1|Page
NR 667 AANP FNP EXAM 1 TEST BANK 2026/2027
– 210 UNIQUE NCLEX-STYLE QUESTIONS WITH
DETAILED RATIONALES, HIGH-YIELD
CONTENT, GRADED A+, FIRST-TIME PASS
GUARANTEED
# TABLE OF CONTENTS
| Section | Title | Page |
| **Domain 1** | Professional Role & Leadership (Questions 1-30) | 4 |
| **Domain 2** | Health Promotion & Disease Prevention (Questions
31-60) | 8 |
| **Domain 3** | Dermatologic & Wound Care (Questions 61-90) | 12 |
| **Domain 4** | Eye, Ear, Nose & Throat (EENT) (Questions 91-120) |
16 |
| **Domain 5** | Respiratory & Cardiovascular Assessment (Questions
121-150) | 20 |
| **Domain 6** | Abdominal & Genitourinary Assessment (Questions
151-180) | 24 |
| **Domain 7** | Neurologic & Musculoskeletal Assessment (Questions
181-210) | 28 |
,2|Page
DOMAIN 1: PROFESSIONAL ROLE & LEADERSHIP (Questions 1-
30)
**1.** A family nurse practitioner (FNP) is considering leaving a rural
practice due to burnout. Which action demonstrates the highest ethical
and professional responsibility?
A) Give immediate notice and leave within 2 weeks
B) Provide 90 days' notice and assist with transition of care
C) Leave without notice due to personal health reasons
D) Reduce patient hours without informing the practice
**Answer: B**
*Rationale:* FNPs have an ethical obligation to provide continuity of
care. Reasonable notice (60-90 days) allows for patient transition and
hiring replacement. Abandonment is unethical and potentially legally
actionable.
*High Yield:* Patient abandonment = termination of provider-
patient relationship without adequate notice or replacement.
**2.** A FNP is sued for malpractice after a missed diagnosis of
appendicitis. Which element is NOT required to prove negligence?
A) Duty to the patient
B) Breach of duty (standard of care)
C) Patient dissatisfaction with care
,3|Page
D) Damages (harm) directly caused by breach
**Answer: C**
*Rationale:* Negligence requires four elements: duty, breach, causation,
and damages. Patient dissatisfaction is not a legal element of negligence.
*High Yield:* Standard of care = what a reasonably prudent FNP
would do in similar circumstances.
**3.** A FNP precepts a student who makes a medication error. Who is
legally responsible?
A) The student only
B) The precepting FNP only
C) Both the student and the precepting FNP
D) The educational institution only
**Answer: C**
*Rationale:* The precepting FNP is responsible for supervising the
student's actions. Both the student (if licensed) and preceptor may be
held liable. The institution may also have liability.
*High Yield:* Clear communication of student scope and direct
supervision reduces risk.
**4.** A FNP prescribes opioids for chronic non-cancer pain. Which
action is most important to comply with CDC guidelines?
, 4|Page
A) Prescribe a 90-day supply to reduce refill visits
B) Obtain a controlled substance agreement and check PDMP
C) Prescribe long-acting opioids only
D) Avoid urine drug testing
**Answer: B**
*Rationale:* CDC guidelines: use non-opioid therapies first, check
PDMP, use urine drug testing, avoid >90 MME/day, and use written
agreements.
*High Yield:* PDMP (Prescription Drug Monitoring Program) must
be checked before each opioid prescription.
**5.** A FNP documents "patient non-compliant with lifestyle
recommendations." This is problematic because:
A) It is not objective and implies blame
B) It is legally acceptable documentation
C) It protects the FNP from liability
D) It is required by insurance companies
**Answer: A**
*Rationale:* "Non-compliant" is subjective and judgmental. Use
objective terms: "patient declined statin therapy after discussing
risks/benefits."
NR 667 AANP FNP EXAM 1 TEST BANK 2026/2027
– 210 UNIQUE NCLEX-STYLE QUESTIONS WITH
DETAILED RATIONALES, HIGH-YIELD
CONTENT, GRADED A+, FIRST-TIME PASS
GUARANTEED
# TABLE OF CONTENTS
| Section | Title | Page |
| **Domain 1** | Professional Role & Leadership (Questions 1-30) | 4 |
| **Domain 2** | Health Promotion & Disease Prevention (Questions
31-60) | 8 |
| **Domain 3** | Dermatologic & Wound Care (Questions 61-90) | 12 |
| **Domain 4** | Eye, Ear, Nose & Throat (EENT) (Questions 91-120) |
16 |
| **Domain 5** | Respiratory & Cardiovascular Assessment (Questions
121-150) | 20 |
| **Domain 6** | Abdominal & Genitourinary Assessment (Questions
151-180) | 24 |
| **Domain 7** | Neurologic & Musculoskeletal Assessment (Questions
181-210) | 28 |
,2|Page
DOMAIN 1: PROFESSIONAL ROLE & LEADERSHIP (Questions 1-
30)
**1.** A family nurse practitioner (FNP) is considering leaving a rural
practice due to burnout. Which action demonstrates the highest ethical
and professional responsibility?
A) Give immediate notice and leave within 2 weeks
B) Provide 90 days' notice and assist with transition of care
C) Leave without notice due to personal health reasons
D) Reduce patient hours without informing the practice
**Answer: B**
*Rationale:* FNPs have an ethical obligation to provide continuity of
care. Reasonable notice (60-90 days) allows for patient transition and
hiring replacement. Abandonment is unethical and potentially legally
actionable.
*High Yield:* Patient abandonment = termination of provider-
patient relationship without adequate notice or replacement.
**2.** A FNP is sued for malpractice after a missed diagnosis of
appendicitis. Which element is NOT required to prove negligence?
A) Duty to the patient
B) Breach of duty (standard of care)
C) Patient dissatisfaction with care
,3|Page
D) Damages (harm) directly caused by breach
**Answer: C**
*Rationale:* Negligence requires four elements: duty, breach, causation,
and damages. Patient dissatisfaction is not a legal element of negligence.
*High Yield:* Standard of care = what a reasonably prudent FNP
would do in similar circumstances.
**3.** A FNP precepts a student who makes a medication error. Who is
legally responsible?
A) The student only
B) The precepting FNP only
C) Both the student and the precepting FNP
D) The educational institution only
**Answer: C**
*Rationale:* The precepting FNP is responsible for supervising the
student's actions. Both the student (if licensed) and preceptor may be
held liable. The institution may also have liability.
*High Yield:* Clear communication of student scope and direct
supervision reduces risk.
**4.** A FNP prescribes opioids for chronic non-cancer pain. Which
action is most important to comply with CDC guidelines?
, 4|Page
A) Prescribe a 90-day supply to reduce refill visits
B) Obtain a controlled substance agreement and check PDMP
C) Prescribe long-acting opioids only
D) Avoid urine drug testing
**Answer: B**
*Rationale:* CDC guidelines: use non-opioid therapies first, check
PDMP, use urine drug testing, avoid >90 MME/day, and use written
agreements.
*High Yield:* PDMP (Prescription Drug Monitoring Program) must
be checked before each opioid prescription.
**5.** A FNP documents "patient non-compliant with lifestyle
recommendations." This is problematic because:
A) It is not objective and implies blame
B) It is legally acceptable documentation
C) It protects the FNP from liability
D) It is required by insurance companies
**Answer: A**
*Rationale:* "Non-compliant" is subjective and judgmental. Use
objective terms: "patient declined statin therapy after discussing
risks/benefits."
