Walden University NRNP 6568 Final Exam (pdf) | 2026/2027 |
Synthesis FNP Q&A | Advanced Practice Nursing
**1. If a patient is dismissed from a practice, what must be included in the
dismissal letter?**
A) The last day the practitioner will be available to render care (at least 30
days)
B) Indication that medication refills will be provided during this period
C) Alternative sources of care
D) All of the above
**Correct Answer: D**
**Rationale:** A proper dismissal letter must include the last day the
practitioner will be available to render care (at least 30 days), an indication
that medication refills will be provided during this period, alternative sources
of care, and how to obtain medical records.
---
**2. The review of systems (ROS) is documented in the Physical Exam
section of the visit. True or False?**
A) True
B) False
**Correct Answer: False**
,**Rationale:** The review of systems (ROS) is documented in the History
section of the visit, not the Physical Exam section. The ROS is a subjective
inventory of symptoms reported by the patient, while the physical exam
documents objective findings.
---
**3. When prescribing Schedule II through V controlled substances, which
schedule of drugs has the least potential for abuse?**
A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule IV
E) Schedule V
**Correct Answer: E**
**Rationale:** Schedule V drugs have the least potential for abuse among
the controlled substance schedules (II-V). Schedule I drugs have the highest
potential for abuse and no accepted medical use. Schedule II drugs have a
high potential for abuse, and the potential decreases progressively through
Schedule V.
---
**4. St. John's wort will usually interact with all medications EXCEPT:**
A) Celexa (citalopram)
,B) Paxil (paroxetine)
C) Elavil (amitriptyline)
D) PPI (proton pump inhibitor)
**Correct Answer: D**
**Rationale:** St. John's wort is a potent inducer of the CYP450 enzyme
system and interacts with many medications, including SSRIs (Celexa, Paxil)
and TCAs (Elavil), potentially reducing their efficacy. PPIs are generally not
significantly affected by St. John's wort.
---
**5. Different states have different titles for NPs. All of the following are
recognized titles for Nurse Practitioners EXCEPT:**
A) Advanced Practice Registered Nurse
B) Advanced Registered Nurse Practitioner
C) Certified Nurse Practitioner
D) Registered Nurse Practitioner Provider
**Correct Answer: D**
**Rationale:** "Registered Nurse Practitioner Provider" is not a recognized
title for Nurse Practitioners. Recognized titles include Advanced Practice
Registered Nurse (APRN), Advanced Registered Nurse Practitioner (ARNP),
and Certified Nurse Practitioner (CNP).
---
, **6. The average age range of the beginning of natural menopause is:**
A) 40–45 years
B) 46–50 years
C) 50–51 years
D) 52–53 years
**Correct Answer: C**
**Rationale:** The average age range for the beginning of natural
menopause is 50–51 years. Menopause is defined as 12 consecutive months
without a menstrual period.
---
**7. Randy is a 29-year-old African American male who has a body mass
index (BMI) of 30, does not exercise, and has evidence of metabolic
syndrome. The first-line treatment for Randy's diagnosis would be:**
A) Metformin
B) Lifestyle modification
C) GLP-1 receptor agonist
D) Sulfonylurea
**Correct Answer: B**
Synthesis FNP Q&A | Advanced Practice Nursing
**1. If a patient is dismissed from a practice, what must be included in the
dismissal letter?**
A) The last day the practitioner will be available to render care (at least 30
days)
B) Indication that medication refills will be provided during this period
C) Alternative sources of care
D) All of the above
**Correct Answer: D**
**Rationale:** A proper dismissal letter must include the last day the
practitioner will be available to render care (at least 30 days), an indication
that medication refills will be provided during this period, alternative sources
of care, and how to obtain medical records.
---
**2. The review of systems (ROS) is documented in the Physical Exam
section of the visit. True or False?**
A) True
B) False
**Correct Answer: False**
,**Rationale:** The review of systems (ROS) is documented in the History
section of the visit, not the Physical Exam section. The ROS is a subjective
inventory of symptoms reported by the patient, while the physical exam
documents objective findings.
---
**3. When prescribing Schedule II through V controlled substances, which
schedule of drugs has the least potential for abuse?**
A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule IV
E) Schedule V
**Correct Answer: E**
**Rationale:** Schedule V drugs have the least potential for abuse among
the controlled substance schedules (II-V). Schedule I drugs have the highest
potential for abuse and no accepted medical use. Schedule II drugs have a
high potential for abuse, and the potential decreases progressively through
Schedule V.
---
**4. St. John's wort will usually interact with all medications EXCEPT:**
A) Celexa (citalopram)
,B) Paxil (paroxetine)
C) Elavil (amitriptyline)
D) PPI (proton pump inhibitor)
**Correct Answer: D**
**Rationale:** St. John's wort is a potent inducer of the CYP450 enzyme
system and interacts with many medications, including SSRIs (Celexa, Paxil)
and TCAs (Elavil), potentially reducing their efficacy. PPIs are generally not
significantly affected by St. John's wort.
---
**5. Different states have different titles for NPs. All of the following are
recognized titles for Nurse Practitioners EXCEPT:**
A) Advanced Practice Registered Nurse
B) Advanced Registered Nurse Practitioner
C) Certified Nurse Practitioner
D) Registered Nurse Practitioner Provider
**Correct Answer: D**
**Rationale:** "Registered Nurse Practitioner Provider" is not a recognized
title for Nurse Practitioners. Recognized titles include Advanced Practice
Registered Nurse (APRN), Advanced Registered Nurse Practitioner (ARNP),
and Certified Nurse Practitioner (CNP).
---
, **6. The average age range of the beginning of natural menopause is:**
A) 40–45 years
B) 46–50 years
C) 50–51 years
D) 52–53 years
**Correct Answer: C**
**Rationale:** The average age range for the beginning of natural
menopause is 50–51 years. Menopause is defined as 12 consecutive months
without a menstrual period.
---
**7. Randy is a 29-year-old African American male who has a body mass
index (BMI) of 30, does not exercise, and has evidence of metabolic
syndrome. The first-line treatment for Randy's diagnosis would be:**
A) Metformin
B) Lifestyle modification
C) GLP-1 receptor agonist
D) Sulfonylurea
**Correct Answer: B**
