FNP Certification Exam Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient presents with a red, bulging tympanic membrane and fever. Most likely diagnosis?
A. Otitis externa
B. ✔✔Acute otitis media
C. Mastoiditis
D. Eustachian tube dysfunction
Which test is most useful for diagnosing deep vein thrombosis?
A. MRI of the leg
B. ✔✔Duplex ultrasound
C. Venography
D. Ankle-brachial index
A 40-year-old woman presents with fatigue, weight gain, and cold intolerance. Which lab finding
supports the diagnosis of primary hypothyroidism?
A. Low TSH, low T4
1
,B. ✔✔High TSH, low T4
C. High TSH, high T4
D. Low TSH, high T4
Which vaccine is given to prevent shingles in adults over 50?
A. ✔✔Recombinant zoster vaccine (Shingrix)
B. Varicella vaccine
C. Zostavax live vaccine
D. HPV vaccine
Which heart murmur is best heard at the right upper sternal border and radiates to the carotids?
A. ✔✔Aortic stenosis
B. Mitral regurgitation
C. Mitral stenosis
D. Tricuspid regurgitation
A patient has a blood pressure of 160/100 mm Hg on two separate visits with no other
comorbidities. First-line treatment?
2
,A. ACE inhibitor
B. ✔✔Thiazide diuretic
C. Beta-blocker
D. Alpha-blocker
Which skin lesion is characterized by silvery scales on extensor surfaces?
A. ✔✔Psoriasis
B. Eczema
C. Lichen planus
D. Seborrheic dermatitis
Which finding is consistent with Bell’s palsy?
A. ✔✔Unilateral facial weakness including the forehead
B. Weakness sparing the forehead
C. Bilateral facial droop
D. Inability to move eyes laterally
Which screening test is recommended for all pregnant women at 24–28 weeks gestation?
3
, A. Group B strep culture
B. ✔✔Oral glucose tolerance test
C. HIV antibody test
D. Hepatitis B surface antigen
A 25-year-old presents with dysuria and urethral discharge. Most likely organism?
A. ✔✔Neisseria gonorrhoeae
B. Escherichia coli
C. Chlamydia trachomatis
D. Mycoplasma genitalium
Which physical exam finding is most consistent with appendicitis?
A. ✔✔Tenderness at McBurney’s point
B. Positive Murphy’s sign
C. Absent bowel sounds
D. Grey-Turner sign
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient presents with a red, bulging tympanic membrane and fever. Most likely diagnosis?
A. Otitis externa
B. ✔✔Acute otitis media
C. Mastoiditis
D. Eustachian tube dysfunction
Which test is most useful for diagnosing deep vein thrombosis?
A. MRI of the leg
B. ✔✔Duplex ultrasound
C. Venography
D. Ankle-brachial index
A 40-year-old woman presents with fatigue, weight gain, and cold intolerance. Which lab finding
supports the diagnosis of primary hypothyroidism?
A. Low TSH, low T4
1
,B. ✔✔High TSH, low T4
C. High TSH, high T4
D. Low TSH, high T4
Which vaccine is given to prevent shingles in adults over 50?
A. ✔✔Recombinant zoster vaccine (Shingrix)
B. Varicella vaccine
C. Zostavax live vaccine
D. HPV vaccine
Which heart murmur is best heard at the right upper sternal border and radiates to the carotids?
A. ✔✔Aortic stenosis
B. Mitral regurgitation
C. Mitral stenosis
D. Tricuspid regurgitation
A patient has a blood pressure of 160/100 mm Hg on two separate visits with no other
comorbidities. First-line treatment?
2
,A. ACE inhibitor
B. ✔✔Thiazide diuretic
C. Beta-blocker
D. Alpha-blocker
Which skin lesion is characterized by silvery scales on extensor surfaces?
A. ✔✔Psoriasis
B. Eczema
C. Lichen planus
D. Seborrheic dermatitis
Which finding is consistent with Bell’s palsy?
A. ✔✔Unilateral facial weakness including the forehead
B. Weakness sparing the forehead
C. Bilateral facial droop
D. Inability to move eyes laterally
Which screening test is recommended for all pregnant women at 24–28 weeks gestation?
3
, A. Group B strep culture
B. ✔✔Oral glucose tolerance test
C. HIV antibody test
D. Hepatitis B surface antigen
A 25-year-old presents with dysuria and urethral discharge. Most likely organism?
A. ✔✔Neisseria gonorrhoeae
B. Escherichia coli
C. Chlamydia trachomatis
D. Mycoplasma genitalium
Which physical exam finding is most consistent with appendicitis?
A. ✔✔Tenderness at McBurney’s point
B. Positive Murphy’s sign
C. Absent bowel sounds
D. Grey-Turner sign
4
