NR 667 COMPREHENSIVE FNP EXAM
STUDY GUIDE QUESTIONS AND
ANSWERS 2026/2027 UPDATE. 100%
VERIFIED
1. A 65-year-old patient with multiple comorbidities including stage 3 chronic kidney disease
and heart failure has a hemoglobin A1c of 8.2%. According to current guidelines, what is the
most appropriate action?
A. Maintain the current A1c target as < 8-8.5% is appropriate for this patient profile.
B. Aggressively increase insulin to reach a target A1c of < 7%.
C. Switch all oral medications to Metformin immediately.
D. Discontinue all diabetic medications due to age.
Answer: A
Conceptual Explanation: For older adults with multiple chronic illnesses and limited life
expectancy, a less stringent A1c goal of < 8.0% or 8.5% is recommended to avoid
hypoglycemia.
2. Which of the following is considered first-line treatment for hypertension in a patient of
African American descent without chronic kidney disease?
A. Amlodipine
,B. Losartan
C. Lisinopril
D. Metoprolol
Answer: A
Conceptual Explanation: JNC 8 and AHA guidelines recommend Calcium Channel Blockers
(like Amlodipine) or Thiazide diuretics as first-line therapy for the black population.
3. A patient presents with a ‘curtain closing’ over their vision in one eye, followed by flashes
of light. This is most indicative of:
A. Acute Angle Closure Glaucoma
B. Cataracts
C. Retinal Detachment
D. Macular Degeneration
Answer: C
Conceptual Explanation: Retinal detachment is classically described as a shadow or
curtain moving across the field of vision, often accompanied by floaters or flashes of light.
4. When assessing a patient for a suspected meniscus tear, which physical exam maneuver is
most specific?
A. Lachman’s Test
B. McMurray’s Test
, C. Anterior Drawer Test
D. Phalen’s Maneuver
Answer: B
Conceptual Explanation: McMurray’s test is used to evaluate for meniscus injury, while
Lachman’s and Anterior Drawer are for ACL assessment.
5. A 4-year-old child presents with a ‘barky’ cough and inspiratory stridor. What is the most
likely diagnosis?
A. Croup (Laryngotracheobronchitis)
B. Bronchiolitis
C. Epiglottitis
D. Pertussis
Answer: A
Conceptual Explanation: Croup is characterized by a barking cough and stridor, typically
caused by the parainfluenza virus.
6. Which lab finding is most consistent with Hashimoto’s Thyroiditis?
A. Low TSH, High T4
B. High TSH, High T4
C. High TSH, Low T4, Positive TPO Antibodies
STUDY GUIDE QUESTIONS AND
ANSWERS 2026/2027 UPDATE. 100%
VERIFIED
1. A 65-year-old patient with multiple comorbidities including stage 3 chronic kidney disease
and heart failure has a hemoglobin A1c of 8.2%. According to current guidelines, what is the
most appropriate action?
A. Maintain the current A1c target as < 8-8.5% is appropriate for this patient profile.
B. Aggressively increase insulin to reach a target A1c of < 7%.
C. Switch all oral medications to Metformin immediately.
D. Discontinue all diabetic medications due to age.
Answer: A
Conceptual Explanation: For older adults with multiple chronic illnesses and limited life
expectancy, a less stringent A1c goal of < 8.0% or 8.5% is recommended to avoid
hypoglycemia.
2. Which of the following is considered first-line treatment for hypertension in a patient of
African American descent without chronic kidney disease?
A. Amlodipine
,B. Losartan
C. Lisinopril
D. Metoprolol
Answer: A
Conceptual Explanation: JNC 8 and AHA guidelines recommend Calcium Channel Blockers
(like Amlodipine) or Thiazide diuretics as first-line therapy for the black population.
3. A patient presents with a ‘curtain closing’ over their vision in one eye, followed by flashes
of light. This is most indicative of:
A. Acute Angle Closure Glaucoma
B. Cataracts
C. Retinal Detachment
D. Macular Degeneration
Answer: C
Conceptual Explanation: Retinal detachment is classically described as a shadow or
curtain moving across the field of vision, often accompanied by floaters or flashes of light.
4. When assessing a patient for a suspected meniscus tear, which physical exam maneuver is
most specific?
A. Lachman’s Test
B. McMurray’s Test
, C. Anterior Drawer Test
D. Phalen’s Maneuver
Answer: B
Conceptual Explanation: McMurray’s test is used to evaluate for meniscus injury, while
Lachman’s and Anterior Drawer are for ACL assessment.
5. A 4-year-old child presents with a ‘barky’ cough and inspiratory stridor. What is the most
likely diagnosis?
A. Croup (Laryngotracheobronchitis)
B. Bronchiolitis
C. Epiglottitis
D. Pertussis
Answer: A
Conceptual Explanation: Croup is characterized by a barking cough and stridor, typically
caused by the parainfluenza virus.
6. Which lab finding is most consistent with Hashimoto’s Thyroiditis?
A. Low TSH, High T4
B. High TSH, High T4
C. High TSH, Low T4, Positive TPO Antibodies
