FNP 593 FINAL EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| FNP 593 FINAL EXAM
REVIEW 2025 (BRAND NEW!!)
1. A 58-year-old male with a 20-pack-year smoking history
presents with substernal chest pressure while shoveling snow.
The pain radiates to his jaw, lasts 10 minutes, and resolves
with rest. ECG is normal. What is the most appropriate next
step?
A) Exercise stress test
B) Coronary angiography
C) High-sensitivity troponin
D) Echocardiogram
1
,Answer: C
Rationale: Given suspected unstable angina vs. NSTEMI, high-
sensitivity troponin rules out myocardial injury. Normal ECG does
not exclude ACS. Stress test is contraindicated acutely;
angiography is invasive; echo is less sensitive for ACS.
2. Which medication class is first-line for heart failure with
reduced ejection fraction (HFrEF) in a patient with diabetes
and CKD stage 3?
A) Thiazolidinediones
B) SGLT2 inhibitors (dapagliflozin)
C) CCB (amlodipine)
D) Digoxin
Answer: B
Rationale: SGLT2 inhibitors reduce HF hospitalization and CV
death in HFrEF, are safe in CKD3, and benefit diabetes.
2
,Thiazolidinediones worsen HF; CCBs lack mortality benefit;
digoxin is third-line.
3. A 72-year-old woman with hypertension reports dizziness
when standing up quickly. BP supine 135/85, standing
100/70, HR unchanged. Which is the best initial treatment?
A) Midodrine
B) Fludrocortisone
C) Discontinue or reduce antihypertensives
D) Increase salt intake
Answer: C
Rationale: Drug-induced orthostatic hypotension is common. First
step is reducing/stopping offending agents (e.g., diuretics,
alpha-blockers). Non-pharmacologic measures (hydration,
compression) next. Midodrine/fludrocortisone are second-line.
4. Which ECG finding is most specific for acute pericarditis?
3
, A) ST elevation in V1–V4 with reciprocal changes
B) PR depression and diffuse ST elevation
C) Deep Q waves in inferior leads
D) T wave inversion in aVR
Answer: B
Rationale: Diffuse ST elevation + PR depression (except aVR) is
classic for acute pericarditis. Option A suggests STEMI. Q waves
are old MI. T inversion in aVR is nonspecific.
5. A 65-year-old with atrial fibrillation (CHA₂DS₂-VASc = 4)
on warfarin has INR 1.2. What should you do?
A) Hold warfarin and bridge with enoxaparin
B) Give vitamin K 10 mg IM
C) Increase warfarin dose and recheck INR in 1 week
D) Administer a stat dose of warfarin 10 mg
4
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| FNP 593 FINAL EXAM
REVIEW 2025 (BRAND NEW!!)
1. A 58-year-old male with a 20-pack-year smoking history
presents with substernal chest pressure while shoveling snow.
The pain radiates to his jaw, lasts 10 minutes, and resolves
with rest. ECG is normal. What is the most appropriate next
step?
A) Exercise stress test
B) Coronary angiography
C) High-sensitivity troponin
D) Echocardiogram
1
,Answer: C
Rationale: Given suspected unstable angina vs. NSTEMI, high-
sensitivity troponin rules out myocardial injury. Normal ECG does
not exclude ACS. Stress test is contraindicated acutely;
angiography is invasive; echo is less sensitive for ACS.
2. Which medication class is first-line for heart failure with
reduced ejection fraction (HFrEF) in a patient with diabetes
and CKD stage 3?
A) Thiazolidinediones
B) SGLT2 inhibitors (dapagliflozin)
C) CCB (amlodipine)
D) Digoxin
Answer: B
Rationale: SGLT2 inhibitors reduce HF hospitalization and CV
death in HFrEF, are safe in CKD3, and benefit diabetes.
2
,Thiazolidinediones worsen HF; CCBs lack mortality benefit;
digoxin is third-line.
3. A 72-year-old woman with hypertension reports dizziness
when standing up quickly. BP supine 135/85, standing
100/70, HR unchanged. Which is the best initial treatment?
A) Midodrine
B) Fludrocortisone
C) Discontinue or reduce antihypertensives
D) Increase salt intake
Answer: C
Rationale: Drug-induced orthostatic hypotension is common. First
step is reducing/stopping offending agents (e.g., diuretics,
alpha-blockers). Non-pharmacologic measures (hydration,
compression) next. Midodrine/fludrocortisone are second-line.
4. Which ECG finding is most specific for acute pericarditis?
3
, A) ST elevation in V1–V4 with reciprocal changes
B) PR depression and diffuse ST elevation
C) Deep Q waves in inferior leads
D) T wave inversion in aVR
Answer: B
Rationale: Diffuse ST elevation + PR depression (except aVR) is
classic for acute pericarditis. Option A suggests STEMI. Q waves
are old MI. T inversion in aVR is nonspecific.
5. A 65-year-old with atrial fibrillation (CHA₂DS₂-VASc = 4)
on warfarin has INR 1.2. What should you do?
A) Hold warfarin and bridge with enoxaparin
B) Give vitamin K 10 mg IM
C) Increase warfarin dose and recheck INR in 1 week
D) Administer a stat dose of warfarin 10 mg
4
