Free practice quiz
FNP-BC / FNP-C Prep Course (FNP): free quiz
10 questions from the program. See your score right away, then unlock the explanation of every answer.
- Question 1 of 10A 28-year-old teacher presents for an annual visit. BP is 118/74 mm Hg, BMI 29 kg/m2, and she reports drinking sugar-sweetened beverages daily and walking rarely. Fasting glucose last year was normal. She asks what step would best lower her future risk for type 2 diabetes. Which action is the priority recommendation?
C is correct: This is primary prevention because it reduces risk before disease develops. Using the nursing process, the FNP prioritizes modifiable risk reduction such as exercise, nutrition change, and weight management.
A is incorrect: Screening may be appropriate by risk-based guidelines, but ordering a diagnostic test is not the best risk-lowering action asked in the stem.
D is incorrect: Surveillance alone does not reduce risk and is a lower-priority action than behavior change.
B is incorrect: Retinopathy screening is tertiary/complication-focused care for established diabetes, not primary prevention.
Priority framework
Nursing Priority: ASSESS modifiable metabolic risk factors first. INTERVENE with lifestyle counseling and shared goal setting. DELEGATE reinforcement of diet/activity education as appropriate per team roles. ESCALATE if screening suggests prediabetes or diabetes requiring further management. - Question 2 of 10A 50-year-old woman with no breast symptoms presents for annual care. She has average risk, normal exam findings, and asks why screening is done when she feels well. Which explanation best describes the goal of screening mammography?
D is correct: Screening mammography is secondary prevention. The nursing explanation should emphasize early detection in asymptomatic patients, not a guarantee of prevention.
A is incorrect: Weight management is primary prevention, not the purpose of mammography.
C is incorrect: Rehabilitation after surgery is tertiary prevention.
B is incorrect: Screening lowers mortality through earlier detection but does not guarantee prevention or perfect sensitivity.
Priority framework
Nursing Priority: ASSESS age, risk, and screening history first. INTERVENE with clear education about benefits, limits, and shared decision-making. DELEGATE scheduling and reminder outreach when available. ESCALATE abnormal imaging or concerning symptoms for prompt diagnostic follow-up. - Question 3 of 10A 22-year-old man with no symptoms asks whether a test with very high specificity is always the best first screening test. What is the best explanation?
Why this is correct
Option D is correct. Screening often favors sensitivity to catch more potential cases, while follow-up diagnostic tests may add specificity to confirm disease. The nursing process distinguishes case finding from diagnosis and helps explain why no single property is universally “best.”
ASSESS the patient’s understanding of test purpose and risk level. INTERVENE by explaining that screening and diagnosis serve different functions. DELEGATE educational handouts as appropriate, but clinician explanation remains important. ESCALATE if the patient has symptoms requiring diagnostic workup rather than screening discussion.
Why the other options are incorrect
A overstates specificity and ignores missed disease. A is false because sensitivity and specificity are distinct properties. B is incorrect because specificity clearly matters in test interpretation.
- Question 4 of 10A 40-year-old man with no symptoms asks whether a screening test with high sensitivity helps because he heard it creates too many false alarms. What is the best explanation?
Why this is correct
Option D is correct. Highly sensitive tests are valuable for screening because they miss fewer true cases; therefore, a negative result is more reassuring. Although sensitivity can come with more false positives, that tradeoff may be acceptable in initial screening. The priority is safe early detection.
ASSESS the patient’s understanding of screening goals and risk status. INTERVENE with simple teaching on why screening often prioritizes sensitivity, then uses diagnostic follow-up for confirmation. DELEGATE written teaching aids as appropriate. ESCALATE if symptoms are present, since diagnostic evaluation may be needed instead of screening.
Why the other options are incorrect
A is incorrect because sensitivity does not eliminate false positives. A undermines the purpose of screening. C is incorrect because sensitivity is especially important before confirmation.
- Question 5 of 10A 17-year-old presents for a sports physical. BMI is at the 92nd percentile. The adolescent reports fast food most days, minimal exercise, and 5 hours of sleep nightly due to gaming. Which counseling focus is the best priority?
C is correct because adolescent counseling works best when it is developmentally appropriate, collaborative, and focused on readiness to change. Involving supportive family members improves follow-through.
A is incorrect because unilateral rule-setting may increase resistance. B is incorrect because sleep, diet, and activity are all relevant to weight and cardiometabolic health. D is incorrect because prevention counseling should begin now rather than waiting for disease.
