FNP Certification Exam Prep Test Bank 2026-2027
Covering Latest Real Exam Questions and Correct
Answers/ Family Nurse Practitioner Certification
Tests Prep 2026-2027/ FNP Exam
A 22 year old man presents signs of polyuria, states that he is "hungry all the time," and experiences
a constant feeling of weakness. After a thorough physical and laboratory exam, you believe insulin
therapy is warranted. Which of the following findings would cause you to come to this conclusion?
A. Hyperreflexia of deep tendon reflexes
B. Ketonuria
C. Tachycardia
D. Weight loss
A 59-year-old male is having a follow-up evaluation two years after the successful conclusion of
radiation therapy for leukemia. He tells you that he has been feeling run down and reports
unexplained weight loss and night sweats. Upon examination, you determine that he also has a fever
and pain below his ribs on the left side. You know that he is at risk for chronic lymphocytic
leukemia. Which of the following results is considered the hallmark of this disease?
A. Non-circulating blast cells in bone marrow
B. Lymphocytosis
C. Philadelphia chromosome in leukemic cells
D. Pancytopenia with circulating blasts
A 24-year-old is presented to the urgent care clinic with a markedly swollen scrotum. He admits to
being moderately sexually active with several partners in the past year. He denies any trauma or
injury. He also adds, "It hurts when I pee." Based on your suspected diagnosis, which agent would be
most appropriate to order at this time?
A. Trimethoprim-sulfamethoxazole + ciprofloxacin
B. Finasteride + ofloxacin
C. Ceftriaxone + doxycycline
D. Trimethoprim-sulfamethoxazole + ceftriaxone
You are caring for a patient with Alzheimer's disease. Which of the following medications is most
helpful in assisting with memory impairment while improving cognitive clarity?
A. Donepezil (Aricept)
B. Pramipexole (Mirapex)
C. Trihexiphenidyl (Artane)
D. Valproic acid (Depakene)
Which statement is true regarding the difference between licensure and certification?
A. Certification signifies mastery of specialized knowledge and is granted by a non
governmental agency.
B. Certification signifies that a person is qualified to perform a particular role and is granted by
a governmental agency.
1
, C. Licensure signifies mastery of specialized knowledge and is granted by a governmental
agency.
D. Licensure signifies that a person is qualified to perform a particular role and is granted by a
non-governmental agency.
A patient presents to your office concerned about a gray arc visible above and below the outer part of
his cornea. Upon exam, you diagnose the patient with arcus senilis. You should further work up the
patient for which of the following underlying medical conditions?
A. Ketonemia
B. Hyperlipidemia
C. Presbyopia
D. Hypoglycemia
You are doing a well child check on a 9-month-old with Down syndrome and discover that he has
low hematocrit. His mother informs you that he eats only goat's milk because he has trouble
tolerating formula. What do you order initially?
A. Esophageal pH monitoring
B. Chromosomal karyotype
C. Bone density tests
D. Serum iron tests
A 9-year-old preparing to enter elementary school in the U.S. for the first time comes to your office
accompanied by her mother. When asked about past vaccinations, her mother tells you the child has
received one or two vaccines, but she did not keep up with scheduled routine vaccination visits and
does not have an immunization record. After consulting the common immunization chart and prior to
the immunization update, which of the following should not be included?
A. Diptheria, tetanus, and pertussis vaccine
B. Hepatitis B vaccine
C. Tetanus, diphtheria, and acellular pertussis vaccine
D. Measles, mumps, and rubella vaccine
A child any one of the conditions listed below should receive an extra dose of the pneumococcal
vaccine 23PS at 24 months of age, except a child with:
A. Hepatitis
B. Diabetes
C. Sickle cell anemia
D. Renal failure
Which of these pediatric patients is likely to have intermittent asthma?
A. Cairo, who is affected when he plays basketball and experiences symptoms several times per
week.
