NR511 FNP Pre-Clinical Diagnostic Exam [Sept 2026]




- Multiple Choice — 1 point
Darkened or velvety skin in the neck, groin, and/or axilla commonly shares which of the following physical exam associated findings? (Hint: collectively they suggest metabolic syndrome)
○ Actinic keratosis.
○ Sickle cell disease.
○ Keratoacanthoma.
○ Acrochordon. ✅
- Multiple Choice — 1 point
You are assessing a 19-year-old patient who complains that her arm hurts. When assessing, you ask her to flex her arm at the elbow against resistance, but the patient reports tremendous pain when attempting to do this over the mid-shaft humerus. Which one of the following would you suspect?
○ Biceps brachii injury. ✅
○ Ulnar nerve injury.
○ Rotator cuff injury.
○ Radius fracture.
- Multiple Choice — 1 point
A patient with acute symptoms of Crohn’s disease would most likely be started on which of the following medications to manage the acute flare?
○ Ibuprofen (Advil).
○ Prednisone (Deltasone). ✅
○ Adalimumab (Humira).
○ Methotrexate (Trexall).
- Multiple Choice — 1 point
The patient who inappropriately exhibits fear of abandonment, intense interpersonal relationships, affective instability, and recurrent self-harm describes which of the following:
○ Seasonal affective disorder.
○ Bipolar disorder.
○ Borderline personality disorder. ✅
○ Reactive attachment disorder.
- Multiple Choice — 1 point
Patients who have ascending weakness and undergo diagnostic testing for myasthenia gravis should be evaluated for which of the following?
○ Thymic remnant. ✅
○ Potts tumor.
○ Coumerals diverticulum.
○ Adrenal tumor.
Question 76
Which of the following are NOT common causes of a provoked deep vein thrombosis (DVT)?
Prolonged immobility.
Protein C or S deficiency.
Cancer.
Idiopathic. ✅
Question 77
A patient with a suspected diagnosis of systemic lupus erythematosus (SLE) should be evaluated for which of the following?
Rheumatoid factor lab.
Antinuclear antibody. ✅
Gel electrophoresis.
Spectrophotometric assay.
Question 78
The diagnosis of anxiety in your 22-year-old male patient may be differentiated from hyperthyroidism with the use of which of the following exams?
- Electrocardiogram.
- TSH and free T4. ✅
- Free cortisol.
- Tensilon test.
Question 79
Your patient is presenting with an acute chest pain with no history of trauma. They feel this pain with each heartbeat and it is improved by sitting upright or leaning forward. This is most consistent with which of the following underlying causes?
- Left-sided heart failure.
- A viral infection. ✅
- A bacterial infection.
- Pulmonary Embolism.
Question 80
A patient with a new diagnosis of diabetes mellitus type 2 from an HgbA1C of 7.2 would traditionally be initiated on which oral medications as the first therapy?
- Metformin. ✅
- Levemir.
- Glipizide.
- Invokana.
Question 149
Based on current diabetes mellitus management guidelines, at which Hgb A1C is type 2 diabetes mellitus considered at goal on medication?
- Hgb A1c of 7.0. ✅
- Hgb A1c of 7.5.
- Hgb A1c of 6.5.
- Hgb A1c of 8.0.
Question 150
Which of the following concepts refers to where large differences in dose or blood concentration will not lead to serious therapeutic failures and/or adverse drug reactions that are life-threatening or result in persistent or significant disability or incapacity?
- Narrow therapeutic index.
- Post-antibiotic effect.
- Zero order kinetics.
- Wide therapeutic index. ✅…………………………………………purchase all the 150 questions and answers at $99 only





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