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PSI FNP REAL EXAM AND STUDY GUIDE 170 QUESTIONS AND CORRECT ANSWERS LATEST VERSION //ALREADY GRADED A+ A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth that do not rub off when wiped with a 4 x 4$22.49
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PSI FNP REAL EXAM AND STUDY GUIDE 170 QUESTIONS AND CORRECT ANSWERS LATEST VERSION //ALREADY GRADED A+ A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth that do not rub off when wiped with a 4 x 4
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Course
PSI FNP REAL
Institution
PSI FNP REAL
PSI FNP REAL EXAM AND STUDY GUIDE 170 QUESTIONS
AND CORRECT ANSWERS LATEST VERSION 2024-
2025//ALREADY GRADED A+
A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth that do
not rub off when wiped with a 4 x 4. The patient should be evaluated for
P...
PSI FNP REAL EXAM AND STUDY GUIDE 170 QUESTIONS
AND CORRECT ANSWERS LATEST VERSION 2024-
2025//ALREADY GRADED A+
A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth that do
not rub off when wiped with a 4 x 4. The patient should be evaluated for:
A. HIV infection
B. Myelodysplastic syndrome
C. Congenital lymphoproliferative disease
D. non-Hodgkin's lymphoma - CORRECT ANSWER-A. HIV infection
A nurse practitioner is suturing a simple laceration on an 11-yo patient. The use of lidocaine with
epinephrine is contraindicated in all of the following areas EXCEPT the:
A. Scalp
B. Nose
C. Fingers
D. Earlobe - CORRECT ANSWER-A. Scalp
A common rule to follow when prescribing many medications for the elderly is to: - CORRECT ANSWER-
Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: - CORRECT
ANSWER-the meaning of a common proverb
Cremasteric Reflex - CORRECT ANSWER-a superficial (i.e., close to the skin's surface) reflex observed in
human males. This reflex is elicited by lightly stroking the superior and medial (inner) part of the thigh-
regardless of the direction of stroke. The normal response is an immediate contraction of the cremaster
muscle that pulls up the ipsilateral testis.
Edema from extravascular fluid retention is visible in conditions like - CORRECT ANSWER-heart failure,
nephrotic syndrome and liver failure.
,Drugs associated with weight gain include - CORRECT ANSWER-Tricyclic antidepressants, insulin and
sulfonulurea, contraceptives, glucocorticoids, progestational steroids, mirtazapine and paroxetine,
gabapentin and valproate and propanolol
Causes of weight loss include - CORRECT ANSWER-GI deases; endocrine disorders (diabetes,
hyperthyroidism, adrenal insufficiency); chronic infections, HIV/AIDS; malignancy; chronic cardiac,
pulmonary, or renal failure; depression; and anorexia nervosa or bulimia;
Appendicitis is a common cause of acute abdominal pain. - CORRECT ANSWER-Assess for positive
McBurney's point tenderness, Rovsing's sign, the psoas sign, and obturator sign.
Rovsing's sign - CORRECT ANSWER-Pain in the RIGHT lower quadrant during LEFT-sided pressure is a
positive Rovsing's sign. Indicates appendicitis
Psoas Sign - CORRECT ANSWER-Increased abdominal pain when patient attempts to raise thigh against
your hand or when asking the patient to extend their right leg at the hip. Indicates Appendicits
Oburator Sign - CORRECT ANSWER-right hypogastric pain constitiutes a positive obturator sign. Ask
patient to flex right thigh at the hip, with the knee bent, and rotate the leg internally at the hip.
What test is used to assess peripheral arterial disease (PAD)? - CORRECT ANSWER-ankle-brachial index.
Heberdens nodes - CORRECT ANSWER-Found at the distal interphalangeal joint (DIP). Seen in
osteoarthritis.
Finkelstein's Test - CORRECT ANSWER-If positive, Indicates de Quervain's tenosynovitis. Grasp the
thumb against the palm and then move the wrist toward the midline in the ulnar deviation
Carpal Tunnel maneuvers - CORRECT ANSWER-Tinnel's and Phalen's
,Evaluation of a meniscal tear using - CORRECT ANSWER-McMurray Sign and a locking on full knee
extension
Abduction (Valgus) stress test - CORRECT ANSWER-Evaluate for Medial Collateral Ligament (MCL) injury
Adduction (Varus) Stress test - CORRECT ANSWER-Evaluate for lateral collateral ligament (LCL) injury
Evaluation of Anterior Cruciate Ligament (ACL) injury - CORRECT ANSWER-Anterior Drawer sign and
Lachman test
Cranial nerve III, IV, VI - CORRECT ANSWER-Eye movement
Cranial Nerve V,VII,X,XII - CORRECT ANSWER-Voice and speech
- CORRECT ANSWER-
Cranial Nerve VIII - CORRECT ANSWER-Acoustic (Hearing and balance)
Cranial nerve IX - CORRECT ANSWER-Glossopharyngeal- swallowing and rise of the palate, gag reflex
- CORRECT ANSWER-
Cranial Nerve XI - CORRECT ANSWER-Spinal Accessory (upper trapezius)
, - CORRECT ANSWER-
Deep tendon reflex - CORRECT ANSWER-Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - CORRECT ANSWER-CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which of the
following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - CORRECT ANSWER-A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - CORRECT ANSWER-D. Grocery shopping
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