FNP III Final Exam Questions
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Which of the following diagnostic studies would be done for
suspected Celiac Disease in a child?
A. Serologic testing for Tissue transglutaminase antibody (tTG).
B. Colonoscopy.
C. Lactose hydrogen breath test.
D. Inflammatory markers. - ANSWER-A. Serologic testing for Tissue
transglutaminase antibody (tTG).
For a child (or adult) with suspected Celiac disease, the first-line
diagnostic test is serologic testing for the IgA tissue transglutaminase
antibody (tTG-IgA) often done along with a total serum IgA to rule out
IgA deficiency.
,A patient is diagnosed with mild to moderate ulcerative colitis. Which
of the following medications is NOT typically prescribed for this
condition?
A. Sulfasalazine (Azulfidine)
B. Infliximab (Remicade)
C. Pantoprazole (Protonix)
D. Azathioprine (Imuran) - ANSWER-C. Pantoprazole (Protonix)
Pantoprazole is a proton pump inhibitor (PPI) used to reduce stomach
acid in conditions like GERD, peptic ulcer disease, and gastritis. It is
not part of the standard treatment for ulcerative colitis (UC), which is
an inflammatory bowel disease affecting the colon.
What is the most common cause of failure to thrive in the pediatric
population?
A. Inflammatory Bowel Disease (IBD).
B. Gastrointestinal malabsorption disorders.
C. Inadequate caloric intake.
D. Food allergies. - ANSWER-C. Inadequate caloric intake.
A 50 year old male with alcoholism presents with sudden onset
epigastric pain, nausea and vomiting after a weekend of binge
drinking. He is tender on exam to the epigastric area. Which of the
following differentials does the NP suspect?
A. Gastroenteritis
B. Helicobacter pylori
,C. Acute hepatitis
D. Pancreatitis - ANSWER-D. Pancreatitis
A 50-year-old male with alcoholism presenting with sudden severe
epigastric pain, nausea, and vomiting after binge drinking is classic for
acute pancreatitis.
Acute hepatitis: Can cause right upper quadrant discomfort and
jaundice, but pain is usually mild and not sudden or severe like
pancreatitis.
The presentation of Nephrotic Syndrome is typically characterized by
which of the following constellation of signs and symptoms?
A. Hypoalbuminuria, hypotension, and headache.
B. Proteinemia, hypertension, and hematuria.
C. High HDL cholesterol, hyperglycemia, and hypotension.
D. Hypoalbuminemia, proteinuria, and hyperlipidemia. - ANSWER-D.
Hypoalbuminemia, proteinuria, and hyperlipidemia.
Nephrotic Syndrome is characterized by a specific triad of findings due
to increased permeability of the glomerular basement membrane,
leading to excessive protein loss in urine.
Proteinuria (>3.5 g/day) — hallmark feature
Hypoalbuminemia — due to protein loss in urine
Edema — from decreased oncotic pressure
Hyperlipidemia and lipiduria — liver compensate for low albumin by
increasing lipid production
, Which of the following is an intrarenal cause of acute kidney injury
(AKI)?
A. Glomerulonephritis.
B. Ureteral stones.
C. Hypovolemia.
D. Heart failure. - ANSWER-A. Glomerulonephritis.
Prerenal causes - due to decreased blood flow to the kidneys
Examples: Hypovolemia, heart failure, shock, renal artery stenosis
Intrarenal (intrinsic) causes - due to direct damage to kidney tissue
Examples: Glomerulonephritis, acute tubular necrosis, acute
interstitial nephritis
Postrenal causes - due to obstruction of urine outflow
Examples: Ureteral stones, benign prostatic hyperplasia, tumors
Acute Prostatitis is most often caused by which of the following?
A. A systemic viral illness.
B. A prostatic mass/malignancy.
C. Hypertrophy of the prostate.
D. A bacterial infection. - ANSWER-D. A bacterial infection.
Acute prostatitis is an infection of the prostate gland that causes
inflammation and urinary symptoms.
It is most often caused by bacteria, typically:
Escherichia coli (E. coli) — the most common pathogen
Merged With Correct Complete
Solutions || Already Graded A+ ||
2026-2027 Latest Update!!!
