LATEST UPDATED FNP TEST QUESTIONS

LATEST UPDATED FNP TEST QUESTIONS

WITH CORRECT ANSWERS GRADED

100% PASS ACTUAL EXAM

A 73-year-old male who is a smoker has a BMI of 28 and his newly diagnosed with primary hypertension. He has a history of emphysema and second-degree AV block. His blood pressure from the previous visit is 145/80 mmHg. During the current visit, his blood pressure is 155/80 mmHg. What is the next step?

• Start patient on atenolol 50 mg once a day and reassess in

three months

• Start patient on felodipine 2.5 mg once a day and reassess in

two months

• Start patient on chlorthalidone 12.5 mg daily and reassess in

one month

• No medication is needed at this time Correct Answer C. Start

patient on chlorthalidone 12.5 mg daily and reassess in one month

All of the following ethnic groups are at higher risk for heart

disease, except:

• Mexican Americans
• African-Americans
• East Asians
• Europeans Correct Answer D. Europeans

What is the most common cause of death for people with DM?

• Unintentional injuries or accidents
• Pancreatic cancer
• Heart disease
• Hypoglycemia Correct Answer C. Heart disease 1 / 4

The best screening test for both hyperthyroidism and

hypothyroidism is:

• Free T4 (thyroxine)
• Thyroid stimulating hormone
• Thyroid profile
• Palpation of the thyroid gland Correct Answer B. Thyroid

stimulating hormone

A male patient has type two diabetes mellitus and a " sensitive stomach". Which medication is least likely to cause him gastrointestinal distress?

• Naproxen sodium
• Aspirin
• Erythromycin
• Sucralfate Correct Answer D. Sucralfate

An obese Asian patient with a BMI of 33 complaints of fatigue and excessive thirst and hunger. You suspect type two diabetes

mellitus. Initial testing to confirm diagnosis can include:

• Fasting plasma glucose level
• Glycated hemoglobin level (A1C)
• Oral glucose tolerance testing
• All of the above Correct Answer D. All of the above

Which one of the following findings is associated with diabetic retinopathy?

• AV nicking
• Copper wire arterioles
• Flame shaped hemorrhages
• Microaneurysms Correct Answer D. Microaneurysms 2 / 4

A 30 year old woman with type two diabetes uses regular and intermediate acting insulin in the morning and evening. She denies changes in her diet or any illness, but she recently started attending aerobic classes in the afternoon. Our fasting blood glucose level before breakfast is now elevated. Which of the following is best described?

• Somogyi phenomenon
• Dawn phenomenon
• Raynaud's phenomenon
• Insulin resistance Correct Answer A. Somogyi phenomenon

Which of the following best describes Cullen's sign?

• Cessation of inspiration upon deep palpation of the RUQ of the

abdomen

• Bruising around the periumbilical area of the abdomen
• Deep palpation of the LLQ of the abdomen that causes pain to

radiate to the RLQ

• Blue-black discoloration that is located on the right flank of the

trunk Correct Answer B. Bruising around the periumbilical area of the abdomen

Which of the following is the screening test for hepatitis C virus

(HCV)?

• Anti-HCV
• HBsAg
• Anti-HAV
• HCV RNA polymerase chain reaction (PCR) Correct Answer
• Anti-HCV

Which of the following is indicative of gallbladder Inflammation?

• / 4

• Rovsing's maneuver
• Rebound tenderness
• Murphy's maneuver
• McMurrays maneuver Correct Answer C. Murphy's maneuver

A 45 year old female with a BMI of 28 complaints of intermittent burning epigastric pain over the past few months. It is worse at night, especially after a heavy or spicy meal. She goes to sleep about two hours after eating. The pain is partially relieved by antacids or not at all. She's not a smoker and denies radiation of pain to neck, arms, or jaw; diaphoresis; and dyspnea. What is the next step?

• Order a 12 lead EKG
• Prescribe a proton pump inhibitor
• Recommend to stop eating four hours and avoid spicy or

heavy meals before bedtime, as well as lose weight

• Schedule a fasting lipid profile, including cholesterol, low

density lipoprotein, high density lipoprotein, and triglycerides Correct Answer C. Recommend to stop eating four hours and avoid spicy or heavy meals before bedtime, as well as lose weight

A 13 year old middle school student reports that he does not feel like eating and that his stomach has bothered him for the past 24 hours. He states that last night, the middle of his stomach around the umbilicus hurt and then the pain moved to the right lower side of his abdomen. His temperature is 100.8°F, Pulse is 90 bpm, respiratory rate is 20 breaths per minute, and blood pressure is 110/60 4 mmHg. During abdominal exam, the patient has RLQ abdominal tenderness without rebound. Rovsing's sign is negative. Which of the following is the most helpful clue in the patient's diagnosis?

• The manner in which the pain involved
• The patient's vital signs
• / 4