FNP 2 FINAL EXAM 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
FAMILY NURSE PRACTITIONER II,
PRIMARY CARE, DIFFERENTIAL
DIAGNOSIS, PHARMACOLOGY, CLINICAL
DECISION MAKING AND CERTIFICATION
STUDY GUIDE GRADE A+ STUDY
RESOURCE
zollinger-ellison syndrome - CORRECT ANSWER --rare syndrome with
refractory severe PUD caused by gastric hyper secretion due to autonomous
secretion of gastrin by neuroendocrine tumor
primary PUD - CORRECT ANSWER --duodenal with no underlying cause,
chronic, tends to recur
-more common in teens, rare in children
secondary PUD - CORRECT ANSWER --often gastric, more acute
-associated with head trauma, severe burns, corticosteroid use, NSAID use
idiopathic PUD - CORRECT ANSWER -children with no hx of NSAID use, no
H pylori
,diagnostics for PUD in children - CORRECT ANSWER -EGD with histology &
culture biopsy- gold standard
cholecystitis risk factors - CORRECT ANSWER --obese women over 40 years
-CF with pancreatic insufficiency
-DM
-family hx
-pregnancy
-rapid weight loss in obese pts
-native american pima indian or scandinavian descent
-pts taking estrogen, progestins or ceftriaxone
-pts on TPN
cholecystitis symptoms - CORRECT ANSWER --RUQ & epigastric pain that
can radiate to shoulder or back
-colicky pain w/ progression to constant pain
-N & V
-dark urine and/or light stools
-tender to palpation or percussion in RUQ
-positive murphys sign
-food intolerances (fats & cabbage)
-fatty food correlance
, cholecystitis diagnostics - CORRECT ANSWER --abdominal US- gold
standard
-endoscopic US
-CT of upper abdomen
cholecystitis treatment - CORRECT ANSWER --endoscopic retrograde
cholangiopancreatiograpy (ERCP) with stent placement or sphincterotomy
(expensive & invasive with many complications)
-70% will pass safely on own
-pain relief- NSAIDs, narcotic analgesics except morphine
-laparoscopic cholecystectomy
intestinal obstruction causes - CORRECT ANSWER --most common cause-
adhesions from previous abdominal surgery
-incarcerated inguinal hernia
-post op adhesions
-foreign bodies
-volvulus
-intussusception
-strictures
-tumors
-congenital adhesive bands
-fecal impaction
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
FAMILY NURSE PRACTITIONER II,
PRIMARY CARE, DIFFERENTIAL
DIAGNOSIS, PHARMACOLOGY, CLINICAL
DECISION MAKING AND CERTIFICATION
STUDY GUIDE GRADE A+ STUDY
RESOURCE
zollinger-ellison syndrome - CORRECT ANSWER --rare syndrome with
refractory severe PUD caused by gastric hyper secretion due to autonomous
secretion of gastrin by neuroendocrine tumor
primary PUD - CORRECT ANSWER --duodenal with no underlying cause,
chronic, tends to recur
-more common in teens, rare in children
secondary PUD - CORRECT ANSWER --often gastric, more acute
-associated with head trauma, severe burns, corticosteroid use, NSAID use
idiopathic PUD - CORRECT ANSWER -children with no hx of NSAID use, no
H pylori
,diagnostics for PUD in children - CORRECT ANSWER -EGD with histology &
culture biopsy- gold standard
cholecystitis risk factors - CORRECT ANSWER --obese women over 40 years
-CF with pancreatic insufficiency
-DM
-family hx
-pregnancy
-rapid weight loss in obese pts
-native american pima indian or scandinavian descent
-pts taking estrogen, progestins or ceftriaxone
-pts on TPN
cholecystitis symptoms - CORRECT ANSWER --RUQ & epigastric pain that
can radiate to shoulder or back
-colicky pain w/ progression to constant pain
-N & V
-dark urine and/or light stools
-tender to palpation or percussion in RUQ
-positive murphys sign
-food intolerances (fats & cabbage)
-fatty food correlance
, cholecystitis diagnostics - CORRECT ANSWER --abdominal US- gold
standard
-endoscopic US
-CT of upper abdomen
cholecystitis treatment - CORRECT ANSWER --endoscopic retrograde
cholangiopancreatiograpy (ERCP) with stent placement or sphincterotomy
(expensive & invasive with many complications)
-70% will pass safely on own
-pain relief- NSAIDs, narcotic analgesics except morphine
-laparoscopic cholecystectomy
intestinal obstruction causes - CORRECT ANSWER --most common cause-
adhesions from previous abdominal surgery
-incarcerated inguinal hernia
-post op adhesions
-foreign bodies
-volvulus
-intussusception
-strictures
-tumors
-congenital adhesive bands
-fecal impaction
