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PSI |\FNP |\Practice |\questions |\with |\correct |\
answers
A |\14yo |\male |\with |\bronchitis |\is |\being |\treated |\with |\fluids |\and |
expectorants. |\He |\returns |\to |\the |\clinic |\with |\a |\fever |\of |\103F, |\right |
pleuritic |\chest |\pain, |\and |\green |\sputum. |\Which |\of |\the |\following |
examination |\results |\would |\be |\expected? |
A. |\Right |\lower |\lobe |\crackles B. |\Decreased |\Fremitus C. |\Bilateral |\Wheezing D. |\Normal |\Percussion |- |\CORRECT |\ANSWERS |\✔✔A. |\Right |\lower |\lobe |
crackles. 2 |\year |\old |\child |\is |\diagnosed |\with |\radial |\head |\subluxation |
("nursemaid's |\elbow"). |\After |\closed |\manipulation, |\the |\best |\indication |\of |\successful |\treatment |\is |\that: |
A. |\Swelling |\dissipates |\immediately B. |\Pulse |\and |\sensation |\are |\restored C. |\The |\child |\quickly |\begins |\to |\use |\the |\affected |\arm D. |\A |\click |\is |\felt |\while |\the |\child |\is |\extending |\and |\rotating |\the |\arm |- |
CORRECT |\ANSWERS |\✔✔C. |\The |\child |\quickly |\begins |\to |\use |\the |
affected |\arm.
Which |\of |\the |\following |\would |\be |\an |\appropriate |\alternative |\to |
erythromycin |\therapy |\in |\an |\ 18 |\year |\old |\patient |\with |\Mycoplasma |
pneumoniae |\infection? |
A. |\Azithromycin |(Zithromax) B. |\Cephalexin |(Keflex) C. |\Amoxicillin D. |\Clindamycin |(Cleocin) |- |\CORRECT |\ANSWERS |\✔✔A. |\Azithromycin A |\10-month |\old |\presents |\with |\a |\rash, |\runny |\nose, |\and |\cough. |
Examination |\reveals |\a |\cluster |\of |\tiny |\white |\papuls |\with |\an |
erythematous |\base |\on |\the |\buccal |\mucosa. |\What |\does |\this |\suggest? |
A. |\Scarlet |\fever B. |\Rubella C. |\Erythema |\infectiosum D. |\Measles |- |\CORRECT |\ANSWERS |\✔✔D. |\Measles Office |\Spriometry |\performed |\with |\an |\albuterol |\nebulizer |\treatment |
can |\confirm |\a |\diagnosis |\of |\asthma |\because |\it |\indicates: |
A. |\Oxygen |\saturation B. |\Whether |\airway |\obstruction |\is |\from |\pulmonary |\fibrosis C. |\Chronic |\carbon |\dioxide |\retention D. |\Whether |\a |\patient |\has |\reversible |\airway |\obstruction |- |\CORRECT |
ANSWERS |\✔✔D. |\Whether |\a |\patient |\has |\reversible |\airway |\obstruction
D. |\A |\penile |\ulcer |- |\CORRECT |\ANSWERS |\✔✔B. |\No |\remarkable |\clinical |
symptoms To |\assess |\a |\patient's |\ability |\to |\think |\abstractly, |\a |\nurse |\practitioner |
could |\ask |\the |\patient: |
A. |\The |\meaning |\of |\a |\common |\proverb B. |\What |\action |\the |\patient |\would |\take |\if |\their |\was |\a |\fire |\in |\the |
house C. |\To |\count |\backwards |\from |\ 100 |\by |\7s D. |\To |\spell |\a |\word |\backward. |- |\CORRECT |\ANSWERS |\✔✔A. |\The |
meaning |\of |\a |\common |\proverb A |\common |\rule |\to |\follow |\when |\prescribing |\many |\medications |\for |
the |\elderly |\is |\to: |
A. |\Give |\most |\medications |\in |\the |\morning |\to |\allow |\slowed |\body |
functions |\to |\have |\time |\to |\adjust |\to |\the |\drug. |
B. |\Start |\at |\a |\lower |\dose |\than |\what |\is |\commonly |\prescribed |\for |
adults, |\and |\increase |\the |\dose |\slowly. |
C. |\Perform |\a |\creatinine |\clearance |\test |\for |\baseline |\data |\on |\all |
person |\over |\age |\ 70 |\before |\starting |\on |\new |\medications. |
D. |\Give |\medication |\with |\a |\full |\glass |\of |\water |\to |\promote |\absorption |\and |\limit |\harm |\to |\the |\kidneys. |- |\CORRECT |\ANSWERS |\✔✔B. |\Start |\at |
a |\low |\dose |\than |\what |\is |\commonly |\prescribed |\for |\adults, |\and |
increase |\the |\dose |\slowly.
