NRNP 6665 EXAM / FAMILY NURSE PRACTITIONER
PRIMARY CARE ACROSS THE LIFESPAN NRNP 6665 FINAL
EXAM 2026 ALL COMPLETE 75 APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
A 55-year-old patient with hypertension and diabetes has a blood pressure of
152/94 mm Hg despite lifestyle changes. What is the most appropriate initial
pharmacologic therapy?
A. beta blocker
B. ace inhibitor
C. calcium channel blocker
D. alpha blocker
correct answer: b. ace inhibitor
rationale: ace inhibitors are first-line for patients with diabetes due to renal
protection and cardiovascular risk reduction.
A 4-year-old presents with fever, sore throat, and exudative tonsils. Rapid strep test
is positive. Best treatment?
A. azithromycin
B. penicillin
C. ceftriaxone
D. clindamycin
,correct answer: b. penicillin
rationale: penicillin is first-line therapy for group A streptococcal pharyngitis in
children without allergy.
A 68-year-old woman reports postmenopausal vaginal bleeding. Most appropriate
next step?
A. reassurance
B. pap smear
C. transvaginal ultrasound
D. hysterectomy
correct answer: c. transvaginal ultrasound
rationale: postmenopausal bleeding requires evaluation for endometrial pathology,
starting with ultrasound.
Which vaccine is recommended annually for all patients over 6 months of age?
A. pneumococcal
B. influenza
C. hepatitis a
D. varicella
correct answer: b. influenza
rationale: annual influenza vaccination is recommended for nearly all individuals
≥6 months.
,A patient present with tremor, weight loss, heat intolerance, and palpitations. TSH
is low and free T4 is elevated. Diagnosis?
A. hypothyroidism
B. subclinical hyperthyroidism
C. hyperthyroidism
D. thyroid storm
correct answer: c. hyperthyroidism
rationale: suppressed TSH with elevated free T4 confirms overt hyperthyroidism.
A 60-year-old smoker with a 30-pack-year history asks about lung cancer
screening. What is recommended?
A. chest x-ray annually
B. no screening indicated
C. low-dose CT annually
D. sputum cytology
correct answer: c. low-dose CT annually
rationale: annual low-dose CT is recommended for adults aged 50–80 with ≥20
pack-year history.
A patient with atrial fibrillation has a CHA₂DS₂-VA SC score of 1 (male). Best
management?
A. anticoagulation
, B. aspirin only
C. no antithrombotic therapy
D. dual antiplatelet therapy
correct answer: c. no antithrombotic therapy
rationale: a score of 1 in males does not mandate anticoagulation; shared decision-
making is appropriate.
A 3-month-old infant presents with cough, wheezing, and nasal flaring. Most likely
diagnosis?
A. asthma
B. pneumonia
C. bronchiolitis
D. croup
correct answer: c. bronchiolitis
rationale: bronchiolitis is common in infants and presents with wheezing and
respiratory distress.
Which medication should be avoided in older adults due to anticholinergic effects?
A. loratadine
B. diphenhydramine
C. cetirizine
D. fexofenadine
PRIMARY CARE ACROSS THE LIFESPAN NRNP 6665 FINAL
EXAM 2026 ALL COMPLETE 75 APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
A 55-year-old patient with hypertension and diabetes has a blood pressure of
152/94 mm Hg despite lifestyle changes. What is the most appropriate initial
pharmacologic therapy?
A. beta blocker
B. ace inhibitor
C. calcium channel blocker
D. alpha blocker
correct answer: b. ace inhibitor
rationale: ace inhibitors are first-line for patients with diabetes due to renal
protection and cardiovascular risk reduction.
A 4-year-old presents with fever, sore throat, and exudative tonsils. Rapid strep test
is positive. Best treatment?
A. azithromycin
B. penicillin
C. ceftriaxone
D. clindamycin
,correct answer: b. penicillin
rationale: penicillin is first-line therapy for group A streptococcal pharyngitis in
children without allergy.
A 68-year-old woman reports postmenopausal vaginal bleeding. Most appropriate
next step?
A. reassurance
B. pap smear
C. transvaginal ultrasound
D. hysterectomy
correct answer: c. transvaginal ultrasound
rationale: postmenopausal bleeding requires evaluation for endometrial pathology,
starting with ultrasound.
Which vaccine is recommended annually for all patients over 6 months of age?
A. pneumococcal
B. influenza
C. hepatitis a
D. varicella
correct answer: b. influenza
rationale: annual influenza vaccination is recommended for nearly all individuals
≥6 months.
,A patient present with tremor, weight loss, heat intolerance, and palpitations. TSH
is low and free T4 is elevated. Diagnosis?
A. hypothyroidism
B. subclinical hyperthyroidism
C. hyperthyroidism
D. thyroid storm
correct answer: c. hyperthyroidism
rationale: suppressed TSH with elevated free T4 confirms overt hyperthyroidism.
A 60-year-old smoker with a 30-pack-year history asks about lung cancer
screening. What is recommended?
A. chest x-ray annually
B. no screening indicated
C. low-dose CT annually
D. sputum cytology
correct answer: c. low-dose CT annually
rationale: annual low-dose CT is recommended for adults aged 50–80 with ≥20
pack-year history.
A patient with atrial fibrillation has a CHA₂DS₂-VA SC score of 1 (male). Best
management?
A. anticoagulation
, B. aspirin only
C. no antithrombotic therapy
D. dual antiplatelet therapy
correct answer: c. no antithrombotic therapy
rationale: a score of 1 in males does not mandate anticoagulation; shared decision-
making is appropriate.
A 3-month-old infant presents with cough, wheezing, and nasal flaring. Most likely
diagnosis?
A. asthma
B. pneumonia
C. bronchiolitis
D. croup
correct answer: c. bronchiolitis
rationale: bronchiolitis is common in infants and presents with wheezing and
respiratory distress.
Which medication should be avoided in older adults due to anticholinergic effects?
A. loratadine
B. diphenhydramine
C. cetirizine
D. fexofenadine
