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FNP 652 FINAL EXAM - FAMILY
PRIMARY CARE I QUESTIONS WITH
ANSWERS 2026
A patient who is obese has recurrent UTIs and reports feeling tired most of the
time. What initial diagnostic test will the provider order in the clinic at this visit? -
correct-answer - HbA1C
A patient who has diabetes has a blood pressure of 140/90 and albuminuria.
Which initial action by the primary care NP is indicated for management of this
patient? - correct-answer - Consulting with a nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child
with a history of intrauterine growth retardation whose height remains less than
the 3rd percentile on a WHO growth chart. What will the NP do? - correct-answer
- Refer the child to a pediatric endocrinologist
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An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration.
Which action is correct? - correct-answer - Refer the infant to the ED for fluids,
dextrose, and steroids
A patient with T2DM becomes insulin dependent after a year of therapy with oral
diabetes medication. When explaining this change in therapy, the provider will
tell the patient: - correct-answer - This is because of the natural progression of
the disease
A 16-year-old female whose BMI is at the 90th percentile reports irregular
periods. The primary care NP notes widespread acne on her face and back and an
abnormal distribution of facial hair. The NP will evaluate her further based on a
suspicion of which diagnosis? - correct-answer - PCOS
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A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The
provider notes that the patient appears confused and irritable and is sweating
and shaking. What intervention will the provider expect to perform once the POC
blood glucose is known? - correct-answer - Giving a rapid acting carbohydrate
A 15-year-old child has a recent history of increased thirst and frequent urination.
The child's weight has been in the 95th percentile for several years. A dipstick UA
is positive for glucose, and random plasma glucose is 350mg/dL. Which test will
the primary care NP order to determine the type of diabetes in this child? -
correct-answer - Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To
evaluate thyroid nodules for potential malignancy, which test is performed? -
correct-answer - Thyroid ultrasound
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The primary care NP diagnoses a 14-year-old child with T1DM after a routine
urine screen is positive for glucose and negative for ketones and plasma glucose is
350mg/dL. The child's weight is normal and the parents report a mild increase in
thirst and urine output in the past few days. Which course of action is correct? -
correct-answer - Begin insulin and refer the child to a children's diabetes center
An initial key part of management of a child suspected of having an inborn error
of metabolism is - correct-answer - Consulting a metabolic specialist
The primary care NP is performing a well-child examination on a 5-year-old girl.
The parents ask if the child's adult height can be predicted. The NP learns that the
mother is 5'8" tall and the father is 5'11" tall. The NP will estimate which expected
adult height for this child? - correct-answer - 5'7"
A diabetic patient who is taking a statin drug to treat dyslipidemia has begun a
diet and exercise program. The patient reports new onset of muscle pain several
FNP 652 FINAL EXAM - FAMILY
PRIMARY CARE I QUESTIONS WITH
ANSWERS 2026
A patient who is obese has recurrent UTIs and reports feeling tired most of the
time. What initial diagnostic test will the provider order in the clinic at this visit? -
correct-answer - HbA1C
A patient who has diabetes has a blood pressure of 140/90 and albuminuria.
Which initial action by the primary care NP is indicated for management of this
patient? - correct-answer - Consulting with a nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child
with a history of intrauterine growth retardation whose height remains less than
the 3rd percentile on a WHO growth chart. What will the NP do? - correct-answer
- Refer the child to a pediatric endocrinologist
,2|Page
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration.
Which action is correct? - correct-answer - Refer the infant to the ED for fluids,
dextrose, and steroids
A patient with T2DM becomes insulin dependent after a year of therapy with oral
diabetes medication. When explaining this change in therapy, the provider will
tell the patient: - correct-answer - This is because of the natural progression of
the disease
A 16-year-old female whose BMI is at the 90th percentile reports irregular
periods. The primary care NP notes widespread acne on her face and back and an
abnormal distribution of facial hair. The NP will evaluate her further based on a
suspicion of which diagnosis? - correct-answer - PCOS
,3|Page
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The
provider notes that the patient appears confused and irritable and is sweating
and shaking. What intervention will the provider expect to perform once the POC
blood glucose is known? - correct-answer - Giving a rapid acting carbohydrate
A 15-year-old child has a recent history of increased thirst and frequent urination.
The child's weight has been in the 95th percentile for several years. A dipstick UA
is positive for glucose, and random plasma glucose is 350mg/dL. Which test will
the primary care NP order to determine the type of diabetes in this child? -
correct-answer - Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To
evaluate thyroid nodules for potential malignancy, which test is performed? -
correct-answer - Thyroid ultrasound
, 4|Page
The primary care NP diagnoses a 14-year-old child with T1DM after a routine
urine screen is positive for glucose and negative for ketones and plasma glucose is
350mg/dL. The child's weight is normal and the parents report a mild increase in
thirst and urine output in the past few days. Which course of action is correct? -
correct-answer - Begin insulin and refer the child to a children's diabetes center
An initial key part of management of a child suspected of having an inborn error
of metabolism is - correct-answer - Consulting a metabolic specialist
The primary care NP is performing a well-child examination on a 5-year-old girl.
The parents ask if the child's adult height can be predicted. The NP learns that the
mother is 5'8" tall and the father is 5'11" tall. The NP will estimate which expected
adult height for this child? - correct-answer - 5'7"
A diabetic patient who is taking a statin drug to treat dyslipidemia has begun a
diet and exercise program. The patient reports new onset of muscle pain several
