NP Study Guide 2026

Everything you need to pass the NP exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 NP Exam Format at a Glance

175
Questions
210 min
Time Limit
70.00%
Passing Score

📚 NP Topics to Study (67)

✍️ Sample NP Questions & Answers

1. Which medication is considered first-line treatment for uncomplicated urinary tract infections in non-pregnant women?
Nitrofurantoin 100mg BID x 5 days

Nitrofurantoin for 5 days is first-line for uncomplicated UTI due to high efficacy, low resistance rates, and minimal collateral damage to gut flora.

2. When initiating buprenorphine/naloxone (Suboxone) for opioid use disorder, the NP should begin induction only after the patient is in:
Mild to moderate opioid withdrawal (COWS score ≥ 8–12)

Starting buprenorphine before moderate withdrawal risks precipitating acute withdrawal; a COWS score of 8–12 indicates the patient is ready for induction.

3. Why is documentation important in NP risk management?
It creates an audit trail, supports decision-making, and demonstrates due diligence

This is fundamental to Nurse Practitioner practice. It creates an audit trail, supports decision-making, and demonstrates due diligence represents the professional standard for risk management in the NP certification framework.

4. A 70-year-old patient presents with a new murmur described as a harsh systolic ejection murmur radiating to the carotids, with exertional syncope and dyspnea. The most likely valvular pathology is:
Aortic stenosis

The classic triad of angina, syncope, and heart failure with a crescendo-decrescendo systolic murmur radiating to the neck is the hallmark of severe aortic stenosis.

5. When assessing a geriatric patient for frailty in the acute care setting, which tool is most validated and widely used?
Clinical Frailty Scale (CFS)

The Clinical Frailty Scale is a 9-point scale validated for use in acute care settings to predict adverse outcomes including mortality, institutionalization, and prolonged hospital stay.

6. What is the purpose of regular risk reviews in Nurse Practitioner practice?
To identify new risks, evaluate control effectiveness, and update mitigation strategies

This is fundamental to Nurse Practitioner practice. To identify new risks, evaluate control effectiveness, and update mitigation strategies represents the professional standard for risk management in the NP certification framework.

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Your NP Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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