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SARAH MICHELLE FNP PRACTICE TEST EXAM QUESTIONS AND VERIFIED
CORRECT ANSWERS LATEST 2025–2026
Which of the following is a nonstimulant drug that may be prescribed for treatment of attention
deficit hyperactivity disorder (ADHD)?
A.Dexmethylphenidate (Focalin XR)
B.Mixed salts of amphetamine (Adderall)
C.Methylphenidate (Ritalin)
D.Atomoxetine (Strattera) - ANS >>> D. Atomoxetine (Strattera)
Atomoxetine is classified as a norepinephrine reuptake inhibitor, not a stimulant. Atomoxetine
may be prescribed for patients for who do not experience adequate ADHD symptom relief from
stimulant medications such as dexmethylphenidate, amphetamine, or methylphenidate.
The nurse practitioner (NP) advises a patient who is taking a monoamine oxidase inhibitor (MAOI)
to avoid foods that contain high levels of tyramine. Which food would the NP include in a list of
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examples?
A.Chicken
B.Beer
C.Cottage cheese
D.Spinach - ANS >>> B. Beer
Fermented food items, including fermented beverages such as beer, tend to be high in tyramine.
Although cured meats are high in tyramine, noncured proteins such as chicken are not.
Pasteurized cheeses, such as cottage cheese, tend to be lower in tyramine than aged cheeses.
Fresh vegetables tend to be low in tyramine.
What symptom would be unexpected in a diagnosis of depression?
A.Anhedonia
B.Low self-esteem
C.Apathy
D.Apraxia - ANS >>> D. Apraxia
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Apraxia is characterized by loss of the ability to execute or carry out learned purposeful
movements despite the desire and the physical ability to perform the movements. Apraxia is not a
sign or symptom of depression; it is a disorder of motor planning caused by damage to specific
areas of the cerebrum. Common signs of depression include anhedonia (loss of interest in
activities that the patient normally finds pleasurable), unintentional weight loss or gain, fatigue,
change in appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and recurrent
thoughts of suicide
The nurse practitioner is reviewing the medical record of a 6-month-old infant with normocytic
hemolytic anemia and notes an electrophoresis result of hemoglobin S with a 20% concentration
of hemoglobin F (fetal hemoglobin). Which additional diagnosis is most likely?
A.Aplastic anemia
B.Hemolytic anemia
C.Sickle cell anemia
D.Thalassemia major - ANS >>> C. Sickle cell anemia
A patient with normocytic hemolytic anemia who has electrophoresis results of hemoglobin S with
a 20% concentration of hemoglobin F has sickle cell anemia. Electrophoresis is not used to
diagnose hemolytic or aplastic anemia. Thalassemia major appears within the first 2 years of life
and is associated with life-threatening anemia. Thalassemia major is associated with
nonhemolytic, normocytic anemia.
The nurse practitioner (NP) notices a gray ring on the edge of both irises of an 81-year-old female
patient. The patient denies visual changes or pain. She reports that she has had the "ring" for
many years. What would the clinical significance of this same finding be in a 35-year-old patient?
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A.The patient would have a higher risk of blindness.
B.The patient should be evaluated for hyperlipidemia.
C.The patient should be evaluated by an ophthalmologist.
D.The patient should be evaluated for acute glaucoma. - ANS >>> B. The patient should be
evaluated for hyperlipidemia.
Arcus senilis is caused by lipid deposits deep in the edge of the cornea and is quite commonly
present in older adults. However, since it can also appear earlier in life as a result of
mailto:https://www.stuvia.com/user/techgrades
SARAH MICHELLE FNP PRACTICE TEST EXAM QUESTIONS AND VERIFIED
CORRECT ANSWERS LATEST 2025–2026
Which of the following is a nonstimulant drug that may be prescribed for treatment of attention
deficit hyperactivity disorder (ADHD)?
A.Dexmethylphenidate (Focalin XR)
B.Mixed salts of amphetamine (Adderall)
C.Methylphenidate (Ritalin)
D.Atomoxetine (Strattera) - ANS >>> D. Atomoxetine (Strattera)
Atomoxetine is classified as a norepinephrine reuptake inhibitor, not a stimulant. Atomoxetine
may be prescribed for patients for who do not experience adequate ADHD symptom relief from
stimulant medications such as dexmethylphenidate, amphetamine, or methylphenidate.
The nurse practitioner (NP) advises a patient who is taking a monoamine oxidase inhibitor (MAOI)
to avoid foods that contain high levels of tyramine. Which food would the NP include in a list of
mailto:https://www.stuvia.com/user/techgrades
,mailto:https://www.stuvia.com/user/techgrades
examples?
A.Chicken
B.Beer
C.Cottage cheese
D.Spinach - ANS >>> B. Beer
Fermented food items, including fermented beverages such as beer, tend to be high in tyramine.
Although cured meats are high in tyramine, noncured proteins such as chicken are not.
Pasteurized cheeses, such as cottage cheese, tend to be lower in tyramine than aged cheeses.
Fresh vegetables tend to be low in tyramine.
What symptom would be unexpected in a diagnosis of depression?
A.Anhedonia
B.Low self-esteem
C.Apathy
D.Apraxia - ANS >>> D. Apraxia
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,mailto:https://www.stuvia.com/user/techgrades
Apraxia is characterized by loss of the ability to execute or carry out learned purposeful
movements despite the desire and the physical ability to perform the movements. Apraxia is not a
sign or symptom of depression; it is a disorder of motor planning caused by damage to specific
areas of the cerebrum. Common signs of depression include anhedonia (loss of interest in
activities that the patient normally finds pleasurable), unintentional weight loss or gain, fatigue,
change in appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and recurrent
thoughts of suicide
The nurse practitioner is reviewing the medical record of a 6-month-old infant with normocytic
hemolytic anemia and notes an electrophoresis result of hemoglobin S with a 20% concentration
of hemoglobin F (fetal hemoglobin). Which additional diagnosis is most likely?
A.Aplastic anemia
B.Hemolytic anemia
C.Sickle cell anemia
D.Thalassemia major - ANS >>> C. Sickle cell anemia
A patient with normocytic hemolytic anemia who has electrophoresis results of hemoglobin S with
a 20% concentration of hemoglobin F has sickle cell anemia. Electrophoresis is not used to
diagnose hemolytic or aplastic anemia. Thalassemia major appears within the first 2 years of life
and is associated with life-threatening anemia. Thalassemia major is associated with
nonhemolytic, normocytic anemia.
The nurse practitioner (NP) notices a gray ring on the edge of both irises of an 81-year-old female
patient. The patient denies visual changes or pain. She reports that she has had the "ring" for
many years. What would the clinical significance of this same finding be in a 35-year-old patient?
mailto:https://www.stuvia.com/user/techgrades
, mailto:https://www.stuvia.com/user/techgrades
A.The patient would have a higher risk of blindness.
B.The patient should be evaluated for hyperlipidemia.
C.The patient should be evaluated by an ophthalmologist.
D.The patient should be evaluated for acute glaucoma. - ANS >>> B. The patient should be
evaluated for hyperlipidemia.
Arcus senilis is caused by lipid deposits deep in the edge of the cornea and is quite commonly
present in older adults. However, since it can also appear earlier in life as a result of
mailto:https://www.stuvia.com/user/techgrades
