FNP PRACTICE TEST EXAM III NEWEST 2025/2026 STUDY
QUESTIONS WITH CORRECT VERIFIED ANSWERS 100%
GUARANTEED PASS | RATED A+
A 40-year-old male patient complains to the nurse practitioner of severe stabbing pains behind
his left eye for the past 2 days. They are accompanied by some nasal congestion and rhinorrhea,
which is clear in color. The patient denies pharyngitis and fever. Which of the following
conditions is most likely?
A.Migraine headache with aura
B.Cluster headache
C.Tic douloureux
D.Cranial neuralgia - Answer>>> Answer: B. Cluster headache
Cluster headaches' cardinal symptoms are an excruciating, unilateral, orbital, supraorbital, and/or
temporal pain. The attack ranges from 15 minutes to 3 hours or more. Autonomic symptoms
include ptosis (drooping eyelid), miosis (pupil constriction), lacrimation (tearing), and rhinorrhea
in the nostril on the affected side of the face. Migraine headaches with aura include visual
changes, such as blind spots or flashing lights, that appear before the onset of the headache.
Trigeminal neuralgia (tic douloureux) is a unilateral headache from compression or inflammation
of the trigeminal nerve (cranial nerve V).
A 25-year-old male patient with schizophrenia comes in for a routine annual physical. He is a
heavy smoker and has a body mass index (BMI) of 28. The patient has been on olanzapine
(Zyprexa) for 10 years. Which of the following laboratory tests is recommended for monitoring
the adverse effects of atypical antipsychotics?
A.Fasting blood glucose and fasting lipid profile
B.Urinalysis, serum creatinine, 24-hour urine for protein and creatinine clearance
C.Liver function tests
,D.Complete blood count (CBC) with differential and liver function tests - Answer>>> Answer:
A. Fasting blood glucose and fasting lipid profile
Patients on atypical antipsychotics commonly gain weight and are at risk for hyperglycemia and
type 2 diabetes. Olanzapine (Zyprexa) will increase lipids (cholesterol, low-density lipoprotein,
and triglycerides). Therefore, blood sugar levels and lipids should be monitored. Atypical
antipsychotics also increase the risk of death among frail elders and older adults living in nursing
homes. These drugs are not known to produce alterations in renal or liver function, so monitoring
organ function for side effects is not indicated. Additionally, antipsychotics do not alter bone
marrow function or blood cell formation, so routine monitoring of the CBC is not indicated
related to these drugs.
A 72-year-old patient presents to the clinic with reports of jaw pain that started while eating
lunch this afternoon. She also reports fatigue and a headache around her left eye for the past
week. The patient is diagnosed with temporal arteritis. Which of the following comorbid
condition, commonly associated with temporal arteritis, should the nurse practitioner evaluate
for?
A. Gullian BArre Syndrome
B. Multiple Sclerosis
C. Polymyalgia rheumatica
D. Trigeminal neuralgia - Answer>>> Polymyalgia rheumatica (C) is an inflammatory condition
associated with temporal arteritis. It is characterized by pain and stiffness of muscles in the neck,
pelvis, and shoulders that is worse in the morning. Physical exam may reveal reduced active
range of motion in affected areas.
An adult brings their 82-year-old mother to the ED. The adult reports finding their mother on the
floor when checking on her that morning. The patient was awake and oriented but needed help
getting up. The patient states that she thinks she passed out. She is being evaluated by a
physician who orders an EKG and x-rays of both hips. Regarding laboratory testing, which of the
following tests is important to perform initially?
A.Urinalysis
,B.Serum creatinine
C.Blood glucose
D.Transaminase levels - Answer>>> Answer: C. Blood glucose
Checking the blood glucose is indicated for patients with syncopal and near-syncopal episodes.
The nurse practitioner should also perform a thorough history of the incident. Possible causes of
syncope are cardiac arrhythmia, hypoglycemia, orthostatic hypotension, seizure, accidental fall,
and triggers such as stress, long periods of standing, and heat exposure (vasovagal syncope).
Urinalysis would not generally be completed as part of the initial workup because urinary
disorders do not commonly cause syncope. Serum creatinine and transaminase levels can provide
an evaluation of renal and liver function, but alterations of these organs do not directly produce
syncope.
A 76-year-old female patient presents to the primary care clinic for her annual check-up. The
nurse practitioner (NP) notes that the patient's height has decreased by an inch in the last year
and that her back has a "hump-like" deformity. How will the NP document these findings?
