Family Nurse Practitioner Test Clinical Assessment

Question 1

A 45-year-old patient presents with a heart rate of 52 bpm, cool extremities, and fatigue. Which assessment finding would MOST concern the FNP?

Accepted Answer

Bradycardia with hypotension

Answer

Mild peripheral edema

Answer

Normal oxygen saturation

Answer

Regular rhythm on auscultation

Question 2

When performing a fundoscopic exam, the FNP notes arteriovenous (AV) nicking. This finding is MOST associated with which condition?

Accepted Answer

Chronic hypertension

Answer

Diabetic retinopathy

Answer

Papilledema

Answer

Glaucoma

Question 3

A patient with suspected appendicitis has pain at McBurney's point. Where is this landmark located?

Accepted Answer

One-third the distance from the ASIS to the umbilicus

Answer

One-third the distance from the umbilicus to the ASIS

Answer

Midway between the umbilicus and right iliac crest

Answer

Left lower quadrant at the iliac crest

Question 4

During a pediatric well-visit, the FNP assesses a 6-month-old and notes absence of the Moro reflex. This finding is MOST concerning for:

Accepted Answer

Central nervous system dysfunction

Answer

Normal developmental milestone

Answer

Hearing impairment

Answer

Hip dysplasia

Question 5

Which breath sound is MOST characteristic of consolidation (pneumonia)?

Accepted Answer

Bronchial breath sounds over lung periphery

Answer

Fine crackles bilaterally

Answer

Expiratory wheezing

Answer

Pleural friction rub

Question 6

The FNP performs a straight-leg raise (SLR) test and reproduces radicular pain at 45 degrees. This is MOST consistent with:

Accepted Answer

Lumbar nerve root compression

Answer

Hip flexor strain

Answer

Piriformis syndrome

Answer

Sacroiliac joint dysfunction