NR667 – FNP STUDY GUIDE WITH ACCURATE QUESTIONS AND DETAILED SOLUTIONS || 100% GUARANTEED PASS A+

1. A 21-year-old sexually active female has "weird bumps" on her vulva. Which virus causes condyloma? ANSWER Human papilloma virus type 6 and 11 2. A patient has a dark brown, round, "stuck on" lesion. Which lesion best fits this description? ANSWER Seborrheic keratosis 3. A 1-year-old with erythema on the face around the nasolabial folds and fine dandruff. Which disease is most likely? ANSWER: Infantile seborrheic dermatitis ("cradle cap") 4. A 30-year-old with cyclical extremes of euphoria and depression. Which diagnosis is likely? ANSWER Bipolar disorder 5. A patient in rehab after major surgery appears despondent, sleepy, unmotivated, stable vitals. Which condition does this likely represent? ANSWER Situational depression 6. A 29-year-old veteran who must face the door at all times might have PTSD. Which medication is first line for PTSD? ANSWER Selective serotonin reuptake inhibitors 7. An 8-year-old female with fear of abandonment, intense relationships, recurrent self harm. Which diagnosis fits best? ANSWER Borderline personality disorder 8. A 55-year-old male diabetic with exertional left lower leg pain, numbness at rest, hair loss on anterior tibia. Which diagnosis? ANSWER Peripheral arterial disease, order ankle brachial index 9. A patient off diuretics for vacation gained 21 lbs, has bilateral crackles, severe generalized edema including abdomen. Which condition describes this? ANSWER Anasarca 10. A 45-year-old male with known peripheral arterial disease (PAD) and no surgical history. Which medication should he be on if not already? ANSWER Cilostazol (Pletal) 11. During an oral exam, the patient's tongue deviates to the left when protruded. Which is the correct diagnosis? ANSWER Hypoglossal nerve (CN XII) lesion 12. A 56-year-old male smoker with TIA symptoms. Which medication strategy is indicated in TIA? ANSWER Use of daily clopidogrel (Plavix) 13. A patient with difficulty forming words but intact comprehension and ability to follow commands. Which brain area? ANSWER Broca's area 14. A 22-year-old who appears drowsy, opens eyes to respond, then drifts back to sleep. Which level of consciousness is this? ANSWER Lethargic 15. Which condition is least suspicious for renal artery stenosis in a hypertensive patient? ANSWER Hypertension controlled on 2 medications 16. A 31-year-old female has gram-negative rods on urine culture. Which organism is least likely? ANSWER Streptococcus 17. Elevated creatinine after a period of hypotension suggests which type of renal dysfunction? ANSWER Acute tubular necrosis 18. An ESRD patient is asked about how hemodialysis works. Which explanation is most accurate? ANSWER My blood is cleaned by diffusing across a semi-permeable membrane 19. A G2P1 pregnant female at 28 weeks with ultrasound-confirmed placenta previa. What guidance is correct? ANSWER We should schedule a time with your obstetrician for a cesarean section delivery 20. The most common causes of uterine cancer include which history items? ANSWER Obesity and smoking 21. In obstructive lung disease, a decreased level in which of the following spirometry parameters is most suggestive of diagnosis? ANSWER Forced Expiratory Volume in 1 second (FEV₁) 22. Your newly established patient developed a progressively enlarged thyroid gland (goiter) along with symptoms of anxiety, palpitations, and tremor over the last year. Which diagnosis is most likely based on these findings? ANSWER Graves' Disease 23. A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the following typical signs on exam? ANSWER Exophthalmos 24. Your patient has Cushing's disease. Which of the following would you NOT expect to find during examination? ANSWER Low body temperature 25. A patient with severe cirrhosis awaiting possible liver transplant should be evaluated with which scoring system to assess liver function and prognosis? ANSWER Model for End-Stage Liver Disease (MELD) Score 26. You suspect mononucleosis in a 12-year-old with left upper quadrant pain and likely splenomegaly. Which examination step should be avoided over that area? ANSWER Deep palpitation 27. A 21-year-old female may have a perforated gastric ulcer with peritonitis. Which type of bacteria is most likely the causative agent? ANSWER Gram-negative rods 28. A 22-year-old