NURS 5434 FNP III Final Exam Questions And
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
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1. A 52-year-old patient with type 2 diabetes presents for follow-
up. Which test best reflects glycemic control over the last 3
months?
A. Fasting glucose
B. Hemoglobin A1C
C. Random glucose
D. Urine ketones
Rationale: Hemoglobin A1C reflects average blood glucose over
approximately 2–3 months.
2. Which antihypertensive medication is contraindicated in
pregnancy?
A. Labetalol
B. Lisinopril
C. Methyldopa
D. Nifedipine
Rationale: ACE inhibitors such as lisinopril can cause fetal injury.
3. A patient with asthma needs a rescue inhaler. Which medication
is most appropriate?
, A. Fluticasone
B. Albuterol
C. Montelukast
D. Prednisone daily
Rationale: Albuterol is a short-acting bronchodilator used for acute
relief.
4. Which finding suggests bacterial sinusitis rather than viral URI?
A. Symptoms for 2 days
B. Purulent drainage lasting more than 10 days
C. Sneezing only
D. Clear rhinorrhea for 1 day
Rationale: Persistent purulent symptoms beyond 10 days suggest
bacterial infection.
5. Which screening test is recommended for colorectal cancer
beginning at average risk age 45?
A. PSA
B. Colonoscopy
C. Chest x-ray
D. ECG
Rationale: Colonoscopy is a recommended colorectal screening
option beginning at age 45 for average-risk adults.
, 6. Which medication is first-line for hypothyroidism?
A. Methimazole
B. Levothyroxine
C. Prednisone
D. Propranolol
Rationale: Levothyroxine replaces deficient thyroid hormone.
7. Which symptom is most associated with hyperthyroidism?
A. Weight gain
B. Heat intolerance
C. Bradycardia
D. Constipation
Rationale: Increased metabolism often causes heat intolerance.
8. Which patient should receive statin therapy most urgently?
A. 25-year-old athlete
B. Adult with diabetes and elevated LDL
C. Teen with acne
D. Healthy child
Rationale: Diabetes significantly increases cardiovascular risk.
9. Which vaccine is recommended annually for adults?
A. MMR
B. Influenza vaccine
, C. Varicella
D. Hepatitis B only once yearly
Rationale: Influenza vaccination is recommended yearly.
10. Which finding suggests iron deficiency anemia?
A. Elevated MCV
B. Low ferritin
C. Polycythemia
D. High B12
Rationale: Ferritin reflects iron stores and is low in iron deficiency.
11. A patient has dysuria and urinary frequency. Most likely
diagnosis?
A. GERD
B. Urinary tract infection
C. Migraine
D. Appendicitis
Rationale: Dysuria with frequency commonly indicates UTI.
12. Which antibiotic class should be avoided in pregnancy
when possible?
A. Penicillins
B. Tetracyclines
C. Cephalosporins
D. Azithromycin
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
Download
1. A 52-year-old patient with type 2 diabetes presents for follow-
up. Which test best reflects glycemic control over the last 3
months?
A. Fasting glucose
B. Hemoglobin A1C
C. Random glucose
D. Urine ketones
Rationale: Hemoglobin A1C reflects average blood glucose over
approximately 2–3 months.
2. Which antihypertensive medication is contraindicated in
pregnancy?
A. Labetalol
B. Lisinopril
C. Methyldopa
D. Nifedipine
Rationale: ACE inhibitors such as lisinopril can cause fetal injury.
3. A patient with asthma needs a rescue inhaler. Which medication
is most appropriate?
, A. Fluticasone
B. Albuterol
C. Montelukast
D. Prednisone daily
Rationale: Albuterol is a short-acting bronchodilator used for acute
relief.
4. Which finding suggests bacterial sinusitis rather than viral URI?
A. Symptoms for 2 days
B. Purulent drainage lasting more than 10 days
C. Sneezing only
D. Clear rhinorrhea for 1 day
Rationale: Persistent purulent symptoms beyond 10 days suggest
bacterial infection.
5. Which screening test is recommended for colorectal cancer
beginning at average risk age 45?
A. PSA
B. Colonoscopy
C. Chest x-ray
D. ECG
Rationale: Colonoscopy is a recommended colorectal screening
option beginning at age 45 for average-risk adults.
, 6. Which medication is first-line for hypothyroidism?
A. Methimazole
B. Levothyroxine
C. Prednisone
D. Propranolol
Rationale: Levothyroxine replaces deficient thyroid hormone.
7. Which symptom is most associated with hyperthyroidism?
A. Weight gain
B. Heat intolerance
C. Bradycardia
D. Constipation
Rationale: Increased metabolism often causes heat intolerance.
8. Which patient should receive statin therapy most urgently?
A. 25-year-old athlete
B. Adult with diabetes and elevated LDL
C. Teen with acne
D. Healthy child
Rationale: Diabetes significantly increases cardiovascular risk.
9. Which vaccine is recommended annually for adults?
A. MMR
B. Influenza vaccine
, C. Varicella
D. Hepatitis B only once yearly
Rationale: Influenza vaccination is recommended yearly.
10. Which finding suggests iron deficiency anemia?
A. Elevated MCV
B. Low ferritin
C. Polycythemia
D. High B12
Rationale: Ferritin reflects iron stores and is low in iron deficiency.
11. A patient has dysuria and urinary frequency. Most likely
diagnosis?
A. GERD
B. Urinary tract infection
C. Migraine
D. Appendicitis
Rationale: Dysuria with frequency commonly indicates UTI.
12. Which antibiotic class should be avoided in pregnancy
when possible?
A. Penicillins
B. Tetracyclines
C. Cephalosporins
D. Azithromycin