Which of the following diagnostic studies would be done for
suspected Celiac Disease in a child?
A. Serologic testing for Tissue transglutaminase antibody (tTG).
B. Colonoscopy.
C. Lactose hydrogen breath test.
D. Inflammatory markers. - ANSWER-A. Serologic testing for Tissue
transglutaminase antibody (tTG).
For a child (or adult) with suspected Celiac disease, the first-line
diagnostic test is serologic testing for the IgA tissue transglutaminase
antibody (tTG-IgA) often done along with a total serum IgA to rule out
IgA deficiency.
,A patient is diagnosed with mild to moderate ulcerative colitis. Which
of the following medications is NOT typically prescribed for this
condition?
A. Sulfasalazine (Azulfidine)
B. Infliximab (Remicade)
C. Pantoprazole (Protonix)
D. Azathioprine (Imuran) - ANSWER-C. Pantoprazole (Protonix)
Pantoprazole is a proton pump inhibitor (PPI) used to reduce stomach
acid in conditions like GERD, peptic ulcer disease, and gastritis. It is
not part of the standard treatment for ulcerative colitis (UC), which is
an inflammatory bowel disease affecting the colon.
What is the most common cause of failure to thrive in the pediatric
population?
A. Inflammatory Bowel Disease (IBD).
B. Gastrointestinal malabsorption disorders.
C. Inadequate caloric intake.
D. Food allergies. - ANSWER-C. Inadequate caloric intake.
A 50 year old male with alcoholism presents with sudden onset
epigastric pain, nausea and vomiting after a weekend of binge
drinking. He is tender on exam to the epigastric area. Which of the
following differentials does the NP suspect?
A. Gastroenteritis
B. Helicobacter pylori
,C. Acute hepatitis
D. Pancreatitis - ANSWER-D. Pancreatitis
A 50-year-old male with alcoholism presenting with sudden severe
epigastric pain, nausea, and vomiting after binge drinking is classic for
acute pancreatitis.
Acute hepatitis: Can cause right upper quadrant discomfort and
jaundice, but pain is usually mild and not sudden or severe like
pancreatitis.
The presentation of Nephrotic Syndrome is typically characterized by
which of the following constellation of signs and symptoms?
A. Hypoalbuminuria, hypotension, and headache.
B. Proteinemia, hypertension, and hematuria.
C. High HDL cholesterol, hyperglycemia, and hypotension.
D. Hypoalbuminemia, proteinuria, and hyperlipidemia. - ANSWER-D.
Hypoalbuminemia, proteinuria, and hyperlipidemia.
Nephrotic Syndrome is characterized by a specific triad of findings due
to increased permeability of the glomerular basement membrane,
leading to excessive protein loss in urine.
Proteinuria (>3.5 g/day) — hallmark feature
Hypoalbuminemia — due to protein loss in urine
Edema — from decreased oncotic pressure
Hyperlipidemia and lipiduria — liver compensate for low albumin by
increasing lipid production
, Which of the following is an intrarenal cause of acute kidney injury
(AKI)?
A. Glomerulonephritis.
B. Ureteral stones.
C. Hypovolemia.
D. Heart failure. - ANSWER-A. Glomerulonephritis.
Prerenal causes - due to decreased blood flow to the kidneys
Examples: Hypovolemia, heart failure, shock, renal artery stenosis
Intrarenal (intrinsic) causes - due to direct damage to kidney tissue
Examples: Glomerulonephritis, acute tubular necrosis, acute
interstitial nephritis
Postrenal causes - due to obstruction of urine outflow
Examples: Ureteral stones, benign prostatic hyperplasia, tumors
Acute Prostatitis is most often caused by which of the following?
A. A systemic viral illness.
B. A prostatic mass/malignancy.
C. Hypertrophy of the prostate.
D. A bacterial infection. - ANSWER-D. A bacterial infection.
Acute prostatitis is an infection of the prostate gland that causes
inflammation and urinary symptoms.
It is most often caused by bacteria, typically:
Escherichia coli (E. coli) — the most common pathogen
