FNP Certification Exam with Questions and Answers (2026-Updated)– 100%
Solved
36-year-old man with asthma has been treating his asthma with albuterol once or twice a week
for the last few years. He reports that for the last month or so he has had to use it much more
often—"not every day, but almost." The nurse practitioner should consider all of the following
except:
Administering the Asthma Control Test questionnaire.
Spirometric assessment.
A complete symptom assessment.
Adding an inhaled long-acting beta2-agonist. - ✔✔✔-Ans: Adding an inhaled long-acting beta2-
agonist.
A 12-day-old infant who is otherwise well presents with a 2-day history of irritation of both
eyes. He was born at a local birth center and received standard newborn care including ocular
chemoprophylaxis. Examination reveals bilateral lid swelling, chemosis, and mucoid eye
discharge. The most likely cause of this condition is:
Chemical irritation from neonatal ocular chemoprophylaxis.
Chlamydial (inclusion) conjunctivitis.
Gonococcal conjunctivitis.
Neonatal adenovirus infection. - ✔✔✔-Ans: Chlamydial (inclusion) conjunctivitis.
,FNP Certification Exam with Questions and Answers (2026-Updated)– 100%
Solved
A 12-year-old boy presents with his mother for a well-child visit. What is the most helpful
approach to this visit?
Interview and examine the child in the absence of the mother.
Interview the child with the mother, asking her to leave for the examination.
Ask the child if he wishes his mother to be there for the interview and examination.
Ask the mother if she wishes to be included in the interview and examination - ✔✔✔-Ans: Ask
the child if he wishes his mother to be there for the interview and examination.
A 14-month-old girl is brought in for evaluation by her mother. She reports that her daughter
has been fussy for the past 3 days and tugging at her left ear. Evaluation reveals moderate
bulging of the tympanic membrane and her temperature is 102.6ºF (39.2ºC). The child has no
reported medication allergies and has not received any antimicrobials in the past 3 months. You
recommend:
Watchful waiting and follow-up in 3 days.
Amoxicillin (Amoxil®).
Clarithromycin (Biaxin®).
Levofloxacin (Levaquin®). - ✔✔✔-Ans: Amoxicillin (Amoxil®).
,FNP Certification Exam with Questions and Answers (2026-Updated)– 100%
Solved
A 15-week-old infant presents with a fever of 100.5ᵒF (38.1ᵒC) and bilateral erythematous
tympanic membranes. The infant is alert with excellent skin turgor, no evidence of difficulty
breathing, acknowledges her mother's face, and is wearing a wet diaper. Her parents report that
she is vigorously nursing every 3 hours without vomiting or excessive stooling. The appropriate
management would be to:
Counsel the mother to observe for 72 hours and return to clinic if there is no improvement.
Start topical therapy with otic antibiotic drops.
Initiate a sepsis workup.
Begin a systemic antibiotic regimen. - ✔✔✔-Ans: Begin a systemic antibiotic regimen.
A 16-year-old young woman presents to you the day after a "condom break." She is concerned
that she might become pregnant and is asking about emergency contraception. Appropriate
counseling about the use of hormonal emergency contraception (EC) includes all of the
following except:
An established pregnancy will not be interrupted.
There is about a 50% reduction in pregnancy risk with properly-timed use.
There is no increased risk of birth defect if pregnancy occurs.
Ulipristal (ella®) is more effective than levonorgestrel in days 3-5 following unprotected
intercourse. - ✔✔✔-Ans: There is about a 50% reduction in pregnancy risk with properly-timed
use.
, FNP Certification Exam with Questions and Answers (2026-Updated)– 100%
Solved
A 17-year-old woman presents complaining of left lower abdominal and groin pain. She admits
that she has had a "light period everyday" for nearly 3 weeks. The presumptive diagnosis of
ectopic pregnancy is supported by which of the following?
Positive urine hCG
Negative pelvic ultrasound
Abdominal rebound tenderness
Breast pain - ✔✔✔-Ans: Positive urine hCG
A 19-year-old female comes to your office to discuss birth control. She has just become sexually
active and wants to be responsible. She has heard a lot from her friends about "the pill"
(combined oral contraception {COC}) and is asking you for advice. You tell her that:
Premenstrual syndrome symptoms are often improved with COC use.
Long-term use is discouraged as the body needs a COC "rest" from time to time.
The menstrual flow volume is typically increased with COC use.
There is an increase in the rate of uterine cancer after protracted COC use. - ✔✔✔-Ans:
Premenstrual syndrome symptoms are often improved with COC use.
