Truelearn Logo
  • Products
    • Medical Licensure Exams

      • COMLEX-USA
        • COMLEX Level 1
        • COMLEX Level 2 CE
        • COMLEX Level 2 PE
        • COMAT Shelf Exams
        • COMLEX Level 3
      • USMLE
        • USMLE Step 1
        • USMLE Step 2 CK/Shelf
      • Physician Assistant
        • PANCE
        • PANRE
    • Specialty Licensure Exams

      • Anesthesiology
        • ABA In-Training Exam
        • ABA BASIC Exam
        • ABA Advanced Exam
        • Anesthesiologist Assistant
      • Emergency Medicine
        • ABEM In-Training Exam
        • ABEM Qualifying Exam
      • Family Medicine
        • FM Prep
      • General Surgery
        • ABSITE
        • ABS Qualifying Exam
      • Internal Medicine
        • IM Prep
      • Neurology
        • Neurology RITE
        • ABPN Neurology Certification
      • OBGYN
        • CREOG
        • ABOG
      • Pediatrics
        • Pediatrics ABP In-Training Exam
        • Pediatrics Certifying Exam
      • Psychiatry
        • PRITE
        • ABPN Certification Exam
    • Additional Specialty Exams

      • Dental Hygiene
        • Dental Hygiene NBDHE
      • Medical Assisting
        • CMA, RMA, NCMA, & CCMA Exam
      • Nursing
        • NCLEX-RN®
      • Nurse Practitioner
        • FNP Exam
      • Occupational Therapy
        • OT Board Exam
      • Pharmacy
        • NAPLEX Exam
      • Pharmacy Technician
        • PTCE®* And ExCPT®* Exam
      • Physical Therapy
        • NPTE
      • Speech-Language Pathology
        • Praxis®
  • SmartBanks
  • Institutions
  • Resources
    • Resource Library
    • TrueLearn Reviews
    • Promo Codes
    • Prepathons
    • Become An Ambassador
  • Login
    • Learner Login
    • Educator Login
  • See Pricing
  • See Pricing
  • Login
    • Learner Login
    • Educator Login
  • shopping cart icon
Skip to main content
June 21, 2022

Free Sample FNP Practice Questions

Written By: The TrueLearn Team | Share:

See why TrueLearn is a trusted resource for thousands of medical students and residents. We understand that it’s all about the content. That’s why we have high-yield family nurse practitioner practice questions written and screened by high-performing physician authors, which are updated on a regular basis to ensure our SmartBanks stay up-to-date with exam blueprint changes. Below is a free FNP sample question so you can see what we mean.

Your First Free FNP Practice Question

A 4-year-old boy presents to the office with a chief complaint of fever for 6 days. Except for the fever, the patient had been asymptomatic until the development of “bloodshot eyes” 1 day ago. His father indicates that the patient has no past medical problems. Vital signs show a temperature of 103.2°F. Physical examination reveals right-sided cervical lymphadenopathy; painful induration on the soles of both feet with associated edema; and a diffuse, maculopapular, erythematous rash on the trunk. Laboratory analysis reveals an erythrocyte sedimentation rate of 107 mm/hr.

Which of the following is the most likely diagnosis?

  • A) Acute rheumatic fever
  • B) Kawasaki disease
  • C) Rocky Mountain spotted fever
  • D) Staphylococcal scalded skin syndrome
  • E) Stevens-Johnson syndrome

The Answer and Explanation

The correct answer is: B

The differential diagnosis for a child with a history of fever and skin manifestations is extensive. Careful history and physical examination can help to quickly narrow the differential and formulate a diagnosis. Kawasaki disease is diagnosed based on clinical criteria as follows:

  • Fever, usually greater than 102 °F, for at least 5 days
  • At least 4 of the following:
    • Oral mucosal changes
    • Bilateral conjunctival injection
    • Cervical lymphadenopathy
    • Swelling or redness of the extremities
    • Polymorphous rash.

