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PSI FNP exam with complete solutions 2024_2025.
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PSI FNP exam with complete solutions 2024_2025.
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PSI FNP exam with complete solutions2024/2025
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 appear toxic and can tolerate fluids. An appropriate plan should
include:
A. barium enema and nothing by mouth
B. Clear liquids and antibiotics
C. low-fiber diet and referral to gastroenterologist
D. hospital admission for IV antibiotics
B. Clear liquids and antibiotics.
Diverticulitis is inflammation (swelling) and infection in one or more diverticula.
Diverticulosis is when pockets called diverticula form in the walls of your
digestive tract.
The inner layer of your intestine pushes through weak spots in the outer lining.
This pressure makes them bulge out, making little pouches. Most often it
happens in your colon, the lower part of your large intestine.
Common over age 60.
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
,A. Right lower lobe crackles.
Coarse crackles are lower-pitched and moist-sounding, like pouring water out of
a bottle or ripping open velcro. This lung sound is often a sign of adult
respiratory distress syndrome (ARDS), early congestive heart failure, asthma and
pulmonary edema
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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
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)
A. Azithromycin
Compared with erythromycin, clarithromycin and azithromycin offer improved
tolerability. Clarithromycin, however, is more similar to erythromycin in
pharmacokinetic measures such as half-life, tissue distribution, and drug
interactions.
Compared with erythromycin, azithromycin is more effective in the treatment of
mycoplasma pneumonia in children. Azithromycin can further shorten the
improvement time of clinical symptoms and signs and has few adverse reactions
and high safety. It is worth clinical application.
A 10-month old presents with a rash, runny nose, and cough. Examination
reveals a cluster of tiny white papules with an erythematous base on the buccal
mucosa. What does this suggest?
, A. Scarlet fever
B. Rubella-German Measles
C. Erythema infectiosum-5ths Disease-parvovirus B19
D. Measles-Rubeola
D. Measles
Rubeola, or Measles, two to three days after you first notice measles symptoms,
you may start to see tiny spots inside the mouth, all over the cheeks. These spots
are usually red with blue-white centers. They're called Koplik's spots, named for
pediatrician Henry Koplik who first described the early symptoms of measles in
1896. Koplik's spots should fade as the other measles symptoms disappear.
Within seven to 14 days feel like a cold or the flu, with a fever, cough, runny nose,
and sore throat. Often the eyes get red and runny. Three to five days later, a red
or reddish-brown rash forms and spreads down the body from head to foot.
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
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
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
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