Family Nurse Practitioner Test Diagnostic Reasoning 2

Question 1

A patient has a fasting plasma glucose of 128 mg/dL on two separate occasions. The FNP diagnoses:

Accepted Answer

Diabetes mellitus

Answer

Impaired fasting glucose (prediabetes)

Answer

Normal fasting glucose

Answer

Reactive hypoglycemia

Question 2

Which finding on urinalysis is MOST specific for a urinary tract infection?

Accepted Answer

Positive nitrites

Answer

Hematuria

Answer

Proteinuria

Answer

Elevated specific gravity

Question 3

A patient is found to have TSH of 0.1 mIU/L with elevated free T4. The FNP interprets this as:

Accepted Answer

Primary hyperthyroidism

Answer

Primary hypothyroidism

Answer

Secondary hyperthyroidism

Answer

Subclinical hypothyroidism

Question 4

A patient with recurrent nephrolithiasis is found to have hypercalcemia, elevated PTH, and low phosphorus. The MOST likely diagnosis is:

Accepted Answer

Primary hyperparathyroidism

Answer

Sarcoidosis

Answer

Vitamin D toxicity

Answer

Milk-alkali syndrome

Question 5

Which EKG finding is the EARLIEST sign of hyperkalemia?

Accepted Answer

Peaked (tall, narrow, symmetric) T waves

Answer

Widened QRS complex

Answer

Sine wave pattern

Answer

Absent P waves

Question 6

A patient with lower extremity weakness and a recent upper respiratory illness is found to have ascending paralysis. The FNP suspects:

Accepted Answer

Guillain-Barré syndrome

Answer

Multiple sclerosis

Answer

Myasthenia gravis

Answer

Transverse myelitis