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NR603 Week 4: FNP Pre-Diagnostic Exam

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NR603 Week 4: FNP Pre-Diagnostic Exam (Sept 2026)

Question 1

A 36-year-old started lisinopril for hypertension 2 weeks ago. BP improved but creatinine rose 35% from baseline. What is the best action?

○ Diagnose ACE inhibitor allergy

○ Evaluate for excessive renal function decline and contributing causes ✅

○ Continue unchanged because any rise is acceptable

○ Add potassium supplement automatically

Question 2

A 44-year-old has colicky flank pain radiating to the groin, nausea, and microscopic hematuria. What is the likely diagnosis?

○ Acute prostatitis

○ Nephrolithiasis ✅

○ Renal cell carcinoma by default

○ Interstitial cystitis

Question 3

An 8-year-old has periorbital edema, cola-colored urine, hypertension, and low C3 after a recent impetigo infection. What is the most likely diagnosis?

○ Nephrolithiasis

○ Poststreptococcal glomerulonephritis ✅

○ Minimal change disease

○ IgA nephropathy

Question 4

A 54-year-old taking hydrochlorothiazide has muscle cramps. BMP shows potassium 3.1 mEq/L. What is the likely medication-related issue?

○ Thiazide-associated hypokalemia ✅

○ ACE inhibitor angioedema

○ Beta-blocker toxicity

○ Statin-induced hepatitis

Question 5

A 45-year-old has heavy regular menses with pelvic pressure and enlarged irregular uterus. What diagnosis should be assessed?

○ Ectopic pregnancy

○ Ovarian torsion

○ Pelvic inflammatory disease only

○ Uterine leiomyomas ✅

Question 76

A 40-year-old has moderate major depression without psychosis or active suicidal intent. What first-line treatment is appropriate?

○ Antipsychotic depot injection as first-line
○ No follow-up after diagnosis
○ Psychotherapy and/or SSRI/SNRI based on shared decision-making ✅
○ Long-term benzodiazepine monotherapy

Question 77

A 74-year-old woman has hypercalcemia, kidney stones, constipation, and elevated parathyroid hormone. What is the likely diagnosis?

○ Primary hyperparathyroidism ✅
○ SIADH
○ Addison disease
○ Hypoparathyroidism

Question 78

A 26-year-old has fever, posterior cervical lymphadenopathy, pharyngitis, and splenomegaly. Heterophile antibody test is positive. What is the diagnosis?

○ Infectious mononucleosis ✅
○ Mumps orchitis
○ Acute bacterial sinusitis
○ Pertussis

Question 79

A 2-year-old has barking cough and inspiratory stridor only when agitated. Oxygen saturation is 97%. Which assessment finding would suggest severe disease?

○ Low-grade fever
○ Stridor at rest with retractions ✅
○ Hoarse voice
○ Cough worse at night

Question 80

A 2-year-old treated for constipation with polyethylene glycol returns in 2 weeks with soft daily stools and less withholding. What should the NP do?

○ Switch to stimulant laxative only
○ Continue maintenance therapy and reinforce toileting routine ✅
○ Order colonoscopy
○ Stop therapy immediately

Question 149

A 66-year-old asks about pneumococcal vaccination. What should guide the recommendation?

○ Current age, vaccine history, and risk-based pneumococcal schedule ✅
○ Only childhood vaccine history is relevant
○ Give antibiotics instead of vaccination
○ Avoid all pneumococcal vaccines after age 65

Question 150

A 22-year-old has recurrent unilateral throbbing headaches with nausea, photophobia, and visual aura. Neuro exam is normal. Which history point is most important before prescribing therapy?

○ Presence of tension headaches
○ Pregnancy possibility and contraindications to migraine medications ✅
○ Presence of unilateral stabbing eye pain
○ History of trigeminal neuralgia……………………………………….purchase all the 150 questions and answers at $99 only