A.Lordosis
B.Kyphosis
C.Scoliosis
D.Osteoarthritis - Answer>>> Answer: B. Kyphosis
Older adults can lose 1 to 3 inches of height as they age. The height loss is caused by
compression fractures of the vertebrae, which most commonly occur after age 70 years. The type
of curvature that is generally caused by osteoporosis of the vertebrae is called kyphosis. It has
the appearance of a "hump" in the thoracic region and is most common in elderly women,
although it can appear in other age groups because of other causes. Lordosis, or "swayback," is
an abnormal curvature in the lumbar spine. Scoliosis is an abnormal lateral curvature that occurs
most often during the growth spurt just before puberty.
A middle-aged patient newly diagnosed with type 2 diabetes wants to start an exercise program.
Which statement would the nurse practitioner include in the teaching?
, A."Avoid consuming carbohydrates before exercise sessions."
B."Strenuous exercise increases the risk for hypoglycemic episodes."
C."Be sure to check your blood glucose more frequently."
D."Regular exercise may require an increase in your insulin dosage." - Answer>>> Answer: C.
"Be sure to check your blood glucose more frequently."
Exercise increases the body's use of glucose. Therefore, patients undertaking exercise programs
may need to check their blood sugar levels more frequently and consume carbohydrates before
and after activity to avoid postexercise hypoglycemia. Strenuous exercise may require a
reduction in insulin dose, not an increase, to compensate for the increased glucose use.
During a sports participation exam, a 16-year-old patient is noted to have a few beats of
horizontal nystagmus on extreme lateral gaze that disappear when the eyes move back toward
midline. Which statement best describes this clinical finding?
A.It is caused by occult bleeding of the retinal artery.
B.It is a normal finding.
C.It is a sign of a possible brain mass.
D.It is a borderline result and requires further evaluation. - Answer>>> Answer: B. It is a normal
finding.
Horizontal nystagmus is a normal variation on physical exam. Full movement of the eyes is
controlled by the integrated function of cranial nerves III (oculomotor), IV (trochlear), and VI
(abducens). While holding the patient's chin to prevent movement of the head, the nurse
practitioner (NP) will ask the patient to watch their finger as it moves through the six cardinal
fields of gaze. Then the NP will ask the patient to look to the extreme lateral (temporal)
positions. A few horizontal nystagmic beats are within normal limits (WNL).
The nurse practitioner (NP) is reviewing the laboratory results for an adult patient, which reveal
macrocytosis and reticulocytopenia. The NP will likely rule out what disorder?
A.Alcohol use disorder
QUESTIONS WITH CORRECT VERIFIED ANSWERS 100%
GUARANTEED PASS | RATED A+
A 40-year-old male patient complains to the nurse practitioner of severe stabbing pains behind
his left eye for the past 2 days. They are accompanied by some nasal congestion and rhinorrhea,
which is clear in color. The patient denies pharyngitis and fever. Which of the following
conditions is most likely?
A.Migraine headache with aura
B.Cluster headache
C.Tic douloureux
D.Cranial neuralgia - Answer>>> Answer: B. Cluster headache
Cluster headaches' cardinal symptoms are an excruciating, unilateral, orbital, supraorbital, and/or
temporal pain. The attack ranges from 15 minutes to 3 hours or more. Autonomic symptoms
include ptosis (drooping eyelid), miosis (pupil constriction), lacrimation (tearing), and rhinorrhea
in the nostril on the affected side of the face. Migraine headaches with aura include visual
changes, such as blind spots or flashing lights, that appear before the onset of the headache.
Trigeminal neuralgia (tic douloureux) is a unilateral headache from compression or inflammation
of the trigeminal nerve (cranial nerve V).
A 25-year-old male patient with schizophrenia comes in for a routine annual physical. He is a
heavy smoker and has a body mass index (BMI) of 28. The patient has been on olanzapine
(Zyprexa) for 10 years. Which of the following laboratory tests is recommended for monitoring
the adverse effects of atypical antipsychotics?
A.Fasting blood glucose and fasting lipid profile
B.Urinalysis, serum creatinine, 24-hour urine for protein and creatinine clearance
C.Liver function tests
,D.Complete blood count (CBC) with differential and liver function tests - Answer>>> Answer:
A. Fasting blood glucose and fasting lipid profile
Patients on atypical antipsychotics commonly gain weight and are at risk for hyperglycemia and
type 2 diabetes. Olanzapine (Zyprexa) will increase lipids (cholesterol, low-density lipoprotein,
and triglycerides). Therefore, blood sugar levels and lipids should be monitored. Atypical
antipsychotics also increase the risk of death among frail elders and older adults living in nursing
homes. These drugs are not known to produce alterations in renal or liver function, so monitoring
organ function for side effects is not indicated. Additionally, antipsychotics do not alter bone
marrow function or blood cell formation, so routine monitoring of the CBC is not indicated
related to these drugs.
