FNP CERTIFICATION EXAM QUESTIONS
1.You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent
use of antihypertensive medications, stating, "I feel better without the medications." Today she presents
for a "check-up."On physical examination, you note the following: PMI with a downward and lateral shift
as well as a Gr II/VI holosystolic murmur with radiation to the axilla.
This patient's health history is most likely to include a report of:
Syncopal episodes.
Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo.
(correct answers)Ans: dyspnea on exertion
2.Which Of the following, which should be performed first in assessing a 48-year-old woman who has a
25-year history of moderate persistent asthma and who now presents with an acute asthma flare?
Oxygen saturation
Arterial blood gas
FEV1 (forced expiratory volume at 1 second)
Chest x-ray
,(correct answers)Ans: FEV (force expiratory volume)
2.You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most
desirable?
Community hall of a local church
Local hospital ambulatory care center
Mobile van
Space in a shopping center
(correct answers)Ans: Mobile van
3.A 58-year-old woman presents for an initial examination in order to become a patient in your primary
care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of wine per week, and works as an
administrative assistant in a law office. She is without complaint and reports that she is generally in
good health. Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm Hg bilaterally.
The rest of her examination is unremarkable.
Prescribe a low-dose thiazide diuretic.
Arrange for additional blood pressure measurements within the next four weeks.
,Order a serum creatinine, urea nitrogen and urinalysis.
Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of wine per week.
(correct answers)Ans: Arrange for additional blood pressure measurements within the next four weeks.
4.The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in
which of the following activities?
Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the importance of self-
glucose monitoring
Volunteering to teach a class on contraceptive methods to a group of teen mothers
Discussing barriers to achieving blood pressure control with a 65-year-old woman with hypertension
who "does not want to take any medicine"
Collaborating with the regional public health department on an initiative to combat obesity through a
community-based exercise program (correct answers)Ans: Collaborating with the regional public health
department on an initiative to combat obesity through a community-based exercise program
5.You are asked to speak to a group of healthcare executives on the NP role. Which of the following
provides the strongest support for NP practice?
Number of academic credits earned during the NP program
Evidence of NP practice outcomes
, The quantity of clinical hours and type of clinical rotations in the NP program
The professional experience of the person prior to entering the NP program (correct answers)Ans:
Evidence of NP practice outcomes
Rank the following from highest (1) to lowest (4) level of research design.
__Case reports
__Meta-analysis
__Randomized controlled trials
__Expert opinion
1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert opinion (correct answers)Ans:
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
In a 46-year-old woman with hypertension and dyslipidemia, choose the correct prevention:
1.You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent
use of antihypertensive medications, stating, "I feel better without the medications." Today she presents
for a "check-up."On physical examination, you note the following: PMI with a downward and lateral shift
as well as a Gr II/VI holosystolic murmur with radiation to the axilla.
This patient's health history is most likely to include a report of:
Syncopal episodes.
Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo.
(correct answers)Ans: dyspnea on exertion
2.Which Of the following, which should be performed first in assessing a 48-year-old woman who has a
25-year history of moderate persistent asthma and who now presents with an acute asthma flare?
Oxygen saturation
Arterial blood gas
FEV1 (forced expiratory volume at 1 second)
Chest x-ray
,(correct answers)Ans: FEV (force expiratory volume)
2.You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most
desirable?
Community hall of a local church
Local hospital ambulatory care center
Mobile van
Space in a shopping center
(correct answers)Ans: Mobile van
3.A 58-year-old woman presents for an initial examination in order to become a patient in your primary
care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of wine per week, and works as an
administrative assistant in a law office. She is without complaint and reports that she is generally in
good health. Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm Hg bilaterally.
The rest of her examination is unremarkable.
Prescribe a low-dose thiazide diuretic.
Arrange for additional blood pressure measurements within the next four weeks.
,Order a serum creatinine, urea nitrogen and urinalysis.
Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of wine per week.
(correct answers)Ans: Arrange for additional blood pressure measurements within the next four weeks.
4.The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in
which of the following activities?
Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the importance of self-
glucose monitoring
Volunteering to teach a class on contraceptive methods to a group of teen mothers
Discussing barriers to achieving blood pressure control with a 65-year-old woman with hypertension
who "does not want to take any medicine"
Collaborating with the regional public health department on an initiative to combat obesity through a
community-based exercise program (correct answers)Ans: Collaborating with the regional public health
department on an initiative to combat obesity through a community-based exercise program
5.You are asked to speak to a group of healthcare executives on the NP role. Which of the following
provides the strongest support for NP practice?
Number of academic credits earned during the NP program
Evidence of NP practice outcomes
, The quantity of clinical hours and type of clinical rotations in the NP program
The professional experience of the person prior to entering the NP program (correct answers)Ans:
Evidence of NP practice outcomes
Rank the following from highest (1) to lowest (4) level of research design.
__Case reports
__Meta-analysis
__Randomized controlled trials
__Expert opinion
1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert opinion
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert opinion (correct answers)Ans:
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion
In a 46-year-old woman with hypertension and dyslipidemia, choose the correct prevention:
