An FNP is assessing a 6-year-old with a sore throat, fever, and tonsillar exudate but no cough. Using the Centor criteria, which additional finding would increase the likelihood of streptococcal pharyngitis?
A. Clear rhinorrhea.
B. Conjunctivitis.
C. Diffuse maculopapular rash present for 3 days prior to the sore throat.
D. Tender anterior cervical lymphadenopathy.
Source: AANPCB 2024 FNP Certification Exam Content Outline; category: assessment/pharyngitis-evaluation
A patient presents with unilateral red eye, purulent discharge, and eyelids matted shut in the morning. Visual acuity is unaffected. This presentation is most consistent with:
A. Acute angle-closure glaucoma.
B. Bacterial conjunctivitis.
C. Retinal detachment.
D. Optic neuritis.
Source: AANPCB 2024 FNP Certification Exam Content Outline; category: assessment/eye-exam
A sexually active patient presents with dysuria, urethral discharge, and a positive nucleic acid amplification test (NAAT) for Neisseria gonorrhoeae. The correct diagnosis is:
A. Gonococcal urethritis.
B. Non-gonococcal urethritis exclusively.
C. Interstitial cystitis.
D. Benign prostatic hyperplasia.
Source: AANPCB 2024 FNP Certification Exam Content Outline; category: diagnosis/std-diagnosis
An FNP is examining a 4-week-old infant and auscultates a harsh systolic murmur at the left lower sternal border. What is the most appropriate next step?
A. Refer the infant to pediatric cardiology for echocardiographic evaluation.
B. Reassure the parents that all murmurs in infants are innocent and require no follow-up.
C. Prescribe a beta-blocker empirically before further workup.
D. Delay evaluation until the infant's 6-month well visit.
Source: AANPCB 2024 FNP Certification Exam Content Outline; category: assessment/pediatric-cardiac-exam
A 68-year-old patient presents with new-onset unilateral facial droop, arm weakness, and slurred speech that began 45 minutes ago. What is the FNP's priority action?
A. Schedule outpatient neurology follow-up within one week.
B. Activate emergency medical services for immediate transfer to a stroke-capable facility.
C. Prescribe aspirin and send the patient home to rest.
D. Order outpatient MRI to be completed within 72 hours.
Source: AANPCB 2024 FNP Certification Exam Content Outline; category: assessment/acute-stroke-recognition