A |\ 72 |\year |\old |\female |\presents |\with |\a |\medical |\history |\unremarkable |
except |\for |\the |\occasional |\headache. |\She |\enjoyed |\emotional |\health |
throughout |\marriage |\and |\childrearing, |\although |\her |\family |\history |
is |\significant |\for |\strokes |\and |\nervous |\breakdowns. |\Since |\her |
husband |\died |\a |\year |\ago, |\however, |\she |\has |\been |\waking |\every |
morning |\at |\3am, |\is |\reluctant |\to |\go |\out |\although |\she |\has |\family |
member |\living |\nearby, |\and |\feels |\a |\continual |\urge |\to |\sleep. |\She |
cannot |\discuss |\her |\late |\husband |\without |\crying. |\Differential |
diagnoses |\would |\include: |
A. |\Stroke, |\depression, |\and |\hyperthyroidism B. |\Depression, |\Unresolved |\grief, |\and |\hypothyroidism C. |\Migraine, |\anxiety |\disorder, |\and |\hypertension D. |\Dementia, |\delirium, |\and |\pna |- |\CORRECT |\ANSWERS |\✔✔B. |
Depression, |\Unresolved |\grief, |\and |\hypothyroidism 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: |
A. |\make |\the |\seizure |\medication |\less |\effective B. |\Lower |\the |\seizure |\threshold C. |\Increase |\the |\seizure |\threshold D. |\Have |\no |\effect |\on |\the |\seizure |\threshold |- |\CORRECT |\ANSWERS |
✔✔B. |\Lower |\the |\seizure |\threshold
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: |
A. |\renal |\insufficiency B. |\Osteoporosis C. |\Dementia D. |\Anemia |- |\CORRECT |\ANSWERS |\✔✔B. |\Osteoporosis 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? |
A. |\Modifying |\use B. |\Double |\dosing |\for |\ 2 |\days C. |\Changing |\to |\Ortho-Novum |\1/ D. |\Providing |\reassurance |- |\CORRECT |\ANSWERS |\✔✔D. |\Providing |
reassurance The |\management |\of |\choice |\for |\polymyalgia |\rheumatica |\includes: |
A. |\whirlpool B. |\Prednisone C. |\Anelgesics D. |\Celebrex |- |\CORRECT |\ANSWERS |\✔✔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 |\hydrochlorthoriazide |
(HCTZ), |\ 25 |\mg |\daily. |\The |\most |\likely |\cause |\of |\the |\patient's |\concern |
would |\be: |
A. |\loratadine B. |\hydrochlorthoriazide |(HCTZ) C. |\lisinopril |(Zestril) D. |\paroxetine |(Paxil) |- |\CORRECT |\ANSWERS |\✔✔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? |
A. |\throat |\culture B. |\sputum |\culture C. |\Mantoux |(PPD) |\skin |\test D. |\Cold |\agglutinin |\test |- |\CORRECT |\ANSWERS |\✔✔B. |\Sputum |\culture
systolic |\murmur |\at |\the |\left |\sternal |\border. |\After |\initiation |\of |
treatment |\for |\otitis |\media, |\the |\most |\appropriate |\intervention |\is |\to: |
A. |\Obtain |\an |\EKG B. |\Obtain |\an |\Echocardiogram C. |\Reevaluate |\the |\patient |\in |\ 10 |\days D. |\Refer |\the |\patient |\to |\a |\cardiologist |- |\CORRECT |\ANSWERS |\✔✔C. |
Reevaluate |\the |\patient |\in |\ 10 |\days Which |\of |\the |\following |\is |\NOT |\an |\indication |\of |\preeclampsia? A. |\visual |\disturbances B. |\Glucosuria C. |\Edema |\of |\the |\face |\and |\hands D. |\Headaches |- |\CORRECT |\ANSWERS |\✔✔B. |\Glucosuria Which |\of |\the |\following |\pharmacotherapeutics |\would |\be |\most |
important |\to |\administer |\to |\a |\patient |\who |\has |\a |\corneal |\abrasion? |
A. |\Olopatadine |(Patanol) B. |\Cromolyn |\opthalmic |(Crolom) C. |\Timolol |(Timoptic) D. |\Gentamycin |\Opthalmic |(Genoptic) |- |\CORRECT |\ANSWERS |\✔✔D. |
Gentamycin |\Opthalmic |(Genoptic)
An |\ 88 |\year |\old |\patient |\presents |\with |\right-sided |\weakness |\after |
being |\unable |\to |\rise |\unassisted |\following |\a |\fall |\to |\the |\bathroom |
floor. |\History |\includes |\aphasia |\and |\noncompliance |\with |
hypertension |\medication |\regimen. |\What |\is |\the |\most |\likely |
diagnosis? |
A. |\Seizure B. |\Right-sided |\Stroke C. |\Left-sided |\stroke D. |\Trans |\ischemic |\attack |- |\CORRECT |\ANSWERS |\✔✔C. |\Left-sided |
Stroke 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 |- |\CORRECT |\ANSWERS |\✔✔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 |\ 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. |- |\CORRECT |\ANSWERS |\✔✔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) |- |\CORRECT |
