1
FNP 652 / FNP 6552 Midterm Exam Actual Exam
2026/2027 | Family Primary Care I | GCU | Questions
with Verified Answers | 100% Correct | Pass
Guaranteed
Actual Exam Questions & Verified Answers (2026/2027)
Cardiovascular & Hypertension
Q001: A healthy 16-year-old female presents for a routine sports physical. She
denies chest pain, syncope, or palpitations; family history is negative for sudden
cardiac death. HR 62 bpm, BP 108/68 mmHg. Which screening tool is
recommended by AHA/ACC 2026 guidelines for risk stratification before sports
participation?
A. 12-lead ECG for all adolescents
B. Echocardiography
C. AHA 14-point cardiovascular screening history and physical
D. Exercise stress testing
Answer-: C. AHA 14-point cardiovascular screening history and physical
Q002: A 42-year-old man presents for an annual physical. BP 148/92 mmHg on
two occasions, no comorbidities. According to ACC/AHA 2023 (2026 update)
guidelines, what is the correct BP classification and initial management?
A. Elevated BP; lifestyle only
B. Stage 1 hypertension; lifestyle ± pharmacologic therapy
C. Stage 2 hypertension; two-drug therapy immediately
D. White-coat hypertension; reassess in 1 year
,2
Answer-: B. Stage 1 hypertension; lifestyle ± pharmacologic therapy
Q003: A healthy 65-year-old woman asks about aspirin for primary CVD
prevention. She has no diabetes, BP 128/78 mmHg, LDL 140 mg/dL, ASCVD risk
8%. Per USPSTF 2026, what is recommended?
A. Aspirin 81 mg daily
B. Aspirin 325 mg daily
C. Individual risk discussion; consider 81 mg if age 40-70 and risk ≥10%
D. No aspirin; start statin only
Answer-: C. Individual risk discussion; consider 81 mg if age 40-70 and risk ≥10%
Q004: Which antihypertensive medication is contraindicated during pregnancy?
A. Labetalol
B. Methyldopa
C. Hydralazine
D. Lisinopril
Answer-: D. Lisinopril
Rationale: ACE inhibitors like lisinopril are teratogenic and can cause fetal renal
damage and death. Labetalol, methyldopa, and hydralazine are preferred during
pregnancy .
Q005: What is the primary physiological cause of systolic heart failure?
A. Impaired ventricular filling
B. Increased afterload
C. Impaired ventricular contraction (reduced ejection fraction)
D. Excessive preload
Answer-: C. Impaired ventricular contraction (reduced ejection fraction)
Rationale: Systolic heart failure (HFrEF) results from weakened contraction
leading to inadequate cardiac output .
,3
Women's Health & Contraception
Q006: A 35-year-old woman requests contraception. She has migraine with aura
and smokes ½ pack per day. BP 118/76 mmHg. Which contraceptive method is
contraindicated?
A. Copper intrauterine device
B. Combined oral contraceptive pill
C. Depot medroxyprogesterone acetate
D. Progestin-only pill
Answer-: B. Combined oral contraceptive pill
Q007: A 28-year-old G2P1 at 16 weeks gestation presents for prenatal visit. She
asks about Down-syndrome screening. Which screening option is recommended
first-line in 2026?
A. Chorionic villus sampling at this visit
B. Cell-free DNA (NIPT) any time after 10 weeks
C. Amniocentesis today
D. No screening needed until 24 weeks
Answer-: B. Cell-free DNA (NIPT) any time after 10 weeks
Pulmonary & Respiratory
Q008: A patient with COPD presents with increased dyspnea and purulent
sputum. Which antibiotic is most appropriate for outpatient management?
A. Azithromycin
B. Vancomycin
C. Ciprofloxacin (IV)
D. Ceftriaxone (IV)
Answer-: A. Azithromycin
, 4
Rationale: Azithromycin is a common outpatient choice for acute COPD
exacerbations with suspected bacterial infection due to its coverage of typical
pathogens and anti-inflammatory properties .
Q009: Which of the following findings is most consistent with bacterial
pneumonia rather than viral pneumonia?
A. Diffuse interstitial infiltrates on chest X-ray
B. Productive cough with purulent sputum
C. Gradual onset of low-grade fever
D. Normal white blood cell count
Answer-: B. Productive cough with purulent sputum
Rationale: Bacterial pneumonia typically presents with an acute onset, high fever,
and productive cough with purulent sputum. Viral pneumonia often causes
nonproductive cough and diffuse interstitial infiltrates .
Q010: An adult with community-acquired pneumonia should be prescribed
which of the following as initial outpatient therapy if otherwise healthy?
A. Levofloxacin
B. Azithromycin
C. Ceftriaxone plus doxycycline
D. Piperacillin-tazobactam
Answer-: B. Azithromycin
Rationale: Azithromycin (a macrolide) is appropriate first-line therapy for
otherwise healthy adults with community-acquired pneumonia due to its
coverage of typical and atypical pathogens .
