1|Page
FNP III Final Exam PRACTICE EXAM (Georgetown
University) NEWEST 2026/ 2027 TEST BANK| COMPLETE
550 REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| FNP III FINAL EXAM
PREP (BRAND NEW!!)
A patient is diagnosed with mild to moderate ulcerative colitis. Which of
the following medications is NOT typically prescribed for this condition?
A. Sulfasalazine (Azulfidine)
B. Infliximab (Remicade)
C. Pantoprazole (Protonix)
D. Azothiaprine (Imuran) ......ANSWER......C. Pantoprazole (Protonix)
Pantoprazole is a proton pump inhibitor (PPI) used to reduce stomach
acid in conditions like GERD, peptic ulcer disease, and gastritis.It is not
part of the standard treatment for ulcerative colitis (UC), which is an
inflammatory bowel disease affecting the colon.
What is the most common cause of failue to thrive in the pediatric
population?
A. Inflammatory Bowel Disease (IBD).
B. Gastrointestinal malabsorption disorders.
C. Inadequate caloric intake.
D. Food allergies. ......ANSWER......C. Inadequate caloric intake.
,2|Page
A 50 year old male with alcoholism presents with sudden onset
epigastric pain, nausea and vomiting after a weekend of binge drinking.
He is tender on exam to the epigastric area. Which of the following
differentials does the NP suspect?
A. Gastroenteritis
B. Helicobacter pylori
C. Acute hepatitis
D. Pancreatitis ......ANSWER......D. Pancreatitis
A 50-year-old male with alcoholism presenting with sudden severe
epigastric pain, nausea, and vomiting after binge drinking is classic for
acute pancreatitis.
Acute hepatitis: Can cause right upper quadrant discomfort and
jaundice, but pain is usually mild and not sudden or severe like
pancreatitis.
The presentation of Nephrotic Syndrome is typically characterized by
which of the following constellation of signs and symptoms?
A. Hypoalbuminuria, hypotension, and headache.
B. Proteinemia, hypertension, and hematuria.
C. High HDL cholesterol, hyperglycemia, and hypotension.
D. Hypoalbuminemia, proteinuria, and hyperlipidemia.
......ANSWER......D. Hypoalbuminemia, proteinuria, and hyperlipidemia.
Nephrotic Syndrome is characterized by a specific triad of findings due
to increased permeability of the glomerular basement membrane,
leading to excessive protein loss in urine.
,3|Page
Proteinuria (>3.5 g/day) — hallmark feature
Hypoalbuminemia — due to protein loss in urine
Edema — from decreased oncotic pressure
Hyperlipidemia and lipiduria — liver compensates for low albumin by
increasing lipid production
Which of the following is an intrarenal cause of acute kidney injury
(AKI)?
A. Glomerulonephritis.
B. Ureteral stones.
C. Hypovolemia.
D. Heart failure. ......ANSWER......A. Glomerulonephritis.
Prerenal causes - due to decreased blood flow to the kidneys
Examples: Hypovolemia, heart failure, shock, renal artery stenosis
Intrarenal (intrinsic) causes - due to direct damage to kidney tissue
Examples: Glomerulonephritis, acute tubular necrosis, acute
interstitial nephritis
Postrenal causes - due to obstruction of urine outflow
Examples: Ureteral stones, benign prostatic hyperplasia, tumors
Acute Prostatitis is most often caused by which of the following?
A. A systemic viral illness.
B. A prostatic mass/malignancy.
, 4|Page
C. Hypertrophy of the prostate.
D. A bacterial infection. ......ANSWER......D. A bacterial infection.
Acute prostatitis is an infection of the prostate gland that causes
inflammation and urinary symptoms.
It is most often caused by bacteria, typically:
Escherichia coli (E. coli) — the most common pathogen
Sustained proteinuria is the hallmark sign of which of the following?
A. Renal disease.
B. Polycystic Kidney Disease.
C. Diabetes.
D. A high GFR. ......ANSWER......A. Renal disease.
Sustained proteinuria (persistent presence of protein in the urine) is
the hallmark sign of renal disease, indicating damage to the glomeruli
— the filtering units of the kidneys.
When the glomerular basement membrane becomes damaged (as in
glomerulonephritis, diabetic nephropathy, or other kidney disorders),
proteins leak into the urine.
Persistent (sustained) proteinuria — as opposed to transient
proteinuria from fever or exercise — strongly suggests chronic or
ongoing kidney disease.
Which of the following is the greatest risk factor for bladder cancer?
