NURS 5432 FNP I Midterm (PDF) | (2026) Family
Nurse Practitioner Questions | FNP
1. A 58-year-old male presents with a complaint of chest
pressure when shoveling snow. The pain radiates to his
left jaw and subsides with rest. What is the most likely
diagnosis?
A) Musculoskeletal chest pain
B) Stable angina
C) Pericarditis
D) Gastroesophageal reflux disease (GERD)
1
,Answer: B
Rationale: Stable angina is triggered by physical
exertion (cold weather increases afterload) and relieved
by rest. Radiation to the jaw is classic for cardiac origin.
2. During a cardiac exam, you hear a medium-pitched,
harsh systolic murmur at the right upper sternal border
that radiates to the carotids. This is most consistent with:
A) Mitral regurgitation
B) Aortic stenosis
C) Ventricular septal defect
D) Pulmonic stenosis
2
,Answer: B
Rationale: Aortic stenosis murmur is classically harsh,
systolic, at the 2nd right intercostal space (aortic area),
radiating to the neck.
3. A 45-year-old female reports fatigue, hair loss, and
cold intolerance. On exam, she has a delayed relaxation
phase of deep tendon reflexes. What is the next best
step?
A) Order a TSH and free T4
B) Begin levothyroxine empirically
C) Order a thyroid ultrasound
3
, D) Check a cortisol level
Answer: A
Rationale: Symptoms and reflex finding suggest
hypothyroidism. TSH and free T4 confirm the diagnosis
before treatment.
4. Which of the following is a normal finding in a
newborn hip exam?
A) Ortolani sign
B) Barlow sign
C) Asymmetric gluteal folds
4
Nurse Practitioner Questions | FNP
1. A 58-year-old male presents with a complaint of chest
pressure when shoveling snow. The pain radiates to his
left jaw and subsides with rest. What is the most likely
diagnosis?
A) Musculoskeletal chest pain
B) Stable angina
C) Pericarditis
D) Gastroesophageal reflux disease (GERD)
1
,Answer: B
Rationale: Stable angina is triggered by physical
exertion (cold weather increases afterload) and relieved
by rest. Radiation to the jaw is classic for cardiac origin.
2. During a cardiac exam, you hear a medium-pitched,
harsh systolic murmur at the right upper sternal border
that radiates to the carotids. This is most consistent with:
A) Mitral regurgitation
B) Aortic stenosis
C) Ventricular septal defect
D) Pulmonic stenosis
2
,Answer: B
Rationale: Aortic stenosis murmur is classically harsh,
systolic, at the 2nd right intercostal space (aortic area),
radiating to the neck.
3. A 45-year-old female reports fatigue, hair loss, and
cold intolerance. On exam, she has a delayed relaxation
phase of deep tendon reflexes. What is the next best
step?
A) Order a TSH and free T4
B) Begin levothyroxine empirically
C) Order a thyroid ultrasound
3
, D) Check a cortisol level
Answer: A
Rationale: Symptoms and reflex finding suggest
hypothyroidism. TSH and free T4 confirm the diagnosis
before treatment.
4. Which of the following is a normal finding in a
newborn hip exam?
A) Ortolani sign
B) Barlow sign
C) Asymmetric gluteal folds
4