Endocrine & Metabolic
FNP 652 / FNP 6552 Midterm Exam Actual Exam
2026/2027 | Family Primary Care I | GCU | Questions
with Verified Answers | 100% Correct | Pass
Guaranteed
Actual Exam Questions & Verified Answers (2026/2027)
Cardiovascular & Hypertension
Q001: A healthy 16-year-old female presents for a routine sports physical. She
denies chest pain, syncope, or palpitations; family history is negative for sudden
cardiac death. HR 62 bpm, BP 108/68 mmHg. Which screening tool is
recommended by AHA/ACC 2026 guidelines for risk stratification before sports
participation?
A. 12-lead ECG for all adolescents
B. Echocardiography
C. AHA 14-point cardiovascular screening history and physical
D. Exercise stress testing
Answer-: C. AHA 14-point cardiovascular screening history and physical
Q002: A 42-year-old man presents for an annual physical. BP 148/92 mmHg on
two occasions, no comorbidities. According to ACC/AHA 2023 (2026 update)
guidelines, what is the correct BP classification and initial management?
A. Elevated BP; lifestyle only
B. Stage 1 hypertension; lifestyle ± pharmacologic therapy
C. Stage 2 hypertension; two-drug therapy immediately
D. White-coat hypertension; reassess in 1 year
,2
Answer-: B. Stage 1 hypertension; lifestyle ± pharmacologic therapy
Q003: A healthy 65-year-old woman asks about aspirin for primary CVD
prevention. She has no diabetes, BP 128/78 mmHg, LDL 140 mg/dL, ASCVD risk
8%. Per USPSTF 2026, what is recommended?
A. Aspirin 81 mg daily
B. Aspirin 325 mg daily
C. Individual risk discussion; consider 81 mg if age 40-70 and risk ≥10%
D. No aspirin; start statin only
Answer-: C. Individual risk discussion; consider 81 mg if age 40-70 and risk ≥10%
Q004: Which antihypertensive medication is contraindicated during pregnancy?
A. Labetalol
B. Methyldopa
C. Hydralazine
D. Lisinopril
Answer-: D. Lisinopril
Rationale: ACE inhibitors like lisinopril are teratogenic and can cause fetal renal
damage and death. Labetalol, methyldopa, and hydralazine are preferred during
pregnancy .
Q005: What is the primary physiological cause of systolic heart failure?
A. Impaired ventricular filling
B. Increased afterload
C. Impaired ventricular contraction (reduced ejection fraction)
D. Excessive preload
Answer-: C. Impaired ventricular contraction (reduced ejection fraction)
Rationale: Systolic heart failure (HFrEF) results from weakened contraction
leading to inadequate cardiac output .
,3
Women's Health & Contraception
Q006: A 35-year-old woman requests contraception. She has migraine with aura
and smokes ½ pack per day. BP 118/76 mmHg. Which contraceptive method is
contraindicated?
A. Copper intrauterine device
B. Combined oral contraceptive pill
C. Depot medroxyprogesterone acetate
D. Progestin-only pill
Answer-: B. Combined oral contraceptive pill
Q007: A 28-year-old G2P1 at 16 weeks gestation presents for prenatal visit. She
asks about Down-syndrome screening. Which screening option is recommended
first-line in 2026?
A. Chorionic villus sampling at this visit
B. Cell-free DNA (NIPT) any time after 10 weeks
C. Amniocentesis today
D. No screening needed until 24 weeks
Answer-: B. Cell-free DNA (NIPT) any time after 10 weeks
Pulmonary & Respiratory
Q008: A patient with COPD presents with increased dyspnea and purulent
sputum. Which antibiotic is most appropriate for outpatient management?
A. Azithromycin
B. Vancomycin
C. Ciprofloxacin (IV)
D. Ceftriaxone (IV)
Answer-: A. Azithromycin
, 4
Rationale: Azithromycin is a common outpatient choice for acute COPD
exacerbations with suspected bacterial infection due to its coverage of typical
pathogens and anti-inflammatory properties .
Q009: Which of the following findings is most consistent with bacterial
pneumonia rather than viral pneumonia?
A. Diffuse interstitial infiltrates on chest X-ray
B. Productive cough with purulent sputum
C. Gradual onset of low-grade fever
D. Normal white blood cell count
Answer-: B. Productive cough with purulent sputum
Rationale: Bacterial pneumonia typically presents with an acute onset, high fever,
and productive cough with purulent sputum. Viral pneumonia often causes
nonproductive cough and diffuse interstitial infiltrates .
Q010: An adult with community-acquired pneumonia should be prescribed
which of the following as initial outpatient therapy if otherwise healthy?
A. Levofloxacin
B. Azithromycin
C. Ceftriaxone plus doxycycline
D. Piperacillin-tazobactam
Answer-: B. Azithromycin
Rationale: Azithromycin (a macrolide) is appropriate first-line therapy for
otherwise healthy adults with community-acquired pneumonia due to its
coverage of typical and atypical pathogens .
Endocrine & Metabolic