Solved
36-year-old man with asthma has been treating his asthma with albuterol once or twice a week
for the last few years. He reports that for the last month or so he has had to use it much more
often—"not every day, but almost." The nurse practitioner should consider all of the following
except:
Administering the Asthma Control Test questionnaire.
Spirometric assessment.
A complete symptom assessment.
Adding an inhaled long-acting beta2-agonist. - ✔✔✔-Ans: Adding an inhaled long-acting beta2-
agonist.
A 12-day-old infant who is otherwise well presents with a 2-day history of irritation of both
eyes. He was born at a local birth center and received standard newborn care including ocular
chemoprophylaxis. Examination reveals bilateral lid swelling, chemosis, and mucoid eye
discharge. The most likely cause of this condition is:
Chemical irritation from neonatal ocular chemoprophylaxis.
Chlamydial (inclusion) conjunctivitis.
Gonococcal conjunctivitis.
Neonatal adenovirus infection. - ✔✔✔-Ans: Chlamydial (inclusion) conjunctivitis.
,FNP Certification Exam with Questions and Answers (2026-Updated)– 100%
Solved
A 12-year-old boy presents with his mother for a well-child visit. What is the most helpful
approach to this visit?
Interview and examine the child in the absence of the mother.
Interview the child with the mother, asking her to leave for the examination.
Ask the child if he wishes his mother to be there for the interview and examination.
Ask the mother if she wishes to be included in the interview and examination - ✔✔✔-Ans: Ask
the child if he wishes his mother to be there for the interview and examination.
A 14-month-old girl is brought in for evaluation by her mother. She reports that her daughter
has been fussy for the past 3 days and tugging at her left ear. Evaluation reveals moderate
bulging of the tympanic membrane and her temperature is 102.6ºF (39.2ºC). The child has no
reported medication allergies and has not received any antimicrobials in the past 3 months. You
recommend:
Watchful waiting and follow-up in 3 days.
Amoxicillin (Amoxil®).
Clarithromycin (Biaxin®).
Levofloxacin (Levaquin®). - ✔✔✔-Ans: Amoxicillin (Amoxil®).
,FNP Certification Exam with Questions and Answers (2026-Updated)– 100%
Solved
A 15-week-old infant presents with a fever of 100.5ᵒF (38.1ᵒC) and bilateral erythematous
tympanic membranes. The infant is alert with excellent skin turgor, no evidence of difficulty
breathing, acknowledges her mother's face, and is wearing a wet diaper. Her parents report that
she is vigorously nursing every 3 hours without vomiting or excessive stooling. The appropriate
management would be to:
Counsel the mother to observe for 72 hours and return to clinic if there is no improvement.
Start topical therapy with otic antibiotic drops.
Initiate a sepsis workup.
Begin a systemic antibiotic regimen. - ✔✔✔-Ans: Begin a systemic antibiotic regimen.
A 16-year-old young woman presents to you the day after a "condom break." She is concerned
that she might become pregnant and is asking about emergency contraception. Appropriate
counseling about the use of hormonal emergency contraception (EC) includes all of the
following except:
An established pregnancy will not be interrupted.
There is about a 50% reduction in pregnancy risk with properly-timed use.
There is no increased risk of birth defect if pregnancy occurs.
Ulipristal (ella®) is more effective than levonorgestrel in days 3-5 following unprotected
intercourse. - ✔✔✔-Ans: There is about a 50% reduction in pregnancy risk with properly-timed
use.
, FNP Certification Exam with Questions and Answers (2026-Updated)– 100%
Solved
A 17-year-old woman presents complaining of left lower abdominal and groin pain. She admits
that she has had a "light period everyday" for nearly 3 weeks. The presumptive diagnosis of
ectopic pregnancy is supported by which of the following?
Positive urine hCG
Negative pelvic ultrasound
Abdominal rebound tenderness
Breast pain - ✔✔✔-Ans: Positive urine hCG
A 19-year-old female comes to your office to discuss birth control. She has just become sexually
active and wants to be responsible. She has heard a lot from her friends about "the pill"
(combined oral contraception {COC}) and is asking you for advice. You tell her that:
Premenstrual syndrome symptoms are often improved with COC use.
Long-term use is discouraged as the body needs a COC "rest" from time to time.
The menstrual flow volume is typically increased with COC use.
There is an increase in the rate of uterine cancer after protracted COC use. - ✔✔✔-Ans:
Premenstrual syndrome symptoms are often improved with COC use.
