CMN 574 EXAM 1 STUDY GUIDE 2026/2027 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS LATEST
VERSION
Course Information
• Course: CMN 574 - Family Nurse Practitioner Program
• Exam: Exam 1
• Focus: Advanced health assessment and clinical management of complex health
problems across the lifespan
Exam Content Areas & Weight Distribution
Content Area Approximate % Number of Questions
Chest Pain Evaluation & Cardiac 25% 75-80 questions
Respiratory Disorders 15% 45-50 questions
Gastrointestinal Disorders 15% 45-50 questions
Endocrine Disorders 12% 36-40 questions
Neurological & Special Senses 10% 30-35 questions
Infectious Disease & Immunology 10% 30-35 questions
Clinical Decision-Making 8% 24-30 questions
Pediatric & Congenital Conditions 5% 15-20 questions
,Question 1
What is the most common cause of chest pain in the primary care office?
A) Gastrointestinal disorders
B) Cardiac causes
C) Musculoskeletal/chest wall pain
D) Respiratory disorders
Answer: C - Musculoskeletal/chest wall pain is the most common cause of chest pain in
the primary care office, followed by gastrointestinal disorders . Almost 40% of patients
with chest pain have a musculoskeletal disorder/chest wall pain .
Question 2
Which of the following is a characteristic of musculoskeletal chest pain?
A) Substernal burning pain
B) Made worse with movement or deep inspiration
C) Relieved by antacids
D) Radiates to the left arm
Answer: B - Musculoskeletal chest pain is usually more localized and the patient can
point to it. It is made worse with movement or deep inspiration and is often
reproducible on palpation .
Question 3
A 35-year-old active patient presents with localized chest pain that worsens with arm
movement. The pain is reproducible by palpation. What is the most likely diagnosis?
A) Myocardial infarction
B) Musculoskeletal chest wall pain
C) Pulmonary embolism
D) GERD
Answer: B - Musculoskeletal chest wall pain is more common in young, active patients
and is characterized by localized pain worsened with movement and reproducible by
palpation .
,Question 4
What is the treatment for musculoskeletal chest pain?
A) Surgery
B) Rest, anti-inflammatories, ice/heat
C) IV antibiotics
D) Proton pump inhibitors
Answer: B - Treatment for musculoskeletal chest pain includes rest, anti-inflammatories,
and ice/heat. X-rays may be done if there is a history of trauma; examine for rash
associated with zoster .
Question 5
What percentage of patients with chest pain have gastrointestinal disorders as the
cause?
A) 5-10%
B) 10-15%
C) 20-30%
D) 40-50%
Answer: C - Gastrointestinal disorders account for 20-30% of patients with chest pain .
Question 6
A patient presents with substernal burning chest pain, nocturnal cough, and belching.
What is the most likely diagnosis?
A) Musculoskeletal chest pain
B) GERD
C) Angina
D) Pericarditis
Answer: B - Gastrointestinal chest pain is characterized by substernal burning pain,
nocturnal cough, flatus, belching, and dysphagia. Esophageal spasm may present with
squeezing pain .
, Question 7
What is the most appropriate initial management for a patient with suspected GERD
chest pain?
A) ECG and cardiac enzymes
B) Trial of proton pump inhibitor
C) CT chest
D) Stress test
Answer: B - A trial of a proton pump inhibitor (PPI) is appropriate for suspected GERD.
If symptoms improve, GERD is likely the cause of chest pain .
Question 8
Which of the following is a red flag symptom in chest pain evaluation?
A) Pain reproducible by palpation
B) Pain relieved by antacids
C) Pain radiating to the arm, jaw, or back
D) Pain worsened by movement
Answer: C - Pain radiating to the arm, jaw, or back is a red flag symptom in chest pain
evaluation that may indicate cardiac ischemia .
Question 9
A patient with chest pain and respiratory symptoms has pleuritic pain that is sharp,
stabbing, and localized to one side. The pain is worse with deep breath or cough. What
is the most likely cause?
A) PE or pleuritis
B) Pneumonia
C) Asthma
D) COPD
Answer: A - Pleuritic pain that is sharp, stabbing, and localized to one side, worse with
deep breath or cough, is characteristic of PE or pleuritis .
