PSI FNP EXAM 2024/2025 WITH 1005
ACCURATE SOLUTIONS
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 - Precise Answer ✔✔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 -
Precise Answer ✔✔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) - Precise Answer ✔✔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 - Precise Answer ✔✔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 - Precise Answer
✔✔D. Whether a patient has reversible airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain
and yellow nasal discharge for 14 days. What is the appropriate initial
pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
,B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin - Precise Answer ✔✔A. Amoxicillin-Clavulanate
(Augmentin)
Which of the following is the leading cause of cancer-related deaths in
the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer - Precise Answer ✔✔D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may
exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer - Precise Answer ✔✔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. - Precise Answer ✔✔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. - Precise Answer ✔✔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
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