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PSI FNP Final Exam| Questions with 100% verified Answers
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PSI FNP Final Exam| Questions with 100%verified Answers
A 65 yo female presents with shoulder and pelvic girdle pain for the past 6 months. She reports
recent unintentional weight loss. On physical exam, there is pain on ROM, with no weakness
noted. Lab studies show a low hemoglobin and elevated SED rate. Which of the following is the
most likely diagnosis?
A. Polymyositis
B. Osteoarthrits
C. Polymyagia Rheumatica
D. Fibromyalgia - ✔️✔️Polymyalgia Rheumatica
A 39 yo patient was diagnosed with acute bronchitis in the emergency department and treated
with acetaminophen, dextromethorphan, and metaproterenol (Alupent). The patient's history
reveals a smoking habit of 1 pack per day. The patient now presents to a nurse practitioner's
office with a fever of 101.2 and a cough productive of thick, yellow-green, foul-smelling
sputum. The nurse practitioner should encourage smoking cessation and prescribe:
A. theolphylline
B. A PCN antibiotic
C. an inhalable corticosteroid
D. a macrolide antibiotic - ✔️✔️D. A macrolide antibiotic
Which of the following laboratory tests are most widely accepted as indicators of the
progression of HIV infection:
A. WBC count and viral load
B. CD4 count and viral load.
C. CD4 count and Western blot test
,D. CD4 count and enzyme-linked immunosorbent assay (ELISA) - ✔️✔️B. CD4 count and viral load
The best lab test to distinguish iron deficiency anemia from other anemias is:
A. Serum ferritin level
B. Mean corpuscular hemoglobin concentration
C. Mean corpuscular volume
D. Transferrin saturation - ✔️✔️A. Serum ferritin level
The follow-up exam of a 12 month old treated 2 weeks ago for bilateral otitis media reveals a
normal left tympanic membrane and a right tympanic membrane with visible serous fluid levels
and decreased mobility. An appropriate plan should include:
A. Consultation with an audiologist
B. Prescription for an oral decongestant
C. Follow-up evaluation of the ears in 2 months
D. Referral to an ENT specialist for surgical consultation - ✔️✔️C. Follow-up evaluation of the ears
in 2 months.
Which of the following lab test should a nurse practitioner order when the suspected diagnosis
is temporal arteritis?
A. Antinuclear antibody
B. Electrolyte profile
C. Erythrocyte sedimentation rate (ESR)
D. Complete Blood Count (CBC) - ✔️✔️C. Erythrocyte Sedimentation Rate (ESR)
,A 47-yo patient presents with complaints of upper abdominal discomfort with nausea and
burning after eating. The patient is not currently taking any medications. The most likely
differential diagnoses would include:
A. colitis and peptic ulcer disease
B. Colitis and small bowel disease
C. Gastritis and Crohn's disease
D. Gastritis and peptic ulcer disease - ✔️✔️D. Gastritis and peptic ulcer disease.
To assess spinal function at the S1 level, which deep tendon reflex should be tested?
A. Patellar
B. Cremasteric
C. Achilles
D. Anal wink - ✔️✔️C. Achilles
A 66- yo patient presents with bilateral otis media with effusion and white patches in the
mouth that do not rub off when wiped with a 4 x 4. The patient should be evaluated for:
A. HIV infection
B. Myelodysplastic syndrome
C. Congenital lymphoproliferative disease
D. non-Hodgkin's lymphoma - ✔️✔️A. HIV infection
A nurse practitioner is suturing a simple laceration on an 11-yo patient. The use of lidocaine
with epinephrine is contraindicated in all of the following areas EXCEPT the:
A. Scalp
, B. Nose
C. Fingers
D. Earlobe - ✔️✔️A. Scalp
A common rule to follow when prescribing many medications for the elderly is to: - ✔️✔️Start at
a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: -
✔️✔️the meaning of a common proverb
Cremasteric Reflex - ✔️✔️a superficial (i.e., close to the skin's surface) reflex observed in human
males. This reflex is elicited by lightly stroking the superior and medial (inner) part of the thigh-
regardless of the direction of stroke. The normal response is an immediate contraction of the
cremaster muscle that pulls up the ipsilateral testis.
Edema from extravascular fluid retention is visible in conditions like - ✔️✔️heart failure,
nephrotic syndrome and liver failure.
Drugs associated with weight gain include - ✔️✔️Tricyclic antidepressants, insulin and
sulfonulurea, contraceptives, glucocorticoids, progestational steroids, mirtazapine and
paroxetine, gabapentin and valproate and propanolol
Causes of weight loss include - ✔️✔️GI deases; endocrine disorders (diabetes, hyperthyroidism,
adrenal insufficiency); chronic infections, HIV/AIDS; malignancy; chronic cardiac, pulmonary, or
renal failure; depression; and anorexia nervosa or bulimia;
Appendicitis is a common cause of acute abdominal pain. - ✔️✔️Assess for positive McBurney's
point tenderness, Rovsing's sign, the psoas sign, and obturator sign.
Rovsing's sign - ✔️✔️Pain in the RIGHT lower quadrant during LEFT-sided pressure is a positive
Rovsing's sign. Indicates appendicitis
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