Barkley FNP Review Exam 2026
|Updated Family Nurse Practitioner
Test with 100% Verified A+
Answers
1) Hypertension Diagnosis
Q: A 52-year-old has BP readings of 138/88 and 142/90 on two separate visits.
Diagnosis?
A. Normal BP
B. Elevated BP
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: C
Rationale: Stage 1 HTN = SBP 130–139 or DBP 80–89.
2) First-Line HTN Tx (No Comorbidities)
Q: Best initial medication?
A. Beta-blocker
B. ACE inhibitor
C. Loop diuretic
D. Alpha-blocker
Answer: B
Rationale: ACEi/ARB, thiazide, or CCB are first-line.
,3) Diabetes Diagnosis
Q: Diagnostic criterion for diabetes mellitus?
A. A1C 6.0%
B. FPG 120 mg/dL
C. A1C ≥6.5%
D. Random glucose 160 mg/dL
Answer: C
4) Type 2 DM First-Line
Q: Initial pharmacologic therapy?
A. Insulin
B. Metformin
C. Sulfonylurea
D. GLP-1 RA only
Answer: B
5) Statin Indication
Q: Who should receive high-intensity statin?
A. LDL 150, age 40
B. DM age 45
C. LDL ≥190 mg/dL
D. ASCVD risk 5%
Answer: C
6) Thyroid
Q: Elevated TSH with low free T4 indicates:
A. Subclinical hyperthyroidism
B. Primary hypothyroidism
C. Secondary hyperthyroidism
,D. Euthyroid
Answer: B
7) Asthma Step Therapy
Q: Mild persistent asthma first-line controller?
A. SABA only
B. LABA
C. Low-dose ICS
D. Oral steroids
Answer: C
8) COPD
Q: Most effective intervention to slow COPD progression?
A. ICS
B. LABA
C. Smoking cessation
D. Oxygen
Answer: C
9) URI vs Sinusitis
Q: Suggests bacterial sinusitis?
A. Symptoms <7 days
B. Clear rhinorrhea
C. Severe facial pain + fever ≥3 days
D. Sore throat only
Answer: C
10) Antibiotic Choice (Sinusitis)
, Q: First-line antibiotic?
A. Azithromycin
B. Amoxicillin-clavulanate
C. Doxycycline only
D. Ciprofloxacin
Answer: B
11) UTI (Uncomplicated Female)
Q: First-line treatment?
A. Ciprofloxacin
B. Nitrofurantoin
C. TMP-SMX x14 days
D. Augmentin
Answer: B
12) Pregnancy Screening
Q: Screen all pregnant patients for:
A. Toxoplasmosis
B. HIV
C. CMV
D. Parvovirus
Answer: B
13) Pap Smear
Q: Routine cervical cancer screening begins at age:
A. 18
B. 21
C. 25
D. 30
Answer: B
|Updated Family Nurse Practitioner
Test with 100% Verified A+
Answers
1) Hypertension Diagnosis
Q: A 52-year-old has BP readings of 138/88 and 142/90 on two separate visits.
Diagnosis?
A. Normal BP
B. Elevated BP
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: C
Rationale: Stage 1 HTN = SBP 130–139 or DBP 80–89.
2) First-Line HTN Tx (No Comorbidities)
Q: Best initial medication?
A. Beta-blocker
B. ACE inhibitor
C. Loop diuretic
D. Alpha-blocker
Answer: B
Rationale: ACEi/ARB, thiazide, or CCB are first-line.
,3) Diabetes Diagnosis
Q: Diagnostic criterion for diabetes mellitus?
A. A1C 6.0%
B. FPG 120 mg/dL
C. A1C ≥6.5%
D. Random glucose 160 mg/dL
Answer: C
4) Type 2 DM First-Line
Q: Initial pharmacologic therapy?
A. Insulin
B. Metformin
C. Sulfonylurea
D. GLP-1 RA only
Answer: B
5) Statin Indication
Q: Who should receive high-intensity statin?
A. LDL 150, age 40
B. DM age 45
C. LDL ≥190 mg/dL
D. ASCVD risk 5%
Answer: C
6) Thyroid
Q: Elevated TSH with low free T4 indicates:
A. Subclinical hyperthyroidism
B. Primary hypothyroidism
C. Secondary hyperthyroidism
,D. Euthyroid
Answer: B
7) Asthma Step Therapy
Q: Mild persistent asthma first-line controller?
A. SABA only
B. LABA
C. Low-dose ICS
D. Oral steroids
Answer: C
8) COPD
Q: Most effective intervention to slow COPD progression?
A. ICS
B. LABA
C. Smoking cessation
D. Oxygen
Answer: C
9) URI vs Sinusitis
Q: Suggests bacterial sinusitis?
A. Symptoms <7 days
B. Clear rhinorrhea
C. Severe facial pain + fever ≥3 days
D. Sore throat only
Answer: C
10) Antibiotic Choice (Sinusitis)
, Q: First-line antibiotic?
A. Azithromycin
B. Amoxicillin-clavulanate
C. Doxycycline only
D. Ciprofloxacin
Answer: B
11) UTI (Uncomplicated Female)
Q: First-line treatment?
A. Ciprofloxacin
B. Nitrofurantoin
C. TMP-SMX x14 days
D. Augmentin
Answer: B
12) Pregnancy Screening
Q: Screen all pregnant patients for:
A. Toxoplasmosis
B. HIV
C. CMV
D. Parvovirus
Answer: B
13) Pap Smear
Q: Routine cervical cancer screening begins at age:
A. 18
B. 21
C. 25
D. 30
Answer: B
