FNP Certification Review Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient has a mean corpuscular volume (MCV) of 72 fL. Which is the most likely type of
anemia?
A. Macrocytic anemia
B. Normocytic anemia
✔✔C. Microcytic anemia
D. Hemolytic anemia
Which lab result is most consistent with iron deficiency anemia?
A. High ferritin, low TIBC
✔✔B. Low ferritin, high TIBC
C. High ferritin, high TIBC
D. Low ferritin, low TIBC
Which anemia is associated with hypersegmented neutrophils on peripheral smear?
A. Iron deficiency anemia
1
,B. Anemia of chronic disease
✔✔C. Megaloblastic anemia
D. Hemolytic anemia
A pregnant woman at 12 weeks has macrocytic anemia. Which nutrient deficiency is most likely?
A. Vitamin C
✔✔B. Folate
C. Vitamin D
D. Iron
Which symptom is specific to vitamin B12 deficiency and not folate deficiency?
A. Fatigue
B. Pallor
✔✔C. Neurological changes
D. Glossitis
A 3-year-old with sickle cell disease has fever and splenomegaly. Which complication is most
concerning?
2
,A. Iron deficiency
B. Hemolytic crisis
✔✔C. Splenic sequestration crisis
D. Leukopenia
What is the gold standard test for diagnosing thalassemia?
A. CBC
B. Reticulocyte count
✔✔C. Hemoglobin electrophoresis
D. Serum ferritin
Which condition is most likely to cause normocytic, normochromic anemia?
A. Vitamin B12 deficiency
B. Iron deficiency anemia
✔✔C. Chronic kidney disease
D. Folate deficiency
Which lab value is elevated in hemolytic anemia?
3
, A. Serum ferritin
B. Serum folate
✔✔C. Lactate dehydrogenase (LDH)
D. Serum sodium
A patient with anemia and low reticulocyte count most likely has:
A. Acute blood loss
✔✔B. Bone marrow suppression
C. Hemolysis
D. Polycythemia
Which iron supplement formulation is most commonly prescribed for iron deficiency anemia?
A. Iron dextran
✔✔B. Ferrous sulfate
C. Ferrous gluconate
D. Iron sucrose
Which finding is seen in hereditary spherocytosis?
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient has a mean corpuscular volume (MCV) of 72 fL. Which is the most likely type of
anemia?
A. Macrocytic anemia
B. Normocytic anemia
✔✔C. Microcytic anemia
D. Hemolytic anemia
Which lab result is most consistent with iron deficiency anemia?
A. High ferritin, low TIBC
✔✔B. Low ferritin, high TIBC
C. High ferritin, high TIBC
D. Low ferritin, low TIBC
Which anemia is associated with hypersegmented neutrophils on peripheral smear?
A. Iron deficiency anemia
1
,B. Anemia of chronic disease
✔✔C. Megaloblastic anemia
D. Hemolytic anemia
A pregnant woman at 12 weeks has macrocytic anemia. Which nutrient deficiency is most likely?
A. Vitamin C
✔✔B. Folate
C. Vitamin D
D. Iron
Which symptom is specific to vitamin B12 deficiency and not folate deficiency?
A. Fatigue
B. Pallor
✔✔C. Neurological changes
D. Glossitis
A 3-year-old with sickle cell disease has fever and splenomegaly. Which complication is most
concerning?
2
,A. Iron deficiency
B. Hemolytic crisis
✔✔C. Splenic sequestration crisis
D. Leukopenia
What is the gold standard test for diagnosing thalassemia?
A. CBC
B. Reticulocyte count
✔✔C. Hemoglobin electrophoresis
D. Serum ferritin
Which condition is most likely to cause normocytic, normochromic anemia?
A. Vitamin B12 deficiency
B. Iron deficiency anemia
✔✔C. Chronic kidney disease
D. Folate deficiency
Which lab value is elevated in hemolytic anemia?
3
, A. Serum ferritin
B. Serum folate
✔✔C. Lactate dehydrogenase (LDH)
D. Serum sodium
A patient with anemia and low reticulocyte count most likely has:
A. Acute blood loss
✔✔B. Bone marrow suppression
C. Hemolysis
D. Polycythemia
Which iron supplement formulation is most commonly prescribed for iron deficiency anemia?
A. Iron dextran
✔✔B. Ferrous sulfate
C. Ferrous gluconate
D. Iron sucrose
Which finding is seen in hereditary spherocytosis?
4
