Sarah Michelle FNP Crash Course EXAM PREP
SARAH MICHELLE FNP CRASH COURSE EXAM PREP TEST BANK
LATEST 2025/2026 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED
A+ GUARANTEED PASS- ACE YOUR EXAM
The nurse practitioner is evaluating a 72-year-old patient with a pressure injury on
their heel. There is partial-thickness skin loss, and the dermis is exposed. How
would the nurse practitioner accurately classify this pressure injury?
A.Stage 1
B.Stage 2
C.Stage 3
D.Stage 4 - Correct Answer-A stage 2 (B) pressure injury is characterized by partial-
thickness skin loss and exposed dermis. Stage 1 (A) pressure injuries involve skin
that is intact but not blanchable. Stage 3 (C) pressure injuries involve full-thickness
skin loss with visible adipose tissue. Stage 4 (D) pressure injuries involve full-
thickness skin loss with exposed muscle, tendon, or bone.
A parent brings their 5-year-old child into the clinic with concerns that the child is
not able to distinguish between various colors for school assignments. The child's
visual acuity is 20/40. Which of the following is the most appropriate test for the
nurse practitioner to perform next?
A.Ishihara test
B.Peripheral visual field test
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, Sarah Michelle FNP Crash Course EXAM PREP
C.Tonometry
D.Fluorescein stain test - Correct Answer-Color blindness involves the inability to
distinguish between shades of red and green. A common test used to diagnose
color blindness is the Ishihara test (A), which is a vision test used for the detection
of red-green color deficiencies. The peripheral visual field test (B) assesses the
extent of the visual field and is not useful for diagnosing color blindness.
Tonometry (C) measures intraocular pressure and is used primarily for detecting
glaucoma. Fluorescein stain testing (D) is used to detect corneal abrasions or
ulcers by highlighting defects on the corneal surface.
Which of the following findings is most likely seen in a patient with diabetes-
related retinopathy?
A.Cotton-wool spots
B.Arteriovenous nicking
C.Flame hemorrhages
D.Copper wire arterioles - Correct Answer-Cotton-wool spots (A) are a common
finding in diabetes-related retinopathy (DR), along with microaneurysms,
neovascularization, and blot hemorrhages. While there can be some overlap
between DR and hypertensive retinopathy findings, cotton-wool spots are most
commonly associated with DR. Arteriovenous nicking (B), flame hemorrhages (C),
and copper wire arterioles (D) are typically seen in hypertensive retinopathy.
A parent brings their 6-year-old child to the clinic with concerns about burning
and redness in both eyes, starting in the right eye a few days ago and now in the
left. The child's eyes are red with no purulent discharge, and they have clear nasal
drainage and bilateral preauricular lymphadenopathy. Which of the following is
the most likely diagnosis?
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, Sarah Michelle FNP Crash Course EXAM PREP
A.Bacterial conjunctivitis
B.Viral conjunctivitis
C.Corneal abrasion
D.Allergic conjunctivitis - Correct Answer-Viral conjunctivitis (B) typically starts in
one eye and spreads to the other, often associated with a cold or respiratory
symptoms. It usually presents with watery discharge and preauricular
lymphadenopathy. Bacterial conjunctivitis (A) usually presents with purulent
discharge. Corneal abrasions (C) typically cause significant pain and might not
involve both eyes. Allergic conjunctivitis (D) often presents with itching and
bilateral symptoms but usually without preauricular lymphadenopathy.
An 80-year-old patient presents for an annual exam. They have triangular
thickening of the conjunctiva on the left side by the nasal bridge, encroaching on
the cornea. They report no vision changes or eye discomfort and spend
substantial time gardening outdoors. Which of the following is the most likely
diagnosis?
A.Pinguecula
B.Pterygium
C.Arcus senilis
D.Xanthelasma - Correct Answer-A pterygium (B) is a benign growth of the
conjunctiva that extends over the cornea, commonly associated with UV exposure.
A pinguecula (A) is a similar growth that does not cross the cornea. Arcus senilis
(C) is a gray ring around the iris related to aging or hyperlipidemia. Xanthelasma
(D) are yellowish deposits on the eyelids, also associated with hyperlipidemia.
3|Page
, Sarah Michelle FNP Crash Course EXAM PREP
A 35-year-old patient presents with facial pain, purulent nasal discharge, and nasal
congestion for the past 12 days. They report that the symptoms initially improved
but then worsened with the recent onset of a fever. Which of the following is the
most appropriate treatment?
A.Amoxicillin-claculanate (Augmentin)
B.Antihistamines
C.Nasal saline irrigation
D.Decongestants - Correct Answer-Amoxicillin-clavulanate (Augmentin) (A) is the
first-line treatment for acute bacterial sinusitis when symptoms persist for > 10
days or worsen after initial improvement. Antihistamines (B) are typically used for
allergic rhinitis, not bacterial infections. Nasal saline irrigation (C) can help to
alleviate symptoms but does not address the bacterial infection. Decongestants (D)
may provide temporary relief of nasal congestion but are not a primary treatment
for bacterial sinusitis.
The nurse practitioner is seeing a 56-year-old patient for a follow-up related to a
recent episode of facial paralysis. The episode lasted a few weeks before
spontaneous resolution. The patient now has concerns about blurry vision,
accompanied by pain and tearing in the left eye. Which of the following is an
appropriate diagnostic test to perform at today's visit?
