FNP Certification Exam Questions &
Answers
Assessment of the optic disc is a component of the evaluation of cranial nerve:
I.
II.
III.
.IV - ANSWERSCranial II
You examine a 62-year-old woman with a 20-year history of hypertension. She reports
intermittent use of antihypertensive medications, stating, "I feel better without the
medications." Today she presents for a "check-up."On physical examination, you note the
following: PMI with a downward and lateral shift as well as a Gr II/VI holosystolic murmur with
radiation to the axilla.
This patient's health history is most likely to include a report of:
Syncopal episodes.
Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo. - ANSWERSAns: dyspnea on exertion
Of the following, which should be performed first in assessing a 48-year-old woman who has a
25-year history of moderate persistent asthma and who now presents with an acute asthma
flare?
Oxygen saturation
,Arterial blood gas
FEV1 (forced expiratory volume at 1 second)
Chest x-ray - ANSWERSAns: FEV (force expiratory volume)
You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is
most desirable?
Community hall of a local church
Local hospital ambulatory care center
Mobile van
Space in a shopping center - ANSWERSAns: Mobile van
A 58-year-old woman presents for an initial examination in order to become a patient in your
primary care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of wine per week,
and works as an administrative assistant in a law office. She is without complaint and reports
that she is generally in good health. Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm
Hg bilaterally.
The rest of her examination is unremarkable.
Prescribe a low-dose thiazide diuretic.
Arrange for additional blood pressure measurements within the next four weeks.
,Order a serum creatinine, urea nitrogen and urinalysis.
Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of wine per
week. - ANSWERSAns: Arrange for additional blood pressure measurements within the next four
weeks.
The NP demonstrates fulfillment of the advanced practice nursing leadership role by
participating in which of the following activities?
Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the
importance of self-glucose monitoring
Volunteering to teach a class on contraceptive methods to a group of teen mothers
Discussing barriers to achieving blood pressure control with a 65-year-old woman with
hypertension who "does not want to take any medicine"
Collaborating with the regional public health department on an initiative to combat obesity
through a community-based exercise program - ANSWERSAns: Collaborating with the regional
public health department on an initiative to combat obesity through a community-based
exercise program
You are asked to speak to a group of healthcare executives on the NP role. Which of the
following provides the strongest support for NP practice?
Number of academic credits earned during the NP program
Evidence of NP practice outcomes
, The quantity of clinical hours and type of clinical rotations in the NP program
The professional experience of the person prior to entering the NP program - ANSWERSAns:
Evidence of NP practice outcomes
Rank the following from highest (1) to lowest (4) level of research design.
__Case reports
__Meta-analysis
__Randomized controlled trials
__Expert opinion
1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert opinion - ANSWERSAns:
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
In a 46-year-old woman with hypertension and dyslipidemia, choose the correct prevention:
Primary prevention
Secondary prevention
Answers
Assessment of the optic disc is a component of the evaluation of cranial nerve:
I.
II.
III.
.IV - ANSWERSCranial II
You examine a 62-year-old woman with a 20-year history of hypertension. She reports
intermittent use of antihypertensive medications, stating, "I feel better without the
medications." Today she presents for a "check-up."On physical examination, you note the
following: PMI with a downward and lateral shift as well as a Gr II/VI holosystolic murmur with
radiation to the axilla.
This patient's health history is most likely to include a report of:
Syncopal episodes.
Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo. - ANSWERSAns: dyspnea on exertion
Of the following, which should be performed first in assessing a 48-year-old woman who has a
25-year history of moderate persistent asthma and who now presents with an acute asthma
flare?
Oxygen saturation
,Arterial blood gas
FEV1 (forced expiratory volume at 1 second)
Chest x-ray - ANSWERSAns: FEV (force expiratory volume)
You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is
most desirable?
Community hall of a local church
Local hospital ambulatory care center
Mobile van
Space in a shopping center - ANSWERSAns: Mobile van
A 58-year-old woman presents for an initial examination in order to become a patient in your
primary care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of wine per week,
and works as an administrative assistant in a law office. She is without complaint and reports
that she is generally in good health. Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm
Hg bilaterally.
The rest of her examination is unremarkable.
Prescribe a low-dose thiazide diuretic.
Arrange for additional blood pressure measurements within the next four weeks.
,Order a serum creatinine, urea nitrogen and urinalysis.
Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of wine per
week. - ANSWERSAns: Arrange for additional blood pressure measurements within the next four
weeks.
The NP demonstrates fulfillment of the advanced practice nursing leadership role by
participating in which of the following activities?
Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the
importance of self-glucose monitoring
Volunteering to teach a class on contraceptive methods to a group of teen mothers
Discussing barriers to achieving blood pressure control with a 65-year-old woman with
hypertension who "does not want to take any medicine"
Collaborating with the regional public health department on an initiative to combat obesity
through a community-based exercise program - ANSWERSAns: Collaborating with the regional
public health department on an initiative to combat obesity through a community-based
exercise program
You are asked to speak to a group of healthcare executives on the NP role. Which of the
following provides the strongest support for NP practice?
Number of academic credits earned during the NP program
Evidence of NP practice outcomes
, The quantity of clinical hours and type of clinical rotations in the NP program
The professional experience of the person prior to entering the NP program - ANSWERSAns:
Evidence of NP practice outcomes
Rank the following from highest (1) to lowest (4) level of research design.
__Case reports
__Meta-analysis
__Randomized controlled trials
__Expert opinion
1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert opinion - ANSWERSAns:
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
In a 46-year-old woman with hypertension and dyslipidemia, choose the correct prevention:
Primary prevention
Secondary prevention