A 72-year-old patient presents to the clinic with reports of jaw pain that started while eating
lunch this afternoon. She also reports fatigue and a headache around her left eye for the past
week. The patient is diagnosed with temporal arteritis. Which of the following comorbid
condition, commonly associated with temporal arteritis, should the nurse practitioner evaluate
for?
A. Gullian BArre Syndrome
B. Multiple Sclerosis
C. Polymyalgia rheumatica
D. Trigeminal neuralgia - Answer>>> Polymyalgia rheumatica (C) is an inflammatory condition
associated with temporal arteritis. It is characterized by pain and stiffness of muscles in the neck,
pelvis, and shoulders that is worse in the morning. Physical exam may reveal reduced active
range of motion in affected areas.
An adult brings their 82-year-old mother to the ED. The adult reports finding their mother on the
floor when checking on her that morning. The patient was awake and oriented but needed help
getting up. The patient states that she thinks she passed out. She is being evaluated by a
physician who orders an EKG and x-rays of both hips. Regarding laboratory testing, which of the
following tests is important to perform initially?
A.Urinalysis
,B.Serum creatinine
C.Blood glucose
D.Transaminase levels - Answer>>> Answer: C. Blood glucose
Checking the blood glucose is indicated for patients with syncopal and near-syncopal episodes.
The nurse practitioner should also perform a thorough history of the incident. Possible causes of
syncope are cardiac arrhythmia, hypoglycemia, orthostatic hypotension, seizure, accidental fall,
and triggers such as stress, long periods of standing, and heat exposure (vasovagal syncope).
Urinalysis would not generally be completed as part of the initial workup because urinary
disorders do not commonly cause syncope. Serum creatinine and transaminase levels can provide
an evaluation of renal and liver function, but alterations of these organs do not directly produce
syncope.
A 76-year-old female patient presents to the primary care clinic for her annual check-up. The
nurse practitioner (NP) notes that the patient's height has decreased by an inch in the last year
and that her back has a "hump-like" deformity. How will the NP document these findings?
A.Lordosis
B.Kyphosis
C.Scoliosis
D.Osteoarthritis - Answer>>> Answer: B. Kyphosis
Older adults can lose 1 to 3 inches of height as they age. The height loss is caused by
compression fractures of the vertebrae, which most commonly occur after age 70 years. The type
of curvature that is generally caused by osteoporosis of the vertebrae is called kyphosis. It has
the appearance of a "hump" in the thoracic region and is most common in elderly women,
although it can appear in other age groups because of other causes. Lordosis, or "swayback," is
an abnormal curvature in the lumbar spine. Scoliosis is an abnormal lateral curvature that occurs
most often during the growth spurt just before puberty.
A middle-aged patient newly diagnosed with type 2 diabetes wants to start an exercise program.
Which statement would the nurse practitioner include in the teaching?
, A."Avoid consuming carbohydrates before exercise sessions."
B."Strenuous exercise increases the risk for hypoglycemic episodes."
C."Be sure to check your blood glucose more frequently."
D."Regular exercise may require an increase in your insulin dosage." - Answer>>> Answer: C.
"Be sure to check your blood glucose more frequently."
Exercise increases the body's use of glucose. Therefore, patients undertaking exercise programs
may need to check their blood sugar levels more frequently and consume carbohydrates before
and after activity to avoid postexercise hypoglycemia. Strenuous exercise may require a
reduction in insulin dose, not an increase, to compensate for the increased glucose use.
During a sports participation exam, a 16-year-old patient is noted to have a few beats of
horizontal nystagmus on extreme lateral gaze that disappear when the eyes move back toward
midline. Which statement best describes this clinical finding?
A.It is caused by occult bleeding of the retinal artery.
B.It is a normal finding.
C.It is a sign of a possible brain mass.
D.It is a borderline result and requires further evaluation. - Answer>>> Answer: B. It is a normal
finding.
Horizontal nystagmus is a normal variation on physical exam. Full movement of the eyes is
controlled by the integrated function of cranial nerves III (oculomotor), IV (trochlear), and VI
(abducens). While holding the patient's chin to prevent movement of the head, the nurse
practitioner (NP) will ask the patient to watch their finger as it moves through the six cardinal
fields of gaze. Then the NP will ask the patient to look to the extreme lateral (temporal)
positions. A few horizontal nystagmic beats are within normal limits (WNL).
The nurse practitioner (NP) is reviewing the laboratory results for an adult patient, which reveal
macrocytosis and reticulocytopenia. The NP will likely rule out what disorder?
A.Alcohol use disorder
