“FNP-C” Study Guide: All-In-One Guide + 10 Exam Practice Test (1500 Questions), Latest for “Family Nurse Practitioner Certification (FNP-C)”,”(AANPCB)”

A 58-year-old postmenopausal female presents for a preventive care visit. Her body mass index is 19, and she notes her mother suffered a hip fracture at age 70. The patient has no personal history of fractures and exercises regularly. Which action is most appropriate?

A 12-month-old boy stands independently, uses a neat pincer grasp, and plays peek-a-boo. He does not point to objects and does not respond to his name when called. Which of the following is the most appropriate action?

A 3-year-old girl can pedal a tricycle, copy a circle, and speak in three-word sentences. Her parents report she becomes extremely distressed and aggressive during transitions between daily activities. Which of the following is the most appropriate action?

A 4-month-old infant rolls from tummy to back, brings hands to mouth, and laughs out loud. The mother asks when she should introduce solid foods and water. Which of the following is the best response?

A 30-month-old boy jumps with both feet, speaks in two-word phrases, and has a vocabulary of 30 words. His speech is approximately fifty percent intelligible to strangers. Which of the following is the most appropriate action?

A 9-month-old infant sits without support and babbles continuously, but does not pull to a stand. The family lives in an older multi-story home. Which of the following is the most appropriate intervention?

A 15-month-old girl walks independently, uses a neat pincer grasp, and says one word besides “mama” and “dada.” She does not point to objects of interest and avoids eye contact. Which of the following is the most appropriate action?

A 25-year-old male presents for a routine physical examination. He has a body mass index of 22 and exercises vigorously five days a week. His father experienced a myocardial infarction at age forty-two. Fasting laboratory results reveal a total cholesterol of 310 mg/dL, high-density lipoprotein of 55 mg/dL, triglycerides of 110 mg/dL, and low-density lipoprotein of 233 mg/dL. Which assessment is most accurate?

A 65-year-old male presents with a three-day history of severe nausea, vomiting, and watery diarrhea. He has a history of essential hypertension. Physical examination reveals dry mucous membranes and decreased skin turgor. Laboratory results demonstrate a blood urea nitrogen (BUN) of 42 mg/dL and a serum creatinine of 1.4 mg/dL. Which laboratory finding is most expected?

A 52-year-old female with a body mass index of 34 presents for an annual wellness examination. She reports no alcohol consumption and has no history of intravenous drug use. Laboratory results reveal an aspartate aminotransferase (AST) of 45 U/L and an alanine aminotransferase (ALT) of 85 U/L. A comprehensive viral hepatitis panel is negative. Which diagnostic test is most appropriate?

A 45-year-old male presents with a four-day history of fever, chills, and a productive cough with rust-colored sputum. He has a history of well-controlled asthma. Physical examination reveals a temperature of 101.8°F, localized crackles in the right lower lung field, and dullness to percussion. Which diagnostic finding is most anticipated for this patient?

A 28-year-old asymptomatic male of Mediterranean descent undergoes routine screening. He has no significant medical history and reports a balanced diet. Laboratory results show a hemoglobin of 12.2 g/dL, mean corpuscular volume (MCV) of 68 fL, normal red cell distribution width (RDW), and a normal serum ferritin level. Which is the most appropriate next step?

A 72-year-old female presents with progressive fatigue and a recent five-pound weight gain over three months. She has a history of hyperlipidemia. Her physical examination is unremarkable. Laboratory results reveal a thyroid-stimulating hormone (TSH) level of 7.2 mIU/L (normal 0.4-4.0 mIU/L) and a normal free T4 level. Which is the most appropriate next step?

A 42-year-old female presents for a well-woman exam. She has no family history of breast cancer, no palpable breast masses, and no nipple discharge. She asks if she needs any imaging tests for her breasts this year. Which response aligns with current guidelines?

A 46-year-old male presents to the clinic to establish care. He has no significant past medical history, no family history of colon cancer, and currently reports no changes in bowel habits, weight loss, or abdominal pain. Based on current guidelines, which action is indicated?

A 72-year-old female presents with a two-week history of right-sided headache and fatigue. She reports new pain in her jaw when chewing meals. Physical examination reveals a tender, nodular right temporal artery and normal visual acuity.

A 68-year-old male presents for his initial Medicare wellness visit. He mentions that he smoked about half a pack of cigarettes a day for five years during his twenties but has not smoked since. He denies any abdominal pain or back pain. Which screening intervention is indicated?

A 34-year-old female presents for a routine gynecological exam. A review of her records shows she had a normal cervical cytology (Pap smear) and a negative high-risk human papillomavirus (HPV) co-test at age 31. She has been in a monogamous relationship for five years. Which action is most appropriate today?

A 54-year-old male presents for an annual wellness exam. He reports quitting smoking 12 years ago but previously accumulated a 25 pack-year history. He currently has no respiratory symptoms and exercises daily. Based on current guidelines, which action is most appropriate?

A 3-year-old child is brought to the clinic by a parent who reports the child has had a low-grade fever and a harsh, barking cough for two days. On examination, the child has mild inspiratory stridor when crying but is well-hydrated and not drooling.

A 34-year-old healthcare worker presents with a sudden onset of severe myalgia, headache, nonproductive cough, and a temperature of 102.4°F. The patient reports feeling entirely well yesterday before symptoms began abruptly during a morning shift.

A 16-year-old patient presents with a severe sore throat, profound fatigue, and a low-grade fever for six days. Examination reveals bilateral posterior cervical lymphadenopathy, enlarged tonsils with thick white exudate, and a palpable spleen tip.

A 22-year-old college student presents with a severe, exhausting cough lasting three weeks. The patient reports coughing spasms that occasionally lead to vomiting. The patient has no fever, clear lung fields, and a history of childhood immunizations.

A 68-year-old patient with a history of hypertension presents with a productive cough, chills, and pleuritic chest pain for four days. Vital signs show a respiratory rate of 24 breaths per minute and a temperature of 101.8°F. Auscultation reveals egophony in the right lower lobe.

A 45-year-old patient with type 2 diabetes presents with facial pressure, purulent nasal discharge, and a low-grade fever. Symptoms began 12 days ago and initially improved, but worsened significantly over the last 48 hours.

A 65-year-old retired construction worker reports progressively worsening shortness of breath over six months. He denies fever, chills, or productive cough. Physical assessment reveals bilateral fine basilar crackles, digital clubbing, and a normal cardiac examination.

A 42-year-old female presents with severe right upper quadrant abdominal pain radiating to her right scapula. She reports the pain began shortly after eating fried chicken. Physical examination demonstrates inspiratory arrest during deep right subcostal palpation.

A 68-year-old male reports brief episodes of severe room-spinning dizziness when rolling over in bed. He denies hearing loss, tinnitus, or recent illness. The Dix-Hallpike maneuver provokes horizontal nystagmus and reproduces his severe dizzy symptoms.

A 14-year-old gymnast presents with lower back pain that worsens significantly with spinal extension. She denies radiating leg pain or bowel changes. Physical assessment reveals a palpable step-off deformity at the L4-L5 vertebral junction and tight hamstrings.

A 24-year-old soccer player reports right knee pain after twisting it during a match yesterday. He notes a catching sensation and delayed swelling that developed overnight. Physical examination reveals joint line tenderness and a positive McMurray test.