1. Which of the following is a core competency of family nurse

practitioners (FNPs) according to the National Organization of

Nurse Practitioner Faculties (NONPF)?

a) Health promotion and disease prevention

b) Leadership and collaboration

c) Quality improvement and safety

d) All of the above

Answer: D. All of the above are core competencies of FNPs as

defined by the NONPF. These competencies guide the education

and practice of FNPs and reflect the current and future needs of

the health care system. (Source:

https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/comp

etencies/2017_NPCoreComps_with_Curric.pdf)

2. A 45-year-old woman presents to your clinic with complaints of

fatigue, weight gain, dry skin, and constipation for the past 6

months. She has no history of thyroid disease or other chronic

conditions. What is the most appropriate initial diagnostic test to

order for this patient?

a) Thyroid-stimulating hormone (TSH)

b) Free thyroxine (T4)

c) Free triiodothyronine (T3)

d) Thyroid peroxidase antibody (TPOAb)

Answer: A. TSH is the most sensitive and reliable test to screen for

thyroid dysfunction, especially hypothyroidism. A high TSH level

indicates primary hypothyroidism, which is the most common

cause of hypothyroidism in adults. Free T4, free T3, and TPOAb

can be ordered as confirmatory or additional tests depending on

the clinical scenario. (Source:

https://www.aafp.org/afp/2012/0801/p244.html)

3. A 65-year-old man with a history of hypertension, diabetes, and

coronary artery disease is admitted to the hospital with chest

pain and shortness of breath. He is diagnosed with acute