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PSai- FNP 2024 Exam with questions with Complete Solutions
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PSai- FNP 2024 Exam with questions withComplete Solutions
An adult female presents at 7 weeks of gestation with bleeding and lower abdominal cramping.
The nurse practitioner suspects imminent spontaneous abortion. The patient is Rh negative.
When should RhoGAM be administered?
1.Within 6 hours
2.Within 72 hours
3.After the abortion
4.Only when needed - ✔2. Within 72 hours
Rational: 6 hours too short, after abortion is not effective, and always give if patient is Rh
negative.
A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of gestation.
Which of the following is the most accurate method for confirming this diagnosis?
1.Enzyme-linked immunosorbent assay (ELISA)
2.Serology for antibody titers
,3.Nucleic acid amplification test (NAAT) of urine
4.Gram-staining of cervical secretions - ✔3. Nucleic acid amplification test (NAAT) of urine
Rational: ELISA is to test for HIV and Lyme disease. Antibody titers would not be beneficial
to test. NAAT is the gold standard for confining chlamydial.
The best medication for a patient who complains of irritable bowel syndrome with cramping is:
1.lactulose (Kristalose).
2.dicyclomine (Bentyl).
3.bismuth subsalicylate (Pepto-Bismol).
4.aluminum/magnesium hydroxide (Maalox). - ✔2. dicyclomine (Bentyl).
Rantional: Cramping is most likely due to gas. Bentyl is the only medication listed to help with
gas.
A geriatric patient with anemia, back pain, osteoporosis, and elevated
erythrocyte sedimentation rate should be evaluated for:
1.cauda equina syndrome.
2.Paget's disease.
3.multiple myeloma.
4.renal dystrophy. - ✔1. Multiple myeloma
Rational: Key words, geriatric, anemia, back pain, elevated ESR. cauda equina syndrome
would not have elevated ESR or anemia.
, A mother brings her 8-week-old to the clinic who has been inconsolably crying for the last 3
days. After completing a thorough physical exam with normal findings, which of the
following diagnostic tests should the nurse practitioner order NEXT?
1.MRI
2.Urine culture
3.CT of head
4.Blood cultures - ✔2. Urine Culture
Rational: ALWAYS check for UTI in infants if physical exam is normal
A late adolescent male goes to a clinic with a puncture wound after being bitten by a
neighbor's cat. After irrigating the wound, the nurse practitioner should:
1.instruct the patient to return for suture removal in 2 weeks.
2.refer the patient to a surgeon.
3.administer rabies vaccine.
4.prescribe amoxicillin-clavulanic acid (Augmentin). - ✔4. prescribe amoxicillin-clavulanic
acid (Augmentin).
Rational: Cat bites are at high risk for infection. Higher risk than dog bites.
Which of the following statements regarding depression in the elderly is correct?
1.Depression can be induced by prescribed and over-the-counter medications.
2.Depression in the elderly requires increased dosing of antidepressant medication.
3.Suicide rates are lowest in elderly depressed male patients.
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