Page 1 of 346
FNP PRACTICE EXAM STUDY GUIDE WITH
COMPLETE 680 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
QUESTION: A patient with macular degeneration has difficulty seeing objects:
A. from a distance
B. In the center of the visual field
C. At reading distance
D. In the peripheral fields - ANSWER✔✔B. In the center of the visual fields.
QUESTION: Trigeminal neuralgia manifests itself primarily with:
A. electric-shock-like unilateral facial pain
B. Unilateral facial asymmetry
C. Burning bilateral facial pain
D. jaw pain extending to the neck - ANSWER✔✔A. Electric-shock-like unilateral facial pain
QUESTION: A 65-yo male presents to a clinic complaining of increasing fatigue, dyspnea on
exertion, and ankle edema during the day. He has a history of mild hypertension, for which he
saw his physician years ago. The physician advised the patient to decrease his salt intake. On
physical exam, the patient is tachycardic, positive for jugular venous distension, and positive for
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S3, with a systolic murmur. Chest xray reveals cardiomegaly with vascular redistribution. The
nurse practitioner's diagnosis should be:
A. mycardial infarction
B. pneumonia
C. Heart failure
D. pleural effusion - ANSWER✔✔C. Heart failure
QUESTION: An 88-yo patients has had a gradual onset of hearing loss in the left ear.
Examination shows a large accumulation of cerumen in the external auditory canal. Assuming
there is no neural loss, the nurse practitioner would expect the Weber test to:
A. lateralize to the left
B. lateralize to the right
C. Be inconclusive
D. Not lateralize - ANSWER✔✔A. Lateralize to the left.
QUESTION: A 38-yo male experiences a sudden onset of acute abdominal pain radiating to his
groin. He is having difficulty walking and is nauseated. He denies any trauma or previous groin
injuries. Examination reveals diffuse swelling of the left testicle and negative cremasteric reflex.
The most likely diagnosis is:
A. Testicluar cancer
B. Testicular torsion
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C. Appendicitis
D. Epididymitis - ANSWER✔✔B. Testicular Torsion
QUESTION: A 14yo male with bronchitis is being treated with fluids and expectorants. He
returns to the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. Which of
the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - ANSWER✔✔A. Right lower lobe crackles.
QUESTION: 2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow").
After closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm - ANSWER✔✔C. The child
quickly begins to use the affected arm.
QUESTION: Which of the following would be an appropriate alternative to erythromycin
therapy in an 18 year old patient with Mycoplasma pneumoniae infection?
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A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) - ANSWER✔✔A. Azithromycin
QUESTION: A 10-month old presents with a rash, runny nose, and cough. Examination reveals a
cluster of tiny white papuls with an erythematous base on the buccal mucosa. What does this
suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles - ANSWER✔✔D. Measles
QUESTION: Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - ANSWER✔✔D. Whether a patient has
reversible airway obstruction
FNP PRACTICE EXAM STUDY GUIDE WITH
COMPLETE 680 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
QUESTION: A patient with macular degeneration has difficulty seeing objects:
A. from a distance
B. In the center of the visual field
C. At reading distance
D. In the peripheral fields - ANSWER✔✔B. In the center of the visual fields.
QUESTION: Trigeminal neuralgia manifests itself primarily with:
A. electric-shock-like unilateral facial pain
B. Unilateral facial asymmetry
C. Burning bilateral facial pain
D. jaw pain extending to the neck - ANSWER✔✔A. Electric-shock-like unilateral facial pain
QUESTION: A 65-yo male presents to a clinic complaining of increasing fatigue, dyspnea on
exertion, and ankle edema during the day. He has a history of mild hypertension, for which he
saw his physician years ago. The physician advised the patient to decrease his salt intake. On
physical exam, the patient is tachycardic, positive for jugular venous distension, and positive for
, Page 2 of 346
S3, with a systolic murmur. Chest xray reveals cardiomegaly with vascular redistribution. The
nurse practitioner's diagnosis should be:
A. mycardial infarction
B. pneumonia
C. Heart failure
D. pleural effusion - ANSWER✔✔C. Heart failure
QUESTION: An 88-yo patients has had a gradual onset of hearing loss in the left ear.
Examination shows a large accumulation of cerumen in the external auditory canal. Assuming
there is no neural loss, the nurse practitioner would expect the Weber test to:
A. lateralize to the left
B. lateralize to the right
C. Be inconclusive
D. Not lateralize - ANSWER✔✔A. Lateralize to the left.
QUESTION: A 38-yo male experiences a sudden onset of acute abdominal pain radiating to his
groin. He is having difficulty walking and is nauseated. He denies any trauma or previous groin
injuries. Examination reveals diffuse swelling of the left testicle and negative cremasteric reflex.
The most likely diagnosis is:
A. Testicluar cancer
B. Testicular torsion
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C. Appendicitis
D. Epididymitis - ANSWER✔✔B. Testicular Torsion
QUESTION: A 14yo male with bronchitis is being treated with fluids and expectorants. He
returns to the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. Which of
the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - ANSWER✔✔A. Right lower lobe crackles.
QUESTION: 2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow").
After closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm - ANSWER✔✔C. The child
quickly begins to use the affected arm.
QUESTION: Which of the following would be an appropriate alternative to erythromycin
therapy in an 18 year old patient with Mycoplasma pneumoniae infection?
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A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) - ANSWER✔✔A. Azithromycin
QUESTION: A 10-month old presents with a rash, runny nose, and cough. Examination reveals a
cluster of tiny white papuls with an erythematous base on the buccal mucosa. What does this
suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles - ANSWER✔✔D. Measles
QUESTION: Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - ANSWER✔✔D. Whether a patient has
reversible airway obstruction
