Family Nurse Practitioner Test Family Nurse Practitioner Knowledge 3

Question 1

A 45-year-old with newly diagnosed hypertension also has chronic kidney disease (eGFR 42). Which antihypertensive is the first-line choice?

Accepted Answer

Lisinopril

Answer

ACE inhibitors (e.g., lisinopril) are first-line in CKD with hypertension due to their nephroprotective effects and reduction of proteinuria.

Question 2

Which vaccine is contraindicated in a pregnant woman at 20 weeks gestation?

Accepted Answer

MMR

Answer

MMR is a live-attenuated vaccine and is contraindicated during pregnancy due to theoretical risk of fetal infection.

Question 3

A 7-year-old child is brought in with a rash that started on the face and moved to the trunk, along with low-grade fever and Koplik spots. What is the diagnosis?

Accepted Answer

Measles

Answer

Koplik spots (white spots on the buccal mucosa) are pathognomonic for measles (rubeola), which presents with cephalocaudal rash spread.

Question 4

A patient with rheumatoid arthritis on methotrexate develops oral ulcers and fatigue. Which supplement should be routinely recommended?

Accepted Answer

Folic acid

Answer

Folic acid supplementation reduces methotrexate-related adverse effects including mucositis, GI upset, and cytopenias.

Question 5

A 72-year-old presents with sudden onset of painless vision loss in one eye described as a 'curtain coming down.' What is the most likely diagnosis?

Accepted Answer

Retinal detachment

Answer

Painless, sudden vision loss described as a descending curtain is the classic presentation of retinal detachment, an ophthalmologic emergency.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Family Nurse Practitioner Knowledge 3