ASSESS the adolescent’s own goals, sleep, diet, activity, mood, and family context first. INTERVENE with one achievable youth-centered goal and family-supported follow-up. DELEGATE routine measurements and screening collection as allowed. ESCALATE if there are signs of eating disorder, severe depression, or unsafe home dynamics. - Question 6 of 10A healthy 12-month-old child is scheduled for MMR and varicella today. The parent asks whether these vaccines are live or inactivated and why that matters. Which response is most accurate?
D is incorrect: MMR and varicella are not inactivated, and screening for immune compromise remains important.
C is incorrect: Varicella is also a live attenuated vaccine, and the stated separation rule is inaccurate.
B is correct: The nursing priority is safe screening; both vaccines are live attenuated, so contraindications and precautions such as severe immunosuppression or pregnancy matter.
A is incorrect: These are not toxoid vaccines, and some antibody-containing products can affect live vaccine timing.
Assess immune status, pregnancy risk in age-appropriate patients, and recent antibody products first. Intervene by giving live vaccines only when screening is clear. Delegate routine post-vaccine monitoring support as permitted, but contraindication screening and education stay with the licensed clinician. Escalate if immune suppression or recent immune globulin is reported. - Question 7 of 10A healthy 12-month-old child received MMR today during a well visit. The parent asks when the second routine MMR dose is typically scheduled if no catch-up need arises. Which response is most accurate?
C is correct: The routine 2-dose MMR schedule gives the first dose at 12 to 15 months and the second at 4 to 6 years.
A is incorrect: Fifteen months is not the standard routine timing for the second MMR dose.
D is incorrect: Eighteen months is also not the routine schedule for dose two in a child following the standard series.
B is incorrect: Waiting until 11 to 12 years would miss the routine school-entry timing.
Assess parent understanding of follow-up timing first. Intervene by teaching the routine schedule clearly before the family leaves. Delegate reminder enrollment or appointment scheduling as permitted, but vaccine education remains with the licensed clinician. Escalate if travel, outbreak exposure, or catch-up needs alter standard timing. - Question 8 of 10A 15-year-old presents for sports clearance. The record shows no Tdap dose at age 11 to 12 years, but childhood DTaP series was completed. Which immunization action is the best priority today?The priority is closing a routine adolescent immunization gap. Option C is correct because adolescents should receive a Tdap booster at 11 to 12 years if not previously given. Option A is incorrect because the childhood DTaP series does not replace the adolescent Tdap booster. Option D is incorrect because routine vaccination should not wait for injury. Option B is incorrect because Tdap is specifically used for the adolescent booster.Assess prior DTaP and Tdap documentation and current contraindications. Intervene by updating the missed adolescent booster during the visit. Delegate school form completion if appropriate. Escalate for prior neurologic reaction or severe vaccine allergy history.
- Question 9 of 10A 68-year-old adult presents for routine primary care in October. History includes well-controlled hypertension. They ask which vaccine should be given every year because protection changes with circulating strains. Lungs are clear, temperature is normal, and there is no acute illness. What is the priority recommendation?
C is correct: By the nursing process, implement indicated prevention after confirming no acute contraindication. Influenza vaccination is recommended annually because strains and vaccine formulation change.
B is incorrect: Pneumococcal vaccination may be indicated based on prior history and current guidance, but it is not the routine annual vaccine.
D is incorrect: Recombinant zoster vaccine is age-based and given as a 2-dose series, not yearly.
A is incorrect: Stable findings support vaccination rather than delay. Deferring without reason misses prevention.
Assess first for age, vaccine history, allergies, and acute moderate or severe illness. Intervene by giving the indicated seasonal influenza vaccine. Delegate routine post-vaccine observation tasks per policy, but vaccine screening and counseling remain with the licensed clinician. Escalate immediately for anaphylaxis history requiring clarification or any acute severe reaction. - Question 10 of 10A 73-year-old adult on chronic prednisone for polymyalgia rheumatica asks whether vaccines still matter because the medication weakens immunity. They have no fever and feel well today. Which response is best?
A is correct: Priority teaching is that immunocompromise often increases infection risk, making vaccination planning important. Non-live vaccines remain indicated in many situations, though timing may need review.
C is incorrect: It is unsafe and inaccurate to say all vaccines are ineffective or prohibited.
B is incorrect: Medication changes should not be made casually without coordinating care.
D is incorrect: Waiting indefinitely may leave the patient vulnerable to preventable infection.
Assess first for immunosuppressive dose, duration, and vaccine type. Intervene by recommending indicated non-live vaccines and coordinating timing as needed. Delegate appointment coordination, but counseling on contraindications and timing remains with the licensed clinician. Escalate to the specialist if immune suppression intensity creates uncertainty about vaccine timing.
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