APEA CEU FNP Exam P a g e | 1
APEA CEU FNP Exam (2026/2027) – 200
Practice Questions & Answers for Family Nurse
Practitioner Certification Exam VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+. (A+
Guarantee) | | Updated Per Latest Guidelines |
Graded A+
Based on his clinical complaints, you suspect that a patient has gastrosophageal reflux
disease (GERD). What is the first step in diagnosis and treatment?
Prescribe a proton pump inhibitor.
Order a CT of the abdomen.
Advise the patient to avoid recumbence after meals.
P a g e 1 | 69
, APEA CEU FNP Exam P a g e | 2
Refer the patient to a gastroenterologist. –
Correct Answer :Prescribe a proton pump inhibitor.
Which of the following symptoms of irritable bowel syndrome is considered a red flag?
Abdominal cramping in the lower quadrants
Mucus in stool
Rectal bleeding
Constipation or diarrhea –
Correct Answer :Rectal bleeding
A 70-year-old woman complains of restless sleep and insomnia. After ruling out potential
common physiologic causes, the NP recommends a sleep aid. Which is most appropriate?
Diphenhydramine
Melatonin
Zolpidem
Chamomile tea –
Correct Answer :Melatonin
A 62-year-old patient takes 36 units of basal insulin. The NP has added once-daily mealtime
insulin. What is the most likely reason?
P a g e 2 | 69
, APEA CEU FNP Exam P a g e | 3
A1C goal is within 1% of being met.
AM fasting goals were not met.
AM hypoglycemia is a problem.
PPG elevations are occurring –
Correct Answer :PPG elevations are occurring
A 66-year-old woman reports seeing blood in the toilet after a bowel movement. She had a
normal colonoscopy at age 50. What should be done first?
Abdominal CT
CBC with ferritin level
Stool for occult blood
Referral to Gl for repeat colonoscopy –
Correct Answer :CBC with ferritin level
Which diagnosis cannot be determined by a chest X-ray?
Pneumonia
Heart failure
Pulmonary embolism
Pulmonary edema - Correct Answer :Pulmonary embolism
P a g e 3 | 69
, APEA CEU FNP Exam P a g e | 4
Quinolones are NOT recommended for patients with community-acquired pneumonia who
have a comorbidity of:
epilepsy.
diabetes.
heart failure.
depression. –
Correct Answer :epilepsy.
Which of the following are common asthma triggers? Select all that apply.
Exercise
Changes in weather
Respiratory infection
Irritant exposure –
Correct Answer :Exercise
Changes in weather
Respiratory infection
Irritant exposure
Iron deficiency anemia is.
macrocytic, normochromic.
P a g e 4 | 69
APEA CEU FNP Exam (2026/2027) – 200
Practice Questions & Answers for Family Nurse
Practitioner Certification Exam VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+. (A+
Guarantee) | | Updated Per Latest Guidelines |
Graded A+
Based on his clinical complaints, you suspect that a patient has gastrosophageal reflux
disease (GERD). What is the first step in diagnosis and treatment?
Prescribe a proton pump inhibitor.
Order a CT of the abdomen.
Advise the patient to avoid recumbence after meals.
P a g e 1 | 69
, APEA CEU FNP Exam P a g e | 2
Refer the patient to a gastroenterologist. –
Correct Answer :Prescribe a proton pump inhibitor.
Which of the following symptoms of irritable bowel syndrome is considered a red flag?
Abdominal cramping in the lower quadrants
Mucus in stool
Rectal bleeding
Constipation or diarrhea –
Correct Answer :Rectal bleeding
A 70-year-old woman complains of restless sleep and insomnia. After ruling out potential
common physiologic causes, the NP recommends a sleep aid. Which is most appropriate?
Diphenhydramine
Melatonin
Zolpidem
Chamomile tea –
Correct Answer :Melatonin
A 62-year-old patient takes 36 units of basal insulin. The NP has added once-daily mealtime
insulin. What is the most likely reason?
P a g e 2 | 69
, APEA CEU FNP Exam P a g e | 3
A1C goal is within 1% of being met.
AM fasting goals were not met.
AM hypoglycemia is a problem.
PPG elevations are occurring –
Correct Answer :PPG elevations are occurring
A 66-year-old woman reports seeing blood in the toilet after a bowel movement. She had a
normal colonoscopy at age 50. What should be done first?
Abdominal CT
CBC with ferritin level
Stool for occult blood
Referral to Gl for repeat colonoscopy –
Correct Answer :CBC with ferritin level
Which diagnosis cannot be determined by a chest X-ray?
Pneumonia
Heart failure
Pulmonary embolism
Pulmonary edema - Correct Answer :Pulmonary embolism
P a g e 3 | 69
, APEA CEU FNP Exam P a g e | 4
Quinolones are NOT recommended for patients with community-acquired pneumonia who
have a comorbidity of:
epilepsy.
diabetes.
heart failure.
depression. –
Correct Answer :epilepsy.
Which of the following are common asthma triggers? Select all that apply.
Exercise
Changes in weather
Respiratory infection
Irritant exposure –
Correct Answer :Exercise
Changes in weather
Respiratory infection
Irritant exposure
Iron deficiency anemia is.
macrocytic, normochromic.
P a g e 4 | 69
