NURS 5432
FNP I Midterm Examination Study Guide
Midterm Exam • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
FNP Program
NURS 5432
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NURS 5432 FNP I Midterm Examination Study Guide 2026/2027 UPDATE
1. According to the USPSTF guidelines, which of the following patients should be screened for
an abdominal aortic aneurysm (AAA) using ultrasound?
A. A 60-year-old male who has never smoked.
B. A 68-year-old male who smoked for 10 years in his 20s.
C. A 65-year-old female who currently smokes.
D. A 75-year-old male who has never smoked.
Answer: B
Rationale: USPSTF recommends a one-time screening for AAA by ultrasonography in men
aged 65 to 75 years who have ever smoked (defined as 100 or more cigarettes). Screening
is not recommended for women who have never smoked.
2. A 55-year-old patient with no significant history presents with a blood pressure of 148/92
mmHg. A follow-up visit confirms 150/94 mmHg. According to ACC/AHA 2017 guidelines,
what is the most appropriate management?
A. Initiate lifestyle modifications only and recheck in 6 months.
B. Start monotherapy with an ACE inhibitor.
C. Initiate lifestyle modifications and recheck in 1 year.
D. Start dual therapy with an ACE inhibitor and a Thiazide diuretic.
, Answer: D
Rationale: For Stage 2 hypertension (SBP >= 140 or DBP >= 90) and an average BP more
than 20/10 mmHg above target, dual therapy is often recommended to reach the goal of
<130/80.
3. Which of the following physical exam findings is most suggestive of Aortic Stenosis?
A. A high-pitched blowing diastolic murmur at the left sternal border.
B. A mid-systolic click followed by a late systolic murmur at the apex.
C. A harsh systolic crescendo-decrescendo murmur at the right upper sternal border
radiating to the carotids.
D. A low-pitched rumbling diastolic murmur at the apex.
Answer: C
Rationale: Aortic Stenosis typically presents as a harsh, crescendo-decrescendo systolic
murmur heard best at the second right intercostal space, often radiating to the neck.
4. A 32-year-old female presents with palpitations and heat intolerance. Labs show TSH <0.01
mIU/L and elevated Free T4. A Radioactive Iodine Uptake (RAIU) scan shows high, diffuse
uptake. What is the most likely diagnosis?
A. Hashimoto’s Thyroiditis
B. Graves’ Disease
C. Subacute Thyroiditis
FNP I Midterm Examination Study Guide
Midterm Exam • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
FNP Program
NURS 5432
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NURS 5432 FNP I Midterm Examination Study Guide 2026/2027 UPDATE
1. According to the USPSTF guidelines, which of the following patients should be screened for
an abdominal aortic aneurysm (AAA) using ultrasound?
A. A 60-year-old male who has never smoked.
B. A 68-year-old male who smoked for 10 years in his 20s.
C. A 65-year-old female who currently smokes.
D. A 75-year-old male who has never smoked.
Answer: B
Rationale: USPSTF recommends a one-time screening for AAA by ultrasonography in men
aged 65 to 75 years who have ever smoked (defined as 100 or more cigarettes). Screening
is not recommended for women who have never smoked.
2. A 55-year-old patient with no significant history presents with a blood pressure of 148/92
mmHg. A follow-up visit confirms 150/94 mmHg. According to ACC/AHA 2017 guidelines,
what is the most appropriate management?
A. Initiate lifestyle modifications only and recheck in 6 months.
B. Start monotherapy with an ACE inhibitor.
C. Initiate lifestyle modifications and recheck in 1 year.
D. Start dual therapy with an ACE inhibitor and a Thiazide diuretic.
, Answer: D
Rationale: For Stage 2 hypertension (SBP >= 140 or DBP >= 90) and an average BP more
than 20/10 mmHg above target, dual therapy is often recommended to reach the goal of
<130/80.
3. Which of the following physical exam findings is most suggestive of Aortic Stenosis?
A. A high-pitched blowing diastolic murmur at the left sternal border.
B. A mid-systolic click followed by a late systolic murmur at the apex.
C. A harsh systolic crescendo-decrescendo murmur at the right upper sternal border
radiating to the carotids.
D. A low-pitched rumbling diastolic murmur at the apex.
Answer: C
Rationale: Aortic Stenosis typically presents as a harsh, crescendo-decrescendo systolic
murmur heard best at the second right intercostal space, often radiating to the neck.
4. A 32-year-old female presents with palpitations and heat intolerance. Labs show TSH <0.01
mIU/L and elevated Free T4. A Radioactive Iodine Uptake (RAIU) scan shows high, diffuse
uptake. What is the most likely diagnosis?
A. Hashimoto’s Thyroiditis
B. Graves’ Disease
C. Subacute Thyroiditis
