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11/05/2024 12:06 PM
WT FNP Study Guide Questions With
Correct Answers
Your patient Kenneth, age 62, presents to the clinic with pruritis and complaints of lymphadenopathy in
his neck. He also complains of night sweats and a low grade fever. He has no weight loss and otherwise
feels well today. He is widowed and has been dating a new woman recently. On physical exam, you find
enlarged supraclavicular nodes. You suspect a diagnosis of - answer✔hodgkins lymphoma
The majority of the body's iron is obtained from: - answer✔recycled iron content from aged RBCs
Physical examination findings in otitis externa include: - answer✔increased ear pain with tragus
palpation
When should a rescue course of prednisolone be initiated for an attack of asthma? - answer✔Whenever
the client needs it, at any time and any step
Decongestants work primarily through: - answer✔Vasoconstriction
The first choice of therapy for a client who is positive for HIV and has oral candidiasis is : -
answer✔Clotrimazole troches (10mg) five times daily or nystatin (Mycostatin) suspension 500,000-
1,000,000 units three to five times daily
- Because of the common recurrence of oral candidiasis and increased rates of drug resistance, systemic
fungicides, such as fluconazole, ketoconazole, and griseofulvin, should be reserved for severe cases,
such as esophageal candidiasis and clients with dysphagia.
When a neonate is initially protected against measles, mumps, and rubella because the mother is
immune, this is an example of which type of immunity? - answer✔natural passive
Which of the following best describes asthma? - answer✔chronic airway inflammation with
superimposed bronchospasm
One of the most prominent clinical features of bronchiolitis is: - answer✔Wheezing
Antihistamines work primarily through: - answer✔action on the histamine-1 (H1) receptor sites
What would you expect to find in a patient with acute rhinosinusitis? - answer✔Erythematous &
edematous nasal mucosa w/o purulence & watery discharge
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Which of the following best describes hearing loss associated with presbycusis? - answer✔slowly
progressive, usually symmetric, and predominantly high frequency
A risk factor for external otitis is: - answer✔-Swimming
-Hot/humid climates
-Trauma (qtips, pens etc)
-Hearing aids (trauma)
-Atopic dermatitis
Treatment of viral conjunctivitis can include: - answer✔No Antibiotic Therapy Needed
The Epstein-Barr virus is primarily transmitted via: - answer✔oropharyngeal secretions
Joanne, age 16, has had her asthma well controlled by using only a beta-adrenergic metered-dose
inhaler. Lately, she has had difficult breathing during the night, and her sleep has been interrupted
about three times a week. What do you do? - answer✔Prescribe an inhaled steroid
Expected findings in acute otitis media include: - answer✔tympanic membrane immobility
What is the most common rosacea trigger? - answer✔Sun exposure
The "herald patch" is present in almost all cases of - answer✔Pityriasis rosea
John, age 49, is a construction worker. He has a nevus on his shoulder that has recently changed from
brown to bluish black in color. You advise him to - answer✔Have an excisional biopsy
Choose the correct description of fissure. - answer✔a linear crack extending from the epidermis to the
dermis
Expected findings in acute otitis media include: - answer✔tympanic membrane immobility
One of the more common sites for atopic dermatitis in an adult is: - answer✔Flexor surfaces
Which of the following is a predisposing condition for furunculosis? - answer✔Diabetes mellitus
- Predisposing conditions for furunculosis or carbuncles include diabetes mellitus, HIV, and injection
drug use
Which of the following is among the most common causes of congestive heart failure? -
answer✔hypertensive heart disease
You are suspecting an appendicitis in Andrew, who is age 18 years. With his right hip and knee flexed,
you slowly rotate his right leg internally to stretch a muscle. He states that it is painful over his right
lower quadrant area. Which sign did you elicit? - answer✔Obturator Sign
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The progestin component of hormone therapy is given to: - answer✔minimize the endometrial
hyperplasia
Which of the following laboratory tests are utilized to confirm diagnosis of HIV? - answer✔ELISA,
Western Blot
