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PSI FNP Practice Exam with questions with Complete Solutions
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PSI FNP Practice Exam with questionswith Complete Solutions
After a 3-week camping trip, an 11-year old is seen for a target lesion with central clearing,
located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and
generalized musculoskeletal pain for several days. Pharmacologic management of this
condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx) - ✔D. Doxycycline
An 88 year old male presents with concerns about memory loss. He feels good, takes an
aspirin daily, and has no chronic diseases. He lives alone, drives his own car, and manages his
financial affairs. To evaluate his memory, which of the following tests should the nurse
practitioner choose?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test - ✔A. Folstein Mini-mental state examination
During development of a treatment plan for an 84 year old patient with hypothyroidism,
the nurse practitioner has to keep in mind the worsening of:
A. renal insufficiency
,B. Osteoporosis
C. Dementia
D. Anemia - ✔B. Osteoporosis
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She hasn't missed any doses and uses no other medication. Which of the following
is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance - ✔D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex - ✔B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further questioning reveals that
his primary concern is delayed ejaculation. He is currently taking the following medications:
atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1
tablet daily; and hydrochlorthoriazide (HCTZ), 25 mg daily. The most likely cause of the
patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil) - ✔D. Paroxetine (Paxil)
,A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be most appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test - ✔B. Sputum culture
A 25-year old presents with the chief complaint of decreased mobility and pain of the right
shoulder exacerbated with movement. The patient reports that he participated in extensive
house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is
intact. No redness or ecchymosis is present. What is the next step that should be taken in order
to make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG - ✔A. Palpate the structures around the shoulder
A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual
development. Her physical exam in completely normal, and her weight is appropriate for
her age and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea - ✔C. Primary amenorrhea
An 18-month old child presents with a bulging, immobile tympanic membrane; T-103F(39.4C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After initiation
of treatment for otitis media, the most appropriate intervention is to:
A. Obtain an EKG
, B. Obtain an Echocardiogram
C. Reevaluate the patient in 10 days
D. Refer the patient to a cardiologist - ✔C. Reevaluate the patient in 10 days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and hands
D. Headaches - ✔B. Glucosuria
Which of the following pharmacotherapeutics would be most important to administer to a
patient who has a corneal abrasion?
A. Olopatadine (Patanol)
B. Cromolyn opthalmic (Crolom)
C. Timolol (Timoptic)
D. Gentamycin Opthalmic (Genoptic) - ✔D. Gentamycin Opthalmic (Genoptic)
An 88 year old patient presents with right-sided weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance
with hypertension medication regimen. What is the most likely diagnosis?
A. Seizure
B. Right-sided Stroke
C. Left-sided stroke
D. Trans ischemic attack - ✔C. Left-sided Stroke
A nurse pracitioner is evaluating a 40 year old patient suspected of having a pulmonary
embolus. The patient complains of anxiety and cough. A stat chest x-ray is normal. Which of
the following tests should the nurse practitioner perform next?
A. Spirometry
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