FNP Certification Exam Questions with Detailed Verified
Answers
Assessment of the optic disc is a component of the evaluation of cranial nerve:
I.
II.
III.
.IV Ans: ✓ ✓ ✓ Cranial II
You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent
use of antihypertensive medications, stating, "I feel better without the medications." Today she
presents for a "check-up."On physical examination, you note the following: PMI with a downward
and lateral shift as well as a Gr II/VI holosystolic murmur with radiation to the axilla.
This patient's health history is most likely to include a report of:
Syncopal episodes.
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Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo. Ans: ✓ ✓ ✓ Ans: dyspnea on exertion
Of the following, which should be performed first in assessing a 48-year-old woman who has a 25-
year history of moderate persistent asthma and who now presents with an acute asthma flare?
Oxygen saturation
Arterial blood gas
FEV1 (forced expiratory volume at 1 second)
Chest x-ray Ans: ✓ ✓ ✓ Ans: FEV (force expiratory volume)
You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most
desirable?
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Community hall of a local church
Local hospital ambulatory care center
Mobile van
Space in a shopping center Ans: ✓ ✓ ✓ Ans: Mobile van
A 58-year-old woman presents for an initial examination in order to become a patient in your
primary care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of wine per week, and
works as an administrative assistant in a law office. She is without complaint and reports that she is
generally in good health. Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm Hg bilaterally.
The rest of her examination is unremarkable.
Prescribe a low-dose thiazide diuretic.
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Arrange for additional blood pressure measurements within the next four weeks.
Order a serum creatinine, urea nitrogen and urinalysis.
Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of wine per
week. Ans: ✓ ✓ ✓ Ans: Arrange for additional blood pressure measurements within the next four
weeks.
The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in
which of the following activities?
Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the importance of
self-glucose monitoring
Volunteering to teach a class on contraceptive methods to a group of teen mothers
Discussing barriers to achieving blood pressure control with a 65-year-old woman with
hypertension who "does not want to take any medicine"
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