Sarah Michelle FNP FINAL EXAM NEWEST 2025 REAL EXAM 300+
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!|
LATEST VERSIONS
Which of the following is a nonstimulant drug that may be prescribed for treatment of attention
deficit hyperactivity disorder (ADHD)?
A.Dexmethylphenidate (Focalin XR)
B.Mixed salts of amphetamine (Adderall)
C.Methylphenidate (Ritalin)
D.Atomoxetine (Strattera) - (CORRECT ANSWER)Answer: D. Atomoxetine (Strattera)
Atomoxetine is classified as a norepinephrine reuptake inhibitor, not a stimulant. Atomoxetine
may be prescribed for patients for who do not experience adequate ADHD symptom relief from
stimulant medications such as dexmethylphenidate, amphetamine, or methylphenidate.
The nurse practitioner (NP) advises a patient who is taking a monoamine oxidase inhibitor
(MAOI) to avoid foods that contain high levels of tyramine. Which food would the NP include in
a list of examples?
A.Chicken
B.Beer
C.Cottage cheese
D.Spinach - (CORRECT ANSWER)Answer: B. Beer
Fermented food items, including fermented beverages such as beer, tend to be high in tyramine.
Although cured meats are high in tyramine, noncured proteins such as chicken are not.
Pasteurized cheeses, such as cottage cheese, tend to be lower in tyramine than aged cheeses.
Fresh vegetables tend to be low in tyramine.
What symptom would be unexpected in a diagnosis of depression?
A.Anhedonia
,B.Low self-esteem
C.Apathy
D.Apraxia - (CORRECT ANSWER)Answer: D. Apraxia
Apraxia is characterized by loss of the ability to execute or carry out learned purposeful
movements despite the desire and the physical ability to perform the movements. Apraxia is not a
sign or symptom of depression; it is a disorder of motor planning caused by damage to specific
areas of the cerebrum. Common signs of depression include anhedonia (loss of interest in
activities that the patient normally finds pleasurable), unintentional weight loss or gain, fatigue,
change in appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and recurrent
thoughts of suicide
The nurse practitioner is reviewing the medical record of a 6-month-old infant with normocytic
hemolytic anemia and notes an electrophoresis result of hemoglobin S with a 20% concentration
of hemoglobin F (fetal hemoglobin). Which additional diagnosis is most likely?
A.Aplastic anemia
B.Hemolytic anemia
C.Sickle cell anemia
D.Thalassemia major - (CORRECT ANSWER)Answer: C. Sickle cell anemia
A patient with normocytic hemolytic anemia who has electrophoresis results of hemoglobin S
with a 20% concentration of hemoglobin F has sickle cell anemia. Electrophoresis is not used to
diagnose hemolytic or aplastic anemia. Thalassemia major appears within the first 2 years of life
and is associated with life-threatening anemia. Thalassemia major is associated with
nonhemolytic, normocytic anemia.
The nurse practitioner (NP) notices a gray ring on the edge of both irises of an 81-year-old
female patient. The patient denies visual changes or pain. She reports that she has had the "ring"
for many years. What would the clinical significance of this same finding be in a 35-year-old
patient?
A.The patient would have a higher risk of blindness.
B.The patient should be evaluated for hyperlipidemia.
C.The patient should be evaluated by an ophthalmologist.
,D.The patient should be evaluated for acute glaucoma. - (CORRECT ANSWER)Answer: B. The
patient should be evaluated for hyperlipidemia.
Arcus senilis is caused by lipid deposits deep in the edge of the cornea and is quite commonly
present in older adults. However, since it can also appear earlier in life as a result of
hypercholesterolemia, the NP should order a fasting lipid profile in patients younger than 40
years. The condition is not associated with visual changes, so referral to an ophthalmologist is
unnecessary.
A female multigravida patient who is at 34 weeks' gestation wants to know at what level her
uterine fundus should be. The best answer is to advise the patient that her fundus is:
A.Midway between the umbilicus and the lower ribs
B.At the level of the umbilicus
C.From 33 to 35 cm
D.From 32 to 34 cm - (CORRECT ANSWER)Answer: C. From 33 to 35 cm
After 20 weeks' gestation, fundal height in centimeters should measure approximately the same
as the number of weeks of gestation.
When evaluating the blood pressure on both the arms and the legs of an infant who has a
diagnosis of coarctation of the aorta, which of the following is the expected finding?
A.The systolic blood pressure is higher in the arms than in the legs.
B.Only the diastolic blood pressure is higher in the legs than in the arms.
C.The blood pressure is higher in the legs than the arms.
D.The systolic blood pressure is lower in the arms than in the legs. - (CORRECT
ANSWER)Answer: A. The systolic blood pressure is higher in the arms than in the legs.
