AANPCB FNP PRACTICE V3 QUESTIONS AND ANSWERS 2026/2027
| COMPREHENSIVE FAMILY NURSE PRACTITIONER TEST BANK
1. A 30-year-old female patient presents with tremors, weight loss, and
increased appetite. If her TSH level is low and free T4 is elevated, what
condition would you suspect?
Hyperthyroidism
Adrenal insufficiency
Diabetes mellitus
Hypothyroidism
2. A 60-year-old woman seen in the clinic presents with a palpable breast mass,
concerning for breast cancer. She had a negative screening mammogram six
months ago. What is the first step in the diagnostic workup?
MRI
Diagnostic mammogram and ultrasound
Ultrasound only
Surgical biopsy
3. An older adult patient diagnosed with type 2 diabetes mellitus presents for a
recheck. The patient follows a carbohydrate counting diet and walks 30
minutes 5 times weekly. Current fasting blood glucose = 116 mg/dL [normal =
less than 99 mg/dL] and A1c = 6.3% [normal = less than 7.0%]. In accordance
with the American Diabetes Association, when should the next follow-up
appointment be scheduled?
6 months.
2 months.
1 year.
, 9 months.
4. Select which treatments you would prescribe for your patient with dry eye
syndrome:
Proparacaine
Tetrahydrozoline (Visine) eyedrops
Artificial tears (preservative free)
Using lid scrubs with baby shampoo
Short course of topical corticosteroid
5. If the patient continues to experience GERD symptoms despite being
prescribed a proton pump inhibitor, what would be the next appropriate step
in management?
Consider endoscopic evaluation to assess for complications.
Increase the dose of the proton pump inhibitor.
Advise the patient to stop all medications.
Switch to a different H2 receptor antagonist.
6. What is the purpose of assessing thyroid-stimulating hormone levels in a
patient with hypothyroidism?
To assess for potential drug interactions.
To determine the appropriate dosage of levothyroxine.
To evaluate kidney function.
To diagnose depression in the patient.
,7. In a clinical scenario, a menopausal woman on hormone therapy presents
with new breast symptoms. What should be the nurse practitioner's
immediate action regarding her treatment plan?
Continue the current hormone therapy without changes.
Increase the dosage of hormone therapy to alleviate symptoms.
Reassess the necessity of hormone therapy and consider alternative
options.
Refer the patient for immediate surgery.
8. What hormone level is commonly associated with the development of acne?
Androgens
Cortisol
Insulin
Estrogens
9. Why is it important to wait for thyroid-stimulating hormone levels to be
assessed before increasing the dose of levothyroxine?
TSH levels are not relevant to the management of hypothyroidism.
The patient may not need any medication adjustment at all.
The medication is effective immediately, so dosage can be increased
at any time.
Increasing the dose without assessing TSH levels may lead to over-
treatment and adverse effects.
10. A client with a terminal illness has been referred to palliative care. Which
action should the nurse initiate?
, Cancel all scheduled chemotherapy administration visits, since that
effort would be futile
Ignore new symptoms, such as nausea or insomnia, if they are not life
threatening, since additional medications could have negative side
effects
Focus on enhancing the client's quality of life
Avoid mention of the dying process, since that conversation could
cause increased psychosocial distress
11. What imaging technique is indicated for further evaluation of a hypoechoic
mass found in the breast?
Surgical consult
Left breast ultrasound
Needle aspiration for cytology
Stereotactic breast biopsy
12. Which of the following signs/symptoms are often associated with headaches
due to an intracranial tumor? Select only one option.
Pupillary constriction
Pain worse in supine position
Acute onset
Hyperreflexia
13. What type of murmur is typically associated with mitral regurgitation?
systolic ejection murmur
early diastolic murmur with an S3 wave
| COMPREHENSIVE FAMILY NURSE PRACTITIONER TEST BANK
1. A 30-year-old female patient presents with tremors, weight loss, and
increased appetite. If her TSH level is low and free T4 is elevated, what
condition would you suspect?
Hyperthyroidism
Adrenal insufficiency
Diabetes mellitus
Hypothyroidism
2. A 60-year-old woman seen in the clinic presents with a palpable breast mass,
concerning for breast cancer. She had a negative screening mammogram six
months ago. What is the first step in the diagnostic workup?
MRI
Diagnostic mammogram and ultrasound
Ultrasound only
Surgical biopsy
3. An older adult patient diagnosed with type 2 diabetes mellitus presents for a
recheck. The patient follows a carbohydrate counting diet and walks 30
minutes 5 times weekly. Current fasting blood glucose = 116 mg/dL [normal =
less than 99 mg/dL] and A1c = 6.3% [normal = less than 7.0%]. In accordance
with the American Diabetes Association, when should the next follow-up
appointment be scheduled?
6 months.
2 months.
1 year.
, 9 months.
4. Select which treatments you would prescribe for your patient with dry eye
syndrome:
Proparacaine
Tetrahydrozoline (Visine) eyedrops
Artificial tears (preservative free)
Using lid scrubs with baby shampoo
Short course of topical corticosteroid
5. If the patient continues to experience GERD symptoms despite being
prescribed a proton pump inhibitor, what would be the next appropriate step
in management?
Consider endoscopic evaluation to assess for complications.
Increase the dose of the proton pump inhibitor.
Advise the patient to stop all medications.
Switch to a different H2 receptor antagonist.
6. What is the purpose of assessing thyroid-stimulating hormone levels in a
patient with hypothyroidism?
To assess for potential drug interactions.
To determine the appropriate dosage of levothyroxine.
To evaluate kidney function.
To diagnose depression in the patient.
,7. In a clinical scenario, a menopausal woman on hormone therapy presents
with new breast symptoms. What should be the nurse practitioner's
immediate action regarding her treatment plan?
Continue the current hormone therapy without changes.
Increase the dosage of hormone therapy to alleviate symptoms.
Reassess the necessity of hormone therapy and consider alternative
options.
Refer the patient for immediate surgery.
8. What hormone level is commonly associated with the development of acne?
Androgens
Cortisol
Insulin
Estrogens
9. Why is it important to wait for thyroid-stimulating hormone levels to be
assessed before increasing the dose of levothyroxine?
TSH levels are not relevant to the management of hypothyroidism.
The patient may not need any medication adjustment at all.
The medication is effective immediately, so dosage can be increased
at any time.
Increasing the dose without assessing TSH levels may lead to over-
treatment and adverse effects.
10. A client with a terminal illness has been referred to palliative care. Which
action should the nurse initiate?
, Cancel all scheduled chemotherapy administration visits, since that
effort would be futile
Ignore new symptoms, such as nausea or insomnia, if they are not life
threatening, since additional medications could have negative side
effects
Focus on enhancing the client's quality of life
Avoid mention of the dying process, since that conversation could
cause increased psychosocial distress
11. What imaging technique is indicated for further evaluation of a hypoechoic
mass found in the breast?
Surgical consult
Left breast ultrasound
Needle aspiration for cytology
Stereotactic breast biopsy
12. Which of the following signs/symptoms are often associated with headaches
due to an intracranial tumor? Select only one option.
Pupillary constriction
Pain worse in supine position
Acute onset
Hyperreflexia
13. What type of murmur is typically associated with mitral regurgitation?
systolic ejection murmur
early diastolic murmur with an S3 wave