Daniel is a 12 month old male who is new to your practice. His mother brings him in one day with a chief
complaint of vomiting for 2 days. Before you step into the exam room to see him you know the most
frequent cause of vomiting in this age group is related to which of the following? -
answer✔Gastroenteritis (I'm pretty sure)
All of the following are likely reported in the woman with an initial episode of genital human
herpesvirus-2 infection except: - answer✔Pustular lesions
Which of the following women is the best candidate for progestin-only pill use? - answer✔A 32 year old
woman who is breastfeeding
What immunizations may be safely administered during the first trimester of pregnancy? -
answer✔Influenza
-TDAP can technically be given, but is recommended at third trimester
Developmental tasks of early adulthood (ages 20-45) include which of the following? -
answer✔Psychological separation from parents and developing a capacity for intimacy with a partner
Which of the following antihypertensive agents would most likely produce a rebound hypertensive crisis
following its abrupt withdrawal? - answer✔Clonidine
The most likely causative pathogen in a 26 year old woman with PID is: - answer✔C. Trichamotis
Marvin asks you for a prescription for sildenafil (Viagra). The only medication he takes is isosorbide
mononitrate. He has a history of diet controlled diabetes. What do you tell him? - answer✔It's
contraindicated with isosorbide mononitrate, let's discuss other options
What is the best treatment for a child with asymptomatic swallowed foreign body? - answer✔I'm not
sure what answer I chose at the moment or what the correct answer actually is, but I believe that with
any non-toxic substance lacking sharp edges the answer is
Careful observation for 24 hours post ingestion
In patients with varicose veins, which vessel is most often affected? - answer✔Saphenous
Deep vein thrombosis may result in: - answer✔generalized edema of the involved extremity
After a history, exam and lab tests, a patient is diagnosed with irritable bowel syndrome. Which initial
treatment is considered most appropriate? - answer✔Either adoption of high fiber diet or excluding
trigger foods from diet
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Sue has an acute exacerbation of Crohn's disease. Which laboratory test value(s) would you expect to be
decreased? - answer✔Vitamins A, B complex, and C levels
The proper order of assessing the abdomen is: - answer✔Inspection, auscultation, percussion, palpation
The clinical presentation of Irritable Bowel Syndrome most likely includes which set of symptoms? -
answer✔abdominal pain, diarrhea, constipation
Kathy has celiac disease. You place her on which diet? - answer✔Gluten-free diet
Dan, age 76, has GERD. When teaching him how to reduce his lower esophageal sphincter pressure,
which substances do you recommend that he avoid? - answer✔Peppermint
Which of the following laxatives listed below is safe for long-term use? - answer✔*With this text there
was no option for polyethylene glycol, which has been the answer on previous exams*
Bulk-forming laxatives (Metamucil, Citrucel, etc.)
A patient asks for advice about a medication that will produce rapid relief if he is having heartburn
symptoms. What should the nurse practitioner recommend? - answer✔Calcium carbonate
Urinary tract infections in the male patient are divided into upper and lower tract infections. What is an
example of an upper tract infection in a male patient? - answer✔Pyelonephritis
Which of the following medications can cause acute urinary retention in a man with BPH? -
answer✔Amitriptyline
Therapy for hemorrhoids includes all of the following EXCEPT: - answer✔Low-fat diet
You receive a urinalysis back from the lab with a finding of RBC casts and microscopic hematuria. What
is the patient's likely diagnosis? - answer✔Glomerulonephritis
Dietary management for the patient in acute renal failure includes: - answer✔limiting fluids, eating a
low-protein diet, limiting salt, potassium, phosphorous, and other electrolytes
The presentation of acute epididymitis includes: - answer✔the presence of a positive Prehn sign.
Scrotal elevation relieves pain in epididymitis but not torsion
What is a causative factor in the formation of blood clots causing deep venous thrombus? -
answer✔Hypercoagulability
Urine specific gravity is increased in patients with: - answer✔Dehydration
Rectal bleeding associated with hemorrhoids is usually described as: - answer✔streaks of bright red
blood on stool
