FNP-C Sample Questions & Answers
Free Family Nurse Practitioner (FNP) Certification Examination practice questions with worked answers and explanations. See how the ExamJungle simulator prepares you — then jump into the full test.
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- Question 1Intermediate
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?
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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.
- Question 2Intermediate
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?
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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.
- Question 3Intermediate
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]Show answer & 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.
- Question 4Beginner
Assess · Order, perform, and interpret screening and diagnostic tests
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 _____.
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Correct answer: B
Serum TSH is the most sensitive biomarker for monitoring thyroid hormone replacement adequacy in patients treated for primary hypothyroidism.
- Question 5IntermediateSelect 2
Assess · Order, perform, and interpret screening and diagnostic tests
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)
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Correct answers: B, C
First-catch urine NAAT provides superior sensitivity for detecting N. gonorrhoeae and C. trachomatis in symptomatic men without requiring invasive urethral swabs.
Routine dual NAAT testing for chlamydia is essential due to high rates of coinfection with gonorrhea in symptomatic urethritis.
- Question 6Intermediate
Assess · Order, perform, and interpret screening and diagnostic tests
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?
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Correct answer: C
Temporal artery biopsy remains the definitive gold standard test to confirm giant cell arteritis, revealing characteristic granulomatous vascular inflammation.
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