NURS 5432 FNP I Midterm Comprehensive Exam 2026/2… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NURS 5432 FNP I Midterm Comprehensive Exam 2026/2027
UPDATE |Galen College
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NURS 5432 FNP I Midterm Comprehensive Exam 2026/2… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 65-year-old patient presents with a sudden onset of ‘curtain-like’ vision loss in the right
eye. There is no pain or redness. What is the most likely diagnosis?
A. Acute angle-closure glaucoma
B. Central retinal vein occlusion
C. Retinal detachment
D. Age-related macular degeneration
Answer: C
Rationale: Retinal detachment often presents as a sudden, painless loss of vision described as a
curtain being drawn over the eye, frequently preceded by floaters or flashes of light. Clear
understanding of this concept improves both test performance and everyday clinical judgment.
Practice applying it to short case scenarios to lock the idea in place. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client.
2. Which of the following physical examination findings is most specific for a diagnosis of
acute cholecystitis?
A. Rovsing’s sign
B. Psoas sign
C. Cullen’s sign
D. Murphy’s sign
Answer: D
Rationale: Murphy’s sign is a clinical test for gallbladder inflammation where inspiratory arrest occurs
upon deep palpation of the right upper quadrant. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. This knowledge supports safe care and helps the nurse teach the client and
family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NURS 5432 FNP I Midterm Comprehensive Exam 2026/2… 2026/2027 • Verified • Assured Grade A+
3. A 45-year-old male with a history of hypertension presents with a blood pressure of 152/94
mmHg despite adherence to Lisinopril 20mg daily. Which medication class is the most
appropriate next step according to JNC 8 guidelines?
A. Beta-blocker
B. Loop diuretic
C. Calcium channel blocker
D. Alpha-1 antagonist
Answer: C
Rationale: For non-black patients needing a second agent, a Thiazide-type diuretic or a Calcium
Channel Blocker is recommended over beta-blockers as primary therapy. In practice, this guides the
nurse to set priorities and protect the client from harm. Safety, nutrition, and clear communication are
frequent priorities. Clear understanding of this concept improves both test performance and everyday
clinical judgment. Practice applying it to short case scenarios to lock the idea in place.
4. In the management of a patient with Chronic Obstructive Pulmonary Disease (COPD),
which criteria defines a GOLD Group B patient?
A. mMRC >= 2 and 0-1 moderate exacerbations per year
B. mMRC 0-1 and 0-1 moderate exacerbations per year
C. mMRC 0-1 and >= 2 moderate exacerbations per year
D. , which criteria defines a GOLD Group B patient?
Answer: A
Rationale: GOLD Group B corresponds to patients with more symptoms (mMRC >= 2 or CAT >= 10)
but a low risk of exacerbations (0 or 1 not leading to hospital admission). In practice, this guides the
nurse to set priorities and protect the client from harm. Safety, nutrition, and clear communication are
frequent priorities. Exam questions often test whether you can pick the most practical and safe choice
for the client in real situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NURS 5432 FNP I Midterm Comprehensive Exam 2026/2027
UPDATE |Galen College
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NURS 5432 FNP I Midterm Comprehensive Exam 2026/2… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 65-year-old patient presents with a sudden onset of ‘curtain-like’ vision loss in the right
eye. There is no pain or redness. What is the most likely diagnosis?
A. Acute angle-closure glaucoma
B. Central retinal vein occlusion
C. Retinal detachment
D. Age-related macular degeneration
Answer: C
Rationale: Retinal detachment often presents as a sudden, painless loss of vision described as a
curtain being drawn over the eye, frequently preceded by floaters or flashes of light. Clear
understanding of this concept improves both test performance and everyday clinical judgment.
Practice applying it to short case scenarios to lock the idea in place. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client.
2. Which of the following physical examination findings is most specific for a diagnosis of
acute cholecystitis?
A. Rovsing’s sign
B. Psoas sign
C. Cullen’s sign
D. Murphy’s sign
Answer: D
Rationale: Murphy’s sign is a clinical test for gallbladder inflammation where inspiratory arrest occurs
upon deep palpation of the right upper quadrant. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. This knowledge supports safe care and helps the nurse teach the client and
family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NURS 5432 FNP I Midterm Comprehensive Exam 2026/2… 2026/2027 • Verified • Assured Grade A+
3. A 45-year-old male with a history of hypertension presents with a blood pressure of 152/94
mmHg despite adherence to Lisinopril 20mg daily. Which medication class is the most
appropriate next step according to JNC 8 guidelines?
A. Beta-blocker
B. Loop diuretic
C. Calcium channel blocker
D. Alpha-1 antagonist
Answer: C
Rationale: For non-black patients needing a second agent, a Thiazide-type diuretic or a Calcium
Channel Blocker is recommended over beta-blockers as primary therapy. In practice, this guides the
nurse to set priorities and protect the client from harm. Safety, nutrition, and clear communication are
frequent priorities. Clear understanding of this concept improves both test performance and everyday
clinical judgment. Practice applying it to short case scenarios to lock the idea in place.
4. In the management of a patient with Chronic Obstructive Pulmonary Disease (COPD),
which criteria defines a GOLD Group B patient?
A. mMRC >= 2 and 0-1 moderate exacerbations per year
B. mMRC 0-1 and 0-1 moderate exacerbations per year
C. mMRC 0-1 and >= 2 moderate exacerbations per year
D. , which criteria defines a GOLD Group B patient?
Answer: A
Rationale: GOLD Group B corresponds to patients with more symptoms (mMRC >= 2 or CAT >= 10)
but a low risk of exacerbations (0 or 1 not leading to hospital admission). In practice, this guides the
nurse to set priorities and protect the client from harm. Safety, nutrition, and clear communication are
frequent priorities. Exam questions often test whether you can pick the most practical and safe choice
for the client in real situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
