Page 1 of 107
NURS 5433 FNP II MIDTERM PRACTICE ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR – JUST RELEASED
SHORT POINT-FORM CRAM COVERAGE
Know these cold:
• First-line HTN meds
• Diabetes diagnostic criteria
• A1C targets
• UTI treatment basics
• Asthma step treatment basics
• Strep vs viral pharyngitis
• CAP vs bronchitis
• Otitis media vs externa
• BV vs Candida vs Trichomonas
• Hypothyroid vs hyperthyroid symptoms
• GERD alarm symptoms
• Cellulitis vs abscess
• When antibiotics are NOT indicated
• When to refer to ED immediately
NURS 5433 FNP II MIDTERM PRACTICE EXAM
, Page 2 of 107
Batch 1: Questions 1–50
(Detailed rationales included)
1.
A 34-year-old patient presents with sore throat, cough, rhinorrhea, and hoarseness for 3 days.
Which diagnosis is most likely?
A. Streptococcal pharyngitis
B. Viral pharyngitis
C. Peritonsillar abscess
D. Epiglottitis
Answer: B. Viral pharyngitis
Rationale: Cough, rhinorrhea, and hoarseness strongly suggest a viral cause rather than Group
A strep. Strep typically presents with fever, tonsillar exudates, tender anterior cervical nodes,
and absence of cough.
2.
Which finding most strongly supports acute otitis media rather than otitis externa?
, Page 3 of 107
A. Pain with tragus movement
B. Ear canal swelling
C. Bulging, erythematous tympanic membrane
D. Purulent debris in external canal
Answer: C. Bulging, erythematous tympanic membrane
Rationale: Acute otitis media involves the middle ear and is characterized by a bulging TM,
often with erythema and decreased mobility. Otitis externa affects the ear canal.
3.
Which of the following is a first-line treatment for uncomplicated hypertension in many adults?
A. Clonidine
B. Hydrochlorothiazide
C. Digoxin
D. Furosemide
Answer: B. Hydrochlorothiazide
Rationale: Thiazide diuretics, ACE inhibitors, ARBs, and calcium channel blockers are common
first-line options depending on patient-specific factors.
4.
, Page 4 of 107
A patient has a fasting blood glucose of 132 mg/dL on two separate occasions. This finding is
most consistent with:
A. Prediabetes
B. Diabetes mellitus
C. Reactive hypoglycemia
D. Normal glucose regulation
Answer: B. Diabetes mellitus
Rationale: Diabetes can be diagnosed with fasting plasma glucose ≥126 mg/dL on two separate
tests.
5.
Which symptom is most associated with hyperthyroidism?
A. Cold intolerance
B. Weight gain
C. Constipation
D. Heat intolerance
Answer: D. Heat intolerance
Rationale: Hyperthyroidism commonly causes heat intolerance, palpitations, weight loss,
anxiety, and tremor.
NURS 5433 FNP II MIDTERM PRACTICE ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR – JUST RELEASED
SHORT POINT-FORM CRAM COVERAGE
Know these cold:
• First-line HTN meds
• Diabetes diagnostic criteria
• A1C targets
• UTI treatment basics
• Asthma step treatment basics
• Strep vs viral pharyngitis
• CAP vs bronchitis
• Otitis media vs externa
• BV vs Candida vs Trichomonas
• Hypothyroid vs hyperthyroid symptoms
• GERD alarm symptoms
• Cellulitis vs abscess
• When antibiotics are NOT indicated
• When to refer to ED immediately
NURS 5433 FNP II MIDTERM PRACTICE EXAM
, Page 2 of 107
Batch 1: Questions 1–50
(Detailed rationales included)
1.
A 34-year-old patient presents with sore throat, cough, rhinorrhea, and hoarseness for 3 days.
Which diagnosis is most likely?
A. Streptococcal pharyngitis
B. Viral pharyngitis
C. Peritonsillar abscess
D. Epiglottitis
Answer: B. Viral pharyngitis
Rationale: Cough, rhinorrhea, and hoarseness strongly suggest a viral cause rather than Group
A strep. Strep typically presents with fever, tonsillar exudates, tender anterior cervical nodes,
and absence of cough.
2.
Which finding most strongly supports acute otitis media rather than otitis externa?
, Page 3 of 107
A. Pain with tragus movement
B. Ear canal swelling
C. Bulging, erythematous tympanic membrane
D. Purulent debris in external canal
Answer: C. Bulging, erythematous tympanic membrane
Rationale: Acute otitis media involves the middle ear and is characterized by a bulging TM,
often with erythema and decreased mobility. Otitis externa affects the ear canal.
3.
Which of the following is a first-line treatment for uncomplicated hypertension in many adults?
A. Clonidine
B. Hydrochlorothiazide
C. Digoxin
D. Furosemide
Answer: B. Hydrochlorothiazide
Rationale: Thiazide diuretics, ACE inhibitors, ARBs, and calcium channel blockers are common
first-line options depending on patient-specific factors.
4.
, Page 4 of 107
A patient has a fasting blood glucose of 132 mg/dL on two separate occasions. This finding is
most consistent with:
A. Prediabetes
B. Diabetes mellitus
C. Reactive hypoglycemia
D. Normal glucose regulation
Answer: B. Diabetes mellitus
Rationale: Diabetes can be diagnosed with fasting plasma glucose ≥126 mg/dL on two separate
tests.
5.
Which symptom is most associated with hyperthyroidism?
A. Cold intolerance
B. Weight gain
C. Constipation
D. Heat intolerance
Answer: D. Heat intolerance
Rationale: Hyperthyroidism commonly causes heat intolerance, palpitations, weight loss,
anxiety, and tremor.