In coarctation of the aorta, blood pressure is higher in the arms than in the legs because of the
narrowing in the aorta. Blood pressure must rise to get adequate blood flow to the lower
extremities; therefore, the blood pressure above the coarctation rises to compensate for this
Which lab results suggest a diagnosis of hypothyroidism?
A.Elevated thyroid-stimulating hormone (TSH), low free thyroxine (T4)
B.Elevated TSH, normal free T4
, C.High free T4
D.Normal free T4 - (CORRECT ANSWER)Answer: A. Elevated thyroid-stimulating hormone
(TSH), low free thyroxine (T4)
In hypothyroidism, TSH is >5.0 mU/L, free T4 is low, and T3 is low. In subclinical
hypothyroidism, TSH is >5.0 mU/L, free T4 is normal, and T3 is normal. In hyperthyroidism,
TSH is <0.5 mU/L, and free T4 and T3 are high. Subclinical hyperthyroidism presents with a
TSH of less than 0.5 mU/L and normal free T4 and T3.
Which of the following drugs can increase the risk of bleeding in patients who are receiving
anticoagulation therapy with warfarin sodium (Coumadin)?
A.Trimethoprim-sulfamethoxazole (Bactrim DS)
B.Carafate (Sucralfate)
C.Losartan (Cozaar)
D.Furosemide (Lasix) - (CORRECT ANSWER)Answer: A. Trimethoprim-sulfamethoxazole
(Bactrim DS)
Warfarin sodium (Coumadin) interacts with trimethoprim-sulfamethoxazole (Bactrim DS) and
will increase the risk of bleeding; therefore, concurrent use is contraindicated.
An older adult female patient presents with acute episodes of dizziness. She describes the
sensation of the room spinning, which is worsened by sudden head movement. During the
episodes, she is nauseated and sometimes vomits. The nurse practitioner observes nystagmus
during a provoking maneuver. Based on this presentation, which of the following is the
appropriate initial treatment option?
A.Vestibular rehabilitation
B.Epley maneuver
C.Salt restriction
D.Dix-Hallpike maneuver - (CORRECT ANSWER)Answer: B. Epley maneuver
The patient has benign paroxysmal positional vertigo (BPPV), which can be treated effectively in
most cases using particle repositioning maneuvers—the Epley maneuver and the Semont
maneuver. The Dix-Hallpike maneuver is used for diagnosis and will usually provoke
paroxysmal vertigo and nystagmus when the affected ear is turned downward during the
maneuver. Meniere disease is treated with dietary and lifestyle modifications (e.g., salt
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!|
LATEST VERSIONS
Which of the following is a nonstimulant drug that may be prescribed for treatment of attention
deficit hyperactivity disorder (ADHD)?
A.Dexmethylphenidate (Focalin XR)
B.Mixed salts of amphetamine (Adderall)
C.Methylphenidate (Ritalin)
D.Atomoxetine (Strattera) - (CORRECT ANSWER)Answer: D. Atomoxetine (Strattera)
Atomoxetine is classified as a norepinephrine reuptake inhibitor, not a stimulant. Atomoxetine
may be prescribed for patients for who do not experience adequate ADHD symptom relief from
stimulant medications such as dexmethylphenidate, amphetamine, or methylphenidate.
The nurse practitioner (NP) advises a patient who is taking a monoamine oxidase inhibitor
(MAOI) to avoid foods that contain high levels of tyramine. Which food would the NP include in
a list of examples?
A.Chicken
B.Beer
C.Cottage cheese
D.Spinach - (CORRECT ANSWER)Answer: B. Beer
Fermented food items, including fermented beverages such as beer, tend to be high in tyramine.
Although cured meats are high in tyramine, noncured proteins such as chicken are not.
Pasteurized cheeses, such as cottage cheese, tend to be lower in tyramine than aged cheeses.
Fresh vegetables tend to be low in tyramine.
What symptom would be unexpected in a diagnosis of depression?
A.Anhedonia
,B.Low self-esteem
C.Apathy
D.Apraxia - (CORRECT ANSWER)Answer: D. Apraxia
Apraxia is characterized by loss of the ability to execute or carry out learned purposeful
movements despite the desire and the physical ability to perform the movements. Apraxia is not a
sign or symptom of depression; it is a disorder of motor planning caused by damage to specific
areas of the cerebrum. Common signs of depression include anhedonia (loss of interest in
activities that the patient normally finds pleasurable), unintentional weight loss or gain, fatigue,
change in appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and recurrent
thoughts of suicide
The nurse practitioner is reviewing the medical record of a 6-month-old infant with normocytic
hemolytic anemia and notes an electrophoresis result of hemoglobin S with a 20% concentration
of hemoglobin F (fetal hemoglobin). Which additional diagnosis is most likely?
