FNP LATEST EXAM PREP QUESTIONS
AND ANSWERS PDF 2026
▶ Fetal TORCH infections can cause microcephaly, mental retardation,
hepatospleno- megaly, and intrauterine growth retardation. The acronym
TORCH stands for:
A) Toxoplasma gondii, other infections, rubella, cytomegalovirus, and
herpes
B) Toxic shock syndrome, ocular infections, rubella, cytomegalovirus, and
herpes
zoster
C) Tetanus, ophthalmic infections, roseola, cancer, and head abnormalities
D) Toxins, other infections, roseola, candidiasis, and head abnormalities.
Answer: A) Toxoplasmagondii, other infections, rubella, cytomegalovirus,
and herpes
The acronym TORCH stands for Toxoplasma gondii, other infections,
rubella, cytomegalovirus, and herpes. Although several of the conditions
listed in the other answer options can also cause fetal problems, they are
not included in the TORCH acronym.
▶ Human papilloma virus (HPV) infection of the larynx has been
associated with:
A) Laryngeal neoplasia
B) Esophageal stricture
C) Cervical cancer
D) Metaplasia of esophageal squamous cells. Answer: A) Laryngeal
neoplasia
HPV infection of the larynx has been associated with laryngeal neoplasia;
HPV infection of the cervix is associated with cervical cancer.
▶ Mr. Brown is a 65-year-old carpenter complaining of morning stiffness
and pain in both his hands and right knee upon awakening. He feels some
,relief after warming up. On exam, the nurse notices the presence of
Heberden's nodes. Which of the fol- lowing is most likely?
A) Osteoporosis
B) Rheumatoid arthritis
C) Degenerative joint disease
D) Reiter's syndrome. Answer: C) Degenerative joint disease
Heberden's nodes are commonly seen in degenerative joint disease.
Heberden's nodes are bony nodules located on the distal interphalangeal
joints (DIPs).
▶ What does a positive posterior drawer sign in a 10-year-old soccer
player signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
D) An injury of the meniscus. Answer: B) Instability of the knee
The drawer sign is performed on the knee or ankle to assess for knee
instability. The affected knee will have more laxity when compared to the
unaffected knee.
▶ A multigravida who is at 28 weeks of gestation has a fundal height of 29
cm. Which of the following is the best recommendation for this patient?
A) Advise the mother that her pregnancy is progressing well
B) Order an ultrasound of the uterus
C) Refer her to an obstetrician for an amniocentesis
D) Recommend bed rest with bathroom privileges. Answer: A) Advise the
mother that her pregnancy is progressing well
From 20-35 weeks' gestation, fundal height should equal weeks gestation.
If greater than 2 cm within the gestational week of pregnancy, further
testing should be performed to evaluate fetal growth
▶ A multigravida who is at 34 weeks of gestation wants to know at what
level her uterine fundus should be. The best answer is to advise the mother
that her fun- dus is:
,A) Midway between the umbilicus and the lower ribs
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm. Answer: C) From 33 to 35 cm
After 20 weeks gestation, fundal height in centimeters should measure
approximately the same as the number of weeks of gestation
▶ Which of the following laboratory tests is used in primary care to
evaluate renal function?
A) Electrolyte panel
B) Creatinine
C) Alkaline phosphatase
D) Blood urea nitrogen (BUN) to creatinine ratio. Answer: B) Creatinine
Serum creatinine is measured to evaluate renal function. Creatinine is the
end product of creatine metabolism. Creatinine clearance is not affected by
fluid or dietary intake of meat.
▶ All of the following are false statements regarding acute gastritis except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can
cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy. Answer:
C) The screening test for the disorder is the barium swallow test
The gold standard for diagnosing gastric disease is biopsy of gastric and/or
duodenal tissue by upper endoscopy. Chronic use of NSAIDs disrupts the
production of prostaglandins, which decreases blood supply and then
breaks down the protective layer of the mucosa, which leads to gastric
disease.
▶ Signs and symptoms of depression include all of the following except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
, C) Apathy and low self-esteem
D) Apraxia and fatigue. Answer: D) Apraxia and fatigue
Apraxia is a disorder of the nervous system in which the brain is affected
and the patient is unable to move the arms/legs when asked to do so.
Common signs of depression include anhedonia (loss of interest in
activities that the patient finds pleasurable), unintentional weight loss or
gain, fatigue, change in appetite, insomnia or hypersomnia, feelings of guilt
and worthlessness, and recurrent thoughts of suicide.
▶ Which of the following is an accurate description of eliciting for Murphy's
sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper
quad- rant of the abdomen below the costovertebral angle
B) Bend the patient's hips and knees at 90 degrees, then passively rotate
hip exter- nally, then internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly. Answer: A)
Upon deep inspiration by the patient, palpate firmly in the right upper quad-
rant of the abdomen below the costovertebral angle
Murphy's sign is positive if pain occurs when performing RUQ palpation
while the patient takes a deep inspiration, causing the patient to abruptly
stop the deep breath due to pain. As the liver is palpated, it will descend
and push up against the inflamed gallbladder and cause sharp pain
(cholecystitis).
