NR603 Week 4: FNP Pre-Diagnostic Exam (July 2026)

NR603 Week 4: FNP Pre-Diagnostic Exam [July 2026] NR603 Week 4: FNP Pre-Diagnostic Exam NR603 Week 4: FNP Pre-Diagnostic Exam NR603 Week 4: FNP Pre-Diagnostic Exam NR603 Week 4: FNP Pre-Diagnostic Exam Question 1 A 74-year-old with COPD has resting oxygen saturation 86% on room air when stable. What therapy should be evaluated? Daily oral steroids indefinitely Chronic high-dose opioids for dyspnea first Avoid vaccination Long-term oxygen therapy qualification ✅ Question 2 A 34-year-old has epigastric pain, positive urea breath test, and no alarm features. What is the appropriate plan? No treatment unless hematemesis occurs Long-term NSAID therapy Eradication therapy for Helicobacter pylori ✅ Immediate colectomy referral Question 3 A 72-year-old started gabapentin for neuropathy and reports dizziness and gait instability. What should the NP consider? Add zolpidem Ignore because neuropathy improved Dose adjustment or alternative therapy due to fall risk ✅ Increase dose rapidly despite falls Question 4 A 13-year-old overweight boy has hip pain referred to the knee and walks with an antalgic gait. Internal rotation is limited. What should the NP do? Recommend stretching and sports participation Prescribe oral antibiotics Make the patient non-weight-bearing and arrange urgent orthopedic evaluation ✅ Treat as knee sprain with bracing only Question 5 A 78-year-old with insomnia asks for medication. He drinks caffeine at 7 pm and naps daily. What is the best initial approach? Start chronic benzodiazepine nightly Advise alcohol at bedtime Prescribe diphenhydramine Sleep hygiene and behavioral interventions before sedative-hypnotics ✅ Question 76 A 32-year-old has palpitations, tremor, heat intolerance, and weight loss. HR is 118/min and thyroid is diffusely enlarged. Which initial labs are most appropriate? TSH and free T4 ✅ Troponin and BNP only Fasting gastrin level Serum cortisol only Question 77 A 60-year-old presents within 48 hours of shingles onset. What treatment is most appropriate? Start oral antiviral therapy ✅ No treatment until crusting Incision and drainage of all indurated vesicles for pain relief Topical steroid and NSAIDS for reducing post-herpetic neuralgia Question 78 A 24-year-old at 10 weeks gestation has dysuria and urinary frequency. Urine dipstick is positive for nitrites and leukocyte esterase. Which assessment is most important before selecting therapy? Recommend fluoroquinolone empirically Order CT abdomen before treatment Review medication allergies and pregnancy-safe antibiotic options ✅ Delay treatment until urine culture returns if symptomatic Question 79 A 39-year-old has cervical motion tenderness, uterine tenderness, and mucopurulent discharge. What is the likely diagnosis? Atrophic vaginitis Bacterial vaginosis without upper tract involvement Pelvic inflammatory disease ✅ Endometriosis only Question 80 A 2-year-old has barking cough and inspiratory stridor only when agitated. Oxygen saturation is 97%. Which assessment finding would suggest severe disease? Stridor at rest with retractions ✅ Low-grade fever Cough worse at night Hoarse voice Question 146 A 13-year-old athlete reports anterior knee pain worsened by running and jumping. There is tenderness at the tibial tubercle without effusion. What is the most likely condition to assess for? Slipped capital femoral epiphysis ACL rupture Osgood-Schlatter disease ✅ Septic arthritis Question 147 A 33-year-old started sertraline for generalized anxiety disorder 6 weeks ago. Worry has improved but sexual dysfunction is intolerable. What should be considered? Tell the patient the adverse effect is unrelated Add chronic alprazolam as first-line maintenance Stop all therapy without follow-up Discuss dose adjustment or switch to an alternative agent such as bupropion when clinically appropriate ✅ Question 148 A 44-year-old has painful grouped vesicles on an erythematous base in a unilateral thoracic dermatome. What is the diagnosis? Tinea versicolor Contact dermatitis Herpes zoster ✅ Scabies Question 149 A 45-year-old taking bupropion for depression develops a generalized seizure. Which risk factor would make bupropion inappropriate? History of seizure disorder or eating disorder ✅ Controlled hypertension only Seasonal allergies Remote appendectomy Question 150 A 68-year-old has resting tremor, bradykinesia, rigidity, and shuffling gait. What diagnosis is suspected? Myasthenia gravis Cerebellar stroke by default Essential tremor only Parkinson disease ✅…………………………purchase all the 150 questions and answers at $99 only