TheoryFNP Study Guide
Study for the FNP with exam topics, practice questions, a free PDF, video walkthrough and timed mock exam links.
How to study for FNP
- Read the topic list so you know what the exam is likely to cover.
- Answer the free practice questions and read every explanation.
- Download the PDF for offline review.
- Use timed mock exams when your untimed practice feels comfortable.
Topics to review
- Safe and effective care environment
- Health promotion and maintenance
- Psychosocial and physiological integrity
- Pharmacology, infection control and patient safety
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Q1Your 20-year-old female patient presents with allergic rhinitis symptoms. She reports taking oral antihistamines intermittently but has found them ineffective. She complains of nasal congestion and rhinorrhea almost daily, stating her symptoms are worse in the Spring.<br/><br/>What do you recommend?
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✓ Correct answer: Fluticasone nasal spray daily
The correct answer is C) Fluticasone nasal spray daily.<br/><br/> An intranasal corticosteroid (ICS), such as fluticasone, is the most effective treatment for allergic rhinitis and is the first-line treatment for patients with persistent symptoms (i.e., ≥4 days per week and ≥4 consecutive weeks per year).<strong> </strong><br/><br/><strong>Choice A is incorrect.</strong> Oral antihistamines, such as cetirizine, are recommended for patients with intermittent symptoms or persistent symptoms that are not controlled with an ICS.<br/><br/><strong>Choice B is incorrect.</strong> Antihistamine nasal sprays, such as azelastine, are recommended for patients with intermittent symptoms or whose persistent symptoms are not controlled with an ICS.<br/><br/><strong>Choice D is incorrect.</strong> Intranasal cromolyn may be recommended for use prior to known allergen exposure. For ongoing symptoms, it must be used 3-4 times per day for 1-2 weeks to achieve maximum effect. Cromolyn is not as effective as other medications.
Q2Select the option that includes an example of secondary prevention for elderly individuals.
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✓ Correct answer: Screening lab work
The correct answer is A) Screening lab work.<br/><br/>Lab work is an example of secondary prevention because it detects disease for those at risk.
Q3A patient with supraventricular tachycardia (SVT) receives a 6 mg dose of adenosine after failure on Verapamil.<br/><br/>What EKG change does the cardiovascular nurse anticipate may occur with this medication?
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✓ Correct answer: Transient Asystole
The correct answer is A) Transient Asystole.<br/><br/>Transient Asystole is expected with the administration of Adenosine. Transient asystole is safe and effective in SVT when administered at an average of 0.3-0.4 mg/kg.<br/><br/><strong>Choice B is incorrect. </strong>Adenosine does not produce an atrial fibrillation response.<br/><br/><strong>Choice C is incorrect. </strong>Adenosine does not produce an atrial flutter response.<br/><br/><strong>Choice D is incorrect. </strong>Torsades de Pointes is a specific type of ventricular tachycardia. People who have a long QT interval, certain medications, and genetic abnormalities can cause Torsades de Pointes. Magnesium, beta blockers, and Isoproterenol are used to treat this cardiac arrhythmia.
Q4The 2015 FDA Pregnancy and Lactation Labeling Rule (PLLR) accomplished which of the following?
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✓ Correct answer: Removed the FDA pregnancy categories applied to medications.
The correct answer is B) Removed the FDA pregnancy categories applied to medications.<br/><br/> The 1979 system of pregnancy categories (A, B, C, D, X) was replaced with the PLLR. Pregnancy categories were too simple and were often misinterpreted. The PLLR provides the relevant drug information to allow for informed clinical decision-making.<br/><br/><strong>Choice A is incorrect. </strong>The PLLR does not apply to OTC medication labels. It only applies to prescription drugs and biological products, which are required to be labeled with pregnancy-risk categories.<br/><br/><strong>Choice C is incorrect. </strong>The PLLR replaced the old FDA pregnancy categories with pregnancy-risk categories and subsets of information required under each of the 3 categories: pregnancy (includes through delivery), lactation, and females/males of reproductive potential. The PLLR does not apply to labeling of supplements or OTC products, which is important for patients to understand.<br/><br/><strong>Choice D is incorrect. </strong>The pregnancy subsection established a pregnancy exposure registry that collects data on pregnant women and provides information on risks, clinical considerations, and data. The lactation subsection provides information on risks, clinical considerations, and data. The females and males of the reproductive potential subsection provide information on pregnancy testing, contraception, and infertility.
Q5The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990.<br/><br/>Which of the following policy changes did it result in?
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✓ Correct answer: Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
The correct answer is A) Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."<br/><br/>MCOs are one group of healthcare organizations that are impacted by this law. Now, all subscribers must be provided with the stated information at the time of enrollment. Advance directive documents are never mandatory.
Q6Select the option that includes an example of tertiary prevention for elderly individuals.
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✓ Correct answer: Rehabilitation programs
The correct answer is D) Rehabilitation programs.<br/><br/>Rehabilitation programs (cardiac or stroke) are examples of tertiary prevention.
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