FNP 654 PREDICTOR EXAM (2026-2027)
VERIFIED QUESTIONS AND CORRECT
ANSWERS GRADED A+ GCU
A 43 year old female has been diagnosed with hypothyroidism. Which of the
following symptoms would you expect her to be experiencing? Select all that
apply.
A. Fatigue
B. Heat intolerance
C. Muscle weakness
D. Muscle cramps
E. Depression
F. Fine, silky hair
G. Skin dryness
A. D. E. G.
Which metabolic abnormality is associated with hypothyroidism?
A. increased LDL values
B. Hyponatremia
C. Increased MCV
D. Elevated CK
A. Increased LDL values
,A 30 year old woman with a BMI of 31 has symptoms of hypothyroidism. Her
TSH is 35.6 mU/L. When calculating replacement of levothyroxine, what must be
determined how much replacement is needed?
A. Actual weight
B. Ideal body weight
C. BMI
D. TSH
B. Ideal body weight
A 45 year old patient has subclinical hypothyroidism, TSH 6.2. What are the major
risks of prescribing levothyroxine?
A. There are very few risks
B. Hyperlipidemia, atrial fibrillation
C. Accelerated bone loss, atrial fibrillation
D. She may develop hypertension and tachycardia
C. Accelerated bone loss, atrial fibrillation
A 58 year old female is found to be euthyroid. Which of the following is the next
step of care?
A. Repeat TSH in 4-6 weeks.
B. Increase levothyroxine until therapeutic.
C. Monitor TSH annually unless symptoms develop
D. Decrease levothyroxine until therapeutic.
C. Monitor TSH annually unless symptoms develop.
, A 44 year old obese woman complains of abdominal pain. What physical
assessment finding might indicate that the etiology of her pain is acute
cholecystitis?
A. Pain at McBurney's point.
B. Positive Murthy's sign
C. Severe epigastric pain
D. Thinking bowel sounds
B. Positive Murphy's sign
A 68 year old male has LLQ abdominal pain and suspected diverticulitis. Which
initial diagnostic test would be ordered?
A. Ultrasound
B. Abdominal CT
C. Abdominal MRI
D. KUB X-ray
A. Ultrasound
A 34 year old woman states that she has had diarrhea for 1 week. What factor
should make the provider strongly consider inflammatory bowel disease?
A. CBC demonstrates elevated WBCs.
B. She has a family history of irritable bowel syndrome.
C. She feels tired, weak, and has a fever.
D. She is having bloody nocturnal diarrhea.
D. She is having bloody nocturnal diarrhea.
VERIFIED QUESTIONS AND CORRECT
ANSWERS GRADED A+ GCU
A 43 year old female has been diagnosed with hypothyroidism. Which of the
following symptoms would you expect her to be experiencing? Select all that
apply.
A. Fatigue
B. Heat intolerance
C. Muscle weakness
D. Muscle cramps
E. Depression
F. Fine, silky hair
G. Skin dryness
A. D. E. G.
Which metabolic abnormality is associated with hypothyroidism?
A. increased LDL values
B. Hyponatremia
C. Increased MCV
D. Elevated CK
A. Increased LDL values
,A 30 year old woman with a BMI of 31 has symptoms of hypothyroidism. Her
TSH is 35.6 mU/L. When calculating replacement of levothyroxine, what must be
determined how much replacement is needed?
A. Actual weight
B. Ideal body weight
C. BMI
D. TSH
B. Ideal body weight
A 45 year old patient has subclinical hypothyroidism, TSH 6.2. What are the major
risks of prescribing levothyroxine?
A. There are very few risks
B. Hyperlipidemia, atrial fibrillation
C. Accelerated bone loss, atrial fibrillation
D. She may develop hypertension and tachycardia
C. Accelerated bone loss, atrial fibrillation
A 58 year old female is found to be euthyroid. Which of the following is the next
step of care?
A. Repeat TSH in 4-6 weeks.
B. Increase levothyroxine until therapeutic.
C. Monitor TSH annually unless symptoms develop
D. Decrease levothyroxine until therapeutic.
C. Monitor TSH annually unless symptoms develop.
, A 44 year old obese woman complains of abdominal pain. What physical
assessment finding might indicate that the etiology of her pain is acute
cholecystitis?
A. Pain at McBurney's point.
B. Positive Murthy's sign
C. Severe epigastric pain
D. Thinking bowel sounds
B. Positive Murphy's sign
A 68 year old male has LLQ abdominal pain and suspected diverticulitis. Which
initial diagnostic test would be ordered?
A. Ultrasound
B. Abdominal CT
C. Abdominal MRI
D. KUB X-ray
A. Ultrasound
A 34 year old woman states that she has had diarrhea for 1 week. What factor
should make the provider strongly consider inflammatory bowel disease?
A. CBC demonstrates elevated WBCs.
B. She has a family history of irritable bowel syndrome.
C. She feels tired, weak, and has a fever.
D. She is having bloody nocturnal diarrhea.
D. She is having bloody nocturnal diarrhea.
