FNP
FNP is a trademark of its owner, which is not affiliated with and does not endorse Test Treasure Publication or TTP Prep.
FNP is a trademark of its owner, which is not affiliated with and does not endorse Test Treasure Publication or TTP Prep.
10 sample questions for the FNP, with the correct answer and an explanation for each. No account needed. Try each one before you open the answer.
Sections covered on the exam: Healthpromotionandscreening, Sexuality, Screeningandsocialdeterminantsofhealth, Assessment, Professional Role, Diagnosis, Respiratory, Neurological/Neurovascular, Clinical Management, Infectiousdisease, Teachingcaregivers, Healthcareinformaticsandtechnology, Scopeandstandardsofpractice, Regulatoryguidelines.
Question 1 · Healthpromotionandscreening
A 45-year-old male presents for a routine checkup. He has no chronic conditions, does not smoke, and exercises regularly. Which screening test is recommended based on his age and risk profile?
Answer: C. Colonoscopy
According to USPSTF guidelines, colorectal cancer screening with a colonoscopy is recommended starting at age 45 for individuals at average risk. The PSA test and fasting glucose are not routinely recommended without additional risk factors, and a chest X-ray is not a standard screening tool.
Question 2 · Diagnosis
Which diagnosis is most closely associated with a positive Murphy’s sign?
Answer: D. Cholecystitis
A positive Murphy’s sign is indicative of cholecystitis. It is elicited by palpating under the right costal margin during deep inspiration; the patient abruptly stops inhaling because of pain.
Question 3 · Diagnosis
A 6-year-old child presents with facial swelling, wheezing, and hypotension after a peanut exposure. What is the first-line treatment?
Answer: B. IM epinephrine
Anaphylaxis is a life-threatening emergency. Intramuscular epinephrine is the first-line treatment. Antihistamines and steroids may follow but are not primary interventions.
Question 4 · Clinical Management
A parent reports that her 3-year-old frequently has temper tantrums, especially when told “no.” What is the most appropriate guidance?
Answer: A. “This is a normal part of development; remain calm and consistent.”
Temper tantrums are developmentally appropriate in toddlers. The best response includes calm, consistent parenting and helping the child develop emotional regulation skills.
Question 5 · Scopeandstandardsofpractice
In a state with full practice authority, what can FNPs do without physician supervision?
Answer: C. Write prescriptions, order tests, and diagnose
Full practice authority allows NPs to assess, diagnose, interpret diagnostic tests, and initiate treatment independently, including prescribing medications.
Question 6 · Healthpromotionandscreening
A 67-year-old woman with no significant medical history and adequate prior negative cervical screening presents for a wellness visit. According to USPSTF guidelines, which screening is no longer routinely recommended for her?
Answer: D. Cervical cancer screening
Cervical cancer screening stops after age 65 when prior screening has been adequate and the patient is not otherwise at high risk. Colorectal screening continues through age 75, breast cancer screening through age 74, and blood pressure screening is lifelong.
Question 7 · Diagnosis
Match each sign to its most likely condition: (1) Kernig’s sign, (2) McBurney’s point tenderness, (3) Murphy’s sign. Which combination is correct?
Answer: C. 1 – Meningitis, 2 – Appendicitis, 3 – Cholecystitis
Kernig’s sign is associated with meningitis, McBurney’s point tenderness with appendicitis, and Murphy’s sign with cholecystitis.
Question 8 · Diagnosis
What is a classic sign of shock in its early (compensated) stage?
Answer: A. Tachycardia
Early in shock, the body compensates for hypoperfusion by increasing heart rate to maintain cardiac output. Hypotension may appear later.
Question 9 · Clinical Management
A parent reports that her 3-year-old child throws tantrums when told “no.” What is the most appropriate initial advice?
Answer: D. “Use consistent discipline and routines.”
Tantrums are common in toddlers. Consistent routines, positive reinforcement, and calm, firm responses help reduce behavioral outbursts over time.
Question 10 · Scopeandstandardsofpractice
An FNP manages a stable hypertensive patient using lifestyle modifications and follow-up labs. This is an example of:
Answer: A. Independent practice within scope
This is a routine, independent clinical management decision aligned with the nurse practitioner’s scope and role in primary care.
TTP Prep has 200 FNP practice questions with explanations, timed and mock-exam modes, 60 flashcards, interactive lessons, a printable cheat sheet and a readiness score. Start free, no card needed.
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