,Family
Nurse
Practitioner
Examination
Certification
Review
,Copyright © 2017 Edifying Publishing
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without
the prior permission of Edifying Publishing.
Edifying Publishing
137-40 Laurelton Parkway
Rosedale, NY 11422
ISBN: 978-0-9988163-0-2 (print book)
e-book ISBN: 978-0-9988163-1-9
Library of Congress Control Number: 2017905673
The author and the publisher of this work have made every effort to use sources believed to be
reliable to provide information that is accurate and compatible with standards generally accepted
at the time of publication. However, medical science and the recommendations of healthcare
agencies and associations can change at any moment. Therefore, a reader of this book should
always be aware of current medical research, as well as new guidelines and recommendations by
authoritative agencies.
Special discounts on bulk quantities of our books are available to corporations, professional
associations, healthcare organizations, and other qualifying groups.
For details, please contact Edifying Publishing at:
E-mail:
,Preface
This is a review book for the Family Nurse Practitioner Certification Examination that is offered
by either the American Nurses Credentialing Center (ANCC) or the American Academy of
Nurse Practitioners Certification Board (AANPCB).
This book contains thousands of practice review questions, as well as images and reference
charts, to help you learn the material needed to pass the FNP certification examination and
become a certified Family Nurse Practitioner.
This book has been created to be as streamlined as possible to contain only information on the
FNP syllabus, without any, or much, extraneous information, to prevent you from studying
material that is unlikely to be on the exam.
Even though we believe this to be a good study guide for the FNP examination, we do not
recommend that you use only one book for any test preparation. No one study guide will contain
all of the information that will appear on the exam. Use as many professional study guides as you
can manage in the time that you have allotted before you take the test. There are other great FNP
certification examination study guides currently on the market. We recommend that you use at
least 2-3 other study guides for the test to get a well-rounded, well-versed review for the test.
The official website for this book is www.npreviewbook.com. All effort has been made to ensure
that this book is as accurate as possible and contains no errors, but errors may still exist. If any
errata are found for this book, they will be listed at www.npreviewbook.com/Errata. If you see
any errors or inconsistencies, please email so that the quality of this
book can be improved; this will be much appreciated.
,About the Author
David Hylton is a board-certified family nurse practitioner who wrote this book in collaboration
with a nurse practitioner and a medical doctor.
Contributors/Reviewers
NP
Crystal Rogers, RN, MSN, ANP
Internal Medicine
Hunter College
New York
MD
Geuka Delva, M.D.
Hospitalist of Internal Medicine
American University of Antigua of Medicine
New York/Antigua
,Table of Contents
Chapter 1- About the Exam and Exam Tips
Chapter 2- Pharmacology
Pharmacology answers
Chapter 3- Hematology and Lab Values
Hematology and Lab Values answers
Chapter 4- Integumentary and HEENT
Integumentary and HEENT answers
Chapter 5- Endocrine System
Endocrine System answers
Chapter 6- Gastrointestinal System
Gastrointestinal System answers
Chapter 7- Liver, Kidneys, Gallbladder, Appendix, Intestines, and Rectum
Liver, Kidneys, Gallbladder, Appendix, the Intestines, and Rectum answers
Chapter 8- Cardiology
Cardiology answers
Chapter 9- Musculoskeletal, Nerves & Vessels
Musculoskeletal, Nerves, & Vessels answers
Chapter 10- Respiratory System
Respiratory System answers
Chapter 11- Neurological System
Neurological System answers
Chapter 12- Oncology
Oncology Answers
Chapter 13- Maternity
Maternity answers
Chapter 14- Pediatrics
Pediatrics answers
,Chapter 15- Men’s Health
Men’s Health answers
Chapter 16- Women’s Health
Women’s Health answers
Chapter 17- Sexual Health and STDs
Sexual Health and STDs answers
Chapter 18- Geriatrics
Geriatrics answers
Chapter 19- Psychiatry
Psychiatry answers
Chapter 20- Biochemical Attacks/Illicit Drugs/Accidents
Biochemical Attacks/Illicit Drugs/Accidents answers
Chapter 21- Health Promotion/Prevention
Health Promotion/Prevention answers
Chapter 22- Legal Aspects, Insurance, and Culture
Legal Aspects, Insurance, and Culture answers
Chapter 23- Statistics
Statistics Answers
Appendix
,Chapter 1- About the Exam and Exam Tips
Who is eligible to take the exam?