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS LATEST
VERSION
Course Information
• Course: CMN 574 - Family Nurse Practitioner Program
• Exam: Exam 1
• Focus: Advanced health assessment and clinical management of complex health
problems across the lifespan
Exam Content Areas & Weight Distribution
Content Area Approximate % Number of Questions
Chest Pain Evaluation & Cardiac 25% 75-80 questions
Respiratory Disorders 15% 45-50 questions
Gastrointestinal Disorders 15% 45-50 questions
Endocrine Disorders 12% 36-40 questions
Neurological & Special Senses 10% 30-35 questions
Infectious Disease & Immunology 10% 30-35 questions
Clinical Decision-Making 8% 24-30 questions
Pediatric & Congenital Conditions 5% 15-20 questions
,Question 1
What is the most common cause of chest pain in the primary care office?
A) Gastrointestinal disorders
B) Cardiac causes
C) Musculoskeletal/chest wall pain
D) Respiratory disorders
Answer: C - Musculoskeletal/chest wall pain is the most common cause of chest pain in
the primary care office, followed by gastrointestinal disorders . Almost 40% of patients
with chest pain have a musculoskeletal disorder/chest wall pain .
Question 2
Which of the following is a characteristic of musculoskeletal chest pain?
A) Substernal burning pain
B) Made worse with movement or deep inspiration
C) Relieved by antacids
D) Radiates to the left arm
Answer: B - Musculoskeletal chest pain is usually more localized and the patient can
point to it. It is made worse with movement or deep inspiration and is often
reproducible on palpation .
Question 3
A 35-year-old active patient presents with localized chest pain that worsens with arm
movement. The pain is reproducible by palpation. What is the most likely diagnosis?
A) Myocardial infarction
B) Musculoskeletal chest wall pain
C) Pulmonary embolism
D) GERD
Answer: B - Musculoskeletal chest wall pain is more common in young, active patients
and is characterized by localized pain worsened with movement and reproducible by
palpation .
,Question 4
What is the treatment for musculoskeletal chest pain?
A) Surgery
B) Rest, anti-inflammatories, ice/heat
C) IV antibiotics
D) Proton pump inhibitors
Answer: B - Treatment for musculoskeletal chest pain includes rest, anti-inflammatories,
and ice/heat. X-rays may be done if there is a history of trauma; examine for rash
associated with zoster .
Question 5
What percentage of patients with chest pain have gastrointestinal disorders as the
cause?
A) 5-10%
B) 10-15%
C) 20-30%
D) 40-50%
Answer: C - Gastrointestinal disorders account for 20-30% of patients with chest pain .
Question 6
A patient presents with substernal burning chest pain, nocturnal cough, and belching.
What is the most likely diagnosis?
A) Musculoskeletal chest pain
B) GERD
C) Angina
D) Pericarditis
Answer: B - Gastrointestinal chest pain is characterized by substernal burning pain,
nocturnal cough, flatus, belching, and dysphagia. Esophageal spasm may present with
squeezing pain .
, Question 7
What is the most appropriate initial management for a patient with suspected GERD
chest pain?
A) ECG and cardiac enzymes
B) Trial of proton pump inhibitor
C) CT chest
D) Stress test
Answer: B - A trial of a proton pump inhibitor (PPI) is appropriate for suspected GERD.
If symptoms improve, GERD is likely the cause of chest pain .
Question 8
Which of the following is a red flag symptom in chest pain evaluation?
A) Pain reproducible by palpation
B) Pain relieved by antacids
C) Pain radiating to the arm, jaw, or back
D) Pain worsened by movement
Answer: C - Pain radiating to the arm, jaw, or back is a red flag symptom in chest pain
evaluation that may indicate cardiac ischemia .
Question 9
A patient with chest pain and respiratory symptoms has pleuritic pain that is sharp,
stabbing, and localized to one side. The pain is worse with deep breath or cough. What
is the most likely cause?
A) PE or pleuritis
B) Pneumonia
C) Asthma
D) COPD
Answer: A - Pleuritic pain that is sharp, stabbing, and localized to one side, worse with
deep breath or cough, is characteristic of PE or pleuritis .