A.Fluorescein staining
B.Fundoscopic exam
C.Ishihara test
D.Tonometry - Correct Answer-The correct answer is fluorescein staining (A). This
patient's symptoms are likely due to a corneal abrasion, which presents with eye
4|Page
SARAH MICHELLE FNP CRASH COURSE EXAM PREP TEST BANK
LATEST 2025/2026 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED
A+ GUARANTEED PASS- ACE YOUR EXAM
The nurse practitioner is evaluating a 72-year-old patient with a pressure injury on
their heel. There is partial-thickness skin loss, and the dermis is exposed. How
would the nurse practitioner accurately classify this pressure injury?
A.Stage 1
B.Stage 2
C.Stage 3
D.Stage 4 - Correct Answer-A stage 2 (B) pressure injury is characterized by partial-
thickness skin loss and exposed dermis. Stage 1 (A) pressure injuries involve skin
that is intact but not blanchable. Stage 3 (C) pressure injuries involve full-thickness
skin loss with visible adipose tissue. Stage 4 (D) pressure injuries involve full-
thickness skin loss with exposed muscle, tendon, or bone.
A parent brings their 5-year-old child into the clinic with concerns that the child is
not able to distinguish between various colors for school assignments. The child's
visual acuity is 20/40. Which of the following is the most appropriate test for the
nurse practitioner to perform next?
A.Ishihara test
B.Peripheral visual field test
1|Page
, Sarah Michelle FNP Crash Course EXAM PREP
C.Tonometry
D.Fluorescein stain test - Correct Answer-Color blindness involves the inability to
distinguish between shades of red and green. A common test used to diagnose
color blindness is the Ishihara test (A), which is a vision test used for the detection
of red-green color deficiencies. The peripheral visual field test (B) assesses the
extent of the visual field and is not useful for diagnosing color blindness.
Tonometry (C) measures intraocular pressure and is used primarily for detecting
glaucoma. Fluorescein stain testing (D) is used to detect corneal abrasions or
ulcers by highlighting defects on the corneal surface.
Which of the following findings is most likely seen in a patient with diabetes-
related retinopathy?
A.Cotton-wool spots
B.Arteriovenous nicking
C.Flame hemorrhages
D.Copper wire arterioles - Correct Answer-Cotton-wool spots (A) are a common
finding in diabetes-related retinopathy (DR), along with microaneurysms,
neovascularization, and blot hemorrhages. While there can be some overlap
between DR and hypertensive retinopathy findings, cotton-wool spots are most
commonly associated with DR. Arteriovenous nicking (B), flame hemorrhages (C),
and copper wire arterioles (D) are typically seen in hypertensive retinopathy.
A parent brings their 6-year-old child to the clinic with concerns about burning
and redness in both eyes, starting in the right eye a few days ago and now in the
left. The child's eyes are red with no purulent discharge, and they have clear nasal
drainage and bilateral preauricular lymphadenopathy. Which of the following is
the most likely diagnosis?
2|Page
, Sarah Michelle FNP Crash Course EXAM PREP
A.Bacterial conjunctivitis
B.Viral conjunctivitis
C.Corneal abrasion
D.Allergic conjunctivitis - Correct Answer-Viral conjunctivitis (B) typically starts in
one eye and spreads to the other, often associated with a cold or respiratory
symptoms. It usually presents with watery discharge and preauricular
lymphadenopathy. Bacterial conjunctivitis (A) usually presents with purulent
discharge. Corneal abrasions (C) typically cause significant pain and might not
involve both eyes. Allergic conjunctivitis (D) often presents with itching and
bilateral symptoms but usually without preauricular lymphadenopathy.
An 80-year-old patient presents for an annual exam. They have triangular
thickening of the conjunctiva on the left side by the nasal bridge, encroaching on
the cornea. They report no vision changes or eye discomfort and spend
substantial time gardening outdoors. Which of the following is the most likely
diagnosis?
A.Pinguecula
B.Pterygium
C.Arcus senilis
D.Xanthelasma - Correct Answer-A pterygium (B) is a benign growth of the
conjunctiva that extends over the cornea, commonly associated with UV exposure.
A pinguecula (A) is a similar growth that does not cross the cornea. Arcus senilis
(C) is a gray ring around the iris related to aging or hyperlipidemia. Xanthelasma
(D) are yellowish deposits on the eyelids, also associated with hyperlipidemia.
3|Page
, Sarah Michelle FNP Crash Course EXAM PREP
A 35-year-old patient presents with facial pain, purulent nasal discharge, and nasal
congestion for the past 12 days. They report that the symptoms initially improved
but then worsened with the recent onset of a fever. Which of the following is the
most appropriate treatment?
A.Amoxicillin-claculanate (Augmentin)
B.Antihistamines
C.Nasal saline irrigation
D.Decongestants - Correct Answer-Amoxicillin-clavulanate (Augmentin) (A) is the
first-line treatment for acute bacterial sinusitis when symptoms persist for > 10
days or worsen after initial improvement. Antihistamines (B) are typically used for
allergic rhinitis, not bacterial infections. Nasal saline irrigation (C) can help to
alleviate symptoms but does not address the bacterial infection. Decongestants (D)
may provide temporary relief of nasal congestion but are not a primary treatment
for bacterial sinusitis.
The nurse practitioner is seeing a 56-year-old patient for a follow-up related to a
recent episode of facial paralysis. The episode lasted a few weeks before
spontaneous resolution. The patient now has concerns about blurry vision,
accompanied by pain and tearing in the left eye. Which of the following is an
appropriate diagnostic test to perform at today's visit?
A.Fluorescein staining
B.Fundoscopic exam
C.Ishihara test
D.Tonometry - Correct Answer-The correct answer is fluorescein staining (A). This
patient's symptoms are likely due to a corneal abrasion, which presents with eye
4|Page
