10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The FNP-BC exam has 175 questions and runs 3 hours 30 minutes.
These 10 free FNP-BC questions are organized by exam domain, so you can see how each part of the Family Nurse Practitioner Board Certification (FNP-BC), ANCC blueprint is tested. Reveal the answer and explanation under each question.
A 63-year-old woman presents for a routine visit. She has a 15 pack-year smoking history, quit smoking 3 years ago, and is asymptomatic. Which lung cancer screening approach is most appropriate?
Correct answer: D - No lung cancer screening is indicated
An 18-month-old boy is brought in for a well-child visit. His parents report no concerns, and his growth and physical examination are normal. Which action is most appropriate at this visit?
Correct answer: B - Administer a standardized autism-specific screening tool
An 82-year-old man completes the Mini-Cog during a wellness visit. He recalls 0 of 3 words and his clock drawing is normal, giving a total score of 2. Which action is most appropriate?
Correct answer: C - Proceed with further evaluation for cognitive impairment
A 49-year-old asymptomatic man has a screening hemoglobin A1C of 6.8%. He reports no polyuria, polydipsia, or unintentional weight loss. Which action is most appropriate?
Correct answer: D - Repeat the A1C to confirm the diagnosis
A 79-year-old woman is brought in by her daughter for confusion that began 3 days ago and worsens in the evening. She was fully independent until this week and recently started a new medication. Which finding most strongly distinguishes delirium from dementia in this patient?
Correct answer: C - Acute onset with fluctuating course and impaired attention
A 29-year-old woman with chronic hypertension managed on lisinopril is confirmed to be 7 weeks pregnant. Her blood pressure today is 142/88 mm Hg. Which action is most appropriate?
Correct answer: A - Discontinue lisinopril and initiate labetalol
A 58-year-old man with type 2 diabetes taking metformin has an A1C of 7.9%. He also has heart failure with reduced ejection fraction. Which addition to his regimen is most appropriate?
Correct answer: B - Add an SGLT2 inhibitor
A 7-year-old develops diffuse urticaria, lip swelling, and audible wheezing 10 minutes after eating a peanut butter sandwich at school. Which is the priority intervention?
Correct answer: D - Intramuscular epinephrine
A 2-year-old girl is diagnosed with acute otitis media. She completed a course of amoxicillin 3 weeks ago for a previous episode. Which antibiotic is most appropriate now?
Correct answer: A - Amoxicillin-clavulanate
A 27-year-old woman requests combined oral contraceptives. She reports recurrent headaches preceded by visual scotoma. Her blood pressure and physical examination are normal. Which is most appropriate?
Correct answer: D - Prescribe a progestin-only method
The FNP-BC exam also covers these domains. Drill them in the full free practice test:
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