SARAH MICHELLE LIVE REVIEW
EXAM 2026/2027 - ADVANCED NP
CERTIFICATION PREP QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 45-year-old female presents with fatigue, weight gain, and cold intolerance. Labs reveal a
TSH of 14.2 mIU/L and a low Free T4. Which of the following is the most likely diagnosis?
A. Graves’ Disease
B. Secondary Hypothyroidism
C. Subacute Thyroiditis
D. Hashimoto’s Thyroiditis
Answer: D
Conceptual Explanation: High TSH and low Free T4 indicate primary hypothyroidism,
most commonly caused by Hashimoto’s thyroiditis in the United States.
2. Which heart murmur is best heard at the second intercostal space, right sternal border, and
radiates to the carotid arteries?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Aortic Regurgitation
,D. Mitral Stenosis
Answer: A
Conceptual Explanation: Aortic stenosis is a systolic murmur heard at the right upper
sternal border that characteristically radiates to the neck/carotids.
3. A 68-year-old patient with a history of HTN and HFrEF is currently taking Lisinopril. Which
electrolyte abnormality should the NP monitor for most closely?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypermagnesemia
Answer: C
Conceptual Explanation: ACE inhibitors like Lisinopril inhibit aldosterone, leading to
potassium retention and potential hyperkalemia.
4. According to the JNC 8 guidelines, what is the blood pressure goal for a 65-year-old patient
with no other comorbidities?
A. < 130/80
B. < 140/90
C. < 150/90
D. < 120/70
, Answer: C
Conceptual Explanation: For patients aged 60 and older without DM or CKD, the JNC 8
goal is < 150/90 mmHg.
5. A 12-month-old child presents for a well-visit. Which developmental milestone should the
NP expect the child to have achieved?
A. Running well
B. Using a spoon
C. Speaking in 3-word sentences
D. Pincer grasp
Answer: D
Conceptual Explanation: A pincer grasp is typically mastered by 9-12 months. Running
and using a spoon occur later (18-24 months).
6. Which of the following findings is most diagnostic of Iron Deficiency Anemia?
A. Increased Ferritin
B. Low TIBC
C. Low Ferritin
D. High MCV
Answer: C
EXAM 2026/2027 - ADVANCED NP
CERTIFICATION PREP QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 45-year-old female presents with fatigue, weight gain, and cold intolerance. Labs reveal a
TSH of 14.2 mIU/L and a low Free T4. Which of the following is the most likely diagnosis?
A. Graves’ Disease
B. Secondary Hypothyroidism
C. Subacute Thyroiditis
D. Hashimoto’s Thyroiditis
Answer: D
Conceptual Explanation: High TSH and low Free T4 indicate primary hypothyroidism,
most commonly caused by Hashimoto’s thyroiditis in the United States.
2. Which heart murmur is best heard at the second intercostal space, right sternal border, and
radiates to the carotid arteries?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Aortic Regurgitation
,D. Mitral Stenosis
Answer: A
Conceptual Explanation: Aortic stenosis is a systolic murmur heard at the right upper
sternal border that characteristically radiates to the neck/carotids.
3. A 68-year-old patient with a history of HTN and HFrEF is currently taking Lisinopril. Which
electrolyte abnormality should the NP monitor for most closely?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypermagnesemia
Answer: C
Conceptual Explanation: ACE inhibitors like Lisinopril inhibit aldosterone, leading to
potassium retention and potential hyperkalemia.
4. According to the JNC 8 guidelines, what is the blood pressure goal for a 65-year-old patient
with no other comorbidities?
A. < 130/80
B. < 140/90
C. < 150/90
D. < 120/70
, Answer: C
Conceptual Explanation: For patients aged 60 and older without DM or CKD, the JNC 8
goal is < 150/90 mmHg.
5. A 12-month-old child presents for a well-visit. Which developmental milestone should the
NP expect the child to have achieved?
A. Running well
B. Using a spoon
C. Speaking in 3-word sentences
D. Pincer grasp
Answer: D
Conceptual Explanation: A pincer grasp is typically mastered by 9-12 months. Running
and using a spoon occur later (18-24 months).
6. Which of the following findings is most diagnostic of Iron Deficiency Anemia?
A. Increased Ferritin
B. Low TIBC
C. Low Ferritin
D. High MCV
Answer: C