ANSWERS |\✔✔D. |\FSH, |\LH, |\TSH
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 |- |\CORRECT |\ANSWERS |\✔✔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 |- |\CORRECT |\ANSWERS |\✔✔D. |\Sweating
A. |\Shiny, |\purple, |\smooth |\lesions B. |\Localized |\erythematous |\vesicles C. |\Erythematous |\plagues |\with |\central |\clearing D. |\Red, |\sharply |\defined |\plaques |\with |\silvery |\scales |- |\CORRECT |
ANSWERS |\✔✔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 |- |\CORRECT |\ANSWERS |\✔✔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 B. |\Cortisol |\deficiency
C. |\the |\Somogyi |\effect D. |\pawn |\phenomenon |- |\CORRECT |\ANSWERS |\✔✔C. |\the |\Somogyi |
effect An |\ 18 |\yo |\college |\student |\presents |\for |\an |\athletic |\physical. |\When |
asked |\about |\current |\medications, |\she |\mentions |\that |\she |\takes |"some |\hearb" |\she |\bought |\at |\a |\health |\food |\store |\for |\migrains |\and |
menstrual |\cramps. |\Which |\of |\the |\following |\herbal |\remedies |\has |
been |\commonly |\used |\for |\these |\conditions? |
A. |\Ephedra B. |\Echinacea C. |\Feverfew D. |\Ginko |\Biloba |- |\CORRECT |\ANSWERS |\✔✔C. |\Feverfew Which |\of |\the |\following |\GI |\changes |\in |\associated |\with |\normal |\aging? |
A. |\Decreased |\production |\of |\gastric |\acid B. |\Decreased |\incidence |\of |\gallstones C. |\Increased |\salivation D. |\Increased |\esophageal |\emptying |- |\CORRECT |\ANSWERS |\✔✔A. |
Decreased |\production |\of |\gastric |\acid. A |\ 32 |\year |\old |\patient |\reports |\a |\6-month |\history |\of |\intermittant |
symmetrical |\swelling |\of |\the |\wrists |\and |\daily |\morning |\stiffness |\
D. |\Early |\diastolic |\murmur |\with |\an |\S3 |\wave. |- |\CORRECT |\ANSWERS |
✔✔B. |\Loud, |\high-pitched |\pansystolic |\murmur During |\an |\employment |\physical |\exam |\of |\a |\21-year |\old |\female, |
bruising |\around |\the |\areola |\on |\the |\breasts |\is |\noted. |\An |\appropriate |
health |\history |\for |\these |\findings |\should |\include |\all |\of |\the |\following |
EXCEPT: |
A. |\Current |\social |\relatonships B. |\History |\of |\present |\or |\past |\traumas C. |\Mental |\health |\status D. |\Socioeconomic |\status. |- |\CORRECT |\ANSWERS |\✔✔D. |\Socioeconomic |\status. According |\to |\the |\American |\Diabetes |\Association, |\the |\newest |
standard |\for |\determining |\the |\presence |\of |\diabetes |\mellitus |\based |
on |\fasting |\plasma |\sugar |\level |\is |\a |\vlaue |\equal |\to |\or |\greater |\than: |
A. |\ 100 |\mg/dl B. |\ 126 |\mg/dl C. |\ 140 |\mg/dl D. |\ 180 |\mg/dl |- |\CORRECT |\ANSWERS |\✔✔B. |\ 126 |\mg/dl A |\nurse |\practitioner |\orders |\pulmonary |\rehabilitation |\for |\a |\ 75 |\yo |
patient |\with |\COPD. |\Expected |\outcomes |\of |\this |\program |\include |\all |
the |\following |\EXCEPT: |\
A. |\enhanced |\quality |\of |\life B. |\Increased |\lung |\capacity C. |\Decreased |\in-patient |\hospitalizations D. |\Improved |\exercise |\capacity |- |\CORRECT |\ANSWERS |\✔✔B. |\Increased |
lung |\capacity A |\2month |\old |\infant |\is |\presented |\for |\examination |\and |
immunizations. |\History |\includes |\an |\uncomplicated |\full-term |\delivery |
and |\hepatitis |\B |\virus |\immunization |\shortly |\after |\birth. |\Examination |
is |\unremarkable |\except |\for |\a |\diffusely |\erythematous |(not |\beet |\red) |
macular |\rash |\in |\the |\diaper |\area., |\sparing |\the |\inguinal |\folds. |\No |
satellite |\lesions |\are |\noted |. |\The |\infant's |\rash |\is |\most |\likely |\caused |
by. |
A. |\Candida |\albicans |\infections. |
B. |\Eczema C. |\Seborrheic |\dermatitis D. |\Contact |\dermatitis |- |\CORRECT |\ANSWERS |\✔✔D. |\Contact |\dermatitis A |\patient |\with |\a |\diagnosis |\of |\diverticulosis |\presents |\with |\localized |
left |\lower |\quadrant |\discomfort, |\a |\palpable |\mass, |\mild |\leukocytosis, |
and |\T=100F |(37.8C). |\The |\patient |\does |\not |\apear |\toxic |\and |\can |
tolerate |\fluids. |\An |\appropriate |\plan |\should |\include: |
A. |\barium |\enema |\and |\nothing |\by |\mouth B. |\Clear |\liquids |\and |\antibiotics
