NR 667 FAMILY NURSE PRACTITIONER
COMPREHENSIVE EXAM PREP
QUESTIONS AND ANSWERS 2026/2027
UPDATE. 100% VERIFIED
1. A 65-year-old male with a history of COPD presents for a follow-up. His FEV1 is 45% of
predicted and he has had two exacerbations in the last year requiring antibiotics. According
to GOLD guidelines, which category does he fall into?
A. Category A
B. Category B
C. Category C
D. Category D
Answer: D
Conceptual Explanation: Category D includes patients with high risk (2+ exacerbations or
1+ leading to hospital admission) and high symptom burden (CAT score >= 10 or mMRC >=
2).
2. According to the USPSTF, at what age should routine screening for lung cancer with low-
dose CT begin for a patient with a 20 pack-year smoking history who currently smokes?
A. 45 years old
,B. 55 years old
C. 50 years old
D. 60 years old
Answer: C
Conceptual Explanation: The USPSTF recommends annual screening for lung cancer with
LDCT in adults aged 50 to 80 years who have a 20 pack-year smoking history.
3. Which of the following is a classic physical exam finding for a patient with Meniscal Tear?
A. Positive Lachman test
B. Positive Anterior Drawer test
C. Positive McMurray test
D. Positive Phalen’s sign
Answer: C
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscal
tears, while Lachman and Anterior Drawer tests evaluate the ACL.
4. In the management of Type 2 Diabetes, which medication class is known to provide both
cardiovascular benefit and weight loss?
A. Sulfonylureas
B. DPP-4 inhibitors
, C. Thiazolidinediones
D. GLP-1 receptor agonists
Answer: D
Conceptual Explanation: GLP-1 receptor agonists (e.g., Liraglutide, Semaglutide) have
demonstrated cardiovascular benefits and significant weight loss outcomes.
5. A 24-year-old female presents with a ‘strawberry cervix’ and a frothy, yellow-green vaginal
discharge. What is the most likely diagnosis?
A. Bacterial Vaginosis
B. Candidiasis
C. Chlamydia
D. Trichomoniasis
Answer: D
Conceptual Explanation: Trichomoniasis classically presents with a strawberry cervix
(petechiae) and a malodorous, frothy discharge.
6. Which cranial nerve is primarily affected in a patient with Bell’s Palsy?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN III (Oculomotor)
COMPREHENSIVE EXAM PREP
QUESTIONS AND ANSWERS 2026/2027
UPDATE. 100% VERIFIED
1. A 65-year-old male with a history of COPD presents for a follow-up. His FEV1 is 45% of
predicted and he has had two exacerbations in the last year requiring antibiotics. According
to GOLD guidelines, which category does he fall into?
A. Category A
B. Category B
C. Category C
D. Category D
Answer: D
Conceptual Explanation: Category D includes patients with high risk (2+ exacerbations or
1+ leading to hospital admission) and high symptom burden (CAT score >= 10 or mMRC >=
2).
2. According to the USPSTF, at what age should routine screening for lung cancer with low-
dose CT begin for a patient with a 20 pack-year smoking history who currently smokes?
A. 45 years old
,B. 55 years old
C. 50 years old
D. 60 years old
Answer: C
Conceptual Explanation: The USPSTF recommends annual screening for lung cancer with
LDCT in adults aged 50 to 80 years who have a 20 pack-year smoking history.
3. Which of the following is a classic physical exam finding for a patient with Meniscal Tear?
A. Positive Lachman test
B. Positive Anterior Drawer test
C. Positive McMurray test
D. Positive Phalen’s sign
Answer: C
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscal
tears, while Lachman and Anterior Drawer tests evaluate the ACL.
4. In the management of Type 2 Diabetes, which medication class is known to provide both
cardiovascular benefit and weight loss?
A. Sulfonylureas
B. DPP-4 inhibitors
, C. Thiazolidinediones
D. GLP-1 receptor agonists
Answer: D
Conceptual Explanation: GLP-1 receptor agonists (e.g., Liraglutide, Semaglutide) have
demonstrated cardiovascular benefits and significant weight loss outcomes.
5. A 24-year-old female presents with a ‘strawberry cervix’ and a frothy, yellow-green vaginal
discharge. What is the most likely diagnosis?
A. Bacterial Vaginosis
B. Candidiasis
C. Chlamydia
D. Trichomoniasis
Answer: D
Conceptual Explanation: Trichomoniasis classically presents with a strawberry cervix
(petechiae) and a malodorous, frothy discharge.
6. Which cranial nerve is primarily affected in a patient with Bell’s Palsy?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN III (Oculomotor)