B. Gheyenne, who experiences symptoms daily.
C. Sidney, who uses her rescue inhaler several days a week.
2
, D. London, who is not affected when she plays soccer but wakes up once or twice per month
with symptoms
To screen for colorectal cancer, low-risk adults > 40 years of age should undergo a fecal occult blood
test at which interval?
A. Every 10 years
B. Annually
C. Every 5 years
D. Biannually
When discussing the scheduling of prenatal visits with a patient, how often do you recommend that a
woman in her 36th week of pregnancy visit her obstetrician?
A. Every two weeks
B. Every six weeks
C. Every week
D. Every four weeks
A 47-year-old smoker presents with a low-grade fever and cough. While taking his medical history,
you leam he has been smoking one pack per day for the last 20 years. The patient's complete blood
count indicates increased hematocrit and you suspect chronic bronchitis.
A. Excessive bronchial mucus secretion with cough for at least 5 months or more in at least 2
consecutive years
B. Excessive bronchial mucus secretion with cough for at least 3 months or more in at least two
consecutive years
C. Low, flattened diaphragm by chest x-ray
D. Excessive bronchial mucus secretion with cough for at least 6 months or more in at least 2
consecutive years
Or
A. Excessive bronchial mucus secretion with cough for ≥ 5 months in 2 2 consecutive years
B. Excessive bronchial mucus secretion with cough for ≥ 3 months in 2 2 consecutive years
C. Excessive bronchial mucus secretion with cough for ≥ 6 months in ≥ 2 consecutiveyears
D. Low, flattened diaphragm by chest X-ray
A 19-year-old college student complains of a fluid filled vesicle on her thigh that appeared shortly
after returning from vacation. She also complains of a fever. She believes that it is a spider bite.
Upon assessment, you strongly suspect community associated methicillin-resistant Staphylococcus
aureus (MRSA) Which of the following would be the best drug to order after incision and drainage?
A. Clindamycin (Cleocin)
B. Amoxicillin (Amoxil)
C. C O Azithromycin (Zithromax)
D. Metronidazole (Flagyl)
3
, An 11-year-old male presents to your clinic with honey-crusting lesions on his face. There h
recently been an outbreak of MRSA in the community. What medication is best suited for
treatment of the patient's condition?
a) Azithromycin (Zithromax)
b) Metronidazole (Flagyl)
c) Clindamycin (Cleocin)
d) Amoxicillin-clavulanate (Augmentin)
James, 28, presents with what he thinks is an asthma attack and tightness in his chest. While taking
his medical history, you learn he has a history of severe asthma attacks. Which of these findings
would you not expect during an exacerbation of his asthma?
A. Difficulty speaking in sentences
B. Increased respiratory rate
C. Pulsús paradoxus
D. Pulsus alternans
A 25-year-old patient reports to your clinic complaining of a problem with his right ear. He explains
that he has been experiencing feelings of fullness in his oar, itchiness inside the ear canal, and
difficulty hearing. He also informs you he is a frequent swimmer, uses earplugs regularly, and
suspects he may have a case of "swimmer's ear." You decide to conduct a Weber test Which of the
following is a positive finding for conductive hearing loss?
A. Sound does not lateralize
B. Sound lateralizes to the affected ear
C. Sound lateralizes to the unaffected ear
D. Sound heard bilaterally equal
An infant with a patent ductus arteriosus (PDA) and no history of other cardiac conditions had been
given indomethacin to successfully close the ductus arteriosus Although this initial treatment was a
success, the patient now has cyanosis in the lower extremities. Upon further examination, the infant
is found to have a higher pulse rate and blood pressure in the upper extremities than in the lower
extremities. What is the most probable cause of these findings?
A. Cutis marmorata
B. The PDA did not properly close
C. Harlequin color change
D. Coarctation of the aorta
When considering the accuracy of evidence, which type of evidence is usually at the bottom level of
the evidence hierarchy?
