APEA CEU FNP Exam P a g e | 1
APEA CEU FNP Exam 1(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+
The NP sees a 12-month-old infant who is being fed goats milk and a vegetarian diet. The child
is pale and has a beefy red, sore tongue and oral mucous membranes. Which tests will the NP
order to evaluate this child's condition?
a. RBC, folate, iron, and B12 levels
b. Reticulocyte levels
c. Serum lead levels
d. Hemoglobin electrophoresis –
P a g e 1 | 66
, APEA CEU FNP Exam P a g e | 2
Correct Answer :a. RBC, folate, iron, and B12 levels
A mother who has been breastfeeding her infant for several weeks develops a fever, breast
warmth, and breast tenderness. What will the NP recommend?
a. Ice packs and increased frequency of nursing
b. Ice packs and decreased frequency of nursing
c. Warm packs and increased frequency of nursing
d. Warm packs and decreased frequency of nursing –
Correct Answer :c. Warm packs and increased frequency of nursing
A pregnant woman, in first trimester, who is overweight has no previous history of HTN or
DM. her initial screening exam reveals a BP of 140/90 and a fasting glucose of 128. What will
the NP do?
a. Prescribe an antihypertensive medication
b. Monitor BP and fasting glucose closely
c. Refer the patient to a high-risk pregnancy specialist
d. Initiate insulin therapy –
Correct Answer :b. Monitor BP and fasting glucose closely
A patient reports recent mild fatigue and palpitations. A CBC reveals a decreased hemoglobin
level and a normal ferritin level. What other findings are likely to be present?
P a g e 2 | 66
, APEA CEU FNP Exam P a g e | 3
a. Paresthesia, koilonychia, and pica
b. Decreased MCV, MCH, and MCHC
c. Decreased hematocrit
d. Elevated total iron-binding capacity –
Correct Answer :c. Decreased hematocrit
A 60-year-old female patient has recently lost weight and an exam reveals a beefy-red, sore
tongue, with no neurological findings. Based on these clinical findings, what will the provider
anticipate in the lab data?
a. Normal methylmalonic acid level
b. Leukopenia and thrombocytopenia
c. Decreased homocysteine levels
d. Low hemoglobin and elevated MCV –
Correct Answer :d. Low hemoglobin and elevated MCV
The NP reviews hematology reports on a child with beta-thalassemia minor and notes an
hemoglobin of 8. What will the NP do?
a. Prescribe supplemental iron
b. Order Hgb electrophoresis
c. Evaluate serum ferritin
d. Refer for RBC transfusions –
Correct Answer :c. Evaluate serum ferritin
P a g e 3 | 66
, APEA CEU FNP Exam P a g e | 4
Which patient with documented HIV infection may be classified as having AIDS?
a. A patient with a CD4 count of 250
b. A patient with a CD4 count of 400
c. A patient with TB
d. A patient with contact a partner that has AIDS
e. A patient with a CD4 count of 150 –
Correct Answer :e. A patient with a CD4 count of 150
C is also correct
A child has a fever and arthralgia. The primary care pediatric nurse practitioner learns that the
child had a sore throat 3 weeks prior and auscultates a murmur in the clinic. Which test will
the nurse practitioner order?
a. ASO titer
b. Rapid strep test
c. Throat culture
d. AntiDNase B test –
Correct Answer :a. ASO titer
The primary care pediatric nurse practitioner is performing a well-baby checkup on a 6nmonth
old infant and notes a candida diaper rash and oral thrush. The infant has had two ear
infections in the past 2 months and is in the 3rd percentile for weight. What will the nurse
practitioner do?
a. Refer the infant to an otolaryngologist to evaluate recurrent OM
b. Order a CBC with diff and platelets and quantitative immunoglobins
P a g e 4 | 66
APEA CEU FNP Exam 1(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+
The NP sees a 12-month-old infant who is being fed goats milk and a vegetarian diet. The child
is pale and has a beefy red, sore tongue and oral mucous membranes. Which tests will the NP
order to evaluate this child's condition?
a. RBC, folate, iron, and B12 levels
b. Reticulocyte levels
c. Serum lead levels
d. Hemoglobin electrophoresis –
P a g e 1 | 66
, APEA CEU FNP Exam P a g e | 2
Correct Answer :a. RBC, folate, iron, and B12 levels
A mother who has been breastfeeding her infant for several weeks develops a fever, breast
warmth, and breast tenderness. What will the NP recommend?
a. Ice packs and increased frequency of nursing
b. Ice packs and decreased frequency of nursing
c. Warm packs and increased frequency of nursing
d. Warm packs and decreased frequency of nursing –
Correct Answer :c. Warm packs and increased frequency of nursing
A pregnant woman, in first trimester, who is overweight has no previous history of HTN or
DM. her initial screening exam reveals a BP of 140/90 and a fasting glucose of 128. What will
the NP do?
a. Prescribe an antihypertensive medication
b. Monitor BP and fasting glucose closely
c. Refer the patient to a high-risk pregnancy specialist
d. Initiate insulin therapy –
Correct Answer :b. Monitor BP and fasting glucose closely
A patient reports recent mild fatigue and palpitations. A CBC reveals a decreased hemoglobin
level and a normal ferritin level. What other findings are likely to be present?
P a g e 2 | 66
, APEA CEU FNP Exam P a g e | 3
a. Paresthesia, koilonychia, and pica
b. Decreased MCV, MCH, and MCHC
c. Decreased hematocrit
d. Elevated total iron-binding capacity –
Correct Answer :c. Decreased hematocrit
A 60-year-old female patient has recently lost weight and an exam reveals a beefy-red, sore
tongue, with no neurological findings. Based on these clinical findings, what will the provider
anticipate in the lab data?
a. Normal methylmalonic acid level
b. Leukopenia and thrombocytopenia
c. Decreased homocysteine levels
d. Low hemoglobin and elevated MCV –
Correct Answer :d. Low hemoglobin and elevated MCV
The NP reviews hematology reports on a child with beta-thalassemia minor and notes an
hemoglobin of 8. What will the NP do?
a. Prescribe supplemental iron
b. Order Hgb electrophoresis
c. Evaluate serum ferritin
d. Refer for RBC transfusions –
Correct Answer :c. Evaluate serum ferritin
P a g e 3 | 66
, APEA CEU FNP Exam P a g e | 4
Which patient with documented HIV infection may be classified as having AIDS?
a. A patient with a CD4 count of 250
b. A patient with a CD4 count of 400
c. A patient with TB
d. A patient with contact a partner that has AIDS
e. A patient with a CD4 count of 150 –
Correct Answer :e. A patient with a CD4 count of 150
C is also correct
A child has a fever and arthralgia. The primary care pediatric nurse practitioner learns that the
child had a sore throat 3 weeks prior and auscultates a murmur in the clinic. Which test will
the nurse practitioner order?
a. ASO titer
b. Rapid strep test
c. Throat culture
d. AntiDNase B test –
Correct Answer :a. ASO titer
The primary care pediatric nurse practitioner is performing a well-baby checkup on a 6nmonth
old infant and notes a candida diaper rash and oral thrush. The infant has had two ear
infections in the past 2 months and is in the 3rd percentile for weight. What will the nurse
practitioner do?
a. Refer the infant to an otolaryngologist to evaluate recurrent OM
b. Order a CBC with diff and platelets and quantitative immunoglobins
P a g e 4 | 66
