FNP 1 LATEST 2026 TEST PAPER EXAM QUESTIONS AND
ANSWERS MARKED A+
✔✔Out of the following screenings, which is recommended for the normal weight,
middle aged male, who does not smoke?
A. Hearing screening
B. Lead screening
C. Prostate screening
D. Depression screening - ✔✔D. Depression screening
Prostate cancer risk is low for this patient, so it will not be needed until later (in 50s)
✔✔A 55 y/o male presents to the clinic with urinary frequency. Which of the following
would be the most common causes of urinary frequency for this patient?
A. Prostate cancer and UTI
B. Bladder cancer and prostatitis
C. Diabetes and benign prostate hypertrophy
D. Overactive bladder and prostate cancer - ✔✔C. Diabetes and benign prostate
hypertrophy
✔✔True/False
If a patient has shingles as an older adult, they can give a young child chicken pox. -
✔✔True.
However, if the child has chicken pox, they cannot give shingles to the adult. The older
adult is more dangerous than the child.
✔✔True/False
If a menopausal patient has spotting years after the onset of menopause, this is never a
good thing, should be investigated immediately, and is a do not miss sing/symptom. -
✔✔True.
✔✔What does HEEADSSS stand for and when is it used? - ✔✔Assessment of the
adolescent:
Home environment
Eating
Education/employment
Activities, peer-related
Drugs
Suicide/depression
Sexuality
Safety
✔✔What is GAP and what is it used for? - ✔✔Guidelines for Adolescent Preventative
Services
Current standard of care that provides a screening tool for the routine evaluation of
adolescents. 4 page self-admitted questionnaire
,✔✔What is a CSB as related to teen development? - ✔✔Community Service Boards
Public providers of community mental health services, including those for children and
adolescents, offering a range of behavioral health services
✔✔When do you do a screening for scoliosis with a patient and how do you screen for
it? - ✔✔Females: 10 and 12 y/o
Males: Between 12-14 y/o
Adam's test (bent over check curve)
✔✔What can you use to screen a child/adolescent for a concussion and what are some
red flags with concussions? - ✔✔SCAT5
It is getting worse or not resolving, it was obtained in a car accident or more severe
way, or patient is unable to rest brain
✔✔What is the stage of young adulthood concerned with as far as Erikson's
developmental stages? - ✔✔Intimacy vs isolation
✔✔What is the age range for young adult? - ✔✔19-44 y/o
✔✔What is the leading cause of death for individuals 1-44 y/o? - ✔✔Unintentional
injuries
The second in intentional self harm/suicide
The third is assaults/homicide
✔✔_________ 400 mcg is recommended for all women of childbearing age. - ✔✔Folic
acid
✔✔When is screening done for gonorrhea, chlamydia, HIV, Hep C and B, and syphilis?
- ✔✔Gonorrhea/chlamydia= every year <24 y/o then after 25 if increased risk
HIV= one time between 15-60 y/o
Hep C= One time between 18-79 y/o
Hep B= Only if at increased risk
Syphilis= only if at increased risk
✔✔How long does it usually take for precancerous cervical cells to become cancerous?
- ✔✔Around 10 years
✔✔True/False
HPV is the leading cause of cervical cancer and can also cause oral, anal, vulvular,
vaginal, and penile cancers. - ✔✔True.
Can be detected through a routine pap smear because the pap and HPV test can be
done at the same time
, ✔✔High risk genotypes ______ and _______ cause the most cases of cervical cancer
through HPV. - ✔✔16
18
✔✔What is the recommendation for pap smears for women between 30-65 y/o? -
✔✔Pap alone every 3 years, HPV testing alone every 5 years or co-testing (both) every
5 years
(21-29= pap alone every 3 years)
✔✔Patients exposed to ____________ medication before birth are at higher risk for
cervical cancer. - ✔✔Diethylstilbestrol (DES)
✔✔What is the system used to report results of pap smears and what are the
categories? - ✔✔Bethesda system
1. Negative for intraepithelial lesion or malignancy
2. Epithelial cell abnormalities
3. Other malignant neoplasms
✔✔If the cytology results come back for a patient's pap smear and say "Unsatisfactory",
what is the protocol for rescreening? - ✔✔If no HPV result (any age)= rescreen in 2-4
months
If have HPV result and it's negative= rescreen in 2-4 months
If have HPV result and it's positive w/ no genotype= rescreen in 2-4 months or refer to
colposcopy
If have HPV result and it's positive w/ HPV 16 or 18= Colposcopy
✔✔In the _________ part of the cervix, there is a high area of cell turnover and these
can be hotbeds for growing cancer due to the high rate of cell change. -
✔✔Transformation zone (End of the cervix)
✔✔If cytology results come back for a patient's pap smear and it says "Cytology is
acceptable but there is no transformation zone/endocervical cells", what is the protocol
for rescreening? - ✔✔21-29 y/o= routine screening regardless of HPV status
>30 y/o w/ pos HPV= repeat HPV in one year
>30 y/o w/ neg HPV= routine screening
>30 y/o unknown HPV= Order HPV testing or retest in 3 years
✔✔True/False
Low-grade squamous intraepithelial lesions (LSILs) and atypical squamous cells of
undetermined significance (ASC-US) both involve changes to cervical cells that are
usually caused by and indicate an HPV infection. - ✔✔True.
