NURS 5434
FNP III Final Exam Comprehensive Review
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
FNP Program
NURS 5434
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NURS 5434 FNP III Final Exam Comprehensive Review 2026/2027 UPDATE
1. A 62-year-old male with a history of HFrEF and Type 2 Diabetes presents for a follow-up.
His HbA1c is 7.8% despite Metformin. Which medication class is now recommended to
improve both glycemic control and reduce cardiovascular mortality?
A. DPP-4 Inhibitors
B. TZDs
C. Sulfonylureas
D. SGLT2 Inhibitors
Answer: D
Rationale: SGLT2 inhibitors (like Empagliflozin) are recommended in patients with HFrEF
and T2DM as they reduce hospitalizations for heart failure and cardiovascular mortality.
2. A 24-year-old female presents with a malar rash and joint pain. Her ANA is positive. What
is the most specific laboratory test to confirm the diagnosis of Systemic Lupus Erythematosus
(SLE)?
A. CRP
B. ESR
C. Anti-dsDNA
D. Rheumatoid Factor
, Answer: C
Rationale: Anti-dsDNA and Anti-Smith antibodies are highly specific for SLE, whereas ANA
is sensitive but not specific.
3. According to the GINA guidelines, what is the preferred rescue medication for a patient
with mild intermittent asthma?
A. Low-dose ICS-formoterol as needed
B. Albuterol (SABA) alone
C. Oral corticosteroids
D. Salmeterol (LABA) alone
Answer: A
Rationale: Current GINA guidelines recommend low-dose ICS-formoterol as the preferred
reliever for all asthma stages to reduce the risk of exacerbations.
4. A patient with a history of alcohol abuse presents with a macrocytic anemia. Lab results
show elevated homocysteine but normal methylmalonic acid. What is the most likely
deficiency?
A. Vitamin B12
B. Iron
C. Folate
D. Vitamin B6
FNP III Final Exam Comprehensive Review
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
FNP Program
NURS 5434
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NURS 5434 FNP III Final Exam Comprehensive Review 2026/2027 UPDATE
1. A 62-year-old male with a history of HFrEF and Type 2 Diabetes presents for a follow-up.
His HbA1c is 7.8% despite Metformin. Which medication class is now recommended to
improve both glycemic control and reduce cardiovascular mortality?
A. DPP-4 Inhibitors
B. TZDs
C. Sulfonylureas
D. SGLT2 Inhibitors
Answer: D
Rationale: SGLT2 inhibitors (like Empagliflozin) are recommended in patients with HFrEF
and T2DM as they reduce hospitalizations for heart failure and cardiovascular mortality.
2. A 24-year-old female presents with a malar rash and joint pain. Her ANA is positive. What
is the most specific laboratory test to confirm the diagnosis of Systemic Lupus Erythematosus
(SLE)?
A. CRP
B. ESR
C. Anti-dsDNA
D. Rheumatoid Factor
, Answer: C
Rationale: Anti-dsDNA and Anti-Smith antibodies are highly specific for SLE, whereas ANA
is sensitive but not specific.
3. According to the GINA guidelines, what is the preferred rescue medication for a patient
with mild intermittent asthma?
A. Low-dose ICS-formoterol as needed
B. Albuterol (SABA) alone
C. Oral corticosteroids
D. Salmeterol (LABA) alone
Answer: A
Rationale: Current GINA guidelines recommend low-dose ICS-formoterol as the preferred
reliever for all asthma stages to reduce the risk of exacerbations.
4. A patient with a history of alcohol abuse presents with a macrocytic anemia. Lab results
show elevated homocysteine but normal methylmalonic acid. What is the most likely
deficiency?
A. Vitamin B12
B. Iron
C. Folate
D. Vitamin B6
