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PSI FNP PRACTICE EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
A nurse pracitioner is evaluating a 40 year old patient suspected of having a
pulmonary embolus. The patient complains of anxiety and cough. A stat
chest x-ray is normal. Which of the following tests should the nurse
practitioner perform next?
A. Spirometry
B. MRI
C. Contrast venography
D. Helical CT pulmonary angiography - ANS ✓D. Helical CT pulmonary
angiography
A routine laboratory assessment of a 12 year old patient with a family
history of thalassemia and anemia reveals Tanner II presentation and
Hct=355. In addition to a complete blood count (CBC), the nurse
practitioner should order which of the following?
A. serum folic acid
B. Vitamin B12 level
C. Hemoglobin Electrophoresis
D. 24-hour urine creatinine - ANS ✓C. Hemoglobin electrophoresis
A patient who is 28 weeks pregnant reports a single episode of vaginal
bleeding. History indicates normal prenatal progress to date, and the
patient denies pain, vaginal itching, or discharge. Which of the following is
the most appropriate intervention to aid in the diagnosis of this case?
A. Nitrazine test
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B. Non-Stress test
C. Ultrasound
D. Bimanual cervical exam - ANS ✓C. Ultrasound
The common bacteria responsible for pneumonia in older adults residing
in the community is:
A. Staphylococcus aureus
B. Streptococcus pneumoniae
C. Pseudomonas Aeruginosa
D. Moraxelle catarrhalis - ANS ✓B. Strep Pneumo
A 40 year old male patient presents with a 2 week history of rectal pain and
itching. He reports a past history of constipation, and finding spots of bright
red blood on toilet paper several times a week. Rectal exam reveals a
tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. Which
of the following actions should the nurse practitioner take?
A. Prescribe diphenoxylate/atropine( Lomotil)
B. Schedule a colonoscopy to rule out colon cancer
C. Repeat the guaiac test three times and obtain complete blood count
D. Prescribe bulk forming agents and hydrocortisone suppositories. - ANS
✓D. Prescribe bulk forming agents and hydrocortisone suppositories.
A 17 year old female is suspected of having polycystic ovary syndrome. In
addition to testosterone, the most appropriate diagnostic tests to order
would be:
A. BUN, creatinine, electrolytes, and dehydroepiandrosterone(DHEA)
B. CBC, BUN, creatinine, and estrone
C. Fasting blood sugar (FBS), complete blood count (CBC), BUN, and sex
hormone binding globulin
D. Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), prolactin,
and thyroid-stimulating hormone (TSH) - ANS ✓D. FSH, LH, TSH
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Which of the following wet-mount results confirms a preliminary diagnosis
of bacterial vaginosis?
A. Squamous epithelial cells with stippling appearance and indistinct
borders, no lactobacillus rods, and many white cells
B. Squamous epithelial cells with clear cytoplasm and distinct borders,
many lactobacillus rods, and occasional WBC
C. Organisms about the size of white blood cells with undulating flagellum,
occasional lactobacillus rods, and many WBC
D. Hyphae and spores, few lactobacillus rods, and occasional WBC - ANS
✓Squamous epithelial cells with stippling appearance and indistinct borders, no
lactobacillus rods, and many white cells.
A patient is referred with a diagnosis of diabetes mellitus, hypertension,
and coronary artery disease. The patient is on both insulin and a beta
blocker. Assuming that the patient will continue the beta blocker, it will be
important to educate the patient on the recognition of hypoglycemia. Which
symptom would be most indicative of hypoglycemia in this patient?
A. edema
B. Tachycardia
C. Palpitations
D. Sweating - ANS ✓D. Sweating
A 67-year old with type 2 diabetes mellitus, congestive heart failure, and
mild coronary artery disease is currently taking Digoxin, 0.25mg daily;
HCTZ, 25mg daily; Metformin 500mg daily; glipizide 10mg daily; and
Atorvastatin (Lipitor) 20mg HS. Which of the following is an accurate
statement regarding the regimen?
A. The glipizide will increase the risk of potassium depletion.
B. The digoxin will increase the risk of hypoglycemia
C. The HCTZ will predispose the patient to Digoxin toxicity
D. The atorvastatin will worsen the diabetes. - ANS ✓C. The HCTZ will
predispose the patient to Digoxin toxicity
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The initial therapy for a 3 week old infant with uncomplicated symptoms of
gastroesophageal reflux disease includes of the following positions and
change in diet?
A. Prone position and rotate formulas in order to find one that causes less
reflux
B. Smaller, more frequent feedings while holding infant
C. Semisupine position and offer more ounces of formula less frequently
D. Lateral position and start small amounts of solid food with formula - ANS
✓Smaller, more frequent feedings while holding infant.
Which of the following best describes psoriatic lesions in an elderly
patient?
A. Shiny, purple, smooth lesions
B. Localized erythematous vesicles
C. Erythematous plagues with central clearing
D. Red, sharply defined plaques with silvery scales - ANS ✓D. Red, sharply
defined plaques with silvery scales
A 68-yo female presents with a new onset of left-sided throbbing headache.
She has noticed some spots in her visual fields that come and go. She is
being treated with an NSAID for arthritis. Sedimentation rate is elevated,
but all other lab values are WNL. The headache is most likely due to:
A. TIA
B. NSAID induced headache
C. Temporal arteritis
D. Glaucoma - ANS ✓C. Temporal arteritis
A patient with Type 1 diabetes mellitus who is on NPH and regular insulin
split-dosing presents with complaints of early morning rise in fingerstick
blood glucose. A review of an at-home glucose test reveals increased
morning levels. After an increase in the evening insulin dose, the problem
worsens. This is most likely an example of:
A. Insulin resistance
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