FAMILY NURSE PRACTITIONER (FNP) EXAM 4 QUESTIONS
WITH ACCURATE SOLUTIONS
1) Which of the following is essential for diagnosing thyroid cancer?
A) Thyroid US
B) MRI
C) CT
D) Fine Needle Biopsy -- Answer ✔✔ Fine Needle Biopsy
2) Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his
left great toe. The clinician suspects acute gout. Which of the following should
the clinician expect in the initial test results for this patient?
A) Elevated uric acid level
B) Decreased urine pH
C) Elevated BUN
D) Decreased CRP -- Answer ✔✔ Elevated uric acid level
3) The patient has hyperosmolar hyperglycemic syndrome. Which laboratory
findings would the clinician observe?
A) Hyperglycemia with low serum osmolality of 420 mIsm/kg
B) Severe hyperglycemia with minimal or absent ketosis
C) Little or no ketosis in serum with rapidly escalating ketonuria
D) Hyperglycemia and ketosis -- Answer ✔✔ a. Hyperglycemia
with low serum osmolality of 420 mIsm/kg
,4) The clinician should question the patient with suspected gout about use of which
of these medications?
A) Low-dose aspirin
B) Thiazide diuretics
C) Ethambutol
D) All of the above -- Answer ✔✔ b) Thiazide diuretics
5) After typical groin hernia surgery, the patient should be instructed to:
A) Avoid work for 3 weeks.
B) Stay in the hospital for 2 weeks
C) Avoid heavy lifting for 4 to 6 weeks.
D) Return to normal activities after 1 month -- Answer ✔✔ C.
Avoid heavy lifting for 4 to 6 weeks.
6) Carl has been diagnosed with Wilson's disease. Which of the following should be
included in his dietary education?
A) Avoid calcium-containing foods.
B) Increase protein intake with peanut butter.
C) Limit shrimp intake.
D) Increase fat intake by eating liver. -- Answer ✔✔ C. Limit
shrimp intake.
7) A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis?
A) Very early
B) 3 to 4 hours after perforation
C) Late in inflammation
D) Appendicitis never presents with vague pain -- Answer ✔✔
A. Very early
8) The patient with type 1 diabetes is exhibiting Kussmaul respirations, anorexia,
fatigue, and increased thirst. Which condition should the clinician manage?
A) Hypoglycemia
B) Somogyi effect
, C) Diabetic ketoacidosis
D) Hyperosmolar hyperglycemic syndrome -- Answer ✔✔ C.
Diabetic ketoacidosis
9) The patient is prescribed radioactive iodine (RAI) and asks the clinician how this
drug works. The clinician's response should include which information?
A) RAI prevents the peripheral conversion of T4 to T3.
B) RAI binds free T4.
C) RAI destroys thyroid tissue.
D) RAI reduces freely circulating iodine. -- Answer ✔✔ C. RAI
destroys thyroid tissue.
10) The patient has metabolic syndrome. The patient is at increased risk for which
condition?
A) Anxiety disorder
B) Gallbladder disease
C) Diabetes mellitus
D) Hyperparathyroidism -- Answer ✔✔ C. Diabetes mellitus
11) A patient experiences a second gouty flare and the provider decides to begin
urate-lowering therapy (ULT). How should this be prescribed?
A) Begin with a high-loading dose and gradually decrease.
B) Start ULT during the current flare for best results.
C) Start ULT in 5 weeks along with an anti-inflammatory drug.
D) ULT should be suspended during future gouty flares. --
Answer ✔✔ c. Start ULT in 5 weeks along with an anti-
inflammatory drug
12) A patient who is obese has recurrent urinary tract infections and reports feeling
tired most of the time. What initial diagnostic test will the provider order in the
clinic at this visit?
A) C-peptide level
B) Hemoglobin A1C
C) Random serum glucose
D) Thyroid studies -- Answer ✔✔ b. Hemoglobin A1C
WITH ACCURATE SOLUTIONS
1) Which of the following is essential for diagnosing thyroid cancer?
A) Thyroid US
B) MRI
C) CT
D) Fine Needle Biopsy -- Answer ✔✔ Fine Needle Biopsy
2) Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his
left great toe. The clinician suspects acute gout. Which of the following should
the clinician expect in the initial test results for this patient?
A) Elevated uric acid level
B) Decreased urine pH
C) Elevated BUN
D) Decreased CRP -- Answer ✔✔ Elevated uric acid level
3) The patient has hyperosmolar hyperglycemic syndrome. Which laboratory
findings would the clinician observe?
A) Hyperglycemia with low serum osmolality of 420 mIsm/kg
B) Severe hyperglycemia with minimal or absent ketosis
C) Little or no ketosis in serum with rapidly escalating ketonuria
D) Hyperglycemia and ketosis -- Answer ✔✔ a. Hyperglycemia
with low serum osmolality of 420 mIsm/kg
,4) The clinician should question the patient with suspected gout about use of which
of these medications?
A) Low-dose aspirin
B) Thiazide diuretics
C) Ethambutol
D) All of the above -- Answer ✔✔ b) Thiazide diuretics
5) After typical groin hernia surgery, the patient should be instructed to:
A) Avoid work for 3 weeks.
B) Stay in the hospital for 2 weeks
C) Avoid heavy lifting for 4 to 6 weeks.
D) Return to normal activities after 1 month -- Answer ✔✔ C.
Avoid heavy lifting for 4 to 6 weeks.
6) Carl has been diagnosed with Wilson's disease. Which of the following should be
included in his dietary education?
A) Avoid calcium-containing foods.
B) Increase protein intake with peanut butter.
C) Limit shrimp intake.
D) Increase fat intake by eating liver. -- Answer ✔✔ C. Limit
shrimp intake.
7) A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis?
A) Very early
B) 3 to 4 hours after perforation
C) Late in inflammation
D) Appendicitis never presents with vague pain -- Answer ✔✔
A. Very early
8) The patient with type 1 diabetes is exhibiting Kussmaul respirations, anorexia,
fatigue, and increased thirst. Which condition should the clinician manage?
A) Hypoglycemia
B) Somogyi effect
, C) Diabetic ketoacidosis
D) Hyperosmolar hyperglycemic syndrome -- Answer ✔✔ C.
Diabetic ketoacidosis
9) The patient is prescribed radioactive iodine (RAI) and asks the clinician how this
drug works. The clinician's response should include which information?
A) RAI prevents the peripheral conversion of T4 to T3.
B) RAI binds free T4.
C) RAI destroys thyroid tissue.
D) RAI reduces freely circulating iodine. -- Answer ✔✔ C. RAI
destroys thyroid tissue.
10) The patient has metabolic syndrome. The patient is at increased risk for which
condition?
A) Anxiety disorder
B) Gallbladder disease
C) Diabetes mellitus
D) Hyperparathyroidism -- Answer ✔✔ C. Diabetes mellitus
11) A patient experiences a second gouty flare and the provider decides to begin
urate-lowering therapy (ULT). How should this be prescribed?
A) Begin with a high-loading dose and gradually decrease.
B) Start ULT during the current flare for best results.
C) Start ULT in 5 weeks along with an anti-inflammatory drug.
D) ULT should be suspended during future gouty flares. --
Answer ✔✔ c. Start ULT in 5 weeks along with an anti-
inflammatory drug
12) A patient who is obese has recurrent urinary tract infections and reports feeling
tired most of the time. What initial diagnostic test will the provider order in the
clinic at this visit?
A) C-peptide level
B) Hemoglobin A1C
C) Random serum glucose
D) Thyroid studies -- Answer ✔✔ b. Hemoglobin A1C