A.Aplastic anemia
B.Hemolytic anemia
C.Sickle cell anemia
D.Thalassemia major - (CORRECT ANSWER)Answer: C. Sickle cell anemia
A patient with normocytic hemolytic anemia who has electrophoresis results of hemoglobin S
with a 20% concentration of hemoglobin F has sickle cell anemia. Electrophoresis is not used to
diagnose hemolytic or aplastic anemia. Thalassemia major appears within the first 2 years of life
and is associated with life-threatening anemia. Thalassemia major is associated with
nonhemolytic, normocytic anemia.
The nurse practitioner (NP) notices a gray ring on the edge of both irises of an 81-year-old
female patient. The patient denies visual changes or pain. She reports that she has had the "ring"
for many years. What would the clinical significance of this same finding be in a 35-year-old
patient?
A.The patient would have a higher risk of blindness.
B.The patient should be evaluated for hyperlipidemia.
C.The patient should be evaluated by an ophthalmologist.
,D.The patient should be evaluated for acute glaucoma. - (CORRECT ANSWER)Answer: B. The
patient should be evaluated for hyperlipidemia.
Arcus senilis is caused by lipid deposits deep in the edge of the cornea and is quite commonly
present in older adults. However, since it can also appear earlier in life as a result of
hypercholesterolemia, the NP should order a fasting lipid profile in patients younger than 40
years. The condition is not associated with visual changes, so referral to an ophthalmologist is
unnecessary.
A female multigravida patient who is at 34 weeks' gestation wants to know at what level her
uterine fundus should be. The best answer is to advise the patient that her fundus is:
A.Midway between the umbilicus and the lower ribs
B.At the level of the umbilicus
C.From 33 to 35 cm
D.From 32 to 34 cm - (CORRECT ANSWER)Answer: C. From 33 to 35 cm
After 20 weeks' gestation, fundal height in centimeters should measure approximately the same
as the number of weeks of gestation.
When evaluating the blood pressure on both the arms and the legs of an infant who has a
diagnosis of coarctation of the aorta, which of the following is the expected finding?
A.The systolic blood pressure is higher in the arms than in the legs.
B.Only the diastolic blood pressure is higher in the legs than in the arms.
C.The blood pressure is higher in the legs than the arms.
D.The systolic blood pressure is lower in the arms than in the legs. - (CORRECT
ANSWER)Answer: A. The systolic blood pressure is higher in the arms than in the legs.
In coarctation of the aorta, blood pressure is higher in the arms than in the legs because of the
narrowing in the aorta. Blood pressure must rise to get adequate blood flow to the lower
extremities; therefore, the blood pressure above the coarctation rises to compensate for this
Which lab results suggest a diagnosis of hypothyroidism?
A.Elevated thyroid-stimulating hormone (TSH), low free thyroxine (T4)
B.Elevated TSH, normal free T4
, C.High free T4
D.Normal free T4 - (CORRECT ANSWER)Answer: A. Elevated thyroid-stimulating hormone
(TSH), low free thyroxine (T4)
In hypothyroidism, TSH is >5.0 mU/L, free T4 is low, and T3 is low. In subclinical
hypothyroidism, TSH is >5.0 mU/L, free T4 is normal, and T3 is normal. In hyperthyroidism,
TSH is <0.5 mU/L, and free T4 and T3 are high. Subclinical hyperthyroidism presents with a
TSH of less than 0.5 mU/L and normal free T4 and T3.
Which of the following drugs can increase the risk of bleeding in patients who are receiving
anticoagulation therapy with warfarin sodium (Coumadin)?
A.Trimethoprim-sulfamethoxazole (Bactrim DS)
B.Carafate (Sucralfate)
C.Losartan (Cozaar)
D.Furosemide (Lasix) - (CORRECT ANSWER)Answer: A. Trimethoprim-sulfamethoxazole
(Bactrim DS)
Warfarin sodium (Coumadin) interacts with trimethoprim-sulfamethoxazole (Bactrim DS) and
will increase the risk of bleeding; therefore, concurrent use is contraindicated.
An older adult female patient presents with acute episodes of dizziness. She describes the
sensation of the room spinning, which is worsened by sudden head movement. During the
episodes, she is nauseated and sometimes vomits. The nurse practitioner observes nystagmus
during a provoking maneuver. Based on this presentation, which of the following is the
appropriate initial treatment option?
A.Vestibular rehabilitation
B.Epley maneuver
C.Salt restriction
D.Dix-Hallpike maneuver - (CORRECT ANSWER)Answer: B. Epley maneuver
The patient has benign paroxysmal positional vertigo (BPPV), which can be treated effectively in
most cases using particle repositioning maneuvers—the Epley maneuver and the Semont
maneuver. The Dix-Hallpike maneuver is used for diagnosis and will usually provoke
paroxysmal vertigo and nystagmus when the affected ear is turned downward during the
maneuver. Meniere disease is treated with dietary and lifestyle modifications (e.g., salt
