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Family Nurse Practitioner (FNP) Certification Examination Free Sample Questions

12 free sample questions143 in the full practice test

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FNP-C Sample Questions

  1. Question 1

    Beginner

    Assess · Obtain elements of subjective patient information (e.g., chief complaint, history, review of systems)

    An advanced practice registered nurse interviews a 16-year-old adolescent presenting for an annual well-care examination accompanied by a guardian. The adolescent appears hesitant when discussing social activities, substance exposure, and sexual health. Which communication strategy is most appropriate to obtain sensitive subjective health history?

    Answer and explanation

    Correct answer: B

    Providing private, confidential time during adolescent visits encourages honest disclosure of sensitive sexual, substance, and mental health histories.

  2. Question 2

    Intermediate

    Assess · Obtain elements of subjective patient information (e.g., chief complaint, history, review of systems)

    A 72-year-old male presents with a chief complaint of sudden, painless vision loss in his right eye that resolved spontaneously after 15 minutes, which he describes as 'a black shade pulled halfway down across the eye.' During the review of systems, the nurse practitioner recognizes this subjective description as characteristic of which clinical phenomenon?

    Answer and explanation

    Correct answer: D

    Amaurosis fugax presents as transient, painless monocular visual loss ('curtain descending') typically caused by retinal microemboli from ipsilateral carotid stenosis.

  3. Question 3

    Beginner

    Assess · Obtain elements of subjective patient information (e.g., chief complaint, history, review of systems)

    During a developmental assessment of a 4-year-old child, the parent reports the child speaks in 4-word sentences, hops on one foot, can copy a circle or cross, and that outside acquaintances understand approximately 80% to 100% of the child's speech. How should the nurse practitioner interpret these historical findings?

    Answer and explanation

    Correct answer: C

    At age 4, children normally copy crosses, hop on one foot, converse in 4-to-5 word sentences, and exhibit speech nearly 100% intelligible to strangers.

  4. Question 4

    Intermediate

    Assess · Perform appropriate physical examination (e.g., focused, complete)

    The nurse practitioner conducts a routine 6-week well-child examination on an infant girl. When performing the Ortolani maneuver to assess for developmental dysplasia of the hip (DDH), which physical examination finding represents a positive result?

    Answer and explanation

    Correct answer: C

    A positive Ortolani test produces a palpable clunk as gentle abduction of the flexed hip relocates a posterior dislocated femoral head into the acetabulum.

  5. Question 5

    Intermediate

    Assess · Perform appropriate physical examination (e.g., focused, complete)

    A 21-year-old collegiate athlete presents after sustaining a non-contact decelerating and twisting injury to the right knee during basketball practice, accompanied by an immediate audible 'pop' and rapid hemarthrosis within 2 hours. To assess for an acute anterior cruciate ligament (ACL) injury with highest clinical sensitivity, which physical examination maneuver should the nurse practitioner perform?

    Answer and explanation

    Correct answer: D

    The Lachman test has superior sensitivity compared to the anterior drawer test for evaluating anterior cruciate ligament (ACL) integrity in acute knee trauma.

  6. Question 6

    Intermediate

    Assess · Perform appropriate physical examination (e.g., focused, complete)

    A 44-year-old patient presents to the primary care clinic with acute right lower quadrant abdominal pain, anorexia, and nausea. While performing an abdominal physical examination, the nurse practitioner applies firm, sustained manual pressure to the left lower quadrant and suddenly releases it, which elicits sharp, localized pain in the right lower quadrant. Which physical examination sign has the clinician elicited?

    flowchart TD LLQ[Deep Palpation of Left Lower Quadrant] --> Pressure[Displacement of Bowel Gas & Peritoneal Tension] Pressure --> RLQ[Referred Pain Elicited in Right Lower Quadrant]
    Answer and explanation

    Correct answer: A

    Rovsing sign is referred pain felt in the right lower quadrant when palpating the left lower quadrant, indicating localized peritoneal irritation in appendicitis.

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