Family Nurse Practitioner Certification Study Guide-
Comprehensive Exam Questions
Which of the following identifies the difference between the coronary arteries and all
of the other arteries?
A) The coronary arteries have valves.
B) The left coronary artery has four branches.
C) The right coronary artery has three branches.
D) The coronary arteries are perfused during diastole.
Answer: D) The coronary arteries are perfused during diastole.
Which of the following correctly identifies one of the characteristics of the S2 heart
sound?
A) The sound is heard most commonly in elderly patients.
B) A split S1 in well elderly patients is more common than a split S2 sound.
C) The sound is heard best at the left second intercostal space close to the sternum.
D) It requires immediate additional diagnostic testing if present.
Answer: C) The sound is heard best at the left second intercostal space close to the
sternum.
Which of the following statements regarding the grading system for cardiac murmurs
is correctly stated?
A) A 2/6 murmur is a soft sound with no palpable thrill.
B) All 3/6 murmurs are moderately loud and are associated with a palpable thrill.
C) A 4/6 murmur is loud but still requires close contact between the skin and the
stethoscope for an accurate diagnosis.
D) A 5/6 murmur is audible with only the bell of the stethoscope with no palpable
thrill.
Answer: A) A 2/6 murmur is a soft sound with no palpable thrill.
Which of the following statements about GINA is correct?
A) Long-term care insurance companies are prohibited from using genetic information
to set rates.
B) Employers can use genetic information when making job assignments.
,C) Protection from GINA does not apply to conditions that were previously
diagnosed.
D) Health insurance companies can request specific genetic tests before quoting rates
for coverage.
Answer: A) Long-term care insurance companies are prohibited from using genetic
information to set rates.
The CDC has targeted four personal behaviors that affect the development and
progression of chronic disease including obesity, limited exercise, and smoking.
Which of the following is the fourth factor identified by the CDC?
A) Poor nutrition
B) Not wearing seat belts
C) Recreational drug use
D) Ethyl alcohol intake
Answer: A) Poor nutrition
When assessing the patient's heart sounds, which of the following positions can
diminish the sound that indicates mitral regurgitation?
A) Squatting
B) Leaning forward from the waist
C) Clenching the fists
D) Standing
Answer: D) Standing
Which of the following adventitious sounds is associated with early congestive heart
failure?
A) Mediastinal crunch
B) Late inspiratory crackles
C) Mid-inspiratory and mid-expiratory crackles
D) Early inspiratory crackles
Answer: B) Late inspiratory crackles
The FNP is caring for a patient with chronic obstructive pulmonary disease. Which of
the following correctly identifies the common site of the point of maximal impulse
(PMI) in this patient?
A) Medial to midclavicular line at the fifth intercostal space
,B) Lateral to midclavicular line
C) In the xiphoid or epigastric area
D) Below the sixth intercostal space
Answer: C) In the xiphoid or epigastric area
A patient's ankle/brachial index is 0.39. Which of the following is an expected finding
associated with this report?
A) Chronic edema
B) Increased pigmentation of the feet
C) Lower extremity pain at rest
D) Medial malleolus ulceration
Answer: C) Lower extremity pain at rest
Which of the following findings differentiates delirium and dementia?
A) Increased sensory sensitivity
B) Labile mood
C) Disorganized
D) Aphasia
Answer: B) Labile mood
Which of the following is NOT one of the domains of the Siebens Domain
Management Model for geriatric patients?
A) Medication management
B) Medical and surgical diseases
C) Environmental safety
D) Physical function
Answer: B) Medical and surgical diseases
A patient presents with panniculitis and bruising along the left flank. Which of the
following should be included in the differential diagnosis for this patient?
A) Sickle cell disease
B) Pancreatitis
C) Reiter's syndrome
D) Addison's disease
Answer: B) Pancreatitis
, The FNP assesses the patient's current complaint of new-onset headaches. Which of
the following PQRSTU criteria are most important for this patient at this time?
A) Chronologic pattern
B) Location
C) Associated manifestations
D) Onset before 50 years of age
Answer: C) Associated manifestations
Which of the following screening tests is specifically designed to assess potential
alcohol abuse in the ADULT patient?
A) DAST-20
B) TAPS
C) CRAFFT
D) CAGE
Answer: D) CAGE
Which of the following conditions should be included in the differential diagnosis of
back pain that is "off the midline"?
A) Sacroiliitis
B) Spinal cord metastases
C) Herniated disc
D) Vertebral collapse
Answer: A) Sacroiliitis
The patient's Wells score is 7.5 points. Which of the following choices correctly
identifies the meaning of this score?
A) Low probability of herniated disc
B) High probability of a pulmonary embolus
C) Proof of end-stage cirrhosis
D) Rules out pancreatitis
Answer: B) High probability of a pulmonary embolus
Which of the following describes the pain resulting from a "sprained" ankle?
