1|Page
FNP III EXAM 2 PRACTICE EXAM NEWEST 2026/ 2027 TEST
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+| FNP III EXAM 2
PREP (BRAND NEW!!)
A patient reports a recurrent sensation of spinning associated with
nausea and vomiting. Which test will the provider order to confirm a
diagnosis for this patient?
a. Electroencephalogram (ECG)
b. Holter monitoring and electrocardiogram
c. Neuroimaging with computerized tomography (CT)
d. The Hallpike-Dix positioning maneuver ......ANSWER......ANS: D
This patient has symptoms consistent with a vestibular lesion, so the
provider will order a Hallpike-Dix positioning maneuver to evaluate
vestibular function. If seizure activity is suspected, an
electroencephalogram will be ordered. Holter monitoring and ECG are
used if patients report syncope or lightheadedness. Neuroimaging
with CT is used when patients possibly have a central lesion which
would present with difficulty balancing.
An older adult patient reports sensations of being off balance when
walking but does not experience dizziness. The provider will refer this
patient to which specialist for further evaluation?
a. Audiologist
,2|Page
b. Cardiologist
c. Neurologist
d. Otolaryngologist ......ANSWER......ANS: C
This patient has problems of balance without dizziness, suggestive of a
central neural lesion and should be referred to a neurologist. Patients
with vertigo are likely to have vestibular dysfunction and would be
referred to an otolaryngologist and possibly an audiologist if hearing is
affected. Patients with syncope or lightheadedness are more likely to
have an underlying cardiac disorder and would be referred to a
cardiologist.
A patient exhibits visual field defect, ataxia, and dysarthria and
complains of a mild headache. A family member reports that the
symptoms began several hours prior. An examination reveals normal
range of motion of the neck. What type of cerebrovascular event is
most likely?
a. Hemorrhagic stroke
b. Hypertensive intracerebral hemorrhage
c. Ischemic stroke
d. Transient ischemic attack (TIA) ......ANSWER......ANS: C
Patients with ischemic stroke typically do not have headache; if they
do, it is milder than with hemorrhagic stroke. A TIA resolves within
minutes.
,3|Page
An elderly patient is brought to the emergency department after being
found on the floor after a fall. The patient has unilateral sagging of the
face, marked slurring of the speech, and paralysis on one side of the
body. The patient's blood pressure is 220/190 mm Hg. What is the likely
treatment for this patient?
a. Carotid endarterectomy
b. Close observation until symptoms resolve
c. Neurosurgical consultation d. Thrombolytic therapy
......ANSWER......ANS: C
This patient has signs consistent with hemorrhagic stroke and will
need consultation with a neurosurgeon to determine whether surgical
intervention will be beneficial. Carotid endarterectomy is performed in
patients with carotid stenosis and is used in patients with hemispheric
ACVS (TIA). Patients with TIA may be observed to monitor symptoms.
Thrombolytic therapy is given to patients with ischemic stroke.
A previously healthy 30-year-old patient is brought to the emergency
department with signs of stroke. Diagnostic testing determines an
ongoing ischemic cause. The patient's spouse reports that symptoms
began approximately 2 hours prior to transport. What is the
recommended treatment?
a. Administration of low-molecular-weight heparin
b. Neurosurgical consultation for possible surgery
c. Observation for complications prior to initiating tPA
, 4|Page
d. Tissue plasminogen activator (tPA) administration
......ANSWER......ANS: D
This patient meets the criteria for tPA administration and it should be
begun within 4.5 hours after onset of symptoms. This patient has had
symptoms for over 2 hours, so tPA should begin immediately. LMW
heparin is not indicated. Neurosurgical intervention is recommended
for patients with hemorrhagic stroke.
A previously lucid patient with early-stage Alzheimer's disease is
hospitalized after a surgical procedure and exhibits distractibility and
perceptual disturbances that occur only in the late afternoon. The
patient has difficulty sleeping at night and instead sleeps much of the
morning. What is the likely cause of these symptoms?
a. Hyperactive delirium
b. Hypoactive delirium
c. Sundowner syndrome
d. Worsening dementia ......ANSWER......ANS: C
Patients with dementia are at increased risk of sundowner syndrome,
characterized by the symptoms above and which typically appear in
late afternoon and early evening. Hyperactive delirium is manifested
by agitation and restlessness. Hypoactive delirium includes patients
with decreased alertness, lethargy, and slowed speech. Delirium and
worsening of dementia would cause symptoms around the clock, not
just in the late afternoon or evening.
