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FNP III FINAL EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| FAMILY NURSE PRACTITIONER 3 FINAL
EXAM REVIEW WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
Which of the following is the greatest risk factor for bladder cancer?
A. History of benign prostatic hypertrophy (BPH).
B. Toxin exposure.
C. Smoking.
D. Diabetes. - Correct Answer -C. Smoking.
Smoking is responsible for about 50% of all bladder cancer cases.
Which of the following is the most appropriate first-line management
strategy for most mental health conditions in the pediatric population?
A. Genetic testing.
B. Admission to an acute care psychiatric unit.
C. Tricyclic antidepressants (TCAs).
D. Cognitive/ Behavior Therapy. - Correct Answer -D.
Which of the following is the most common neurobehavioral disorder in
the U.S. pediatric population?
A. Attention-Deficit Hyperactivity Disorder (ADHD).
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B. Bipolar Disorder
C. Language and learning disorders.
D. Autism Spectrum Disorder. - Correct Answer -A.
A 17-year-old female with anorexia nervosa presents for evaluation. She
reports severe restriction, intense fear of gaining weight, and excessive
exercise. On exam, she appears cachectic with bradycardia. Labs are
ordered. Which of the following laboratory findings is most consistent
with anorexia nervosa?
A. Leukocytosis, hyperkalemia, elevated liver enzymes
B. Mild leukopenia, hypokalemia, low-normal hemoglobin
C. Polycythemia, hypernatremia, elevated TSH
D. Severe thrombocytopenia, hypercalcemia, low TSH
E. Eosinophilia, hypermagnesemia, elevated T3/T4 - Correct Answer -B.
In anorexia nervosa, up to one-third of patients show signs of partial
bone marrow atrophy, leading to mild leukopenia. Hypokalemia is
common due to inadequate intake, vomiting, or laxative use.
Hemoglobin may be low-normal due to chronic malnutrition. These
findings, along with thyroid abnormalities (normal TSH, low T3/T4) and
metabolic change (Metabolic alkalosis), are part of the classic lab profile
in anorexia nervosa. Also QT prolongation.
A 17-year-old female with severe anorexia nervosa is hospitalized for
evaluation after years of restrictive eating and occasional purging. Labs
reveal hypokalemia, hypochloremia, and elevated bicarbonate. Which of
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the following complications is most commonly responsible for fatalities
in patients with anorexia nervosa?
A. Severe hypoglycemia
B. Metabolic alkalosis from electrolyte disturbances
C. Hypothyroidism
D. Severe anemia
E. Central hypothyroidism - Correct Answer -B.
In patients with anorexia nervosa, particularly those who vomit or use
diuretics/laxatives, loss of potassium and chloride leads to metabolic
alkalosis, which is a major contributor to fatal cardiac arrhythmias.
Although other complications (hypoglycemia, anemia, thyroid
abnormalities) can occur, electrolyte-induced metabolic alkalosis is the
primary mechanism leading to death.
A 17-year-old female presents for evaluation of weight loss, fatigue, and
amenorrhea. She reports severe restriction of food intake, intense fear of
gaining weight, and excessive exercise. On exam, her BMI is 16 kg/m²,
she appears cachectic, and her heart rate is 48 bpm. You order basic labs,
including a thyroid panel. Which of the following thyroid lab patterns is
most likely in this patient?
A. Elevated TSH, elevated T3 and T4
B. Low TSH, elevated T3 and T4
C. Normal TSH, low T3 and T4
D. Low TSH, low T3 and T4
E. Elevated TSH, low T3 and T4 - Correct Answer -C.
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Patients with anorexia nervosa often develop a "euthyroid sick" pattern,
characterized by low T3 and T4 with a normal TSH. This occurs as the
body adapts to starvation by reducing peripheral thyroid hormone
conversion and metabolism, and is not indicative of primary thyroid
disease. In anorexia nervosa, up to one-third of patients show signs of
partial bone marrow atrophy, leading to mild leukopenia. Hypokalemia
is common due to inadequate intake, vomiting, or laxative use.
Hemoglobin may be low-normal due to chronic malnutrition. These
findings, along with thyroid abnormalities (normal TSH, low T3/T4) and
metabolic change (Metabolic alkalosis), are part of the classic lab profile
in anorexia nervosa. Also QT prolongation.
Which of the following mental health conditions is most appropriately
primarily managed by a mental health specialist?
A. Schizophrenia.
B. Depression.
C. Insomnia.
D. Anxiety. - Correct Answer -A. Schizophrenia.
A 56-year-old woman presents with a persistent, scaly, erythematous
rash on the right nipple and areola that has been present for 3 months.
She reports itching and burning, and notes occasional clear yellow
discharge from the nipple. She was treated twice with topical steroids for
presumed eczema with no improvement. On exam, the rash is well-
demarcated, involving the nipple and areola, with mild crusting. No
palpable masses are noted.
