FNP BOARD EXAM PRACTICE
QUESTIONS 2026 QUESTIONS AND
ANSWERS
1. A 65-year-old male with a history of COPD presents with a sudden onset of sharp chest
pain and worsening dyspnea. Physical exam reveals decreased breath sounds on the right
side and hyperresonance to percussion. Which is the most likely diagnosis?
A. Tension pneumothorax
B. Spontaneous pneumothorax
C. Pulmonary embolism
D. Pneumonia
Answer: B
Conceptual Explanation: Spontaneous pneumothorax is common in COPD patients due to
the rupture of blebs. Hyperresonance and decreased breath sounds are classic findings.
Tension pneumothorax involves tracheal deviation and hemodynamic instability, which
were not noted.
2. Which of the following findings is most characteristic of Pityriasis Rosea?
A. Honey-colored crusts on an erythematous base
,B. Silvery scales on the extensor surfaces
C. A single herald patch followed by a Christmas tree pattern rash
D. Target-like lesions on the palms and soles
Answer: C
Conceptual Explanation: Pityriasis Rosea typically begins with a herald patch, followed by
a generalized rash in a Christmas tree distribution along skin cleavage lines.
3. An 8-year-old child presents with a high fever, ‘strawberry tongue,’ and a sandpaper-like
rash. What is the most likely diagnosis?
A. Scarlet fever
B. Kawasaki disease
C. Measles
D. Fifth disease
Answer: A
Conceptual Explanation: Scarlet fever is characterized by a sandpaper rash, strawberry
tongue, and fever, usually following a Group A Strep infection. Kawasaki also has a
strawberry tongue but involves longer fever and specific diagnostic criteria like
conjunctivitis and limb changes.
, 4. What is the first-line treatment for a patient diagnosed with mild to moderate Hidradenitis
Suppurativa?
A. Oral doxycycline
B. Incision and drainage
C. Topical clindamycin
D. Oral isotretinoin
Answer: C
Conceptual Explanation: Topical clindamycin is the first-line antibiotic treatment for
Hurley Stage I (mild) Hidradenitis Suppurativa.
5. A 72-year-old female presents with a sudden onset of severe eye pain, blurred vision, and
seeing halos around lights. Her pupil is mid-dilated and non-reactive. What is the immediate
action?
A. Prescribe topical antibiotics
B. Administer artificial tears
C. Perform a funduscopic exam and follow up in 24 hours
D. Refer to ophthalmology immediately for acute angle-closure glaucoma
Answer: D
Conceptual Explanation: Acute angle-closure glaucoma is a medical emergency that can
lead to permanent vision loss if not treated immediately to reduce intraocular pressure.
QUESTIONS 2026 QUESTIONS AND
ANSWERS
1. A 65-year-old male with a history of COPD presents with a sudden onset of sharp chest
pain and worsening dyspnea. Physical exam reveals decreased breath sounds on the right
side and hyperresonance to percussion. Which is the most likely diagnosis?
A. Tension pneumothorax
B. Spontaneous pneumothorax
C. Pulmonary embolism
D. Pneumonia
Answer: B
Conceptual Explanation: Spontaneous pneumothorax is common in COPD patients due to
the rupture of blebs. Hyperresonance and decreased breath sounds are classic findings.
Tension pneumothorax involves tracheal deviation and hemodynamic instability, which
were not noted.
2. Which of the following findings is most characteristic of Pityriasis Rosea?
A. Honey-colored crusts on an erythematous base
,B. Silvery scales on the extensor surfaces
C. A single herald patch followed by a Christmas tree pattern rash
D. Target-like lesions on the palms and soles
Answer: C
Conceptual Explanation: Pityriasis Rosea typically begins with a herald patch, followed by
a generalized rash in a Christmas tree distribution along skin cleavage lines.
3. An 8-year-old child presents with a high fever, ‘strawberry tongue,’ and a sandpaper-like
rash. What is the most likely diagnosis?
A. Scarlet fever
B. Kawasaki disease
C. Measles
D. Fifth disease
Answer: A
Conceptual Explanation: Scarlet fever is characterized by a sandpaper rash, strawberry
tongue, and fever, usually following a Group A Strep infection. Kawasaki also has a
strawberry tongue but involves longer fever and specific diagnostic criteria like
conjunctivitis and limb changes.
, 4. What is the first-line treatment for a patient diagnosed with mild to moderate Hidradenitis
Suppurativa?
A. Oral doxycycline
B. Incision and drainage
C. Topical clindamycin
D. Oral isotretinoin
Answer: C
Conceptual Explanation: Topical clindamycin is the first-line antibiotic treatment for
Hurley Stage I (mild) Hidradenitis Suppurativa.
5. A 72-year-old female presents with a sudden onset of severe eye pain, blurred vision, and
seeing halos around lights. Her pupil is mid-dilated and non-reactive. What is the immediate
action?
A. Prescribe topical antibiotics
B. Administer artificial tears
C. Perform a funduscopic exam and follow up in 24 hours
D. Refer to ophthalmology immediately for acute angle-closure glaucoma
Answer: D
Conceptual Explanation: Acute angle-closure glaucoma is a medical emergency that can
lead to permanent vision loss if not treated immediately to reduce intraocular pressure.
