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Free FNP-C sample questions

Questions from the Family Nurse Practitioner (FNP) Certification Examination practice bank, with the correct answer and an explanation for each one. No junk, no filler.

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Showing 6 of 12 free sample questions.

Question 1Choose one

In an asymptomatic 52-year-old woman undergoing annual monitoring for primary hypothyroidism on a stable dose of oral levothyroxine 88 mcg daily, the single most sensitive diagnostic laboratory test to evaluate therapeutic euthyroid balance is _____.

Question 2Choose 2

A 23-year-old male presents with acute dysuria and copious greenish-yellow urethral discharge. In accordance with current CDC sexually transmitted infection guidelines, which TWO non-invasive diagnostic tests should the nurse practitioner order concurrently to identify the likely causative organisms? (Select TWO)

Question 3Choose one

A 75-year-old female presents with severe, new-onset unilateral throbbing temporal headache, marked scalp tenderness when brushing her hair, and jaw claudication after chewing solid foods. Laboratory results demonstrate an erythrocyte sedimentation rate (ESR) of 105 mm/hr and elevated C-reactive protein (CRP). Which diagnostic procedure constitutes the definitive gold standard to confirm this diagnosis?

Question 4Choose one

A 2-day-old newborn infant develops acute, persistent bilious (dark green) vomiting and abdominal distension. The infant is lethargic, tachycardic, and irritable. Which life-threatening diagnosis must the nurse practitioner prioritize above all other differential conditions until definitively excluded?

Question 5Choose one

An 18-month-old toddler presents with a 2-day history of low-grade fever (38.1°C / 100.6°F), clear rhinorrhea, and the sudden nocturnal development of a harsh, barking 'seal-like' cough with inspiratory stridor that worsens with crying. The child is non-toxic, has no drooling, and is drinking fluids without difficulty. What is the most likely primary diagnosis? flowchart TD Presentation[Barking Cough + Inspiratory Stridor + Low Fever] --> Airway[Subglottic Laryngeal Edema] Airway --> Evaluation{Drooling or Toxic Appearance?} Evaluation -->|No| PrimaryDx[Viral Laryngotracheobronchitis / Croup] Evaluation -->|Yes| Emergency[Acute Epiglottitis / Bacterial Tracheitis]

Question 6Choose one

A 9-year-old child presents with a 4-day history of migratory joint pain and swelling shifting from the right knee to the left ankle. Examination reveals a pink, non-pruritic serpiginous macular rash with central clearing on the trunk (erythema marginatum) and a new apical systolic murmur of mitral regurgitation. The guardian notes the child had an untreated severe sore throat 3 weeks ago. Elevated antistreptolysin O (ASO) titers are documented. Which condition represents the primary diagnosis?

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