▶ A 28-year-old multipara who is at 32 weeks of gestation presents to your
office complaining of a sudden onset of small amounts of bright red vaginal
bleeding. She has had several episodes and appears anxious. On exam,
her uterus is soft to palpation. Which of the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole). Answer: B) Placenta previa
AND ANSWERS PDF 2026
▶ Fetal TORCH infections can cause microcephaly, mental retardation,
hepatospleno- megaly, and intrauterine growth retardation. The acronym
TORCH stands for:
A) Toxoplasma gondii, other infections, rubella, cytomegalovirus, and
herpes
B) Toxic shock syndrome, ocular infections, rubella, cytomegalovirus, and
herpes
zoster
C) Tetanus, ophthalmic infections, roseola, cancer, and head abnormalities
D) Toxins, other infections, roseola, candidiasis, and head abnormalities.
Answer: A) Toxoplasmagondii, other infections, rubella, cytomegalovirus,
and herpes
The acronym TORCH stands for Toxoplasma gondii, other infections,
rubella, cytomegalovirus, and herpes. Although several of the conditions
listed in the other answer options can also cause fetal problems, they are
not included in the TORCH acronym.
▶ Human papilloma virus (HPV) infection of the larynx has been
associated with:
A) Laryngeal neoplasia
B) Esophageal stricture
C) Cervical cancer
D) Metaplasia of esophageal squamous cells. Answer: A) Laryngeal
neoplasia
HPV infection of the larynx has been associated with laryngeal neoplasia;
HPV infection of the cervix is associated with cervical cancer.
▶ Mr. Brown is a 65-year-old carpenter complaining of morning stiffness
and pain in both his hands and right knee upon awakening. He feels some
,relief after warming up. On exam, the nurse notices the presence of
Heberden's nodes. Which of the fol- lowing is most likely?
A) Osteoporosis
B) Rheumatoid arthritis
C) Degenerative joint disease
D) Reiter's syndrome. Answer: C) Degenerative joint disease
Heberden's nodes are commonly seen in degenerative joint disease.
Heberden's nodes are bony nodules located on the distal interphalangeal
joints (DIPs).
▶ What does a positive posterior drawer sign in a 10-year-old soccer
player signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
D) An injury of the meniscus. Answer: B) Instability of the knee
The drawer sign is performed on the knee or ankle to assess for knee
instability. The affected knee will have more laxity when compared to the
unaffected knee.
▶ A multigravida who is at 28 weeks of gestation has a fundal height of 29
cm. Which of the following is the best recommendation for this patient?
A) Advise the mother that her pregnancy is progressing well
B) Order an ultrasound of the uterus
C) Refer her to an obstetrician for an amniocentesis
D) Recommend bed rest with bathroom privileges. Answer: A) Advise the
mother that her pregnancy is progressing well
From 20-35 weeks' gestation, fundal height should equal weeks gestation.
If greater than 2 cm within the gestational week of pregnancy, further
testing should be performed to evaluate fetal growth
▶ A multigravida who is at 34 weeks of gestation wants to know at what
level her uterine fundus should be. The best answer is to advise the mother
that her fun- dus is:
,A) Midway between the umbilicus and the lower ribs
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm. Answer: C) From 33 to 35 cm
After 20 weeks gestation, fundal height in centimeters should measure
approximately the same as the number of weeks of gestation
▶ Which of the following laboratory tests is used in primary care to
evaluate renal function?
A) Electrolyte panel
B) Creatinine
C) Alkaline phosphatase
D) Blood urea nitrogen (BUN) to creatinine ratio. Answer: B) Creatinine
Serum creatinine is measured to evaluate renal function. Creatinine is the
end product of creatine metabolism. Creatinine clearance is not affected by
fluid or dietary intake of meat.
▶ All of the following are false statements regarding acute gastritis except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can
cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy. Answer:
C) The screening test for the disorder is the barium swallow test
The gold standard for diagnosing gastric disease is biopsy of gastric and/or
duodenal tissue by upper endoscopy. Chronic use of NSAIDs disrupts the
production of prostaglandins, which decreases blood supply and then
breaks down the protective layer of the mucosa, which leads to gastric
disease.
▶ Signs and symptoms of depression include all of the following except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
, C) Apathy and low self-esteem
D) Apraxia and fatigue. Answer: D) Apraxia and fatigue
Apraxia is a disorder of the nervous system in which the brain is affected
and the patient is unable to move the arms/legs when asked to do so.
Common signs of depression include anhedonia (loss of interest in
activities that the patient finds pleasurable), unintentional weight loss or
gain, fatigue, change in appetite, insomnia or hypersomnia, feelings of guilt
and worthlessness, and recurrent thoughts of suicide.
▶ Which of the following is an accurate description of eliciting for Murphy's
sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper
quad- rant of the abdomen below the costovertebral angle
B) Bend the patient's hips and knees at 90 degrees, then passively rotate
hip exter- nally, then internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly. Answer: A)
Upon deep inspiration by the patient, palpate firmly in the right upper quad-
rant of the abdomen below the costovertebral angle
Murphy's sign is positive if pain occurs when performing RUQ palpation
while the patient takes a deep inspiration, causing the patient to abruptly
stop the deep breath due to pain. As the liver is palpated, it will descend
and push up against the inflamed gallbladder and cause sharp pain
(cholecystitis).
▶ A 28-year-old multipara who is at 32 weeks of gestation presents to your
office complaining of a sudden onset of small amounts of bright red vaginal
bleeding. She has had several episodes and appears anxious. On exam,
her uterus is soft to palpation. Which of the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole). Answer: B) Placenta previa
