FNP CERTIFICATION EXAM (ACTUAL 2025)
QUESTIONS AND CORRECT ANSWERS
A father brings in his 20-month-old daughter who presents
with a diffuse rosy-pink macular rash and fever of 102.3ᵒF
(39.1ᵒC). He reports that he first noticed the rash this morning
but that she has had a fever for the past 3-4 days. Today, the
child is without fever. . The most likely diagnosis is:
Roseola
Rubeola.
Scarlet fever.
Rubella. - <<<Answers>>>Ans:
Roseola - study childhood rash and fevers condition.
Scarlet fever: sand-paper like rash with exudative pharyngitis
fever, headache, tender localized anterior cervical
lymphadenopathy. Rash usually erupts on day 2 of
pharyngitis, and often peels a few days later.
Treatment: caused by Strep, oral Amoxicillin as 1st line,
Penicillin Po or IM, oral Macrolide (Azithromycin,
Clarithromycin, Erythromycin) only if pts has PCN allergy.
, FNP CERTIFICATION EXAM (ACTUAL 2025)
QUESTIONS AND CORRECT ANSWERS
Roseola (Agent Herpes virus) HHV 6: dicrete pink-rose
macular rash or maculopapillar rash lasting hours to 3-7 days
often with high fevers. 90% cases found in children < 2 yrs.
Treatment: supportive therapy
Rubella (virus): mild symptoms sore throat, malaise, nasal
discharge, diffuse maculopapillar rash lasting about 3 days;
posterior cervical and postauricular lymphadenopathy
begining 5-10 days. Prior to rash eruption, 10% most common
in women c/o myalgia.
Incubation period: 10-14 days, most infectious 1 -2 wk prior
to onset of rash rash, generally self-limiting, greatest risks to
unborn child especially during 1st trimester (infant can expose
to congenital rubella syndrome). It is a reportable disease to
HHS department, laboratory confirmation by presence of
serum Rubella IgM.
MMR virus- usually acute on presentation with fever, nasal
discharge, cough, generalized lymphadenopathy, conjuctivitis
(copius clear discharge), Koplik spots appears 2 days prior
with blue rings held within red spots on oral mucosa,
pharyngitis w/o exudative, maculopapular rash onset 3-4 days
after onset of symptoms, may coalesce to generalized
erythema. Complications: CNS and respiratory tract are
common, permanent neurological impairment or death
possible, is a reportable disease to HHS department, Vaccine-
preventable disease, laboratory confirmatory by presence of
serum rubeola IgM.
, FNP CERTIFICATION EXAM (ACTUAL 2025)
QUESTIONS AND CORRECT ANSWERS
Infectious Mononucleosi
When evaluating a patient at 12-weeks' gestation, the nurse
practitioner anticipates which physical finding?
Fetal heart tones undetectable by Doppler
Clear nipple discharge
Negative Chadwick's sign
Uterus fundus palpable directly above symphysis pubis -
<<<Answers>>>Ans: Uterus fundus palpable directly above
symphysis pubis
While reviewing the records of a 3-year-old patient who is
new to your practice, you learn that she has a Still's murmur.
As a result, you anticipate which of the following physical
findings?
An audible systolic murmur with a buzzing quality
Height and weight in the bottom 25% of the growth chart
, FNP CERTIFICATION EXAM (ACTUAL 2025)
QUESTIONS AND CORRECT ANSWERS
A hyperdynamic point of maximal impulse
Joint laxity and hyperextension - <<<Answers>>>ans: An
audible systolic murmur with a buzzing quality
All of the following are risk factors for child mistreatment
except:
Child 4-5 years of age.
Child with special needs that can increase caregiver burden.
Parental history of child maltreatment.
Residing in a community with significant baseline violence. -
<<<Answers>>>Ans: Child 4-5 years of age.
Maria is a G1P0AB0 woman with is 28-weeks pregnant. Her
pregnancy to date has been uneventful and she has no chronic
health problems. Maria has not received any immunizations in
the past year.
