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PSI FNP Practice exam with complete solutions 2024_2025
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PSI FNP Practice exam with complete solutions 2024_2025
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PSI FNP Practice exam with completesolutions 2024/2025
A 14 male with bronchitis is being treated with fluids and expectorants. He
returns to the clinic with a fever of 103 F, right pleuritic chest pain, and green
sputum. Which of the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - ANSWER-A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow").
After closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm - ANSWER-C.
The child quickly begins to use the affected arm.
Which of the following would be an appropriate alternative to erythromycin
therapy in an 18 year old patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) - ANSWER-A. Azithromycin
,A 10-month old presents with a rash, runny nose, and cough. Examination
reveals a cluster of tiny white papuls with an erythematous base on the buccal
mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles - ANSWER-D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - ANSWER-D. Whether a
patient has reversible airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow
nasal discharge for 14 days. What is the appropriate initial pharmacologic
intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin - ANSWER-A. Amoxicillin-Clavulanate (Augmentin)
Which of the following is the leading cause of cancer-related deaths in the
majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer - ANSWER-D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer - ANSWER-B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
,C. To count backwards from 100 by 7s
D. To spell a word backward. - ANSWER-A. The meaning of a common proverb
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have
time to adjust to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and
increase the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70
before starting on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm
to the kidneys. - ANSWER-B. Start at a low dose than what is commonly
prescribed for adults, and increase the dose slowly.
A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking
every morning at 3am, is reluctant to go out although she has family member
living nearby, and feels a continual urge to sleep. She cannot discuss her late
husband without crying. Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna - ANSWER-B. Depression, Unresolved grief, and
hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that
the child is exhibiting symptoms of a cold, but has no fever. The nurse
practitioner should advise the parent that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold - ANSWER-B. Lower the seizure
threshold
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) - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex - ANSWER-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
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