A) Visceral pain
B) Referred pain
Comprehensive Exam Questions
Which of the following identifies the difference between the coronary arteries and all
of the other arteries?
A) The coronary arteries have valves.
B) The left coronary artery has four branches.
C) The right coronary artery has three branches.
D) The coronary arteries are perfused during diastole.
Answer: D) The coronary arteries are perfused during diastole.
Which of the following correctly identifies one of the characteristics of the S2 heart
sound?
A) The sound is heard most commonly in elderly patients.
B) A split S1 in well elderly patients is more common than a split S2 sound.
C) The sound is heard best at the left second intercostal space close to the sternum.
D) It requires immediate additional diagnostic testing if present.
Answer: C) The sound is heard best at the left second intercostal space close to the
sternum.
Which of the following statements regarding the grading system for cardiac murmurs
is correctly stated?
A) A 2/6 murmur is a soft sound with no palpable thrill.
B) All 3/6 murmurs are moderately loud and are associated with a palpable thrill.
C) A 4/6 murmur is loud but still requires close contact between the skin and the
stethoscope for an accurate diagnosis.
D) A 5/6 murmur is audible with only the bell of the stethoscope with no palpable
thrill.
Answer: A) A 2/6 murmur is a soft sound with no palpable thrill.
Which of the following statements about GINA is correct?
A) Long-term care insurance companies are prohibited from using genetic information
to set rates.
B) Employers can use genetic information when making job assignments.
,C) Protection from GINA does not apply to conditions that were previously
diagnosed.
D) Health insurance companies can request specific genetic tests before quoting rates
for coverage.
Answer: A) Long-term care insurance companies are prohibited from using genetic
information to set rates.
The CDC has targeted four personal behaviors that affect the development and
progression of chronic disease including obesity, limited exercise, and smoking.
Which of the following is the fourth factor identified by the CDC?
A) Poor nutrition
B) Not wearing seat belts
C) Recreational drug use
D) Ethyl alcohol intake
Answer: A) Poor nutrition
When assessing the patient's heart sounds, which of the following positions can
diminish the sound that indicates mitral regurgitation?
A) Squatting
B) Leaning forward from the waist
C) Clenching the fists
D) Standing
Answer: D) Standing
Which of the following adventitious sounds is associated with early congestive heart
failure?
A) Mediastinal crunch
B) Late inspiratory crackles
C) Mid-inspiratory and mid-expiratory crackles
D) Early inspiratory crackles
Answer: B) Late inspiratory crackles
The FNP is caring for a patient with chronic obstructive pulmonary disease. Which of
the following correctly identifies the common site of the point of maximal impulse
(PMI) in this patient?
A) Medial to midclavicular line at the fifth intercostal space
,B) Lateral to midclavicular line
C) In the xiphoid or epigastric area
D) Below the sixth intercostal space
Answer: C) In the xiphoid or epigastric area
A patient's ankle/brachial index is 0.39. Which of the following is an expected finding
associated with this report?
A) Chronic edema
B) Increased pigmentation of the feet
C) Lower extremity pain at rest
D) Medial malleolus ulceration
Answer: C) Lower extremity pain at rest
Which of the following findings differentiates delirium and dementia?
A) Increased sensory sensitivity
B) Labile mood
C) Disorganized
D) Aphasia
Answer: B) Labile mood
Which of the following is NOT one of the domains of the Siebens Domain
Management Model for geriatric patients?
A) Medication management
B) Medical and surgical diseases
C) Environmental safety
D) Physical function
Answer: B) Medical and surgical diseases
A patient presents with panniculitis and bruising along the left flank. Which of the
following should be included in the differential diagnosis for this patient?
A) Sickle cell disease
B) Pancreatitis
C) Reiter's syndrome
D) Addison's disease
Answer: B) Pancreatitis
, The FNP assesses the patient's current complaint of new-onset headaches. Which of
the following PQRSTU criteria are most important for this patient at this time?
A) Chronologic pattern
B) Location
C) Associated manifestations
D) Onset before 50 years of age
Answer: C) Associated manifestations
Which of the following screening tests is specifically designed to assess potential
alcohol abuse in the ADULT patient?
A) DAST-20
B) TAPS
C) CRAFFT
D) CAGE
Answer: D) CAGE
Which of the following conditions should be included in the differential diagnosis of
back pain that is "off the midline"?
A) Sacroiliitis
B) Spinal cord metastases
C) Herniated disc
D) Vertebral collapse
Answer: A) Sacroiliitis
The patient's Wells score is 7.5 points. Which of the following choices correctly
identifies the meaning of this score?
A) Low probability of herniated disc
B) High probability of a pulmonary embolus
C) Proof of end-stage cirrhosis
D) Rules out pancreatitis
Answer: B) High probability of a pulmonary embolus
Which of the following describes the pain resulting from a "sprained" ankle?
A) Visceral pain
B) Referred pain