FNP III EXAM 2 PRACTICE EXAM NEWEST 2026/ 2027 TEST
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+| FNP III EXAM 2
PREP (BRAND NEW!!)
A patient reports a recurrent sensation of spinning associated with
nausea and vomiting. Which test will the provider order to confirm a
diagnosis for this patient?
a. Electroencephalogram (ECG)
b. Holter monitoring and electrocardiogram
c. Neuroimaging with computerized tomography (CT)
d. The Hallpike-Dix positioning maneuver ......ANSWER......ANS: D
This patient has symptoms consistent with a vestibular lesion, so the
provider will order a Hallpike-Dix positioning maneuver to evaluate
vestibular function. If seizure activity is suspected, an
electroencephalogram will be ordered. Holter monitoring and ECG are
used if patients report syncope or lightheadedness. Neuroimaging
with CT is used when patients possibly have a central lesion which
would present with difficulty balancing.
An older adult patient reports sensations of being off balance when
walking but does not experience dizziness. The provider will refer this
patient to which specialist for further evaluation?
a. Audiologist
,2|Page
b. Cardiologist
c. Neurologist
d. Otolaryngologist ......ANSWER......ANS: C
This patient has problems of balance without dizziness, suggestive of a
central neural lesion and should be referred to a neurologist. Patients
with vertigo are likely to have vestibular dysfunction and would be
referred to an otolaryngologist and possibly an audiologist if hearing is
affected. Patients with syncope or lightheadedness are more likely to
have an underlying cardiac disorder and would be referred to a
cardiologist.
A patient exhibits visual field defect, ataxia, and dysarthria and
complains of a mild headache. A family member reports that the
symptoms began several hours prior. An examination reveals normal
range of motion of the neck. What type of cerebrovascular event is
most likely?
a. Hemorrhagic stroke
b. Hypertensive intracerebral hemorrhage
c. Ischemic stroke
d. Transient ischemic attack (TIA) ......ANSWER......ANS: C
Patients with ischemic stroke typically do not have headache; if they
do, it is milder than with hemorrhagic stroke. A TIA resolves within
minutes.
,3|Page
An elderly patient is brought to the emergency department after being
found on the floor after a fall. The patient has unilateral sagging of the
face, marked slurring of the speech, and paralysis on one side of the
body. The patient's blood pressure is 220/190 mm Hg. What is the likely
treatment for this patient?
a. Carotid endarterectomy
b. Close observation until symptoms resolve
c. Neurosurgical consultation d. Thrombolytic therapy
......ANSWER......ANS: C
This patient has signs consistent with hemorrhagic stroke and will
need consultation with a neurosurgeon to determine whether surgical
intervention will be beneficial. Carotid endarterectomy is performed in
patients with carotid stenosis and is used in patients with hemispheric
ACVS (TIA). Patients with TIA may be observed to monitor symptoms.
Thrombolytic therapy is given to patients with ischemic stroke.
A previously healthy 30-year-old patient is brought to the emergency
department with signs of stroke. Diagnostic testing determines an
ongoing ischemic cause. The patient's spouse reports that symptoms
began approximately 2 hours prior to transport. What is the
recommended treatment?
a. Administration of low-molecular-weight heparin
b. Neurosurgical consultation for possible surgery
c. Observation for complications prior to initiating tPA
, 4|Page
d. Tissue plasminogen activator (tPA) administration
......ANSWER......ANS: D
This patient meets the criteria for tPA administration and it should be
begun within 4.5 hours after onset of symptoms. This patient has had
symptoms for over 2 hours, so tPA should begin immediately. LMW
heparin is not indicated. Neurosurgical intervention is recommended
for patients with hemorrhagic stroke.
A previously lucid patient with early-stage Alzheimer's disease is
hospitalized after a surgical procedure and exhibits distractibility and
perceptual disturbances that occur only in the late afternoon. The
patient has difficulty sleeping at night and instead sleeps much of the
morning. What is the likely cause of these symptoms?
a. Hyperactive delirium
b. Hypoactive delirium
c. Sundowner syndrome
d. Worsening dementia ......ANSWER......ANS: C
Patients with dementia are at increased risk of sundowner syndrome,
characterized by the symptoms above and which typically appear in
late afternoon and early evening. Hyperactive delirium is manifested
by agitation and restlessness. Hypoactive delirium includes patients
with decreased alertness, lethargy, and slowed speech. Delirium and
worsening of dementia would cause symptoms around the clock, not
just in the late afternoon or evening.
