NURS 5434 FNP III FINAL EXAM PREP
QUESTION BANK NEWEST 2026 ACTUAL EXAM
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A 68-year-old woman presents to the clinics with Hypertension
and BP of 152-158/92-96 mmHg documented over two months on
three different occasions. ECG and creatinine are normal, and
she has no protein urea. Clinical findings included the following:
BMI 26.4 kg/m^2: no S3, S4 or murmur and the point of maximal
impulse is range. Which of the following resents the best
interventions?
A. DASH Diet and Lifestyle Mods
B. Initiate Metoprolol
C. Initiate HCTZ
D. Clonidine - ✔✔✔ Correct Answer > C. Initiate HCTZ
Which of the following waist circumference is needed for a man
to qualify for Metabolic Syndrome?
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A. ≥ 28
B. ≥ 30
C. ≥ 35
D. ≥ 40
E. ≥ 45 - ✔✔✔ Correct Answer > D. ≥ 40
A patient is started on Escitalopram for depression. The pt starts
and then reports back 48 hours later to the NP that they are not
able to sleep, to work, they can't get anything done and they are
uncomfortable. Which of the following do you say to this patient.
A. Give the medication more time, you need to be on it for 6
weeks to see full effects
B. This could be evidence of mania and you may need to be
reassessed for bipolar
C. Take 12.5mg Benadryl for anxiety and sleep - ✔✔✔ Correct Answer >
B. This could be evident of mania and you may need to be
reassessed for bipolar
A colleague placed a patient on Valsartan and Lisinopril, which of
the following outcomes would you expect to occur?
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A. Increase calcium loss
B. Hypertension rebound effect
C. Acute renal failure
D. Constipation - ✔✔✔ Correct Answer > C. Acute renal failure
Childhood secondary HTN is often cause by:
A. Renal relation conditions
B. Immunodeficiency conditions
C. Unhealthy diet and exercise habits
D. Obstructive sleep apnea - ✔✔✔ Correct Answer > A. Renal relation
conditions
Clara is 12 years old and has come in for her annual physical.
Which of the following would be considered Stage I HTN?
A. < 90th percentile in age, sex, ht
B. 90th - 95th percentile
C. > 95th percentile
D. BP reading it 141/99 - ✔✔✔ Correct Answer > C. > 95th percentile
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A 9 year old patient is diagnosed with HTN. The NP wants to
complete further testing, they should do all of the following
except:
A. Fasting lipids, Fasting glucose
B. EKG
C. CBC
D. BUN, Creatinine
E. Renal Ultrasound - ✔✔✔ Correct Answer > B. EKG
EKG are typically NOT recommended
And Echocardiograms are only recommended if Meds are
considered for the patient
An NP can allow a child to participate in sports in all of the
following cases except:
A. A patient with BP readings between the 90th and 95th
percentile
B. Stage I HTN with Left Ventricular Hypertrophy
C. Stage II HTN that's controlled with BP meds
D. A patient multiple reasonings < 90th percentile. - ✔✔✔ Correct
Answer > B. Stage I HTN with Left Ventricular Hypertrophy