NURS 5432 FNP I Final Exam (PDF) | (2026) Family
Nurse Practitioner Questions | FNP
1. A 45-year-old male presents with episodic palpitations,
sweating, and headache. BP is 180/110 mmHg. What is
the most appropriate next step?
A) Prescribe metoprolol
B) Order 24-hour urine metanephrines
C) Start hydrochlorothiazide
D) Recheck BP in 1 week
1
,Answer: B
Rationale: Episodic hypertension with palpitations,
sweating, and headache suggests pheochromocytoma.
24-hour urinary metanephrines is the initial test of choice.
2. A 68-year-old female reports progressive difficulty
rising from a chair and climbing stairs. Exam shows
normal strength in arms, but hip flexors are 4/5. What is
the most likely diagnosis?
A) Myasthenia gravis
B) Polymyalgia rheumatica
C) Proximal myopathy from statin use
2
,D) Lumbar radiculopathy
Answer: C
Rationale: Proximal muscle weakness (hips, shoulders) in
an older adult on a statin suggests statin-induced
myopathy. CK level should be checked.
3. A 22-year-old female has a nontender, mobile, 2 cm
anterior cervical lymph node for 6 weeks. She feels well.
What should the FNP do?
A) Prescribe amoxicillin
B) Reassure and re-evaluate in 4 weeks
C) Perform excisional biopsy
3
, D) Order EBV serology
Answer: B
Rationale: Isolated, small, mobile, nontender lymph node
in young adult is often reactive. Observation for 4 weeks
is appropriate before invasive testing.
4. Which lung sound is characterized by high-pitched,
continuous sounds during inspiration and expiration,
unchanged by cough?
A) Crackles
B) Rhonchi
C) Wheezes
4
Nurse Practitioner Questions | FNP
1. A 45-year-old male presents with episodic palpitations,
sweating, and headache. BP is 180/110 mmHg. What is
the most appropriate next step?
A) Prescribe metoprolol
B) Order 24-hour urine metanephrines
C) Start hydrochlorothiazide
D) Recheck BP in 1 week
1
,Answer: B
Rationale: Episodic hypertension with palpitations,
sweating, and headache suggests pheochromocytoma.
24-hour urinary metanephrines is the initial test of choice.
2. A 68-year-old female reports progressive difficulty
rising from a chair and climbing stairs. Exam shows
normal strength in arms, but hip flexors are 4/5. What is
the most likely diagnosis?
A) Myasthenia gravis
B) Polymyalgia rheumatica
C) Proximal myopathy from statin use
2
,D) Lumbar radiculopathy
Answer: C
Rationale: Proximal muscle weakness (hips, shoulders) in
an older adult on a statin suggests statin-induced
myopathy. CK level should be checked.
3. A 22-year-old female has a nontender, mobile, 2 cm
anterior cervical lymph node for 6 weeks. She feels well.
What should the FNP do?
A) Prescribe amoxicillin
B) Reassure and re-evaluate in 4 weeks
C) Perform excisional biopsy
3
, D) Order EBV serology
Answer: B
Rationale: Isolated, small, mobile, nontender lymph node
in young adult is often reactive. Observation for 4 weeks
is appropriate before invasive testing.
4. Which lung sound is characterized by high-pitched,
continuous sounds during inspiration and expiration,
unchanged by cough?
A) Crackles
B) Rhonchi
C) Wheezes
4