1. What should she receive today? Choose all that apply.
QUESTIONS AND CORRECT ANSWERS
A father brings in his 20-month-old daughter who presents
with a diffuse rosy-pink macular rash and fever of 102.3ᵒF
(39.1ᵒC). He reports that he first noticed the rash this morning
but that she has had a fever for the past 3-4 days. Today, the
child is without fever. . The most likely diagnosis is:
Roseola
Rubeola.
Scarlet fever.
Rubella. - <<<Answers>>>Ans:
Roseola - study childhood rash and fevers condition.
Scarlet fever: sand-paper like rash with exudative pharyngitis
fever, headache, tender localized anterior cervical
lymphadenopathy. Rash usually erupts on day 2 of
pharyngitis, and often peels a few days later.
Treatment: caused by Strep, oral Amoxicillin as 1st line,
Penicillin Po or IM, oral Macrolide (Azithromycin,
Clarithromycin, Erythromycin) only if pts has PCN allergy.
, FNP CERTIFICATION EXAM (ACTUAL 2025)
QUESTIONS AND CORRECT ANSWERS
Roseola (Agent Herpes virus) HHV 6: dicrete pink-rose
macular rash or maculopapillar rash lasting hours to 3-7 days
often with high fevers. 90% cases found in children < 2 yrs.
Treatment: supportive therapy
Rubella (virus): mild symptoms sore throat, malaise, nasal
discharge, diffuse maculopapillar rash lasting about 3 days;
posterior cervical and postauricular lymphadenopathy
begining 5-10 days. Prior to rash eruption, 10% most common
in women c/o myalgia.
Incubation period: 10-14 days, most infectious 1 -2 wk prior
to onset of rash rash, generally self-limiting, greatest risks to
unborn child especially during 1st trimester (infant can expose
to congenital rubella syndrome). It is a reportable disease to
HHS department, laboratory confirmation by presence of
serum Rubella IgM.
MMR virus- usually acute on presentation with fever, nasal
discharge, cough, generalized lymphadenopathy, conjuctivitis
(copius clear discharge), Koplik spots appears 2 days prior
with blue rings held within red spots on oral mucosa,
pharyngitis w/o exudative, maculopapular rash onset 3-4 days
after onset of symptoms, may coalesce to generalized
erythema. Complications: CNS and respiratory tract are
common, permanent neurological impairment or death
possible, is a reportable disease to HHS department, Vaccine-
preventable disease, laboratory confirmatory by presence of
serum rubeola IgM.
, FNP CERTIFICATION EXAM (ACTUAL 2025)
QUESTIONS AND CORRECT ANSWERS
Infectious Mononucleosi
When evaluating a patient at 12-weeks' gestation, the nurse
practitioner anticipates which physical finding?
Fetal heart tones undetectable by Doppler
Clear nipple discharge
Negative Chadwick's sign
Uterus fundus palpable directly above symphysis pubis -
<<<Answers>>>Ans: Uterus fundus palpable directly above
symphysis pubis
While reviewing the records of a 3-year-old patient who is
new to your practice, you learn that she has a Still's murmur.
As a result, you anticipate which of the following physical
findings?
An audible systolic murmur with a buzzing quality
Height and weight in the bottom 25% of the growth chart
, FNP CERTIFICATION EXAM (ACTUAL 2025)
QUESTIONS AND CORRECT ANSWERS
A hyperdynamic point of maximal impulse
Joint laxity and hyperextension - <<<Answers>>>ans: An
audible systolic murmur with a buzzing quality
All of the following are risk factors for child mistreatment
except:
Child 4-5 years of age.
Child with special needs that can increase caregiver burden.
Parental history of child maltreatment.
Residing in a community with significant baseline violence. -
<<<Answers>>>Ans: Child 4-5 years of age.
Maria is a G1P0AB0 woman with is 28-weeks pregnant. Her
pregnancy to date has been uneventful and she has no chronic
health problems. Maria has not received any immunizations in
the past year.
1. What should she receive today? Choose all that apply.
