NR603 Week 4 FNP Pre-Diagnostic Exam (July 2026)

144. A 67-year-old treated for community acquired pneumonia reports improving fever but persistent cough at 1 week. What is appropriate?
• Convert to IV antibiotics and add second antibiotic for synergy
• Continue recovery monitoring if clinically improving and no red flags ✅
• Convert to gram negative therapy for likely pathogens
• Assume resistant strain if not recovered in 1 week
145. A 19-year-old college student has fever, headache, nuchal rigidity, photophobia, and petechial rash. What diagnosis is most concerning?
• Migraine
• Viral URI
• Meningococcal meningitis ✅
• Uncomplicated mononucleosis
146. A 13-year-old athlete reports anterior knee pain worsened by running and jumping. There is tenderness at the tibial tubercle without effusion. What is the most likely condition to assess for?
• Slipped capital femoral epiphysis
• ACL rupture
• Osgood-Schlatter disease ✅
• Septic arthritis
147. A 33-year-old started sertraline for generalized anxiety disorder 6 weeks ago. Worry has improved but sexual dysfunction is intolerable. What should be considered?
• Tell the patient the adverse effect is unrelated
• Add chronic alprazolam as first-line maintenance
• Stop all therapy without follow-up
• Discuss dose adjustment or switch to an alternative agent such as bupropion when clinically appropriate ✅
148. A 44-year-old has painful grouped vesicles on an erythematous base in a unilateral thoracic dermatome. What is the diagnosis?
• Tinea versicolor
• Contact dermatitis
• Herpes zoster ✅
• Scabies
149. A 45-year-old taking bupropion for depression develops a generalized seizure. Which risk factor would make bupropion inappropriate?
• History of seizure disorder or eating disorder ✅
• Controlled hypertension only
• Seasonal allergies
• Remote appendectomy
150. A 68-year-old has resting tremor, bradykinesia, rigidity, and shuffling gait. What diagnosis is suspected?
• Myasthenia gravis
• Cerebellar stroke by default
• Essential tremor only
• Parkinson disease ✅……………………………………purchase all the 150 questions and answers at $70 only