FNP ADULT HEALTH FINAL EXAM
REVIEW 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after meals.
She has frequent constipation, flatulence, and abdominal distension. Which of the data make a
diagnosis of diverticulitis unlikely?
A. Her age
B. Frequent constipation
C. Pain after meals
D. Colicky abdominal pain - ANS A. Her age
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after
meals. She is often constipated and takes laxatives, which are followed by a couple of days of
diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed
by flatulence and has abdominal distension. She has had no weight loss or blood in her stool.
This problem has gone on for about 6 months. What should the next step be?
A. Obtain a complete history.
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics. - ANS A. Obtain a complete history.
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch - ANS C. Blood in urine and frequency
A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after meals.
She has frequent constipation, flatulence, and abdominal distension. Which of the data make a
diagnosis of diverticulitis unlikely?
A. Her age
B. Frequent constipation
C. Pain after meals
D. Colicky abdominal pain - ANS A. Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to
the history questions would help the primary-care provider (PCP) establish the diagnosis of
irritable bowel syndrome (IBS)?
A. Feels relief after urination
B. Pain wakes up patient from sleep
C. Defecates in the middle of the night
D. Pain is precipitated by eating - ANS D. Pain is precipitated by eating
A bulla is:
a. A vesicle larger than 1 cm in diameter.
b. An elevated solid mass with a hard texture, and the shape and borders can be regular or
irregular.
c. A superficial elevated lesion filled with purulent fluid.
d. Thinning of the skin (epidermis and dermis) that appears white or translucent. - ANS a. A
vesicle larger than 1 cm in diameter.
A chronic cough lasts longer than:
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A. 3 weeks
B. 8 weeks
C. 6 months
D. 1 year - ANS B. 8 weeks
A patient is seen with dark-colored urine, and the urine dipstick reveals a high level of bilirubin.
Which of the following could be a cause of this problem?
A. Increased bilirubin uptake
B. Increased bilirubin excretion
C. Biliary obstruction
D. A serum bilirubin level of 0.5 mg/dL - ANS C. Biliary obstruction
A 30-year-old patient presents with pain on urination. The urine microscopy of clean-catch urine
shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable
diagnosis?
A. Lower urinary-tract infection
B. Chlamydia infection
C. Candidiasis
D. Pyelonephritis - ANS A. Lower urinary-tract infection
A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which
of the following actions should be taken next?
A. Send a urine specimen for microscopy and evaluate for fungal colonies.
B. Increase the dose of antibiotic.
C. Order a cystoscopy.
D. Order a different antibiotic. - ANS A. Send a urine specimen for microscopy and evaluate
for fungal colonies.
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is
diagnosed with acute pyelonephritis. How should this patient be managed?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, A. 3-day course of oral antibiotics
B. Hospitalization
C. Encourage cranberry juice intake
D. 6-week course of antibiotics - ANS B. Hospitalization
What are important tests you would order for abdominal pain? - ANS Need Question
A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral
vision loss, poor night vision, and frequent prescription changes that started 6 months
previously. Recently, he has also been seeing halos around lights. The clinician suspects chronic
open-angle glaucoma. Which of the following statements is true concerning the diagnosis of
chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive for the
diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that has occurred to the optic
nerve. - ANS c. Physical diagnosis relies on goniscopic evaluation of the angle by an
ophthalmologist.
Which type of stomatitis is caused by continual exposure to chewing tobacco?
A. Aphthous stomatitis
B. Herpetic stomatitis
C. Nicotinic stomatitis
D. Allergic stomatitis - ANS C. Nicotinic stomatitis
Which type of stomatitis results in necrotic ulceration of the oral mucous membranes?
a. Vincent's stomatitis
b. Allergic stomatitis
c. Apthous stomatitis
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
REVIEW 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after meals.
She has frequent constipation, flatulence, and abdominal distension. Which of the data make a
diagnosis of diverticulitis unlikely?
A. Her age
B. Frequent constipation
C. Pain after meals
D. Colicky abdominal pain - ANS A. Her age
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after
meals. She is often constipated and takes laxatives, which are followed by a couple of days of
diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed
by flatulence and has abdominal distension. She has had no weight loss or blood in her stool.
This problem has gone on for about 6 months. What should the next step be?
A. Obtain a complete history.
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics. - ANS A. Obtain a complete history.
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch - ANS C. Blood in urine and frequency
A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after meals.
She has frequent constipation, flatulence, and abdominal distension. Which of the data make a
diagnosis of diverticulitis unlikely?
A. Her age
B. Frequent constipation
C. Pain after meals
D. Colicky abdominal pain - ANS A. Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to
the history questions would help the primary-care provider (PCP) establish the diagnosis of
irritable bowel syndrome (IBS)?
A. Feels relief after urination
B. Pain wakes up patient from sleep
C. Defecates in the middle of the night
D. Pain is precipitated by eating - ANS D. Pain is precipitated by eating
A bulla is:
a. A vesicle larger than 1 cm in diameter.
b. An elevated solid mass with a hard texture, and the shape and borders can be regular or
irregular.
c. A superficial elevated lesion filled with purulent fluid.
d. Thinning of the skin (epidermis and dermis) that appears white or translucent. - ANS a. A
vesicle larger than 1 cm in diameter.
A chronic cough lasts longer than:
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A. 3 weeks
B. 8 weeks
C. 6 months
D. 1 year - ANS B. 8 weeks
A patient is seen with dark-colored urine, and the urine dipstick reveals a high level of bilirubin.
Which of the following could be a cause of this problem?
A. Increased bilirubin uptake
B. Increased bilirubin excretion
C. Biliary obstruction
D. A serum bilirubin level of 0.5 mg/dL - ANS C. Biliary obstruction
A 30-year-old patient presents with pain on urination. The urine microscopy of clean-catch urine
shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable
diagnosis?
A. Lower urinary-tract infection
B. Chlamydia infection
C. Candidiasis
D. Pyelonephritis - ANS A. Lower urinary-tract infection
A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which
of the following actions should be taken next?
A. Send a urine specimen for microscopy and evaluate for fungal colonies.
B. Increase the dose of antibiotic.
C. Order a cystoscopy.
D. Order a different antibiotic. - ANS A. Send a urine specimen for microscopy and evaluate
for fungal colonies.
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is
diagnosed with acute pyelonephritis. How should this patient be managed?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, A. 3-day course of oral antibiotics
B. Hospitalization
C. Encourage cranberry juice intake
D. 6-week course of antibiotics - ANS B. Hospitalization
What are important tests you would order for abdominal pain? - ANS Need Question
A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral
vision loss, poor night vision, and frequent prescription changes that started 6 months
previously. Recently, he has also been seeing halos around lights. The clinician suspects chronic
open-angle glaucoma. Which of the following statements is true concerning the diagnosis of
chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive for the
diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that has occurred to the optic
nerve. - ANS c. Physical diagnosis relies on goniscopic evaluation of the angle by an
ophthalmologist.
Which type of stomatitis is caused by continual exposure to chewing tobacco?
A. Aphthous stomatitis
B. Herpetic stomatitis
C. Nicotinic stomatitis
D. Allergic stomatitis - ANS C. Nicotinic stomatitis
Which type of stomatitis results in necrotic ulceration of the oral mucous membranes?
a. Vincent's stomatitis
b. Allergic stomatitis
c. Apthous stomatitis
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
