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)
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,NURS 5434 FNP III Final Exam Comprehensive Review 2026/2027 UPDATE
1. A 62-year-old male with a history of HFrEF (EF 35%) presents for follow-up. He is currently
taking Lisinopril 20mg and Carvedilol 12.5mg BID. His BP is 138/84 and HR is 72. Which
medication class should be added next to reduce mortality according to current GDMT?
A. Aldosterone Antagonist
B. Loop Diuretic
C. Calcium Channel Blocker
D. Long-acting Nitrate
Answer: A
Rationale: Aldosterone antagonists (like Spironolactone) are indicated for patients with
HFrEF (EF ≤ 35%) who are already on ACEI/ARB and Beta-blockers to further reduce
mortality and hospitalizations.
2. A 45-year-old female presents with palpitations and heat intolerance. Labs show TSH <0.01
mIU/L and elevated Free T4. A radioactive iodine uptake scan shows diffuse, symmetric
increased uptake. What is the most likely diagnosis?
A. Graves’ Disease
B. Subacute Thyroiditis
C. Toxic Multinodular Goiter
, D. Hashimoto’s Thyroiditis
Answer: A
Rationale: Diffuse, symmetric increased uptake on a thyroid scan is pathognomonic for
Graves’ Disease. Toxic multinodular goiter would show patchy uptake.
3. Which of the following is the first-line antibiotic treatment for an uncomplicated urinary
tract infection in a non-pregnant adult female, assuming no resistance issues?
A. Ciprofloxacin 500mg BID for 7 days
B. Nitrofurantoin 100mg BID for 5 days
C. Amoxicillin 500mg TID for 10 days
D. Doxycycline 100mg BID for 7 days
Answer: B
Rationale: Nitrofurantoin (Macrobid) is a first-line agent for uncomplicated UTI due to its
efficacy and narrow spectrum, which helps preserve fluoroquinolones for more complex
cases.
4. A patient with Type 2 Diabetes is currently on Metformin 1000mg BID. The A1c is 8.2%. The
patient has a history of Atherosclerotic Cardiovascular Disease (ASCVD). Which medication
should be added next?
A. Glipizide
B. Empagliflozin
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 (EF 35%) presents for follow-up. He is currently
taking Lisinopril 20mg and Carvedilol 12.5mg BID. His BP is 138/84 and HR is 72. Which
medication class should be added next to reduce mortality according to current GDMT?
A. Aldosterone Antagonist
B. Loop Diuretic
C. Calcium Channel Blocker
D. Long-acting Nitrate
Answer: A
Rationale: Aldosterone antagonists (like Spironolactone) are indicated for patients with
HFrEF (EF ≤ 35%) who are already on ACEI/ARB and Beta-blockers to further reduce
mortality and hospitalizations.
2. A 45-year-old female presents with palpitations and heat intolerance. Labs show TSH <0.01
mIU/L and elevated Free T4. A radioactive iodine uptake scan shows diffuse, symmetric
increased uptake. What is the most likely diagnosis?
A. Graves’ Disease
B. Subacute Thyroiditis
C. Toxic Multinodular Goiter
, D. Hashimoto’s Thyroiditis
Answer: A
Rationale: Diffuse, symmetric increased uptake on a thyroid scan is pathognomonic for
Graves’ Disease. Toxic multinodular goiter would show patchy uptake.
3. Which of the following is the first-line antibiotic treatment for an uncomplicated urinary
tract infection in a non-pregnant adult female, assuming no resistance issues?
A. Ciprofloxacin 500mg BID for 7 days
B. Nitrofurantoin 100mg BID for 5 days
C. Amoxicillin 500mg TID for 10 days
D. Doxycycline 100mg BID for 7 days
Answer: B
Rationale: Nitrofurantoin (Macrobid) is a first-line agent for uncomplicated UTI due to its
efficacy and narrow spectrum, which helps preserve fluoroquinolones for more complex
cases.
4. A patient with Type 2 Diabetes is currently on Metformin 1000mg BID. The A1c is 8.2%. The
patient has a history of Atherosclerotic Cardiovascular Disease (ASCVD). Which medication
should be added next?
A. Glipizide
B. Empagliflozin