To qualify for the FNP certification examination, applicants must have completed an accredited
NP program in the U.S. or an approved Canadian NP program. NP programs in the U.S. must be
accredited by either the Commission on Collegiate Nursing Education (CCNE) or the
Accreditation Commission for Education in Nursing, Inc. (ACEN) (formerly known as the
NLNAC).
Who are the certifying bodies for the Nurse Practitioner examination?
The American Nurses Credentialing Center (ANCC) is the independent credentialing body of the
American Nurses Association (ANA). It is the largest nurse credentialing organization in the
United States. For more information about this credentialing body, visit their official website at
www.nursecredentialing.org
The American Academy of Nurse Practitioners Certification Board (AANPCB) was established
under the direction of Dr. Jan Towers PhD, NP-C, CRNP, FAAN, FAANP in 1993. The
AANPCB was established for the purpose of evaluation of individuals wishing to enter,
continue, and/or advance in the NP profession through the certification process. AANPCB is a
separately incorporated, nonprofit, independent organization overseen by a Commission
composed of dedicated, knowledgeable, experienced, nurse practitioners representative of the
certificants. The mission of the American Academy of Nurse Practitioners Certification Board is
to provide excellence in testing and certification for nurse practitioners who adhere to and uphold
the highest standards for Nurse Practitioners in the realm of certification. For more information
about the AANPCB, visit their official website at http://www.aanpcert.org
How many questions are on the FNP examination?
For the test offered by the ANCC, each exam contains between 150 to 175 scored test items plus
25 pilot test items that do not count towards the final score. For the AANPCB exam, there are
150 questions. Of the 150 questions, 15 are pretest questions. A candidate’s score is based solely
on the 135 scored questions.
Pretest questions, or pilot questions, are questions developed during the process of Item Writing.
Pretest questions are piloted on examinations to obtain statistical information for determining
how well each question will perform prior to vetting them for use on the scored portion of an
,examination. Pretest questions are not distinguished from those that are scored. Performance on
pretest questions does not affect the final score.
What examination results are returned?
For test scores, candidates view a Pass or Fail status on the computer upon completion of the
examination. A preliminary report received of Pass at the testing site is not official notification,
does not indicate active certification status, and may not be used for employment or licensure as
an NP. A candidate's examination score is considered confidential information and will not be
disclosed to anyone other than the candidate without specific written instructions from the
candidate indicating to whom and why the information is to be disclosed. Results will not be
given out by telephone, email, or fax.
What happens if a person fails the exam?
Candidates who do not pass the certification examination receive an official score letter
indicating failure to pass with the score, areas of strength and areas of weakness. Candidates may
apply to retake the examination after completion of a general review course or additional
advanced practice continuing education.
, Topics to Know for the FNP Examination
This isn’t an exhaustive list of all topics by subject for the FNP exam, but serves as a general
indicator of topics and concepts that you should know and be familiar with. The questions in this
book tests you on all these topics (and goes into more specifics).
Pharmacology
Alternative medicine
Area Under the Curve (AUC) graph
Cytochrome P450 enzymes
Dipeptidyl peptidase-4 (DPP-4) inhibitors
First-pass metabolism
Half-life
Minimum Inhibitory Concentration (MIC)
Narrow Therapeutic Index (NTI)
Hematology and Lab Values
Alanine Transaminase (ALT)
Ankle Brachial Index (ABI)
Aspartate Transaminase (AST)
Anisocytosis
Aplastic anemia
Alkaline phosphatase
Bilirubin (conjugated and unconjugated)
C-reactive protein (CRP)
Creatinine clearance
Creatine Kinase (CK)
Erythrocyte Sedimentation Rate (ESR)
Ferritin
Gamma-glutamyl Transferase (GGT)
Glucose-6-phosphate Dehydrogenase (G6PD) deficiency
Hematocrit
Hemoglobin
Hemoglobin electrophoresis
Iron-deficiency anemia
Macrocytic/megaloblastic anemia
Microcytic anemia
Mean Corpuscular Volume (MCV)
Mean Corpuscular Hemoglobin (MCH)
Mean Corpuscular Hemoglobin Concentration (MCHC)
Pernicious anemia
Poikilocytosis
Polycythemia
Red Cell Distribution Width (RDW)
Nurse
Practitioner
Examination
Certification
Review
,Copyright © 2017 Edifying Publishing
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without
the prior permission of Edifying Publishing.
