FNP BOARD REVIEW EXAM
BUNDLE – FULL PRACTICE TEST
(2026 EDITION)|| questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Test Instructions:
• This test contains 85 multiple-choice questions.
• Select the best answer for each question.
• Correct answers are bolded with rationale provided.
• Time limit: 3 hours (simulated).
Section 1: Cardiovascular Disorders (Questions 1–10)
1. A 58-year-old male with a history of hypertension presents with substernal
chest pressure radiating to the jaw, occurring at rest for 20 minutes. ECG
shows ST-segment elevation in leads V1–V4. Which diagnosis is most likely?
• A. Prinzmetal angina
• B. NSTEMI
• C. Anterior STEMI
• D. Unstable angina
Rationale: ST elevation in V1–V4 indicates anterior wall MI involving the left
anterior descending artery. NSTEMI has no ST elevation. Unstable angina has no
biomarker rise.
, 2. Which medication should be administered immediately for a suspected
acute STEMI, absent contraindications?
• A. Metoprolol IV
• B. Aspirin 324 mg chewed
• C. Enoxaparin subcutaneously
• D. Nitroglycerin patch
Rationale: Aspirin reduces mortality in acute MI by inhibiting platelet
aggregation. It is first-line before revascularization.
3. A 72-year-old female with heart failure with reduced ejection fraction
(HFrEF) reports worsening dyspnea, fatigue, and 3-lb weight gain in 2 days.
What is the best initial intervention?
• A. Increase beta-blocker dose
• B. Oral furosemide 40 mg
• C. Start digoxin
• D. IV hydralazine
Rationale: Weight gain and dyspnea suggest fluid overload. Loop diuretics are
first-line for symptom relief.
4. Which finding on auscultation is classic for aortic stenosis?
• A. Opening snap
• B. Late-peaking systolic murmur at right second intercostal space
• C. Diastolic decrescendo murmur at left sternal border
• D. Mid-systolic click
Rationale: Aortic stenosis causes a harsh, crescendo-decrescendo murmur
radiating to carotids. Opening snap suggests mitral stenosis.
5. A patient with atrial fibrillation has a CHA₂DS₂-VASc score of 4. Which
anticoagulant is NOT appropriate?
• A. Rivaroxaban
• B. Apixaban
BUNDLE – FULL PRACTICE TEST
(2026 EDITION)|| questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Test Instructions:
• This test contains 85 multiple-choice questions.
• Select the best answer for each question.
• Correct answers are bolded with rationale provided.
• Time limit: 3 hours (simulated).
Section 1: Cardiovascular Disorders (Questions 1–10)
1. A 58-year-old male with a history of hypertension presents with substernal
chest pressure radiating to the jaw, occurring at rest for 20 minutes. ECG
shows ST-segment elevation in leads V1–V4. Which diagnosis is most likely?
• A. Prinzmetal angina
• B. NSTEMI
• C. Anterior STEMI
• D. Unstable angina
Rationale: ST elevation in V1–V4 indicates anterior wall MI involving the left
anterior descending artery. NSTEMI has no ST elevation. Unstable angina has no
biomarker rise.
, 2. Which medication should be administered immediately for a suspected
acute STEMI, absent contraindications?
• A. Metoprolol IV
• B. Aspirin 324 mg chewed
• C. Enoxaparin subcutaneously
• D. Nitroglycerin patch
Rationale: Aspirin reduces mortality in acute MI by inhibiting platelet
aggregation. It is first-line before revascularization.
3. A 72-year-old female with heart failure with reduced ejection fraction
(HFrEF) reports worsening dyspnea, fatigue, and 3-lb weight gain in 2 days.
What is the best initial intervention?
• A. Increase beta-blocker dose
• B. Oral furosemide 40 mg
• C. Start digoxin
• D. IV hydralazine
Rationale: Weight gain and dyspnea suggest fluid overload. Loop diuretics are
first-line for symptom relief.
4. Which finding on auscultation is classic for aortic stenosis?
• A. Opening snap
• B. Late-peaking systolic murmur at right second intercostal space
• C. Diastolic decrescendo murmur at left sternal border
• D. Mid-systolic click
Rationale: Aortic stenosis causes a harsh, crescendo-decrescendo murmur
radiating to carotids. Opening snap suggests mitral stenosis.
5. A patient with atrial fibrillation has a CHA₂DS₂-VASc score of 4. Which
anticoagulant is NOT appropriate?
• A. Rivaroxaban
• B. Apixaban
