Page 1 of 99
FNP PRACTICE TEST EXAM ALL WITH 350
QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
67 y/o female with 3-day old cat bite thats swollen, red and painful to touch. There
is Purulent Discharge at site of bite. Which medication do you prescribe?
Amoxicillin
symptoms assoc.with Pasteurella multocida which is anaerobic gram neg
14 y/o girl with short stature, swollen hands and feet and webbed neck. Found to be at
Tanner stage 1....
What test do you order to confirm
Karyotype to find second chromosome
tanner 1 prepuberty
signs suggest Turner syndrome
67 y/o woman with 30 pack-year history of smoking at annual physical. Complains of being
short of breathe easily and fatigued. Exam reveals diminished breath sounds, hyperresonace,
and fatigued muscles. CBC results showed Hct elevated and pulmonary function test showed
increased total lung capacity. What diagnosis is most likely
COPD
(Emphysema and chronic bronchitis)
dyspnea, chronic cough, sputum production
, Page 2 of 99
Lungs are hyper-inflated, diminished BS
Creates High hct from hypoxia
Elderly male at routine exam, shows multiple rough scaly patches on forearm and face and
neck and back of ears. What diagnosis is most likely
Senile actinic keratosis
most common precancerous lesion in small cell carcinoma
develops from years of sun exposure
Which is contraindicated in influenza vaccine
- asthma
- sickle cell
- <5months
- American Indian heritage
Which of the following associated with thyroid hypofunction
a. Graves
b. Eye disorder
c. Thyroid storm
d. Myxedema
Myxedema
skin changes (thickened)
Tx: High dose of thyroid hormone
14 y/o boy with feeling of being bloated, upset stomach, and loose stools for months,
problems gaining weight and is short for his age. Symptoms worse after eating crackers. No
blood in stool. What condition is most likely to occur?
, Page 3 of 99
Celiac disease
avoid gluten; causes malabsorption
IgA and IgG elevated
You are assessing a 63 y/o male with history of IV-drug abuse since young adulthood. Presents
with fatigue and nausea. What screening is recommended?
Hep C
You're performing an assessment of 6 month old. What motor skills are expected ?
Palmar Grasps of object
You (NP) are managing a stable-middle aged male with emphysema. What annual
intervention is recommended besides stopping.
(QIV) Quadrivalent innactive flu vaccine
-O
During sports exam, 14 y/o you notice a split of s2 component of the heart during deep
inspiration. Disappears on expiration. HR regular, no murmurs.
what is this likely of
Normal as long as it disappears after expiration
Which finding would you find in 13y/o M with Cushing's syndrome
Delayed puberty
Which life-style is associated with secondary polycythemia Vera
Smoking
, Page 4 of 99
Which test confirms prostate cancer
Tissue biopsy
60 F truck driver with worsening lower back pain over few days. Numbness in perineal area.
Sharp and burning and points to left buttock.
Pain started mid buttock of left leg and went to lateral side toward top of foot. Ankle and
knee jerk reflex is +2 and on affected leg +1
what test do you consider?
Order MRI
When assessing a pt using Snellen chart, the NP(you hehe) reports visual acuity 80/20. What
dat mean?
Patient can see at 20 feet what a person can see at 80
top:distance pt can see in ft
bottom: distance that normal vision can read the same line
Obese 28y/female at doc seen with Arachne, hirsutism and oligomenorrhea. Blood draw
shows free androgen index 9.8 with diagnosis of poly cystic ovarian syndrome which puts
patient at risk for what ?
CHD, Type 2 DM, metabolic syndrome
Middle age man with HTN with acute onset of fever, chills and productive cough and rusty
colored sputum. Sharp pain on left side of back and chest when coughing. Temp 102 pulse is
100 and Bp 130/80
urinalysis show no leukocytes,nitrite, or blood
FNP PRACTICE TEST EXAM ALL WITH 350
QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
67 y/o female with 3-day old cat bite thats swollen, red and painful to touch. There
is Purulent Discharge at site of bite. Which medication do you prescribe?
Amoxicillin
symptoms assoc.with Pasteurella multocida which is anaerobic gram neg
14 y/o girl with short stature, swollen hands and feet and webbed neck. Found to be at
Tanner stage 1....
What test do you order to confirm
Karyotype to find second chromosome
tanner 1 prepuberty
signs suggest Turner syndrome
67 y/o woman with 30 pack-year history of smoking at annual physical. Complains of being
short of breathe easily and fatigued. Exam reveals diminished breath sounds, hyperresonace,
and fatigued muscles. CBC results showed Hct elevated and pulmonary function test showed
increased total lung capacity. What diagnosis is most likely
COPD
(Emphysema and chronic bronchitis)
dyspnea, chronic cough, sputum production
, Page 2 of 99
Lungs are hyper-inflated, diminished BS
Creates High hct from hypoxia
Elderly male at routine exam, shows multiple rough scaly patches on forearm and face and
neck and back of ears. What diagnosis is most likely
Senile actinic keratosis
most common precancerous lesion in small cell carcinoma
develops from years of sun exposure
Which is contraindicated in influenza vaccine
- asthma
- sickle cell
- <5months
- American Indian heritage
Which of the following associated with thyroid hypofunction
a. Graves
b. Eye disorder
c. Thyroid storm
d. Myxedema
Myxedema
skin changes (thickened)
Tx: High dose of thyroid hormone
14 y/o boy with feeling of being bloated, upset stomach, and loose stools for months,
problems gaining weight and is short for his age. Symptoms worse after eating crackers. No
blood in stool. What condition is most likely to occur?
, Page 3 of 99
Celiac disease
avoid gluten; causes malabsorption
IgA and IgG elevated
You are assessing a 63 y/o male with history of IV-drug abuse since young adulthood. Presents
with fatigue and nausea. What screening is recommended?
Hep C
You're performing an assessment of 6 month old. What motor skills are expected ?
Palmar Grasps of object
You (NP) are managing a stable-middle aged male with emphysema. What annual
intervention is recommended besides stopping.
(QIV) Quadrivalent innactive flu vaccine
-O
During sports exam, 14 y/o you notice a split of s2 component of the heart during deep
inspiration. Disappears on expiration. HR regular, no murmurs.
what is this likely of
Normal as long as it disappears after expiration
Which finding would you find in 13y/o M with Cushing's syndrome
Delayed puberty
Which life-style is associated with secondary polycythemia Vera
Smoking
, Page 4 of 99
Which test confirms prostate cancer
Tissue biopsy
60 F truck driver with worsening lower back pain over few days. Numbness in perineal area.
Sharp and burning and points to left buttock.
Pain started mid buttock of left leg and went to lateral side toward top of foot. Ankle and
knee jerk reflex is +2 and on affected leg +1
what test do you consider?
Order MRI
When assessing a pt using Snellen chart, the NP(you hehe) reports visual acuity 80/20. What
dat mean?
Patient can see at 20 feet what a person can see at 80
top:distance pt can see in ft
bottom: distance that normal vision can read the same line
Obese 28y/female at doc seen with Arachne, hirsutism and oligomenorrhea. Blood draw
shows free androgen index 9.8 with diagnosis of poly cystic ovarian syndrome which puts
patient at risk for what ?
CHD, Type 2 DM, metabolic syndrome
Middle age man with HTN with acute onset of fever, chills and productive cough and rusty
colored sputum. Sharp pain on left side of back and chest when coughing. Temp 102 pulse is
100 and Bp 130/80
urinalysis show no leukocytes,nitrite, or blood