Edifying Publishing
137-40 Laurelton Parkway
Rosedale, NY 11422
ISBN: 978-0-9988163-0-2 (print book)
e-book ISBN: 978-0-9988163-1-9
Library of Congress Control Number: 2017905673
The author and the publisher of this work have made every effort to use sources believed to be
reliable to provide information that is accurate and compatible with standards generally accepted
at the time of publication. However, medical science and the recommendations of healthcare
agencies and associations can change at any moment. Therefore, a reader of this book should
always be aware of current medical research, as well as new guidelines and recommendations by
authoritative agencies.
Special discounts on bulk quantities of our books are available to corporations, professional
associations, healthcare organizations, and other qualifying groups.
For details, please contact Edifying Publishing at:
E-mail:
,Preface
This is a review book for the Family Nurse Practitioner Certification Examination that is offered
by either the American Nurses Credentialing Center (ANCC) or the American Academy of
Nurse Practitioners Certification Board (AANPCB).
This book contains thousands of practice review questions, as well as images and reference
charts, to help you learn the material needed to pass the FNP certification examination and
become a certified Family Nurse Practitioner.
This book has been created to be as streamlined as possible to contain only information on the
FNP syllabus, without any, or much, extraneous information, to prevent you from studying
material that is unlikely to be on the exam.
Even though we believe this to be a good study guide for the FNP examination, we do not
recommend that you use only one book for any test preparation. No one study guide will contain
all of the information that will appear on the exam. Use as many professional study guides as you
can manage in the time that you have allotted before you take the test. There are other great FNP
certification examination study guides currently on the market. We recommend that you use at
least 2-3 other study guides for the test to get a well-rounded, well-versed review for the test.
The official website for this book is www.npreviewbook.com. All effort has been made to ensure
that this book is as accurate as possible and contains no errors, but errors may still exist. If any
errata are found for this book, they will be listed at www.npreviewbook.com/Errata. If you see
any errors or inconsistencies, please email so that the quality of this
book can be improved; this will be much appreciated.
,About the Author
David Hylton is a board-certified family nurse practitioner who wrote this book in collaboration
with a nurse practitioner and a medical doctor.
Contributors/Reviewers
NP
Crystal Rogers, RN, MSN, ANP
Internal Medicine
Hunter College
New York
MD
Geuka Delva, M.D.
Hospitalist of Internal Medicine
American University of Antigua of Medicine
New York/Antigua
,Table of Contents
Chapter 1- About the Exam and Exam Tips
Chapter 2- Pharmacology
Pharmacology answers
Chapter 3- Hematology and Lab Values
Hematology and Lab Values answers
Chapter 4- Integumentary and HEENT
Integumentary and HEENT answers
Chapter 5- Endocrine System
Endocrine System answers
Chapter 6- Gastrointestinal System
Gastrointestinal System answers
Chapter 7- Liver, Kidneys, Gallbladder, Appendix, Intestines, and Rectum
Liver, Kidneys, Gallbladder, Appendix, the Intestines, and Rectum answers
Chapter 8- Cardiology
Cardiology answers
Chapter 9- Musculoskeletal, Nerves & Vessels
Musculoskeletal, Nerves, & Vessels answers
Chapter 10- Respiratory System
Respiratory System answers
Chapter 11- Neurological System
Neurological System answers
Chapter 12- Oncology
Oncology Answers
Chapter 13- Maternity
Maternity answers
Chapter 14- Pediatrics
Pediatrics answers
,Chapter 15- Men’s Health
Men’s Health answers
Chapter 16- Women’s Health
Women’s Health answers
Chapter 17- Sexual Health and STDs
Sexual Health and STDs answers
Chapter 18- Geriatrics
Geriatrics answers
Chapter 19- Psychiatry
Psychiatry answers
Chapter 20- Biochemical Attacks/Illicit Drugs/Accidents
Biochemical Attacks/Illicit Drugs/Accidents answers
Chapter 21- Health Promotion/Prevention
Health Promotion/Prevention answers
Chapter 22- Legal Aspects, Insurance, and Culture
Legal Aspects, Insurance, and Culture answers
Chapter 23- Statistics
Statistics Answers
Appendix
,Chapter 1- About the Exam and Exam Tips
Who is eligible to take the exam?