A. Meta-analysis of randomized control tests
B. Cohort studies
C. Quasi-experimental studies
D. Editorial or expert opinions
4
Covering Latest Real Exam Questions and Correct
Answers/ Family Nurse Practitioner Certification
Tests Prep 2026-2027/ FNP Exam
A 22 year old man presents signs of polyuria, states that he is "hungry all the time," and experiences
a constant feeling of weakness. After a thorough physical and laboratory exam, you believe insulin
therapy is warranted. Which of the following findings would cause you to come to this conclusion?
A. Hyperreflexia of deep tendon reflexes
B. Ketonuria
C. Tachycardia
D. Weight loss
A 59-year-old male is having a follow-up evaluation two years after the successful conclusion of
radiation therapy for leukemia. He tells you that he has been feeling run down and reports
unexplained weight loss and night sweats. Upon examination, you determine that he also has a fever
and pain below his ribs on the left side. You know that he is at risk for chronic lymphocytic
leukemia. Which of the following results is considered the hallmark of this disease?
A. Non-circulating blast cells in bone marrow
B. Lymphocytosis
C. Philadelphia chromosome in leukemic cells
D. Pancytopenia with circulating blasts
A 24-year-old is presented to the urgent care clinic with a markedly swollen scrotum. He admits to
being moderately sexually active with several partners in the past year. He denies any trauma or
injury. He also adds, "It hurts when I pee." Based on your suspected diagnosis, which agent would be
most appropriate to order at this time?
A. Trimethoprim-sulfamethoxazole + ciprofloxacin
B. Finasteride + ofloxacin
C. Ceftriaxone + doxycycline
D. Trimethoprim-sulfamethoxazole + ceftriaxone
You are caring for a patient with Alzheimer's disease. Which of the following medications is most
helpful in assisting with memory impairment while improving cognitive clarity?
A. Donepezil (Aricept)
B. Pramipexole (Mirapex)
C. Trihexiphenidyl (Artane)
D. Valproic acid (Depakene)
Which statement is true regarding the difference between licensure and certification?
A. Certification signifies mastery of specialized knowledge and is granted by a non
governmental agency.
B. Certification signifies that a person is qualified to perform a particular role and is granted by
a governmental agency.
1
, C. Licensure signifies mastery of specialized knowledge and is granted by a governmental
agency.
D. Licensure signifies that a person is qualified to perform a particular role and is granted by a
non-governmental agency.
A patient presents to your office concerned about a gray arc visible above and below the outer part of
his cornea. Upon exam, you diagnose the patient with arcus senilis. You should further work up the
patient for which of the following underlying medical conditions?
A. Ketonemia
B. Hyperlipidemia
C. Presbyopia
D. Hypoglycemia
You are doing a well child check on a 9-month-old with Down syndrome and discover that he has
low hematocrit. His mother informs you that he eats only goat's milk because he has trouble
tolerating formula. What do you order initially?
A. Esophageal pH monitoring
B. Chromosomal karyotype
C. Bone density tests
D. Serum iron tests
A 9-year-old preparing to enter elementary school in the U.S. for the first time comes to your office
accompanied by her mother. When asked about past vaccinations, her mother tells you the child has
received one or two vaccines, but she did not keep up with scheduled routine vaccination visits and
does not have an immunization record. After consulting the common immunization chart and prior to
the immunization update, which of the following should not be included?
A. Diptheria, tetanus, and pertussis vaccine
B. Hepatitis B vaccine
C. Tetanus, diphtheria, and acellular pertussis vaccine
D. Measles, mumps, and rubella vaccine
A child any one of the conditions listed below should receive an extra dose of the pneumococcal
vaccine 23PS at 24 months of age, except a child with:
A. Hepatitis
B. Diabetes
C. Sickle cell anemia
D. Renal failure
Which of these pediatric patients is likely to have intermittent asthma?
A. Cairo, who is affected when he plays basketball and experiences symptoms several times per
week.
