FNP Certification Exam Questions And Answers

Assessment of the optic disc is a component of the evaluation of cranial nerve: I. II. III. .IV - Answer- Cranial II You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent use of antihypertensive medications, stating, "I feel better without the medications." Today she presents for a "check-up."On physical examination, you note the following: PMI with a downward and lateral shift as well as a Gr II/VI holosystolic murmur with radiation to the axilla. This patient's health history is most likely to include a report of: Syncopal episodes. Episodes of chest pain at rest. Dyspnea with exertion. Vertigo. - Answer- Ans: dyspnea on exertion Of the following, which should be performed first in assessing a 48-year-old woman who has a 25-year history of moderate persistent asthma and who now presents with an acute asthma flare? Oxygen saturation Arterial blood gas FEV1 (forced expiratory volume at 1 second) Chest x-ray - Answer- Ans: FEV (force expiratory volume) You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most desirable? Community hall of a local church Local hospital ambulatory care center Mobile van Space in a shopping center - Answer- Ans: Mobile van A 58-year-old woman presents for an initial examination in order to become a patient in your primary care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of wine per week, and works as an administrative assistant in a law office. She is without complaint and reports that she is generally in good health. Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm Hg bilaterally. The rest of her examination is unremarkable. Prescribe a low-dose thiazide diuretic. Arrange for additional blood pressure measurements within the next four weeks. Order a serum creatinine, urea nitrogen and urinalysis. Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of wine per week. - Answer- Ans: Arrange for additional blood pressure measurements within the next four weeks.