NSG 552 EXAM 3 WILKES UNIVERSITY ACTUAL EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+|
100% VERIFIED SOLUTIONS
Core Domains
Advanced Pathophysiology
Advanced Pharmacology
Advanced Health Assessment
Primary Care of Adults and Geriatrics
Primary Care of Women and Children
Diagnostic Reasoning and Clinical Decision-Making
Health Promotion and Disease Prevention
Evidence-Based Practice and Clinical Guidelines
Ethical and Legal Issues in Advanced Practice
Professional Roles and Interprofessional Collaboration
Introduction
,This comprehensive final examination is designed to assess the advanced clinical knowledge and competencies
required for the Family Nurse Practitioner (FNP) role at Wilkes University. The exam evaluates mastery of
advanced pathophysiology, pharmacotherapeutics, diagnostic reasoning, and primary care management across
the lifespan, including adults, geriatrics, women, and children. Through multiple-choice questions and clinical
scenarios, candidates demonstrate the integration of evidence-based practice, health promotion, disease
prevention, and ethical decision-making in diverse patient populations. This examination serves as a critical
benchmark for readiness for FNP practice, emphasizing clinical competence and professional standards.
SECTION ONE: QUESTIONS 1–100
1. A 65-year-old male with a history of hypertension presents for a routine visit. His blood pressure is 148/92
mmHg on two separate occasions. According to the Eighth Joint National Committee (JNC 8) guidelines, what is
the recommended initial target blood pressure for this patient?
A. Less than 130/80 mmHg
B. Less than 140/90 mmHg
C. Less than 150/90 mmHg
D. Less than 160/100 mmHg
🟢B
,🔴 RATIONALE: JNC 8 guidelines recommend a target blood pressure of less than 140/90 mmHg for patients
aged 60 years and older without diabetes or chronic kidney disease. The lower target of 130/80 is
recommended for patients with diabetes or chronic kidney disease.
2. A 55-year-old male with a history of type 2 diabetes mellitus presents with a blood pressure of 152/94
mmHg. According to JNC 8 guidelines, what is the recommended initial antihypertensive agent for this patient?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
D. Metoprolol
🟢B
🔴 RATIONALE: JNC 8 recommends an ACE inhibitor (lisinopril) or ARB as initial therapy for patients with
hypertension and diabetes to provide renal protection and reduce cardiovascular risk. Thiazide diuretics and
calcium channel blockers are alternatives but not preferred first-line in diabetes.
3. A 28-year-old female presents with a 3-day history of dysuria, urinary frequency, and urgency. Urinalysis
reveals positive nitrites and leukocyte esterase. What is the most appropriate treatment?
A. Nitrofurantoin
B. Ciprofloxacin
, C. Amoxicillin
D. Doxycycline
🟢A
🔴 RATIONALE: Nitrofurantoin is a first-line antibiotic for uncomplicated urinary tract infections due to its
effectiveness against common uropathogens and low resistance rates. Ciprofloxacin is effective but has higher
resistance and is generally reserved for complicated UTIs.
4. A 45-year-old female presents with fatigue, cold intolerance, weight gain, and constipation. Laboratory
findings reveal an elevated TSH and low free T4. What is the most likely diagnosis?
A. Hyperthyroidism
B. Hypothyroidism
C. Cushing's syndrome
D. Diabetes insipidus
🟢B
🔴 RATIONALE: Elevated TSH with low free T4 indicates primary hypothyroidism. Symptoms include cold
intolerance, weight gain, fatigue, and constipation due to decreased metabolic rate. Cushing's syndrome
presents with weight gain but not cold intolerance or elevated TSH.
100% VERIFIED SOLUTIONS
Core Domains
Advanced Pathophysiology
Advanced Pharmacology
Advanced Health Assessment
Primary Care of Adults and Geriatrics
Primary Care of Women and Children
Diagnostic Reasoning and Clinical Decision-Making
Health Promotion and Disease Prevention
Evidence-Based Practice and Clinical Guidelines
Ethical and Legal Issues in Advanced Practice
Professional Roles and Interprofessional Collaboration
Introduction
,This comprehensive final examination is designed to assess the advanced clinical knowledge and competencies
required for the Family Nurse Practitioner (FNP) role at Wilkes University. The exam evaluates mastery of
advanced pathophysiology, pharmacotherapeutics, diagnostic reasoning, and primary care management across
the lifespan, including adults, geriatrics, women, and children. Through multiple-choice questions and clinical
scenarios, candidates demonstrate the integration of evidence-based practice, health promotion, disease
prevention, and ethical decision-making in diverse patient populations. This examination serves as a critical
benchmark for readiness for FNP practice, emphasizing clinical competence and professional standards.
SECTION ONE: QUESTIONS 1–100
1. A 65-year-old male with a history of hypertension presents for a routine visit. His blood pressure is 148/92
mmHg on two separate occasions. According to the Eighth Joint National Committee (JNC 8) guidelines, what is
the recommended initial target blood pressure for this patient?
A. Less than 130/80 mmHg
B. Less than 140/90 mmHg
C. Less than 150/90 mmHg
D. Less than 160/100 mmHg
🟢B
,🔴 RATIONALE: JNC 8 guidelines recommend a target blood pressure of less than 140/90 mmHg for patients
aged 60 years and older without diabetes or chronic kidney disease. The lower target of 130/80 is
recommended for patients with diabetes or chronic kidney disease.
2. A 55-year-old male with a history of type 2 diabetes mellitus presents with a blood pressure of 152/94
mmHg. According to JNC 8 guidelines, what is the recommended initial antihypertensive agent for this patient?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
D. Metoprolol
🟢B
🔴 RATIONALE: JNC 8 recommends an ACE inhibitor (lisinopril) or ARB as initial therapy for patients with
hypertension and diabetes to provide renal protection and reduce cardiovascular risk. Thiazide diuretics and
calcium channel blockers are alternatives but not preferred first-line in diabetes.
3. A 28-year-old female presents with a 3-day history of dysuria, urinary frequency, and urgency. Urinalysis
reveals positive nitrites and leukocyte esterase. What is the most appropriate treatment?
A. Nitrofurantoin
B. Ciprofloxacin
, C. Amoxicillin
D. Doxycycline
🟢A
🔴 RATIONALE: Nitrofurantoin is a first-line antibiotic for uncomplicated urinary tract infections due to its
effectiveness against common uropathogens and low resistance rates. Ciprofloxacin is effective but has higher
resistance and is generally reserved for complicated UTIs.
4. A 45-year-old female presents with fatigue, cold intolerance, weight gain, and constipation. Laboratory
findings reveal an elevated TSH and low free T4. What is the most likely diagnosis?
A. Hyperthyroidism
B. Hypothyroidism
C. Cushing's syndrome
D. Diabetes insipidus
🟢B
🔴 RATIONALE: Elevated TSH with low free T4 indicates primary hypothyroidism. Symptoms include cold
intolerance, weight gain, fatigue, and constipation due to decreased metabolic rate. Cushing's syndrome
presents with weight gain but not cold intolerance or elevated TSH.
