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FNP Certification Study Guide Questions and Answers
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FNP Certification Study Guide Questions and Answers
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FNP Certification Study Guide Questions and AnswersDescription of hives caused by allergy CORRECT ANS-The usual skin manifestation
associated with an allergic reaction is hives. It is urticarial and of rapid onset. Hives are
intensely pruritic, well circumscribed, raised, and erythematous.
Most common side effect of Lithium therapy CORRECT ANS-Nephrogenic diabetes
insipidus
Patients are cautioned to report frequent urination
Lithium accumulates in the collecting tubule cells and causes damage. This leads to changes in
antidiuretic hormone (ADH) production, sodium levels, and hypercalcemia. Other changes can
occur in the renal system such as mild renal insufficiency. Patients on lithium therapy should
be monitored closely for side effects and to ensure that lithium levels are maintained within
therapeutic range because lithium has a narrow therapeutic index.
Risk factors for osteoporosis CORRECT ANS-Age
Glucocorticoid intake
Excessive alcohol intake
Low body weight, cigarette smoking, rheumatoid arthritis, previous fracture, and parental
history of hip fracture
When to begin screening for diabetic nephropathy in patient with Type I DM CORRECT
ANS-5 years after diagnosis
, FNP Certification Study Guide Questions and Answers
Characteristics of aortic regurgitation CORRECT ANS-Long asymptomatic period followed
by exercise intolerance, then dyspnea at rest
How long can you wait after exposure to get immunization and still prevent tetanus?
CORRECT ANS-72 hours
Labs to order after starting pioglitazone? CORRECT ANS-Liver function tests after 2-3
months
Most common cause of pneumonia in very young children CORRECT ANS-Viral respiratory
infection
Foods high in purines CORRECT ANS-Protein
Kernig's sign CORRECT ANS-Patient lying supine, flex hip to 90 degrees
Kernig's sign = inability to straighten leg (pain)
Brudzinski's sign CORRECT ANS-Severe neck stiffness causes a patient's hips and knees to
flex when the neck is flexed
Which antibiotic should be used with caution for an elder with cardiac conduction issues?
CORRECT ANS-Ciprofloxacin
, FNP Certification Study Guide Questions and Answers
First sign of male sexual maturation? CORRECT ANS-Increased testicle size
Knee "locking" and "giving out" CORRECT ANS-Meniscal tear
The "get up and go" test for the elderly is used to evaluate: CORRECT ANS-Risk for falls
Which antihypertensive has secondary effect of improving osteoporosis? CORRECT ANS-
Thiazide diuretic
Which kind of lesion never blanches when pressure is applied? CORRECT ANS-Purpura or
petechiae
Recommended skin preparation to help with xerosis? CORRECT ANS-Petroleum-based
products
How long before pap smear to avoid sex, douching, etc? CORRECT ANS-48 hours
Pyloric stenosis CORRECT ANS-Most common time for this to occur is 3-6 weeks.
It rarely occurs after 12 weeks of age.
Babies who have episodes of projectile vomiting and who demand to be re-fed are called
"hungry vomiters" and a diagnosis of pyloric stenosis should be considered.
, FNP Certification Study Guide Questions and Answers
The olive shaped mass, if found, probably represents hypertrophy of the lateral edge of the
rectus abdominus muscle. It is most easily felt immediately after vomiting.
Standard for treating iron deficiency anemia in infants and children CORRECT ANS-Iron
supplementation in divided doses between meals with orange juice.
Infants and children need about 3-4 mg/kg/day of elemental iron in divided doses. Since iron
is better absorbed in an acidic environment, orange juice is recommended. Iron is better
absorbed on an empty stomach, so the preference is to take it between meals.
Sarcopenia CORRECT ANS-Lost muscle mass due to aging
Associated with increased falls, disability and impairment
In males, due to decrease in testosterone
When to discontinue warfarin CORRECT ANS-When INR is >9 or there is significant
bleeding
Primary lesions CORRECT ANS-Vesicles
Bullae
Cysts
Wheals
Indications for ACE inhibitors CORRECT ANS-hypertension
diabetes with proteinuria
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