NSG 5644 Family Nurse Practitioner
Residency Practice Exam 1 Questions
And Correct Answers (Verified Answers)
Plus Rationales 2025|2026 Q&A |
Instant Download Pdf| South College
1. A 58-year-old patient with type 2 diabetes presents for routine follow-
up. His last three A1c values were 8.2%, 7.9%, and now 7.2%. What is
the best interpretation?
A. Continue current management unchanged
B. B. Glycemic control is improving; reinforce current plan and
continue monitoring
C. Immediately add insulin therapy
D. Discontinue oral hypoglycemics and start lifestyle only
Answer rationale: The downward trend shows improvement;
, continue current regimen with reinforcement and routine
monitoring.
2. First-line therapy for community-acquired pneumonia in an otherwise
healthy adult outpatient is:
A. Doxycycline
B. B. Azithromycin
C. Levofloxacin
D. Amoxicillin-clavulanate
Answer rationale: Macrolides (azithromycin) are first-line in healthy
outpatients for typical outpatient CAP unless resistance risk or
comorbidities.
3. A 25-year-old female with irregular heavy menses and pelvic pain;
ultrasound shows an enlarged uterus with heterogeneous myometrial
texture consistent with adenomyosis. Best next management for
symptomatic relief in those desiring contraception:
A. Tranexamic acid
B. B. Levonorgestrel IUD
C. Hysterectomy immediately
D. Combined oral contraceptives only
Answer rationale: Levonorgestrel IUD reduces menorrhagia and
dysmenorrhea from adenomyosis and provides contraception.
4. A patient on warfarin (INR target 2–3) has an INR of 5.0 but is
asymptomatic. Appropriate next step:
, A. Immediate vitamin K IV
B. B. Hold warfarin and consider low-dose oral vitamin K
C. Continue warfarin and recheck in a month
D. Start prothrombin complex concentrate
Answer rationale: For INR 4.5–10 without bleeding, hold warfarin and
consider low-dose oral vitamin K if risk factors; reserve urgent
reversal for major bleeding.
5. Most sensitive initial test for suspected hypothyroidism:
A. Free T4
B. B. TSH
C. Thyroid ultrasound
D. Thyroid peroxidase antibody
Answer rationale: TSH is the most sensitive initial screening test for
primary hypothyroidism.
6. First-line medication for new-onset hypertension in an African
American adult without CKD:
A. ACE inhibitor
B. B. Thiazide-type diuretic or calcium channel blocker
C. Beta blocker
D. Aldosterone antagonist
Answer rationale: Guidelines recommend thiazide diuretics or CCBs
first-line for Black patients without CKD due to better BP response.
, 7. Best initial imaging test for suspected acute appendicitis in an adult:
A. MRI
B. B. CT abdomen/pelvis with contrast
C. Abdominal X-ray
D. Colonoscopy
Answer rationale: CT abdomen/pelvis with contrast has highest
accuracy in adults for appendicitis diagnosis.
8. A 4-year-old child with fever, barking cough, and inspiratory stridor—
most likely diagnosis:
A. Bronchiolitis
B. B. Croup (laryngotracheobronchitis)
C. Epiglottitis
D. Foreign body aspiration
Answer rationale: Barking cough and inspiratory stridor in a young
child are classic for viral croup.
9. Best screening test for cervical cancer in average-risk women aged 30–
65:
A. Pap smear alone yearly
B. HPV testing alone every 5 years
C. C. Co-testing with Pap + HPV every 5 years (or HPV alone every 5
years)
D. Visual inspection with acetic acid
Answer rationale: Co-testing or primary HPV testing per guidelines
Residency Practice Exam 1 Questions
And Correct Answers (Verified Answers)
Plus Rationales 2025|2026 Q&A |
Instant Download Pdf| South College
1. A 58-year-old patient with type 2 diabetes presents for routine follow-
up. His last three A1c values were 8.2%, 7.9%, and now 7.2%. What is
the best interpretation?
A. Continue current management unchanged
B. B. Glycemic control is improving; reinforce current plan and
continue monitoring
C. Immediately add insulin therapy
D. Discontinue oral hypoglycemics and start lifestyle only
Answer rationale: The downward trend shows improvement;
, continue current regimen with reinforcement and routine
monitoring.
2. First-line therapy for community-acquired pneumonia in an otherwise
healthy adult outpatient is:
A. Doxycycline
B. B. Azithromycin
C. Levofloxacin
D. Amoxicillin-clavulanate
Answer rationale: Macrolides (azithromycin) are first-line in healthy
outpatients for typical outpatient CAP unless resistance risk or
comorbidities.
3. A 25-year-old female with irregular heavy menses and pelvic pain;
ultrasound shows an enlarged uterus with heterogeneous myometrial
texture consistent with adenomyosis. Best next management for
symptomatic relief in those desiring contraception:
A. Tranexamic acid
B. B. Levonorgestrel IUD
C. Hysterectomy immediately
D. Combined oral contraceptives only
Answer rationale: Levonorgestrel IUD reduces menorrhagia and
dysmenorrhea from adenomyosis and provides contraception.
4. A patient on warfarin (INR target 2–3) has an INR of 5.0 but is
asymptomatic. Appropriate next step:
, A. Immediate vitamin K IV
B. B. Hold warfarin and consider low-dose oral vitamin K
C. Continue warfarin and recheck in a month
D. Start prothrombin complex concentrate
Answer rationale: For INR 4.5–10 without bleeding, hold warfarin and
consider low-dose oral vitamin K if risk factors; reserve urgent
reversal for major bleeding.
5. Most sensitive initial test for suspected hypothyroidism:
A. Free T4
B. B. TSH
C. Thyroid ultrasound
D. Thyroid peroxidase antibody
Answer rationale: TSH is the most sensitive initial screening test for
primary hypothyroidism.
6. First-line medication for new-onset hypertension in an African
American adult without CKD:
A. ACE inhibitor
B. B. Thiazide-type diuretic or calcium channel blocker
C. Beta blocker
D. Aldosterone antagonist
Answer rationale: Guidelines recommend thiazide diuretics or CCBs
first-line for Black patients without CKD due to better BP response.
, 7. Best initial imaging test for suspected acute appendicitis in an adult:
A. MRI
B. B. CT abdomen/pelvis with contrast
C. Abdominal X-ray
D. Colonoscopy
Answer rationale: CT abdomen/pelvis with contrast has highest
accuracy in adults for appendicitis diagnosis.
8. A 4-year-old child with fever, barking cough, and inspiratory stridor—
most likely diagnosis:
A. Bronchiolitis
B. B. Croup (laryngotracheobronchitis)
C. Epiglottitis
D. Foreign body aspiration
Answer rationale: Barking cough and inspiratory stridor in a young
child are classic for viral croup.
9. Best screening test for cervical cancer in average-risk women aged 30–
65:
A. Pap smear alone yearly
B. HPV testing alone every 5 years
C. C. Co-testing with Pap + HPV every 5 years (or HPV alone every 5
years)
D. Visual inspection with acetic acid
Answer rationale: Co-testing or primary HPV testing per guidelines
