FNP III Exam 1 Merged With
Correct Complete Solutions ||
Already Graded A+ || 2026-2027
Latest Update!!!
A 90-year-old woman is diagnosed with isolated systolic hypertension
of the elderly. Which of the following antihypertensive medications
are preferred for the treatment of this condition?
Calcium channel blockers and thiazide diuretics
Angiotensin-converting enzyme inhibitors and loop diuretics
Beta-blockers and potassium-sparing diuretics
Alpha-blockers and calcium channel blockers - ANSWER-Calcium
channel blockers and thiazide diuretics
,Calcium channel blockers (CCBs) and thiazide diuretics are preferred
for treatment of isolated systolic hypertension of the elderly. There is
no preference of one over the other, and therapy may be started with
either a thiazide diuretic or a CCB. Isolated systolic hypertension of
the elderly is caused by hardening of the arteries, resulting in
increased peripheral vascular resistance. The goal for patients aged 60
years or older is blood pressure less than 150/90 mmHg unless
diabetic or they have chronic kidney disease (goal BP <140/90 mmHg).
Watch for orthostatic hypotension (or decrease in systolic blood
pressure of >20 mmHg), which is a risk factor for falls.
A 30-year-old woman has right upper quadrant abdominal pain,
nausea, and vomiting. Which diagnostic test will the provider order?
a. Abdominal CT with contrast
b. Abdominal ultrasound
c. MRI of the abdomen
d. Plain abdominal radiographs - ANSWER-b. Abdominal ultrasound.
Per UpToDate: Right upper quadrant pain may involve liver or biliary
tree and if there is an indication of hepatobiliary pain patients should
have an abdominal ultrasound for evaluation.
Also, patients with right upper quadrant pain should have the
following laboratory studies:
●Complete blood count with differential
●Electrolytes, blood urea nitrogen (BUN), creatinine, and glucose
●Aminotransferases, alkaline phosphatase, and bilirubin
,●Lipase and/or amylase
A 50 y/o male presents with acute, excruciating, LUQ, epigastric pain
that he also feels in the flank and L shoulder. These symptoms best
describe:
a. Cholecystitis
b. Intestinal obstruction
c. Pancreatitis
d. Biliary stones - ANSWER-c. Pancreatitis
Patients with epigastric pain should be evaluated for pancreatitis as
well as gastric etiologies.
Also consider splenic etiologies such as splenomegaly.
"Must-Not-Miss" Patients with epigastric pain and cardiac risk factors
and/or other symptoms concerning for angina (e.g., shortness of
breath, exertional symptoms) should have appropriate cardiac
evaluation.
Labs to order for Epigastric suspected Pancreatitis:
●Complete blood count with differential
●Electrolytes, BUN, creatinine, and glucose
●Aminotransferases, alkaline phosphatase, and bilirubin
●Lipase and/or amylase
An 80-year-old man with hypertension and hyperlipidemia presents
with complaints of the rapid onset of severe low-back pain
, accompanied by abdominal pain that is gradually worsening. The
patient appears pale and complains that he does not feel well. During
the abdominal exam, the nurse practitioner detects a soft pulsatile
mass just above the umbilicus as she palpates this area with her hand.
Which of the following conditions is most likely?
Abdominal aortic aneurysm
Cauda equina syndrome
Acute diverticulitis
Adenocarcinoma of the colon - ANSWER-Abdominal aortic aneurysm
Elderly males who are ex-smokers are at higher risk for abdominal
aortic aneurysm. The aneurysm is usually asymptomatic and is
discovered incidentally during a routine chest x-ray or abdominal
ultrasound. Although small aneurysms are usually not detectable
during abdominal exams, the larger aneurysms may be palpable
during an abdominal exam, but abdominal obesity will obscure the
findings. The symptoms in this case point toward a rapidly dissecting
aneurysm. The best action is to call 911 stat.
A 55-year-old male is at the emergency department complaining of
severe acute epigastric pain radiating to the back. He has a history of
smoking and drinking alcohol for over 20 years. Patient states that the
pain is relieved if he leans forward with trunk flexed. The patient's
symptoms are suggestive of what condition?
