FNP 652 2026-2027 ACTUAL EXAM LATEST
UPDATED WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS 100% WITH RATIONALES
ALREADY GRADED A+
FNP 652 – PRACTICE QUESTIONS
A 55-year-old male presents with exertional chest pain relieved by rest. What is the most likely
diagnosis?
Answer: Stable angina
Rationale: Stable angina is characterized by predictable chest pain triggered by exertion and
relieved by rest or nitroglycerin.
Which laboratory value is most indicative of acute myocardial infarction?
Answer: Troponin I
Rationale: Troponin I is highly specific to cardiac muscle injury and rises within hours of
myocardial infarction.
What is the first-line treatment for uncomplicated hypertension in a non-black adult?
Answer: Thiazide diuretic
Rationale: Thiazide diuretics are recommended first-line due to effectiveness and cardiovascular
outcome benefits.
A patient with asthma has frequent nighttime symptoms. How is this classified?
,Answer: Moderate persistent asthma
Rationale: Nighttime symptoms more than once per week indicate moderate persistent asthma.
Which vaccine is contraindicated in pregnancy?
Answer: MMR
Rationale: MMR is a live attenuated vaccine and poses a risk to the fetus.
A 60-year-old smoker presents with chronic productive cough for 3 months over 2 consecutive
years. What is the diagnosis?
Answer: Chronic bronchitis
Rationale: Chronic bronchitis is defined by productive cough for at least 3 months over 2 years.
What medication class improves survival in heart failure with reduced ejection fraction?
Answer: ACE inhibitors
Rationale: ACE inhibitors reduce mortality by decreasing preload, afterload, and cardiac
remodeling.
A patient presents with polyuria, polydipsia, and polyphagia. What condition is suspected?
Answer: Diabetes mellitus
Rationale: The classic triad of diabetes includes polyuria, polydipsia, and polyphagia.
What is the goal HbA1c for most non-pregnant adults?
Answer: Less than 7%
Rationale: An HbA1c <7% reduces microvascular complications in most adults.
Which test confirms hypothyroidism?
Answer: Elevated TSH
, Rationale: Primary hypothyroidism results in elevated TSH due to reduced thyroid hormone
production.
What is the preferred imaging for suspected pulmonary embolism?
Answer: CT pulmonary angiography
Rationale: CT angiography is the diagnostic gold standard for pulmonary embolism.
Which antibiotic is first-line for uncomplicated UTI in women?
Answer: Nitrofurantoin
Rationale: Nitrofurantoin is effective with minimal resistance for uncomplicated UTIs.
A patient with GERD should avoid which food?
Answer: Chocolate
Rationale: Chocolate lowers lower esophageal sphincter tone, worsening reflux.
What is the hallmark symptom of Parkinson’s disease?
Answer: Resting tremor
Rationale: Parkinson’s disease is characterized by resting tremor, rigidity, and bradykinesia.
Which lab abnormality is seen in chronic kidney disease?
Answer: Elevated creatinine
Rationale: Reduced kidney function leads to impaired creatinine clearance.
What is the most common cause of community-acquired pneumonia?
Answer: Streptococcus pneumoniae
Rationale: S. pneumoniae remains the most common bacterial cause of CAP.
UPDATED WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS 100% WITH RATIONALES
ALREADY GRADED A+
FNP 652 – PRACTICE QUESTIONS
A 55-year-old male presents with exertional chest pain relieved by rest. What is the most likely
diagnosis?
Answer: Stable angina
Rationale: Stable angina is characterized by predictable chest pain triggered by exertion and
relieved by rest or nitroglycerin.
Which laboratory value is most indicative of acute myocardial infarction?
Answer: Troponin I
Rationale: Troponin I is highly specific to cardiac muscle injury and rises within hours of
myocardial infarction.
What is the first-line treatment for uncomplicated hypertension in a non-black adult?
Answer: Thiazide diuretic
Rationale: Thiazide diuretics are recommended first-line due to effectiveness and cardiovascular
outcome benefits.
A patient with asthma has frequent nighttime symptoms. How is this classified?
,Answer: Moderate persistent asthma
Rationale: Nighttime symptoms more than once per week indicate moderate persistent asthma.
Which vaccine is contraindicated in pregnancy?
Answer: MMR
Rationale: MMR is a live attenuated vaccine and poses a risk to the fetus.
A 60-year-old smoker presents with chronic productive cough for 3 months over 2 consecutive
years. What is the diagnosis?
Answer: Chronic bronchitis
Rationale: Chronic bronchitis is defined by productive cough for at least 3 months over 2 years.
What medication class improves survival in heart failure with reduced ejection fraction?
Answer: ACE inhibitors
Rationale: ACE inhibitors reduce mortality by decreasing preload, afterload, and cardiac
remodeling.
A patient presents with polyuria, polydipsia, and polyphagia. What condition is suspected?
Answer: Diabetes mellitus
Rationale: The classic triad of diabetes includes polyuria, polydipsia, and polyphagia.
What is the goal HbA1c for most non-pregnant adults?
Answer: Less than 7%
Rationale: An HbA1c <7% reduces microvascular complications in most adults.
Which test confirms hypothyroidism?
Answer: Elevated TSH
, Rationale: Primary hypothyroidism results in elevated TSH due to reduced thyroid hormone
production.
What is the preferred imaging for suspected pulmonary embolism?
Answer: CT pulmonary angiography
Rationale: CT angiography is the diagnostic gold standard for pulmonary embolism.
Which antibiotic is first-line for uncomplicated UTI in women?
Answer: Nitrofurantoin
Rationale: Nitrofurantoin is effective with minimal resistance for uncomplicated UTIs.
A patient with GERD should avoid which food?
Answer: Chocolate
Rationale: Chocolate lowers lower esophageal sphincter tone, worsening reflux.
What is the hallmark symptom of Parkinson’s disease?
Answer: Resting tremor
Rationale: Parkinson’s disease is characterized by resting tremor, rigidity, and bradykinesia.
Which lab abnormality is seen in chronic kidney disease?
Answer: Elevated creatinine
Rationale: Reduced kidney function leads to impaired creatinine clearance.
What is the most common cause of community-acquired pneumonia?
Answer: Streptococcus pneumoniae
Rationale: S. pneumoniae remains the most common bacterial cause of CAP.