These are less alarming than the high level abnormal results such as:
hig-grade squamous intraepithelial lesions (HSILs), atypical squamous cells (ASC-H),
and atypical granular cells (AGCs)
ANSWERS MARKED A+
✔✔Out of the following screenings, which is recommended for the normal weight,
middle aged male, who does not smoke?
A. Hearing screening
B. Lead screening
C. Prostate screening
D. Depression screening - ✔✔D. Depression screening
Prostate cancer risk is low for this patient, so it will not be needed until later (in 50s)
✔✔A 55 y/o male presents to the clinic with urinary frequency. Which of the following
would be the most common causes of urinary frequency for this patient?
A. Prostate cancer and UTI
B. Bladder cancer and prostatitis
C. Diabetes and benign prostate hypertrophy
D. Overactive bladder and prostate cancer - ✔✔C. Diabetes and benign prostate
hypertrophy
✔✔True/False
If a patient has shingles as an older adult, they can give a young child chicken pox. -
✔✔True.
However, if the child has chicken pox, they cannot give shingles to the adult. The older
adult is more dangerous than the child.
✔✔True/False
If a menopausal patient has spotting years after the onset of menopause, this is never a
good thing, should be investigated immediately, and is a do not miss sing/symptom. -
✔✔True.
✔✔What does HEEADSSS stand for and when is it used? - ✔✔Assessment of the
adolescent:
Home environment
Eating
Education/employment
Activities, peer-related
Drugs
Suicide/depression
Sexuality
Safety
✔✔What is GAP and what is it used for? - ✔✔Guidelines for Adolescent Preventative
Services
Current standard of care that provides a screening tool for the routine evaluation of
adolescents. 4 page self-admitted questionnaire
,✔✔What is a CSB as related to teen development? - ✔✔Community Service Boards
Public providers of community mental health services, including those for children and
adolescents, offering a range of behavioral health services
✔✔When do you do a screening for scoliosis with a patient and how do you screen for
it? - ✔✔Females: 10 and 12 y/o
Males: Between 12-14 y/o
Adam's test (bent over check curve)
✔✔What can you use to screen a child/adolescent for a concussion and what are some
red flags with concussions? - ✔✔SCAT5
It is getting worse or not resolving, it was obtained in a car accident or more severe
way, or patient is unable to rest brain
✔✔What is the stage of young adulthood concerned with as far as Erikson's
developmental stages? - ✔✔Intimacy vs isolation
✔✔What is the age range for young adult? - ✔✔19-44 y/o
✔✔What is the leading cause of death for individuals 1-44 y/o? - ✔✔Unintentional
injuries
The second in intentional self harm/suicide
The third is assaults/homicide
✔✔_________ 400 mcg is recommended for all women of childbearing age. - ✔✔Folic
acid
✔✔When is screening done for gonorrhea, chlamydia, HIV, Hep C and B, and syphilis?
- ✔✔Gonorrhea/chlamydia= every year <24 y/o then after 25 if increased risk
HIV= one time between 15-60 y/o
Hep C= One time between 18-79 y/o
Hep B= Only if at increased risk
Syphilis= only if at increased risk
✔✔How long does it usually take for precancerous cervical cells to become cancerous?
- ✔✔Around 10 years
✔✔True/False
HPV is the leading cause of cervical cancer and can also cause oral, anal, vulvular,
vaginal, and penile cancers. - ✔✔True.
Can be detected through a routine pap smear because the pap and HPV test can be
done at the same time
, ✔✔High risk genotypes ______ and _______ cause the most cases of cervical cancer
through HPV. - ✔✔16
18
✔✔What is the recommendation for pap smears for women between 30-65 y/o? -
✔✔Pap alone every 3 years, HPV testing alone every 5 years or co-testing (both) every
5 years
(21-29= pap alone every 3 years)
✔✔Patients exposed to ____________ medication before birth are at higher risk for
cervical cancer. - ✔✔Diethylstilbestrol (DES)
✔✔What is the system used to report results of pap smears and what are the
categories? - ✔✔Bethesda system
1. Negative for intraepithelial lesion or malignancy
2. Epithelial cell abnormalities
3. Other malignant neoplasms
✔✔If the cytology results come back for a patient's pap smear and say "Unsatisfactory",
what is the protocol for rescreening? - ✔✔If no HPV result (any age)= rescreen in 2-4
months
If have HPV result and it's negative= rescreen in 2-4 months
If have HPV result and it's positive w/ no genotype= rescreen in 2-4 months or refer to
colposcopy
If have HPV result and it's positive w/ HPV 16 or 18= Colposcopy
✔✔In the _________ part of the cervix, there is a high area of cell turnover and these
can be hotbeds for growing cancer due to the high rate of cell change. -
✔✔Transformation zone (End of the cervix)
✔✔If cytology results come back for a patient's pap smear and it says "Cytology is
acceptable but there is no transformation zone/endocervical cells", what is the protocol
for rescreening? - ✔✔21-29 y/o= routine screening regardless of HPV status
>30 y/o w/ pos HPV= repeat HPV in one year
>30 y/o w/ neg HPV= routine screening
>30 y/o unknown HPV= Order HPV testing or retest in 3 years
✔✔True/False
Low-grade squamous intraepithelial lesions (LSILs) and atypical squamous cells of
undetermined significance (ASC-US) both involve changes to cervical cells that are
usually caused by and indicate an HPV infection. - ✔✔True.
These are less alarming than the high level abnormal results such as:
hig-grade squamous intraepithelial lesions (HSILs), atypical squamous cells (ASC-H),
and atypical granular cells (AGCs)