B. Gheyenne, who experiences symptoms daily.
C. Sidney, who uses her rescue inhaler several days a week.
2
, D. London, who is not affected when she plays soccer but wakes up once or twice per month
with symptoms
To screen for colorectal cancer, low-risk adults > 40 years of age should undergo a fecal occult blood
test at which interval?
A. Every 10 years
B. Annually
C. Every 5 years
D. Biannually
When discussing the scheduling of prenatal visits with a patient, how often do you recommend that a
woman in her 36th week of pregnancy visit her obstetrician?
A. Every two weeks
B. Every six weeks
C. Every week
D. Every four weeks
A 47-year-old smoker presents with a low-grade fever and cough. While taking his medical history,
you leam he has been smoking one pack per day for the last 20 years. The patient's complete blood
count indicates increased hematocrit and you suspect chronic bronchitis.
A. Excessive bronchial mucus secretion with cough for at least 5 months or more in at least 2
consecutive years
B. Excessive bronchial mucus secretion with cough for at least 3 months or more in at least two
consecutive years
C. Low, flattened diaphragm by chest x-ray
D. Excessive bronchial mucus secretion with cough for at least 6 months or more in at least 2
consecutive years
Or
A. Excessive bronchial mucus secretion with cough for ≥ 5 months in 2 2 consecutive years
B. Excessive bronchial mucus secretion with cough for ≥ 3 months in 2 2 consecutive years
C. Excessive bronchial mucus secretion with cough for ≥ 6 months in ≥ 2 consecutiveyears
D. Low, flattened diaphragm by chest X-ray
A 19-year-old college student complains of a fluid filled vesicle on her thigh that appeared shortly
after returning from vacation. She also complains of a fever. She believes that it is a spider bite.
Upon assessment, you strongly suspect community associated methicillin-resistant Staphylococcus
aureus (MRSA) Which of the following would be the best drug to order after incision and drainage?
A. Clindamycin (Cleocin)
B. Amoxicillin (Amoxil)
C. C O Azithromycin (Zithromax)
D. Metronidazole (Flagyl)
3
, An 11-year-old male presents to your clinic with honey-crusting lesions on his face. There h
recently been an outbreak of MRSA in the community. What medication is best suited for
treatment of the patient's condition?
a) Azithromycin (Zithromax)
b) Metronidazole (Flagyl)
c) Clindamycin (Cleocin)
d) Amoxicillin-clavulanate (Augmentin)
James, 28, presents with what he thinks is an asthma attack and tightness in his chest. While taking
his medical history, you learn he has a history of severe asthma attacks. Which of these findings
would you not expect during an exacerbation of his asthma?
A. Difficulty speaking in sentences
B. Increased respiratory rate
C. Pulsús paradoxus
D. Pulsus alternans
A 25-year-old patient reports to your clinic complaining of a problem with his right ear. He explains
that he has been experiencing feelings of fullness in his oar, itchiness inside the ear canal, and
difficulty hearing. He also informs you he is a frequent swimmer, uses earplugs regularly, and
suspects he may have a case of "swimmer's ear." You decide to conduct a Weber test Which of the
following is a positive finding for conductive hearing loss?
A. Sound does not lateralize
B. Sound lateralizes to the affected ear
C. Sound lateralizes to the unaffected ear
D. Sound heard bilaterally equal
An infant with a patent ductus arteriosus (PDA) and no history of other cardiac conditions had been
given indomethacin to successfully close the ductus arteriosus Although this initial treatment was a
success, the patient now has cyanosis in the lower extremities. Upon further examination, the infant
is found to have a higher pulse rate and blood pressure in the upper extremities than in the lower
extremities. What is the most probable cause of these findings?
A. Cutis marmorata
B. The PDA did not properly close
C. Harlequin color change
D. Coarctation of the aorta
When considering the accuracy of evidence, which type of evidence is usually at the bottom level of
the evidence hierarchy?
A. Meta-analysis of randomized control tests
B. Cohort studies
C. Quasi-experimental studies
D. Editorial or expert opinions
4
