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FNP 2 Exam 1 Practice Questions and Correct Answers 2026/2027 Updated | Instant Download | Adult Primary Care & Infectious Disease Review

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This document contains FNP 2 Exam 1 practice questions with 100% verified correct answers for the 2026/2027 academic year. It focuses on adult primary care topics including community-acquired pneumonia (CAP), bronchitis management, atypical pneumonia pathogens, and early Lyme disease treatment. Case-based scenarios are included to enhance clinical reasoning and application. The material is organized in a clear multiple-choice format to support exam preparation, active recall, and evidence-based decision-making. It is ideal for nurse practitioner students preparing for FNP exams, clinical rotations, and board-style assessments aligned with CDC and current primary care guidelines.

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FNP 2 EXAM 1 PRACTICE QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED 2026-2027!!


The bacterium responsible for the highest mortality in pts with CAP is:

A. Strep Pneumo
B. Mycoplasma pneumo
C. Moraxella catarrhalis
D. Haemophilus influenzae - ANSWER Streptococcus pneumoniae

When initially treating adults for bronchitis, which would the NP be least likely to
order?

A. Expectorants
B. Antibiotics
C. Bronchodilators
D. Antitussives - ANSWER B. Antibiotics

What is the least common pathogen found in community-acquired atypical
pneumonia?

A. Moxarella catarrhalis
B. Strep Pneumo
C. Pseudomonas aeruginosa
D. Mycoplasma Pneumonia - ANSWER C. Pseudomonas: is an uncommon cause
of CAP but is very difficult bacteria to treat

Which of the following is recommended for erythema migrans treatment in early
stages of lyme disease?

A. Doxycyline (Vibramycin) 100mg PO BID X21 days
B. Ciprofloxacin (Cipro) 250 mg PO BID X14 days
C. Erythromycin (E-mycin) 333mg PO TID X10 days
D. Dixoxacillin 500mg PO BID X 10 days - ANSWER A. Doxycyline 100mg PO BID
X21 days- Recommended by the CDC as gold standard treatment

28 y.o. student presents with "hacking cough." Productive with small amounts
sputum, runny nose. Doesn't take any meds, no allergies, no significant PMH.
Temp: 99.9F, Resp: 16/min, HR: 90 BPM, diffuse fine crackles. CXR shows diffuse
infiltrates in lower lobe of right lung. CBC shows WBC count 10,500. What is most
likely diagnosis?

, A. Strep pneumo
B. Mycoplasma pneumo
C. Acute Bronchitis
D. Legionnaires disease - ANSWER B. Mycoplasma: most commonly seen in
children and young adults. spread through droplets, sneezing and coughing at
close distance. DX made through sx and CXR showing infiltrate to lower lobes

30 y.o. c/o pruritic hives over chest/ arms but denies SOB, difficulty swallowing.
Reports family hx allergic rhinitis, & asthma. Which of the following interventions
is most appropriate?

A. Perform thorough History
B. Prescribe PO antihistamine such as benadryl 25mg PO QD
C. IM Epinephrine 1:1000 STAT
D. Call 911 - ANSWER A. Take a thorough history prior to prescribing
medications: find cause of rash. No airway difficulty/ swallowing so no need for
911

Which of the following is associated with Vitamin B-12 anemia?

A. Spoon shaped nails and Pica
B. An abnormal neuro exam
C. Vegan diet
D. Tingling/ numbness in both feet - ANSWER D. Tingling and numbness in both
feet: B12 can cause nerve damage if left untreated, also dementia, memory loss,
difficulty walking, mood changes, depression also

A 70 y.o male c/o bright red spot in his left eye for 2 days. He denies pain, visual
changes, or headaches. New onset cough from recent viral illness. The only med
he was on was Bayer Aspirin 1 tablet daily. Which of the following is most likely?

A. Corneal Abraison
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - ANSWER D: Subconjunctival hemorrhage:
caused by increased intraocular pressure due to straining, coughing, heavy
lifting etc. Self limiting- disappears in 1-3 weeks

RMSF is caused by bite of:

A. Mosquito
B. Tick
C. Insect
D. Flea - ANSWER B: Tick with parasite Rickettsia rickettsii

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