Which of the following is the most likely diagnosis?
pg. 4
FNP III FINAL EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| FAMILY NURSE PRACTITIONER 3 FINAL
EXAM REVIEW WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
Which of the following is the greatest risk factor for bladder cancer?
A. History of benign prostatic hypertrophy (BPH).
B. Toxin exposure.
C. Smoking.
D. Diabetes. - Correct Answer -C. Smoking.
Smoking is responsible for about 50% of all bladder cancer cases.
Which of the following is the most appropriate first-line management
strategy for most mental health conditions in the pediatric population?
A. Genetic testing.
B. Admission to an acute care psychiatric unit.
C. Tricyclic antidepressants (TCAs).
D. Cognitive/ Behavior Therapy. - Correct Answer -D.
Which of the following is the most common neurobehavioral disorder in
the U.S. pediatric population?
A. Attention-Deficit Hyperactivity Disorder (ADHD).
pg. 1
,2|Page
B. Bipolar Disorder
C. Language and learning disorders.
D. Autism Spectrum Disorder. - Correct Answer -A.
A 17-year-old female with anorexia nervosa presents for evaluation. She
reports severe restriction, intense fear of gaining weight, and excessive
exercise. On exam, she appears cachectic with bradycardia. Labs are
ordered. Which of the following laboratory findings is most consistent
with anorexia nervosa?
A. Leukocytosis, hyperkalemia, elevated liver enzymes
B. Mild leukopenia, hypokalemia, low-normal hemoglobin
C. Polycythemia, hypernatremia, elevated TSH
D. Severe thrombocytopenia, hypercalcemia, low TSH
E. Eosinophilia, hypermagnesemia, elevated T3/T4 - Correct Answer -B.
In anorexia nervosa, up to one-third of patients show signs of partial
bone marrow atrophy, leading to mild leukopenia. Hypokalemia is
common due to inadequate intake, vomiting, or laxative use.
Hemoglobin may be low-normal due to chronic malnutrition. These
findings, along with thyroid abnormalities (normal TSH, low T3/T4) and
metabolic change (Metabolic alkalosis), are part of the classic lab profile
in anorexia nervosa. Also QT prolongation.
A 17-year-old female with severe anorexia nervosa is hospitalized for
evaluation after years of restrictive eating and occasional purging. Labs
reveal hypokalemia, hypochloremia, and elevated bicarbonate. Which of
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,3|Page
the following complications is most commonly responsible for fatalities
in patients with anorexia nervosa?
A. Severe hypoglycemia
B. Metabolic alkalosis from electrolyte disturbances
C. Hypothyroidism
D. Severe anemia
E. Central hypothyroidism - Correct Answer -B.
In patients with anorexia nervosa, particularly those who vomit or use
diuretics/laxatives, loss of potassium and chloride leads to metabolic
alkalosis, which is a major contributor to fatal cardiac arrhythmias.
Although other complications (hypoglycemia, anemia, thyroid
abnormalities) can occur, electrolyte-induced metabolic alkalosis is the
primary mechanism leading to death.
A 17-year-old female presents for evaluation of weight loss, fatigue, and
amenorrhea. She reports severe restriction of food intake, intense fear of
gaining weight, and excessive exercise. On exam, her BMI is 16 kg/m²,
she appears cachectic, and her heart rate is 48 bpm. You order basic labs,
including a thyroid panel. Which of the following thyroid lab patterns is
most likely in this patient?
A. Elevated TSH, elevated T3 and T4
B. Low TSH, elevated T3 and T4
C. Normal TSH, low T3 and T4
D. Low TSH, low T3 and T4
E. Elevated TSH, low T3 and T4 - Correct Answer -C.
pg. 3
, 4|Page
Patients with anorexia nervosa often develop a "euthyroid sick" pattern,
characterized by low T3 and T4 with a normal TSH. This occurs as the
body adapts to starvation by reducing peripheral thyroid hormone
conversion and metabolism, and is not indicative of primary thyroid
disease. In anorexia nervosa, up to one-third of patients show signs of
partial bone marrow atrophy, leading to mild leukopenia. Hypokalemia
is common due to inadequate intake, vomiting, or laxative use.
Hemoglobin may be low-normal due to chronic malnutrition. These
findings, along with thyroid abnormalities (normal TSH, low T3/T4) and
metabolic change (Metabolic alkalosis), are part of the classic lab profile
in anorexia nervosa. Also QT prolongation.
Which of the following mental health conditions is most appropriately
primarily managed by a mental health specialist?
A. Schizophrenia.
B. Depression.
C. Insomnia.
D. Anxiety. - Correct Answer -A. Schizophrenia.
A 56-year-old woman presents with a persistent, scaly, erythematous
rash on the right nipple and areola that has been present for 3 months.
She reports itching and burning, and notes occasional clear yellow
discharge from the nipple. She was treated twice with topical steroids for
presumed eczema with no improvement. On exam, the rash is well-
demarcated, involving the nipple and areola, with mild crusting. No
palpable masses are noted.
Which of the following is the most likely diagnosis?
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