A. History of benign prostatic hypertrophy (BPH).
FNP III Final Exam PRACTICE EXAM (Georgetown
University) NEWEST 2026/ 2027 TEST BANK| COMPLETE
550 REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| FNP III FINAL EXAM
PREP (BRAND NEW!!)
A patient is diagnosed with mild to moderate ulcerative colitis. Which of
the following medications is NOT typically prescribed for this condition?
A. Sulfasalazine (Azulfidine)
B. Infliximab (Remicade)
C. Pantoprazole (Protonix)
D. Azothiaprine (Imuran) ......ANSWER......C. Pantoprazole (Protonix)
Pantoprazole is a proton pump inhibitor (PPI) used to reduce stomach
acid in conditions like GERD, peptic ulcer disease, and gastritis.It is not
part of the standard treatment for ulcerative colitis (UC), which is an
inflammatory bowel disease affecting the colon.
What is the most common cause of failue to thrive in the pediatric
population?
A. Inflammatory Bowel Disease (IBD).
B. Gastrointestinal malabsorption disorders.
C. Inadequate caloric intake.
D. Food allergies. ......ANSWER......C. Inadequate caloric intake.
,2|Page
A 50 year old male with alcoholism presents with sudden onset
epigastric pain, nausea and vomiting after a weekend of binge drinking.
He is tender on exam to the epigastric area. Which of the following
differentials does the NP suspect?
A. Gastroenteritis
B. Helicobacter pylori
C. Acute hepatitis
D. Pancreatitis ......ANSWER......D. Pancreatitis
A 50-year-old male with alcoholism presenting with sudden severe
epigastric pain, nausea, and vomiting after binge drinking is classic for
acute pancreatitis.
Acute hepatitis: Can cause right upper quadrant discomfort and
jaundice, but pain is usually mild and not sudden or severe like
pancreatitis.
The presentation of Nephrotic Syndrome is typically characterized by
which of the following constellation of signs and symptoms?
A. Hypoalbuminuria, hypotension, and headache.
B. Proteinemia, hypertension, and hematuria.
C. High HDL cholesterol, hyperglycemia, and hypotension.
D. Hypoalbuminemia, proteinuria, and hyperlipidemia.
......ANSWER......D. Hypoalbuminemia, proteinuria, and hyperlipidemia.
Nephrotic Syndrome is characterized by a specific triad of findings due
to increased permeability of the glomerular basement membrane,
leading to excessive protein loss in urine.
,3|Page
Proteinuria (>3.5 g/day) — hallmark feature
Hypoalbuminemia — due to protein loss in urine
Edema — from decreased oncotic pressure
Hyperlipidemia and lipiduria — liver compensates for low albumin by
increasing lipid production
Which of the following is an intrarenal cause of acute kidney injury
(AKI)?
A. Glomerulonephritis.
B. Ureteral stones.
C. Hypovolemia.
D. Heart failure. ......ANSWER......A. Glomerulonephritis.
Prerenal causes - due to decreased blood flow to the kidneys
Examples: Hypovolemia, heart failure, shock, renal artery stenosis
Intrarenal (intrinsic) causes - due to direct damage to kidney tissue
Examples: Glomerulonephritis, acute tubular necrosis, acute
interstitial nephritis
Postrenal causes - due to obstruction of urine outflow
Examples: Ureteral stones, benign prostatic hyperplasia, tumors
Acute Prostatitis is most often caused by which of the following?
A. A systemic viral illness.
B. A prostatic mass/malignancy.
, 4|Page
C. Hypertrophy of the prostate.
D. A bacterial infection. ......ANSWER......D. A bacterial infection.
Acute prostatitis is an infection of the prostate gland that causes
inflammation and urinary symptoms.
It is most often caused by bacteria, typically:
Escherichia coli (E. coli) — the most common pathogen
Sustained proteinuria is the hallmark sign of which of the following?
A. Renal disease.
B. Polycystic Kidney Disease.
C. Diabetes.
D. A high GFR. ......ANSWER......A. Renal disease.
Sustained proteinuria (persistent presence of protein in the urine) is
the hallmark sign of renal disease, indicating damage to the glomeruli
— the filtering units of the kidneys.
When the glomerular basement membrane becomes damaged (as in
glomerulonephritis, diabetic nephropathy, or other kidney disorders),
proteins leak into the urine.
Persistent (sustained) proteinuria — as opposed to transient
proteinuria from fever or exercise — strongly suggests chronic or
ongoing kidney disease.
Which of the following is the greatest risk factor for bladder cancer?
A. History of benign prostatic hypertrophy (BPH).