male power lifter complains his scrotum is very enlarged and fluid-like. Which diagnosis is most likely? ANSWER Hydrocele 29. A 22-year-old female has sinus pressure and congestion. Which maneuver may help reproduce sinus-related pain and support the diagnosis? ANSWER Leaning forward 30. A 49-year-old male presents with weight loss, night sweats, anhedonia, and CXR showing profoundly enlarged hilar adenopathy. Which diagnosis should be in your differential? ANSWER Lymphoma 31. Which of the following diseases is associated with vitreous detachment? ANSWER Ehlers-Danlos 32. A patient presents with a unilateral visual deficit described as loss of visual fields on the right side in both eyes. This is known as what? ANSWER Homonymous hemianopia 33. An adolescent female with microcytic, hypochromic anemia and elevated RDW most likely has iron deficiency. Which labs will you order first? ANSWER TIBC and ferritin 34. A microcytic anemia with normal RDW is most likely which type of anemia? ANSWER Thalassemia trait 35. A 43-year-old male with macrocytic anemia should be evaluated for which lab level to help narrow the etiology? ANSWER Vitamin B12 36. A 66-year-old female with end-stage renal disease on dialysis has labs showing high creatinine/BUN. On CBC, you'd typically see which result? ANSWER Normal MCH, hemoglobin 9.6 37. During a routine physical, a 12-year-old with a history of Reye syndrome is noted. Which agent is most often implicated in causing Reye syndrome? ANSWER Aspirin use 38. Your patient is diagnosed with hepatitis A. Which immunoglobulin is the first to be elevated in the serum? ANSWER IgM 39. A patient had new-onset hepatitis B about one year ago. Which marker is most likely elevated now? ANSWER Hepatitis Core antibody 40. A 24-year-old female suspected of systemic lupus erythematosus (SLE). Which useful lab aids diagnosis? ANSWER Antinuclear antibody 41. Which glands are commonly obstructed and may require incision and drainage for abscess? ANSWER Apocrine 42. When screening a suspicious mole for melanoma, which feature is especially concerning? ANSWER Irregular border 43. Which dermatologic lesion is precancerous and due to UV-B exposure? ANSWER Actinic keratosis 44. Based on ABCDE for melanoma, which represents a suspicious finding? ANSWER Diameter of 0.8 cm 45. A patient actively experiencing delirium tremens after abrupt alcohol cessation is likely suffering from deficit of which neurotransmitter? ANSWER GABA 46. To differentiate anxiety from hyperthyroidism, which test is most useful? ANSWER TSH and free T4 47. Your schizophrenic patient says, "What is that awful smell?" This is an example of which type of hallucination? ANSWER Olfactory 48. A 16-year-old who attempted self-harm must be evaluated for which most common co-diagnosis? ANSWER Depression 49. A 23-year-old male has severe pain raising his arm overhead. Which diagnosis is most likely? ANSWER Damage to the rotator cuff 50. A 16-year-old female has unilateral jaw pain and difficulty fully opening her mouth. Which diagnosis is most likely? ANSWER Temporomandibular joint (TMJ) pain, treat with a bite guard 51. Limited lumbar spine movement with inflammation over the sacroiliac joints. Which diagnosis fits best? ANSWER Ankylosing spondylitis 52. You perform a sensory exam of the face and notice abnormal sensation to sharp/dull over the left cheek. Which cranial nerve is most likely involved? ANSWER Trigeminal nerve (CN V) 53. During a neurologic exam (cranial nerves), which is the most effective for assessing cranial nerve II? ANSWER Snellen chart for visual acuity 54. Having the patient close their eyes and identify a familiar object in their hand is known as which test? ANSWER Stereognosis 55. A patient with a damaged glossopharyngeal nerve might exhibit which clinical finding? ANSWER Impaired gag reflex 56. A patient successfully treated for strep infection now has hematuria with RBC casts. Which diagnosis is confirmed? ANSWER Glomerulonephritis 57. In addition to dysuria and frequency, which urinalysis finding confirms pyelonephritis? ANSWER WBC casts on urinalysis 58. In assessing suspected pyelonephritis, which physical exam test may elicit a confirmatory response? ANSWER Renal punch test 59. In a diabetic hypertensive patient, which first test is used to evaluate early renal dysfunction? ANSWER Urinalysis with micro/macro albumin