NR667 FNP Final Diagnostic Exam (Oct 2026)

NR667 FNP Final Diagnostic Exam [Oct-2026]

Question 1

Your 21 year old female patient states they are experiencing lateral lower back pain. Urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24 hours of growth. Which of the following is the least likely agent to cause her urinary tract infection?

1. Escherichia Coli
2. Proteus Mirabilis
3. Staphylococcus ✅
4. Klebsiella Oxytoca.

Question 2

Which one of the following locations most commonly described as the best location to identify the mitral valve in a healthy adult?

1. 2nd intercostal space, right sternal border
2. 4th intercostal space, right midaxillary line.
3. Left 5th intercostal space, midclavicular line. ✅
4. Left 2nd intercostal space, midaxillary line.

Question 3

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?

1. All of these are appropriate options. ✅
2. Renal function panel.
3. Urinalysis.
4. Non-dilated eye exam.

Question 4

A 16-year-old female patient with heavy menses has been diagnosed with iron deficiency anemia. She is also having longer and more irregular periods than is typical as well as extremely painful cramping. You would likely need to consider which of the following diagnoses in your workup:

1. Ectopic pregnancy
2. Pelvic inflammatory disease.
3. Thalassemia.
4. Endometriosis. ✅

Question 5

Your 8 year old patient has recently been diagnosed with streptococcal infection and has been successfully treated with an appropriate antimicrobial agent. They have no other noteworthy health history, chronic illness, or medications on record. They are complaining today of hematuria. RBC casts on urinalysis with microscopy have been identified during this visit. Based on this finding, you can make the diagnosis of which of the following?

1. Glomerulonephritis ✅
2. Gram negative bacteremia
3. Pyelonephritis
4. Bladder cancer

Question 75

Your patient has provided you with a research paper about a new treatment plan that is being used, somewhat controversially, in other areas of the world to treat sinus infections. She asks for your opinion. In reviewing the article, you educate the patient that they should look for which of the following, which is considered near to the highest level of research quality?

1. Unblinded retrospective analysis
2. Meta analysis ✅
3. Cohort study
4. Expert opinion statement

Question 76

The patient is being evaluated for Hashimoto’s thyroiditis. Which test would be useful to specifically evaluate for this as the underlying pathology of the patient’s hypothyroidism?

1. Ultrasound the thyroid for hot nodules
2. Antinuclear antibody testing
3. Check anti-thyroperoxidase levels. ✅
4. Ultrasound the thyroid for cold nodules

Question 150

Your patient Katie, a 24 year old female patient presents to your clinic with erythema on her face that does not cross the bridge of the nose and seems to flare up with exercise and certain foods. She says she feels like her skin is flushed at times and is self-conscious. Which of the following agents is most appropriate to use for chronic treatment of this condition?

1. Cefuroxime (Ceftin).
2. Niacin extended release (Niacin).
3. Doxycycline (Vibramycin). ✅
4. Amoxicillin (Amoxil)……………………………………………purchase this entire accurate exam at $99 only