pg. 1 PSI FNP Practice Exam Latest 2024 -2025 Complete 170 Actual Exam Questions with 100% Correct Verified Answers/ Graded A+
The parent of a 13-year-old diagnosed with seizure disorder calls to report that the child is exhibiting symptoms of a cold, but has no fever. The nurse practitioner should advise
the parent that development of fever may:
- make the seizure medication less effective
- Lower the seizure threshold
- Increase the seizure threshold
- Have no effect on the seizure threshold - Correct Answer - B. Lower the seizure
threshold
After a 3-week camping trip, an 11-year-old is seen for a target lesion with central clearing, located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized musculoskeletal pain for several days. Pharmacologic
management of this condition includes:
- trimethoprim-sulfamethoxazole (Bactrim)
- Azithromycin (Zithromax)
- Metronidazole (Flagyl)
- Doxycycline (Doryx) - Correct Answer - D. Doxycycline
The most common type of skin malignancy is:
- Squamous cell cancer
- Basal skin cancer
- Melanoma
- Dysplastic nevi - Correct Answer - B. Basal skin cancer. It is several times more
common that squamous cell skin cancer according to the NIH. 1 / 4
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Koplik's spots are associated with:
- Poxvirus infections
- Measles
- Kawasaki's disease
- Reye's syndrome - Correct Answer - B. Measles. S/S include fever over 101, coryza,
cough, conjunctivitis, rash, and kolpik’s spots on buccal mucosa
At what level of prevention would you classify for lung cancer?
- Primary prevention
- Secondary prevention
- Tertiary prevention
- Primordial prevention - Correct Answer - D. primordial prevention. Screening for lung
cancer is not currently recommended in the general population, but it is secondary prevention.
An 88-year-old male presents with concerns about memory loss. He feels good, takes an aspirin daily, and has no chronic diseases. He lives alone, drives his own car, and manages his financial affairs. To evaluate his memory, which of the following tests should the nurse practitioner choose?
- Holstein Mini-Mental State examination
- Geriatric Depression Scale
- Minnesota Multiphasic Personality Inventory
Myers-Briggs Test - Correct Answer - A. Holstein Mini-mental state examination
During development of a treatment plan for an 84-year-old patient with hypothyroidism,
the nurse practitioner has to keep in mind the worsening of:
- renal insufficiency
- Osteoporosis
- Dementia
- Anemia - Correct Answer - B. Osteoporosis 2 / 4
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A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting. She hasn't missed any doses and uses no other medication. Which of the following is appropriate?
- Modifying use
- Double dosing for 2 days
- Changing to Ortho-Novum 1/35
- Providing reassurance - Correct Answer - D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
- whirlpool
- Prednisone
- Analgesics
- Celebrex - Correct Answer - B. Prednisone
A 50-year-old male presents with a chief complaint of malaise. Further questioning reveals that his primary concern is delayed ejaculation. He is currently taking the following medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and hydrochlorothiazide (HCTZ), 25 mg daily. The
most likely cause of the patient's concern would be:
- loratadine
- hydrochlorothiazide (HCTZ)
- lisinopril (Zestril)
- paroxetine (Paxil) - Correct Answer - D. Paroxetine (Paxil)
A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss of appetite. The patient lives with several relatives, including a grandmother who also has a cough. Which of the following diagnostic tests would be most appropriate for the patient?
- throat culture
- sputum culture 3 / 4
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- Mantoux (PPD) skin test
- Cold agglutinin test - Correct Answer - B. Sputum culture
A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated with movement. The patient reports that he participated in extensive house painting 24 hours prior to the onset of pain. He denies any trauma.Passive ROM is intact. No redness or ecchymosis is present. What is the next step that should be taken in order to make a diagnosis?
- Palpate structures around the shoulder
- Obtain an MRI to evaluate the shoulder
- Order an Xray of the shoulder
- Request an EMG - Correct Answer - A. Palpate the structures around the shoulder
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual development. Her physical exam in completely normal, and her weight is appropriate for her age and height. What is the most likely diagnosis?
- Ovarian dysgenesis
- Dysmenorrhea
- Primary amenorrhea
- Secondary amenorrhea - Correct Answer - C. Primary amenorrhea
An 18-month-old child presents with a bulging, immobile tympanic membrane; T-103F (39.4C). Assessment also reveals a grade II/VI systolic murmur at the left sternal border.After initiation of treatment for otitis media, the most appropriate intervention is to:
- Obtain an EKG
- Obtain an Echocardiogram
- Reevaluate the patient in 10 days
- Refer the patient to a cardiologist - Correct Answer - C. Reevaluate the patient in 10
days
Which of the following is NOT an indication of preeclampsia?
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