AANP Family Nurse Practitioner (FNP) Certification Exam practice questions
210 free questions with answers and explanations.
- 201.A 45-year-old male presents with a 2-month history of intermittent abdominal pain, bloating, and changes in bowel habits, alternating between constipation and diarrhea. His symptoms are relieved after defecation. He denies any weight loss, fever, or blood in his stool. Which diagnostic criteria set should the Family Nurse Practitioner use to confirm Irritable Bowel Syndrome (IBS)?Assessment
- 202.A 48-year-old male presents with a 2-week history of nocturnal polyuria (waking up multiple times to urinate), polydipsia, and fatigue. He reports a sedentary lifestyle and a family history of diabetes. His BMI is 32 kg/m². A fasting plasma glucose (FPG) is 138 mg/dL. An oral glucose tolerance test (OGTT) with a 2-hour plasma glucose is 210 mg/dL. What is the most appropriate diagnosis based on these findings?Diagnosis
- 203.A 55-year-old male presents with a 3-month history of progressive muscle weakness, particularly in his hands and arms. He reports difficulty with fine motor tasks like buttoning shirts and writing. He also notes muscle twitching (fasciculations) and occasional muscle cramps. On examination, he has atrophy of intrinsic hand muscles and hyperreflexia in his lower extremities. Sensory examination is normal. What is the most likely diagnosis?Diagnosis
- 204.A 28-year-old female presents with a 3-week history of fatigue, generalized weakness, sore throat, and swollen lymph nodes in her posterior cervical region. Physical examination reveals tonsillar exudates, splenomegaly, and a maculopapular rash on her trunk. Which of the following diagnostic tests is most appropriate to confirm the suspected diagnosis?Diagnosis
- 205.A 68-year-old male with a history of hypertension and a 40-pack-year smoking history presents for a routine physical. He denies any current symptoms. Per USPSTF guidelines, which screening recommendation is appropriate for this patient?Assessment
- 206.A 16-year-old female presents with a 2-day history of sudden onset of right-sided facial weakness, making it difficult to close her right eye, smile, or raise her right eyebrow. She denies any other neurological symptoms, rash, or fever. Physical examination confirms unilateral facial paralysis involving the forehead. What is the most likely diagnosis?Assessment
- 207.A 45-year-old female presents with a 6-month history of progressive fatigue, generalized weakness that worsens with activity and improves with rest, and occasional double vision. On examination, she has ptosis of the right eyelid and mild facial asymmetry. Which diagnostic test would be most specific for confirming the suspected diagnosis?Assessment
- 208.A 72-year-old female presents with a 2-month history of a new-onset, unilateral headache localized to her right temple. She also reports jaw pain when chewing (jaw claudication) and occasional transient visual disturbances in her right eye. On physical examination, her right temporal artery is tender, thickened, and non-pulsatile. Her erythrocyte sedimentation rate (ESR) is 90 mm/hr (normal <20 mm/hr). What is the most appropriate next step in her management?Diagnosis
- 209.A 55-year-old male with a history of chronic stable angina presents for a follow-up. He reports occasional chest discomfort during moderate exertion, which resolves with rest. He is currently taking aspirin and a statin. Which of the following pharmacological management strategies is most appropriate to add to his regimen to prevent anginal symptoms?Plan
- 210.A 6-month-old infant is brought to the clinic for a well-child visit. The parents express concern about the infant's sleep patterns, specifically that the infant often wakes up crying multiple times during the night. They ask for advice on establishing healthy sleep habits. Which of the following non-pharmacological interventions is most appropriate to recommend for this infant?Plan