FNP CERTIFICATION EXAM REVIEW
2024/2025
An adult patient needs treatment for Chlamydia trachomatis urethritis. Which one
of the following drugs is useful as a single-dose regimen?
a. Ceftriaxone intramuscularly
b. Levofloxacin
c. Azithromycin
d. Doxycycline
c
A patient who gave birth to an infant two months previously seems disengaged
and withdrawn. The family nurse practitioner is concerned that the patient may
have postpartum depression. Which three of the following symptoms are
characteristic of postpartum depressions?
a. Insomnia or hypersomnia
b. Disorientation and confusion
c. Feeling of worthlessness or inadequacy
d. Poor concentration and inability to make decisions
e. Delusions associated with the infant
a, c & d
A child with fetal alcohol syndrome [FAS] is likely to exhibit which of the
following findings?
a. Growth deficiency
b. Normal IQ
c. Thickened upper lip
d. Macrocephaly
a
To evaluate a child for esotropia, which one of the following is a rapid and
convenient diagnostic screening test?
a. Slit lamp examination
b. Corneal light reflex test
c. Snellen test
d. Fluorescein test
b
According to Dr. Elisabeth Kubler-Ross, dying patients experience several
emotional stages during terminal illness. Which one of these emotions persists
throughout all the stages of terminal illness?
a. Anger
b. Hope
c. Denial
d. Bargaining
b
A family nurse practitioner is assessing an 11-month-old African-American child
who was brought in by his mother for concerns about swelling in both hands and
,both feet. On examination, the nurse practitioner finds tenderness and obvious
swelling of the hands and feet. Vital signs, including temperature and blood
pressure, are normal The most likely diagnosis is:
a. osteomyelitis
b. hand-foot-mouth disease
c. glomerulonephritis
d. sickle cell disease
d
(hand-foot syndrome) dactylitis due to sickle cell disease
A 65-year-old woman complains of urinary incontinence. She is experiencing
leakage of urine when she coughs, sneezes, or laughs. This form of urinary
incontinence is called:
a. stress incontinence
b. urge incontinence
c. overflow incontinence
d. functional incontinence
a
A full-term newborn weighed 7 pounds, 9 ounces at birth. Three days after
hospital discharge, the family nurse practitioner is seeing the baby for his first
checkup. he now weighs 7 pounds, 4 ounces. This level of weight loss is:
a. worrisome because it is below birth weight
b Indicative of inadequate nutrition
c. A sign of dehydration
d. Normal at this age
d
Which of the following drugs is NOT associated with human teratogenicity?
a. Valproic acid
b. Warfarin
c. Phenytoin
d. Amoxicillin
d
Valproic acid - neural tube defects (spina bifida, meningocele)
Phenytoin (Dilantin) - developmental defects (cleft palate, mental deficiency, cleft lip)
Warfarin (Coumadin) - nasal deformities, brain abnormalities and stillbirth
The family nurse practitioner is assessing an infant for indications of
developmental hip dysplasia utilizing the Ortolani-Barlow maneuver. The
maneuver begins by placing the infant on the back and includes the following
steps:
1. Grasp the infant's knees with the thumbs over the inner thighs
2. Slowly abduct the infant's hips and observe for equal movement, resistance, or
an abnormal "clunk" sound.
3. Flex the infant's knees and hips to 90 degrees
4. Touch the infant's knees together, and then press down on the one femur at a
time, observing for dislocation
,1
3
4
2
The study of individual genes and their impact on relatively rare single-gene
disorders
Genetics
The study of all the genes in the human genome together, including their
interactions with one another, the environment, and the influence of psychosocial
and cultural factors
Genomics
A transaction between the sender and the receiver. Both parties participate
simultaneously
Therapeutic communication
Requirements for therapeutic relationships
Rapport
Trust
Respect
Honesty
Empathy
Are social systems that form interdependent and independent relationships,
referred to as subsystems both within and outside.
Families
The difference in the incidence, prevalence, mortality, and burden of disease and
other adverse conditions that exist among specific population groups in the
United States (National Institute on Aging, 2008)
Health disparities
The availability (or lack thereof) of healthcare services to all
Access
A setting with a shortage of primary care, dental, and/or mental health services
Medically underserved community
Open to physical, emotional, and/or socioconomic harm
Vulnerability
Inhibited from knowledge, skills, and abilities to participate in the healthcare
system as a provider and/or a receipt of health care because of economic, social,
ethnic, or racial background, and/or physical or mental impairment
Disadvantaged
Racial and ethnic populations whose representation among the health
professions is lower than their proportion of the general population
Underrepresented minorities
Defined by the World Health Organization as "conditions in which people are
born, grow, live, work, and age, and the wider set of forces and systems shaping
the conditions of daily life" (WHO, 2015)
Social determinants of health
Directed at preventing disease from occurring
Primary prevention
, Directed at early detection of the illness or problem to reduce the progress and
severity of the disease
Secondary prevention
Directed at treatment and rehabilitation of the illness to prevent or minimize
progression of the disease or its sequelae, such as disability
Tertiary prevention
Describe the number of persons who have a condition in the population at a
specific time divided by the number of people in the population
Prevalence rates
Describe the number of new cases that occur during a specific time in a group at
risk.
Incidence rates
Colonization and multiplication of an organism in the host, typically producing an
immune response but no signs or symptoms
Infection
Stage when an infection produces signs and/or symptoms (including pathologic
changes).
Disease
The organism invades the host at a particular site, multiplies, and acts as a
parasite but does not produce infection, immune response, or disease
Colonization
Persistence of an organism in a host; this stage may follow infection, disease, or
colonization and may be infective to others
Carrier state
Ability of an organism to invade and multiply in a susceptible host.
Infectivity
Ability of an organism to produce disease
Pathogenicity
Severity of disease that an organism can produce, measured by criteria such as
number of days in bed or the frequency of serious sequelae including death
(fatality rate)
Virulence
Ability to produce a lasting and effective immunit.
Immunogenicity
The organism is not shedding or obtainable (likely hidden in host cells)
Latent infection
The organism is shedding and/or obtainable from such areas as feces, urine,
blood, or respiratory tract.
Patent infection
The time when sufficient numbers of organisms are shed to cause transmission;
usually concurrent with disease but not always
Period of communicability
The time from exposure to the onset of disease
Incubation period
Interval between receipt of infection and the maximal communicability of the
host; applied to both subclinical and clinical infections