Correct Complete Solutions ||
Already Graded A+ || 2026-2027
Latest Update!!!
A 90-year-old woman is diagnosed with isolated systolic hypertension
of the elderly. Which of the following antihypertensive medications
are preferred for the treatment of this condition?
Calcium channel blockers and thiazide diuretics
Angiotensin-converting enzyme inhibitors and loop diuretics
Beta-blockers and potassium-sparing diuretics
Alpha-blockers and calcium channel blockers - ANSWER-Calcium
channel blockers and thiazide diuretics
,Calcium channel blockers (CCBs) and thiazide diuretics are preferred
for treatment of isolated systolic hypertension of the elderly. There is
no preference of one over the other, and therapy may be started with
either a thiazide diuretic or a CCB. Isolated systolic hypertension of
the elderly is caused by hardening of the arteries, resulting in
increased peripheral vascular resistance. The goal for patients aged 60
years or older is blood pressure less than 150/90 mmHg unless
diabetic or they have chronic kidney disease (goal BP <140/90 mmHg).
Watch for orthostatic hypotension (or decrease in systolic blood
pressure of >20 mmHg), which is a risk factor for falls.
A 30-year-old woman has right upper quadrant abdominal pain,
nausea, and vomiting. Which diagnostic test will the provider order?
a. Abdominal CT with contrast
b. Abdominal ultrasound
c. MRI of the abdomen
d. Plain abdominal radiographs - ANSWER-b. Abdominal ultrasound.
Per UpToDate: Right upper quadrant pain may involve liver or biliary
tree and if there is an indication of hepatobiliary pain patients should
have an abdominal ultrasound for evaluation.
Also, patients with right upper quadrant pain should have the
following laboratory studies:
●Complete blood count with differential
●Electrolytes, blood urea nitrogen (BUN), creatinine, and glucose
●Aminotransferases, alkaline phosphatase, and bilirubin
,●Lipase and/or amylase
A 50 y/o male presents with acute, excruciating, LUQ, epigastric pain
that he also feels in the flank and L shoulder. These symptoms best
describe:
a. Cholecystitis
b. Intestinal obstruction
c. Pancreatitis
d. Biliary stones - ANSWER-c. Pancreatitis
Patients with epigastric pain should be evaluated for pancreatitis as
well as gastric etiologies.
Also consider splenic etiologies such as splenomegaly.
"Must-Not-Miss" Patients with epigastric pain and cardiac risk factors
and/or other symptoms concerning for angina (e.g., shortness of
breath, exertional symptoms) should have appropriate cardiac
evaluation.
Labs to order for Epigastric suspected Pancreatitis:
●Complete blood count with differential
●Electrolytes, BUN, creatinine, and glucose
●Aminotransferases, alkaline phosphatase, and bilirubin
●Lipase and/or amylase
An 80-year-old man with hypertension and hyperlipidemia presents
with complaints of the rapid onset of severe low-back pain
, accompanied by abdominal pain that is gradually worsening. The
patient appears pale and complains that he does not feel well. During
the abdominal exam, the nurse practitioner detects a soft pulsatile
mass just above the umbilicus as she palpates this area with her hand.
Which of the following conditions is most likely?
Abdominal aortic aneurysm
Cauda equina syndrome
Acute diverticulitis
Adenocarcinoma of the colon - ANSWER-Abdominal aortic aneurysm
Elderly males who are ex-smokers are at higher risk for abdominal
aortic aneurysm. The aneurysm is usually asymptomatic and is
discovered incidentally during a routine chest x-ray or abdominal
ultrasound. Although small aneurysms are usually not detectable
during abdominal exams, the larger aneurysms may be palpable
during an abdominal exam, but abdominal obesity will obscure the
findings. The symptoms in this case point toward a rapidly dissecting
aneurysm. The best action is to call 911 stat.
A 55-year-old male is at the emergency department complaining of
severe acute epigastric pain radiating to the back. He has a history of
smoking and drinking alcohol for over 20 years. Patient states that the
pain is relieved if he leans forward with trunk flexed. The patient's
symptoms are suggestive of what condition?