Treatment includes an initial single dose of intravenous immunoglobulin (2 g/kg) and high-dose aspirin (80–100 mg/kg/day, divided into 4 doses). Complications of Kawasaki disease include ischemic heart disease, coronary artery aneurysms, and sudden death.

a series of closeups on different areas of the body that demonstrate kawasaki symptoms from an FNP practice question
Illustration © TrueLearn, LLC

Answer A: Acute rheumatic fever is a clinical sequelae of infection associated with group A streptococci that presents with cardiomegaly, friction rub due to pericarditis, heart murmur, and congestive heart failure. It is diagnosed using the Jones Criteria.

Answer C: Rocky Mountain spotted fever is a tickborne illness caused by Rickettsia rickettsii, that leads to sudden spiking fever, headache, myalgias, weakness, and confusion. A rash on the extremities spreading centrally to the trunk is a hallmark of the disease.

Answer D: Staphylococcal scalded skin syndrome produces bullous lesions causing cleavage of the stratum corneum. It is diagnosed clinically by way of Nikolsky’s sign, whereby gentle pressure on the lesion causes rupture of the bullae and reveals underlying skin.

Answer E: Stevens-Johnson syndrome is associated with a wide variety of infections (e.g., mycoplasma) or drug allergies. It leads to severe mucosal erosions and high fever; severe bullous erythema multiforme is sometimes seen.

Bottom Line

Kawasaki disease is indicated by fever, usually greater than 102 °F, for at least 5 days; and at least 4 of 5 of the following: 1) oral mucosal changes, 2) bilateral conjunctival injection, 3) cervical lymphadenopathy, 4) swelling or redness of the extremities, and 5) polymorphous rash.

For more information, see:

  • Kliegman T, St. Geme, J, eds. Nelson Textbook of Pediatrics. 21st ed. Chapter 191: Kawasaki Disease. Philadelphia, PA; Elsevier Inc., 2020.
  • Saguil A, Fargo M. Diagnosis and management of Kawasaki disease. Am Fam Physician. 2015;91(6):365-71.
  • Sundel R. Kawasaki disease: clinical features and diagnosis. TePas E, ed. UpToDate. Waltham, MA.

Get More Free FNP Questions

Ready for another free practice question? Check out the free TrueLearn SmartBank trial. Then whenever you’re ready, take a look at our subscriptions.

Free FNP Trial

Learn More

Related Content

Fight Nurse Practitioner Student Attrition with Audio-Visual Mnemonics and Data-driven Assessment Tools
paper iconEducator Whitepaper

Fight Nurse Practitioner Student Attrition with Audio-Visual...

Nurse Practitioner

Audio-Visual Mnemonics Is the Future of Nurse Practitioner Education and Success. Here’s Why.
pencil and paper iconEducator Blog

Audio-Visual Mnemonics Is the Future of Nurse Practitioner E...

Nurse Practitioner

Five Ways to Accelerate Nurse Practitioner Students’ Education
pencil and paper iconEducator Blog

Five Ways to Accelerate Nurse Practitioner Students’ Educa...

Nurse Practitioner

Subscribe to TrueLearn's Newsletter

Truelearn White Logo
Products SmartBanks Institutions Company Become a TrueLearn
Ambassador
Resource Library
Help
Contact Support Learner Support FAQ Careers
Legal
Terms of Use Privacy Policy Platform Status
Sign up for TrueLearn's Newsletter

Be the first to know about promotions, events, and more.

This field is for validation purposes and should be left unchanged.
  • https://www.facebook.com/truelearn/
  • https://www.instagram.com/truelearn/
  • https://linkedin.com/company/truelearn/
  • https://www.youtube.com/channel/UCP58YiGA4gHG-jFd2MCff5g
  • https://twitter.com/TrueLearnLLC
  • https://www.pinterest.com/truelearn/
  • https://www.tiktok.com/@true.learn

Copyright © 2023 TrueLearn, LLC.