Family Nurse Practitioner Test Patient Management

Question 1

A pregnant patient at 28 weeks is found to have a 1-hour glucose challenge test result of 155 mg/dL. The NEXT step is:

Accepted Answer

Order a 3-hour 100g oral glucose tolerance test (OGTT)

Answer

A 1-hour GCT ≥140 mg/dL is a positive screen requiring confirmatory 3-hour OGTT to diagnose or exclude gestational diabetes.

Question 2

The FNP is managing a patient with newly diagnosed stage 1 hypertension (130–139/80–89 mmHg) with no comorbidities. The FIRST-LINE intervention is:

Accepted Answer

Lifestyle modification for 3–6 months before initiating medication

Answer

ACC/AHA guidelines recommend 3–6 months of lifestyle modification (diet, exercise, weight loss, sodium reduction) as initial therapy for stage 1 hypertension without cardiovascular risk.

Question 3

A 2-year-old with fever of 39.5°C and left ear pain is diagnosed with acute otitis media. Per AAP guidelines, the PREFERRED management is:

Accepted Answer

Amoxicillin 80–90 mg/kg/day for 10 days

Answer

Children under 2 years with AOM and fever ≥39°C should receive immediate antibiotic therapy with high-dose amoxicillin per AAP guidelines.

Question 4

A 68-year-old woman with osteoporosis has a T-score of -2.7 at the lumbar spine. The FNP initiates bisphosphonate therapy and counsels the patient to:

Accepted Answer

Take it on an empty stomach with 8 oz of water and remain upright for 30 minutes

Answer

Bisphosphonates must be taken fasting with a full glass of water, and patients must remain upright for 30 minutes to prevent esophageal irritation and ensure absorption.

Question 5

An FNP is managing a patient after an acute MI. Which medication has MOST clearly demonstrated mortality reduction post-MI?

Accepted Answer

Beta-blocker (e.g., metoprolol succinate)

Answer

Beta-blockers reduce sympathetic stimulation and cardiac remodeling after MI and are associated with significant reduction in mortality.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Patient Management