Exam (elaborations)
FNP STUDY PSI 2 QUESTIONS AND ANSWERS
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FNP STUDY PSI 2 QUESTIONS AND ANSWERS
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FNP STUDY PSI 2 QUESTIONS AND ANSWERSA geriatric female presents for her annual examination. She has been on
antihypertensive medications for over 20 years, with good control. Laboratory values
are within normal ranges. The nurse practitioner is concerned about the patient's
cardiac health risks, due her to weight and her waist circumference. According to the
AHA guidelines, which of the following goals is expected for this patient? - answer-
Physical activity for 30 minutes daily, for a minimum of 5 days a week
The most common bacterial cause of cellulitis in patients with diabetes mellitus is: -
answer- Staphylococcus aureus.
A frail elderly patient presents with constipation. Which of the following normal
physiologic changes seen with aging is the most likely cause? - answer- Decreased
bowel muscle tone
The most common sign of cervical cancer is: - answer- postcoital bleeding.
A pediatric male is present with his mother, who states that he is extremely restless at
night and constantly scratches his anal area. Which diagnostic procedure would confirm
a diagnosis of pinworm infestation? - answer- Examination of transparent tape sample
from perianal skin
Congenital dysplasia of the hip: - answer- occurs more commonly in females.
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is
about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting
5 days prior to the surgery and subcutaneous Lovenox has been ordered for DVT
prophylaxis until the resumption of the warfarin. The nurse practitioner knows that the
patient's postoperative warfarin dose should be restarted based on the: - answer-
baseline PT and INR values.
An adult female who recently returned from a business trip to Japan presents for a
recheck appointment. The only remarkable laboratory result is for thyroid-stimulating
hormone (TSH), at 0.3 microunits/mL (normal = 0.4-6 microunits/mL). The patient
reports that her neck hurts; examination reveals thyroid tenderness. Which of the
following laboratory tests should the nurse practitioner order now? - answer-
Triiodothyronine (T3) and free thyroxine (FT4)
Which of the following microorganisms are most frequently associated with acute
bacterial rhino-sinusitis? - answer- Streptococcus pneumoniae and Haemophilus
influenzae
A late adolescent patient presents with complaints of acute-onset unilateral right eye
pain, visual changes, seeing halos around lights, abdominal pain, and intermittent
nausea. Physical findings include an erythematous right eye without discharge, a cloudy
, cornea, and a moderately dilated right pupil that is nonreactive to light. The nurse
practitioner should immediately: - answer- refer to the emergency department.
In most cases, the first manifestation of Alzheimer's disease is: - answer- decrease in
short-term memory.
T-wave inversion with a normal ST segment on a 12-lead EKG may represent: -
answer- acute coronary ischemia.
On physically assessing a newborn's head, you note an enlarged, fluid-filled area that is
subperiosteal and does not cross suture lines. This finding indicates the presence of: -
answer- cephalohematoma.
Which of the following is NOT used for therapy of an acute attack of gout? - answer-
Allopurinol (Zyloprim)
A 46-year-old female presents with a complaint of amenorrhea for 3 months. The first-
line diagnostic workup is: - answer- urine pregnancy test.
A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery
stools without blood or mucus, and 2 episodes of vomiting in the past 48 hours.
Assessment reveals no current antibiotic therapy, dehydration <5%, soft abdomen with
hyperactive bowel sounds, no masses or organomegaly; other physical findings are
normal. Which of the following is the most appropriate management plan? - answer- No
laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear
liquids, advancing to bananas, rice cereal, Jell-O, and soup.
In treating a pregnant female with migraine headaches, which of the following drugs is
in Category X? - answer- Ergotamine tartrate (Ergomar)
A young child with asthma presents for follow-up evaluation. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. Which of the following conditions would be the
most likely cause of the continued asthma symptoms? - answer- Gastroesophageal
reflux
Upon admission to a nursing home, an 85-year-old patient receives a negative result on
the purified protein derivative (PPD) test. To determine TB status in the frail elderly, a
second PPD should be performed in: - answer- 1 week.
The management of COPD in the elderly is best guided by: - answer- symptomatology.
A 65-year-old patient being treated with digoxin (Lanoxin) for chronic heart failure (HF)
presents with complaints of palpitations. Three days ago, the patient was placed on
clarithromycin (Biaxin) by another provider for community-acquired pneumonia. The
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