Nurse Practitioner (FNP), South
University Complete Exam Questions and
Answer Explanations
Introduction:
This document contains a comprehensive collection of pre-
predictor exam questions and detailed answers for the
NSG6998 Family Nurse Practitioner (FNP) course at South
University. It covers a wide range of primary care topics
including pediatrics, adult and geriatric care, pharmacology,
diagnostics, and clinical decision-making aligned with FNP
board-style examinations.
The material is well suited for exam preparation, knowledge
reinforcement, and review of high-yield clinical concepts
commonly tested in FNP programs.
Exam Questions and Answers:
A 6-year-old presents with complaints of sore throat and fever
for 2 days. He has multiple vesiculated ulcerations on his
tonsils and uvula. There are no other remarkable findings.
What is the most likely diagnosis? -Answer:-Herpangina
,Herpangina is a viral infection common in toddlers and young
children caused by Coxsackie virus. The clinical findings of
numerous, small (1-2 mm) ulcerations on the tonsils and uvula
are typical of herpangina. The ulcerations can be very painful
but usually resolve in 7 to 10 days. Treatment is symptomatic.
The daughter of a 75-year-old patient reports that her mother
roams the house at night saying she cannot fall asleep. She has
fallen twice. Of the following choices, which would be the most
appropriate to treat her insomnia? -Answer:-doxepin
(Sinequan)
Low dose doxepin (Sinequan) has been proven efficacious in
the therapy of transient insomnia, producing improvements in
wake after sleep onset, total sleep time and sleep-onset
latency. Since this patient is having difficulty falling asleep,
she needs a drug which will produce drowsiness at bedtime
(sleep-onset latency). At low doses (<6mg/day), doxepin also
has a good efficacy and safety profile in elderly patients with
chronic insomnia, with a safety profile comparable to placebo.
Elderly or debilitated patients may be especially sensitive to
the effects of zolpidem (Ambien). Ambien can increase the risk
of falls, as well as cause confusion. Although the other choices
would provide sedation, they have longer half-lives and would
likely cause drowsiness the next morning/day. Additionally,
,use of the other drugs listed for primary treatment of insomnia
would be off-label.
Which antibiotic is demonstrated to be the most effective
treatment for community acquired pneumonia (CAP) in young
adults without any co-morbid conditions? -Answer:-
clarithromycin (Biaxin®)
Clarithromycin is an antibiotic recommended by the American
Thoracic Society for treatment of community acquired
pneumonia (CAP) in young adults without co-morbid
conditions. Clarithromycin provides antimicrobial activity
against Streptococcus pneumoniae, the most common
causative organism in CAP, and provides coverage for other
less common pathogens, including Mycoplasma pneumoniae,
Chlamydia pneumoniae, and Legionella pneumophlia
All of the following are associated with erectile dysfunction
(ED) EXCEPT: -Answer:-NSAIDs and oral hypoglycemic agents
Neither NSAIDs nor hypoglycemic agents are associated with
erectile dysfunction (ED). Male diabetics frequently have ED,
but it is due to the disease, not the medications used to treat
diabetes. Erectile dysfunction may also be caused by diuretics,
, spironolactone, anti-depressants, peripheral neuropathy, and
spinal injury at S2 to S4 or higher.
The nurse practitioner suspects migraine in a 6 year old male
with a 2 month history of recurrent headache. What finding
would support a diagnosis of migraine headache? -Answer:-
Family history of migraine headache
The most common recurrent headache in children is migraine.
There is a positive family history 75% of cases.
A 49 year old man sees the nurse practitioner for evaluation of
a 2 millimeter macular lesion on his back. The lesion is brown
with regular borders. The most appropriate action for the
nurse practitioner is to: -Answer:-reassure the patient that
this lesion is not suspicious for pathology.
Lesions that are less than 5 millimeters, flat, with regular
borders and even color, are not suspicious for malignancy. This
patient should be reassured.
A 45 year old with Type 1 diabetes mellitus has had itching and
burning lesions between her toes for 6 months. Scrapings of