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PSI FNP Practice- Test Questions and Answers
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PSI FNP Practice- Test Questions and Answers
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PSI FNP Practice- Test Questions and AnswersThe 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 ANS-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:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx) CORRECT ANS-D. Doxycycline
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?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
, PSI FNP Practice- Test Questions and Answers
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test CORRECT ANS-A. Folstein 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:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia CORRECT ANS-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 1/35
D. Providing reassurance CORRECT ANS-D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
, PSI FNP Practice- Test Questions and Answers
D. Celebrex CORRECT ANS-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 ANS-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 ANS-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
, PSI FNP Practice- Test Questions and Answers
intact. No redness or ecchymosis is present. What is the next step that should be taken in
order to make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG CORRECT ANS-A. Palpate the structures around the shoulder
A 17 year old femlae 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?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea CORRECT ANS-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:
A. Obtain an EKG
B. Obtain an Echocardiogram
C. Reevaluate the patient in 10 days
D. Refer the patient to a cardiologist CORRECT ANS-C. Reevaluate the patient in 10 days
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