NR 603 Advanced Clinical Diagnosis and Practice
Across the Lifespan (FNP) |Actual Exam
Questions & Correct Detailed Answers Latest
2026 Update | Graded A+
You're a 22-year-old male patient states during his review of systems that his scrotum is
very enlarged and feels like it is full of worms. He is a power lifter and works as a trash
collector. You suspect that patient likely has which of the following diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele
B. varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line
B -Left 5th intercostal space, midclavicular line
A40 year old, female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos as pictured below. Which
one of the following diagnoses below would be the highest on your differential diagnose of
this physical examination finding?
1|Page
,A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma
B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary function test (PFT) with spirometry. As the patient's primary
healthcare provider, you have been asked to explain the findings of the PFT to the patient
in afollow-up visit at which time the patient asks what the study was evaluating. To
describe the PFT to the patient in more useful terms, you state that the large inspiration of
air to the furthest extent they could reasonably accomplish followed by a full exhalation is
referred to as which of the following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity
D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might you expect
to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face
C -Low body temperature
2|Page
,The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options
D -All of these are appropriate options
During your visit with a 19 year old patient for a college health physical, your health
history includes a diagnosis of angioedema. What of the following parts of the body are
were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips
D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis
A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicous finding?
3|Page
, A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm
A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient will
benefit from treating their underlying deficit of which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate
B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be
evaluated for early evidence of renal damage from both diabetes and hypertension. Which
of the following assessment tools should the nurse practitioner order first for the evaluation
of early renal dysfunction secondary to diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium
B -Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles
in the poster left lower lobe, have the patient cough, with follow-up auscultation revealing
clear breath sounds. Which one of the following would you suspect?
4|Page
Across the Lifespan (FNP) |Actual Exam
Questions & Correct Detailed Answers Latest
2026 Update | Graded A+
You're a 22-year-old male patient states during his review of systems that his scrotum is
very enlarged and feels like it is full of worms. He is a power lifter and works as a trash
collector. You suspect that patient likely has which of the following diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele
B. varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line
B -Left 5th intercostal space, midclavicular line
A40 year old, female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos as pictured below. Which
one of the following diagnoses below would be the highest on your differential diagnose of
this physical examination finding?
1|Page
,A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma
B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary function test (PFT) with spirometry. As the patient's primary
healthcare provider, you have been asked to explain the findings of the PFT to the patient
in afollow-up visit at which time the patient asks what the study was evaluating. To
describe the PFT to the patient in more useful terms, you state that the large inspiration of
air to the furthest extent they could reasonably accomplish followed by a full exhalation is
referred to as which of the following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity
D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might you expect
to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face
C -Low body temperature
2|Page
,The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options
D -All of these are appropriate options
During your visit with a 19 year old patient for a college health physical, your health
history includes a diagnosis of angioedema. What of the following parts of the body are
were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips
D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis
A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicous finding?
3|Page
, A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm
A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient will
benefit from treating their underlying deficit of which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate
B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be
evaluated for early evidence of renal damage from both diabetes and hypertension. Which
of the following assessment tools should the nurse practitioner order first for the evaluation
of early renal dysfunction secondary to diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium
B -Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles
in the poster left lower lobe, have the patient cough, with follow-up auscultation revealing
clear breath sounds. Which one of the following would you suspect?
4|Page
