A 25 y/o female presents with lower abdominal pain. Which finding would
indicate the etiology as pelvic inflammatory disease? - ANS ✓Temperature
>101F
The gold standard for diagnosing pneumonia on chest x-ray is the presence
of: - ANS ✓Infiltrates
Which factor is NOT considered a risk factor for development of
osteoporosis? - ANS ✓Late menopause
A pregnant patient in her second trimester will probably have a decrease in
her what? - ANS ✓Blood pressure
A patient in her first trimester of pregnancy is found to be infected with
chlamydia and gonorrhea. Which statement below is true? - ANS ✓She
should be treated now and pre-screened later in pregnancy for test of cure
A pt taking an ACE inhibitor should avoid what? - ANS ✓potassium
supplements
An 84 y/o presents with a stated involuntary weight loss. He states that he's
lost 6 pounds in the last 6-8 weeks. What is NOT part of the assessment -
ANS ✓Evaluate his upper and lower extremity muscle mass.
FNP REVIEW
, 2
FNP
The primary risk factor for development of breast cancer in women of
average risk is what? - ANS ✓AGE
A 74-yr old male patient has sustained a laceration to his foot. His last
tetanus shot was more than 10 yrs. ago. He has completed the primary
series. What should be recommended? - ANS ✓Tetanus, diphtheria and
acellular pertussis (Tdap)
Which moral disorder results from redundancy of the mitral valve leaflets?
- ANS ✓Mitral valve prolapse
A pregnant patient has a positive UA for UTI. What is the appropriate
course of action? - ANS ✓Prescribe nitrofurantoin (Macrobid)
When should folic acid be initiated in a female patient contemplating
pregnancy if she is not taking it at this time? - ANS ✓NOW
Which reflex would NOT be expected in a 1-month old? - ANS ✓Parachute
A pt has a positive pregnancy test that she performed using an OTC kit.
What are the chances that a serum pregnancy would be negative? - ANS
✓Almost none?
A medication considered first line for a patient with allergic rhinitis is
what? - ANS ✓Topical nasal steroid
In a 3 y/o with fever, which occurrence might precipitate a febrile seizure? -
ANS ✓A sudden decrease in body temperature after a high fever
A 60-y/o adult w/an antalgic gait and complaints of hip pain is examined.
He has trochanteric tenderness. What is the most common cause of this? -
ANS ✓Trochanteric bursitis
FNP REVIEW
, 3
FNP
A NP is working in a minor care area of an ER. An illegal immigrant has a
puncture wound caused by an unknown sharp object in the trash container.
A dirty needle is suspected. The NP should: - ANS ✓She should prescribe
appropriate medications for HIV exposure even though she knows the patient
can't afford them.
What is the usual age for vision screening in children? - ANS ✓3 years old
A mother has negative rubella titre. She is not pregnant but is breast
feeding her 4-month old infant. Is the mother able to sagely receive the
MMR immunization today? - ANS ✓Yes, the immunization offers no risk to her
infant
Topical 5-fluorouracil (5-FU) is used to treat what? - ANS ✓Basal Cell
Carcinoma
A 68 y/o smoker with a hx of well-controlled HTN describes an event that
occurred yesterday while mowing his lawn. He felt very dizzy and "passed
out" for less than 1 minute. He awakened spontaneously. Today he has no
complaints and states that he feels fine. Initially the NP should do what? -
ANS ✓Perform a complete neurological and cardiac exam with the auscultation
of the carotid arteries.
A patient is being treated for iron deficiency anemia. How is iron best
absorbed? - ANS ✓On an empty stomach
A 67 y/o patient with COPD presents an immunization record that reflects
having last received the pneumococcal immunization (PPSV23) when he
was 60 y/o. Which statement below reflects the current standard of
practice recommend by the CDC for this patient? - ANS ✓He should be
vaccinated today with PCV13
What component of prenatal vitamin is intended to prevent neural tube
defects? - ANS ✓Folic acid
FNP REVIEW
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