FNP MIDTERM/FINAL EXAM (2026-2027)
TESTBANK QUESTIONS AND CORRECT
ANSWERS GRADED A+
Which of the following is most consistent with a patient who may be experiencing
an MI?
A. Chest pressure unrelieved by 3 doses of sublingual nitroglycerin
B. Burning chest pain relieved by position change
C. Chest tightness relieved by rest
D. Aching chest pain relieved by ibuprofen
A. Chest pressure unrelieved by 3 doses of sublin- gual nitroglycerin
A 68-year-old male with a history of HTN and CAD presents to the office with
progressive SOB and chest tightness. The NP notices a heart rate of 102 and a
blood pressure of 95/78. Which diagnostic test will help the NP differentiate
between a diagnosis of pneumonia vs. CHF?
A. BNP
В. СВС
С. СМР
D. ABG
A. BNP
,Which of the following is likely to be reported by a patient experiencing chest pain
related to pericarditis?
A. Chest pain relieved by sitting forward
B. Chest pain relieved by lying down
C. Chest pain relieved by deep inspiration
D. Chest pain relieved by rest
A. Chest pain relieved by sitting forward
The NP is performing a physical exam on a 58-year-old male with a long-standing
history of HTN and COPD. The NP detects JVD with HOB 60 degrees, an S3
gallop, and 2+ pitting pedal edema. What is the most likely diagnosis?
A. Right-sided heart failure
B. Biventricular failure
C. Left-sided heart failure
D. Diastolic failure
A. Right-sided heart failure
A patient suspected of having heart failure is sent for further diagnostic
examination, including a blood test to assess BNP levels. What is the significance
of the BNP level?
A. BNP is secreted by the ventricles of the heart in response to excessive stretching
of cardiomyocytes
,B. BNP elevations are only accurate in diagnosing diastolic dysfunction
C. BNP is a good marker for differentiating between renal and pulmonary causes
of dyspnea
D. In decompensated heart failure, BNP levels decrease
A. BNP is secreted by the ventricles of the heart in response to excessive stretching
of cardiomyocytes
During a routine follow-up appointment, an echocardiogram of a patient with a
history of hypertension reveals left ventricular dysfunction and an ejection fraction
of 45 %. The patient denies weight gain, difficulty breathing, or shortness of breath
and is currently taking atenolol to manage HTN. Based on this finding, which
medication is likely to be initiated?
A. ACE inhibitor
B. ARB
C. Calcium channel blocker
D. Digitalis
A. ACE inhibitor
A patient with a history of Stage-C HF presents to the office for a routine follow-
up. The patient is currently being managed on lisinopril (Zestril), digitalis
(Lanoxin), and furosemide (Lasix). What should be included as part of the plan?
A. Monitor potassium
B. Discontinue digitalis (Lanoxin)
C. Assess liver function
, D. ECG monthly
A. Monitor potassium
The NP sees a patient with a history of HF for a one-month follow-up. Digoxin
was previously added to his regimen of enalapril and furosemide. AV heart block
is present on the patient's ECG. Which of the following manifestations of digoxin
toxicity is the patient most likely to report?
A. Visual disturbances
B. Constipation
C. Polyphagia
D. Hyperactivity
A. Visual disturbances
Which of the following objective findings does not result from embolic events
related to infective endocarditis?
A. Janeway lesions
B. Osler nodes
C. Impetigo
D. Roth spots
C. Impetigo
TESTBANK QUESTIONS AND CORRECT
ANSWERS GRADED A+
Which of the following is most consistent with a patient who may be experiencing
an MI?
A. Chest pressure unrelieved by 3 doses of sublingual nitroglycerin
B. Burning chest pain relieved by position change
C. Chest tightness relieved by rest
D. Aching chest pain relieved by ibuprofen
A. Chest pressure unrelieved by 3 doses of sublin- gual nitroglycerin
A 68-year-old male with a history of HTN and CAD presents to the office with
progressive SOB and chest tightness. The NP notices a heart rate of 102 and a
blood pressure of 95/78. Which diagnostic test will help the NP differentiate
between a diagnosis of pneumonia vs. CHF?
A. BNP
В. СВС
С. СМР
D. ABG
A. BNP
,Which of the following is likely to be reported by a patient experiencing chest pain
related to pericarditis?
A. Chest pain relieved by sitting forward
B. Chest pain relieved by lying down
C. Chest pain relieved by deep inspiration
D. Chest pain relieved by rest
A. Chest pain relieved by sitting forward
The NP is performing a physical exam on a 58-year-old male with a long-standing
history of HTN and COPD. The NP detects JVD with HOB 60 degrees, an S3
gallop, and 2+ pitting pedal edema. What is the most likely diagnosis?
A. Right-sided heart failure
B. Biventricular failure
C. Left-sided heart failure
D. Diastolic failure
A. Right-sided heart failure
A patient suspected of having heart failure is sent for further diagnostic
examination, including a blood test to assess BNP levels. What is the significance
of the BNP level?
A. BNP is secreted by the ventricles of the heart in response to excessive stretching
of cardiomyocytes
,B. BNP elevations are only accurate in diagnosing diastolic dysfunction
C. BNP is a good marker for differentiating between renal and pulmonary causes
of dyspnea
D. In decompensated heart failure, BNP levels decrease
A. BNP is secreted by the ventricles of the heart in response to excessive stretching
of cardiomyocytes
During a routine follow-up appointment, an echocardiogram of a patient with a
history of hypertension reveals left ventricular dysfunction and an ejection fraction
of 45 %. The patient denies weight gain, difficulty breathing, or shortness of breath
and is currently taking atenolol to manage HTN. Based on this finding, which
medication is likely to be initiated?
A. ACE inhibitor
B. ARB
C. Calcium channel blocker
D. Digitalis
A. ACE inhibitor
A patient with a history of Stage-C HF presents to the office for a routine follow-
up. The patient is currently being managed on lisinopril (Zestril), digitalis
(Lanoxin), and furosemide (Lasix). What should be included as part of the plan?
A. Monitor potassium
B. Discontinue digitalis (Lanoxin)
C. Assess liver function
, D. ECG monthly
A. Monitor potassium
The NP sees a patient with a history of HF for a one-month follow-up. Digoxin
was previously added to his regimen of enalapril and furosemide. AV heart block
is present on the patient's ECG. Which of the following manifestations of digoxin
toxicity is the patient most likely to report?
A. Visual disturbances
B. Constipation
C. Polyphagia
D. Hyperactivity
A. Visual disturbances
Which of the following objective findings does not result from embolic events
related to infective endocarditis?
A. Janeway lesions
B. Osler nodes
C. Impetigo
D. Roth spots
C. Impetigo
