneumothorax on a chest
X-ray?
A. Infiltrates in the lower lobes
B. A visible pleural line with absent lung markings
C. Cardiomegaly