To qualify for the FNP certification examination, applicants must have completed an accredited
NP program in the U.S. or an approved Canadian NP program. NP programs in the U.S. must be
accredited by either the Commission on Collegiate Nursing Education (CCNE) or the
Accreditation Commission for Education in Nursing, Inc. (ACEN) (formerly known as the
NLNAC).
Who are the certifying bodies for the Nurse Practitioner examination?
The American Nurses Credentialing Center (ANCC) is the independent credentialing body of the
American Nurses Association (ANA). It is the largest nurse credentialing organization in the
United States. For more information about this credentialing body, visit their official website at
www.nursecredentialing.org
The American Academy of Nurse Practitioners Certification Board (AANPCB) was established
under the direction of Dr. Jan Towers PhD, NP-C, CRNP, FAAN, FAANP in 1993. The
AANPCB was established for the purpose of evaluation of individuals wishing to enter,
continue, and/or advance in the NP profession through the certification process. AANPCB is a
separately incorporated, nonprofit, independent organization overseen by a Commission
composed of dedicated, knowledgeable, experienced, nurse practitioners representative of the
certificants. The mission of the American Academy of Nurse Practitioners Certification Board is
to provide excellence in testing and certification for nurse practitioners who adhere to and uphold
the highest standards for Nurse Practitioners in the realm of certification. For more information
about the AANPCB, visit their official website at http://www.aanpcert.org
How many questions are on the FNP examination?
For the test offered by the ANCC, each exam contains between 150 to 175 scored test items plus
25 pilot test items that do not count towards the final score. For the AANPCB exam, there are
150 questions. Of the 150 questions, 15 are pretest questions. A candidate’s score is based solely
on the 135 scored questions.
Pretest questions, or pilot questions, are questions developed during the process of Item Writing.
Pretest questions are piloted on examinations to obtain statistical information for determining
how well each question will perform prior to vetting them for use on the scored portion of an
,examination. Pretest questions are not distinguished from those that are scored. Performance on
pretest questions does not affect the final score.
What examination results are returned?
For test scores, candidates view a Pass or Fail status on the computer upon completion of the
examination. A preliminary report received of Pass at the testing site is not official notification,
does not indicate active certification status, and may not be used for employment or licensure as
an NP. A candidate's examination score is considered confidential information and will not be
disclosed to anyone other than the candidate without specific written instructions from the
candidate indicating to whom and why the information is to be disclosed. Results will not be
given out by telephone, email, or fax.
What happens if a person fails the exam?
Candidates who do not pass the certification examination receive an official score letter
indicating failure to pass with the score, areas of strength and areas of weakness. Candidates may
apply to retake the examination after completion of a general review course or additional
advanced practice continuing education.
, Topics to Know for the FNP Examination
This isn’t an exhaustive list of all topics by subject for the FNP exam, but serves as a general
indicator of topics and concepts that you should know and be familiar with. The questions in this
book tests you on all these topics (and goes into more specifics).
Pharmacology
Alternative medicine
Area Under the Curve (AUC) graph
Cytochrome P450 enzymes
Dipeptidyl peptidase-4 (DPP-4) inhibitors
First-pass metabolism
Half-life
Minimum Inhibitory Concentration (MIC)
Narrow Therapeutic Index (NTI)
Hematology and Lab Values
Alanine Transaminase (ALT)
Ankle Brachial Index (ABI)
Aspartate Transaminase (AST)
Anisocytosis
Aplastic anemia
Alkaline phosphatase
Bilirubin (conjugated and unconjugated)
C-reactive protein (CRP)
Creatinine clearance
Creatine Kinase (CK)
Erythrocyte Sedimentation Rate (ESR)
Ferritin
Gamma-glutamyl Transferase (GGT)
Glucose-6-phosphate Dehydrogenase (G6PD) deficiency
Hematocrit
Hemoglobin
Hemoglobin electrophoresis
Iron-deficiency anemia
Macrocytic/megaloblastic anemia
Microcytic anemia
Mean Corpuscular Volume (MCV)
Mean Corpuscular Hemoglobin (MCH)
Mean Corpuscular Hemoglobin Concentration (MCHC)
Pernicious anemia
Poikilocytosis
Polycythemia
Red Cell Distribution Width (RDW)
