NSG 554 EXAM 1 (WILKES) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG554 FNP EXAM 1 REVIEW
WITH COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
SECTION 1: INFECTIOUS DISEASE (Questions 1–20)
1. A 45-year-old female presents with a 3-day history of fever, chills, and a
productive cough with green sputum. Chest X-ray reveals a right lower lobe
infiltrate. What is the most likely causative organism?
• A) Streptococcus pneumoniae
• B) Mycoplasma pneumoniae
• C) Haemophilus influenzae
• D) Legionella pneumophila
2. Which of the following is the most appropriate outpatient treatment for
community-acquired pneumonia in a previously healthy adult without
comorbidities?
• A) Azithromycin
• B) Levofloxacin
• C) Doxycycline
• D) Amoxicillin
3. A 28-year-old female presents with fever, sore throat, and exudative tonsillar
enlargement. Rapid strep test is positive. What is the first-line treatment?
• A) Amoxicillin
• B) Penicillin VK
• C) Azithromycin
• D) Cephalexin
,4. Which of the following is a complication of untreated streptococcal pharyngitis?
• A) Acute rheumatic fever
• B) Post-streptococcal glomerulonephritis
• C) Peritonsillar abscess
• D) All of the above
5. A 32-year-old male presents with fever, severe headache, neck stiffness, and
photophobia. What is the most appropriate diagnostic test?
• A) CT head without contrast
• B) Lumbar puncture
• C) MRI brain
• D) Blood culture
6. Which organism is the most common cause of bacterial meningitis in adults?
• A) Neisseria meningitidis
• B) Streptococcus pneumoniae
• C) Haemophilus influenzae type B
• D) Listeria monocytogenes
7. A 55-year-old male with diabetes presents with a red, swollen, painful left foot.
He has a fever of 101.5°F. What is the most likely diagnosis?
• A) Cellulitis
• B) Deep vein thrombosis
• C) Gout
• D) Diabetic neuropathy
8. What is the first-line antibiotic for uncomplicated cellulitis?
• A) Cephalexin
• B) Doxycycline
, • C) Clindamycin
• D) Vancomycin
9. A 24-year-old female presents with dysuria, urinary frequency, and suprapubic
pain. Urinalysis shows positive leukocyte esterase and nitrites. What is the most
likely diagnosis?
• A) Acute cystitis
• B) Pyelonephritis
• C) Urethritis
• D) Interstitial cystitis
10. What is the first-line treatment for uncomplicated acute cystitis in a non-
pregnant female?
• A) Nitrofurantoin 100 mg BID x 5 days
• B) Trimethoprim-sulfamethoxazole BID x 3 days
• C) Ciprofloxacin BID x 3 days
• D) Amoxicillin TID x 7 days
11. A 68-year-old female presents with fever, chills, flank pain, nausea, and
vomiting. Urinalysis shows WBC casts. What is the most likely diagnosis?
• A) Acute pyelonephritis
• B) Acute cystitis
• C) Renal calculi
• D) Glomerulonephritis
12. Which of the following is a risk factor for complicated urinary tract infection?
• A) Functional or anatomic abnormality of the urinary tract
• B) Male sex
• C) Pregnancy
• D) All of the above
EXAM TEST BANK| NSG554 FNP EXAM 1 REVIEW
WITH COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
SECTION 1: INFECTIOUS DISEASE (Questions 1–20)
1. A 45-year-old female presents with a 3-day history of fever, chills, and a
productive cough with green sputum. Chest X-ray reveals a right lower lobe
infiltrate. What is the most likely causative organism?
• A) Streptococcus pneumoniae
• B) Mycoplasma pneumoniae
• C) Haemophilus influenzae
• D) Legionella pneumophila
2. Which of the following is the most appropriate outpatient treatment for
community-acquired pneumonia in a previously healthy adult without
comorbidities?
• A) Azithromycin
• B) Levofloxacin
• C) Doxycycline
• D) Amoxicillin
3. A 28-year-old female presents with fever, sore throat, and exudative tonsillar
enlargement. Rapid strep test is positive. What is the first-line treatment?
• A) Amoxicillin
• B) Penicillin VK
• C) Azithromycin
• D) Cephalexin
,4. Which of the following is a complication of untreated streptococcal pharyngitis?
• A) Acute rheumatic fever
• B) Post-streptococcal glomerulonephritis
• C) Peritonsillar abscess
• D) All of the above
5. A 32-year-old male presents with fever, severe headache, neck stiffness, and
photophobia. What is the most appropriate diagnostic test?
• A) CT head without contrast
• B) Lumbar puncture
• C) MRI brain
• D) Blood culture
6. Which organism is the most common cause of bacterial meningitis in adults?
• A) Neisseria meningitidis
• B) Streptococcus pneumoniae
• C) Haemophilus influenzae type B
• D) Listeria monocytogenes
7. A 55-year-old male with diabetes presents with a red, swollen, painful left foot.
He has a fever of 101.5°F. What is the most likely diagnosis?
• A) Cellulitis
• B) Deep vein thrombosis
• C) Gout
• D) Diabetic neuropathy
8. What is the first-line antibiotic for uncomplicated cellulitis?
• A) Cephalexin
• B) Doxycycline
, • C) Clindamycin
• D) Vancomycin
9. A 24-year-old female presents with dysuria, urinary frequency, and suprapubic
pain. Urinalysis shows positive leukocyte esterase and nitrites. What is the most
likely diagnosis?
• A) Acute cystitis
• B) Pyelonephritis
• C) Urethritis
• D) Interstitial cystitis
10. What is the first-line treatment for uncomplicated acute cystitis in a non-
pregnant female?
• A) Nitrofurantoin 100 mg BID x 5 days
• B) Trimethoprim-sulfamethoxazole BID x 3 days
• C) Ciprofloxacin BID x 3 days
• D) Amoxicillin TID x 7 days
11. A 68-year-old female presents with fever, chills, flank pain, nausea, and
vomiting. Urinalysis shows WBC casts. What is the most likely diagnosis?
• A) Acute pyelonephritis
• B) Acute cystitis
• C) Renal calculi
• D) Glomerulonephritis
12. Which of the following is a risk factor for complicated urinary tract infection?
• A) Functional or anatomic abnormality of the urinary tract
• B) Male sex
• C) Pregnancy
• D) All of the above
