FNP/MSN Primary Exam 1 Newest 2024 -
2025 Actual Exam Questions with Correct
Verified Answers/ Graded A+
A patient presents to the clinician complaining of ear pain. On examination, the clinician
finds that the patient has tenderness on traction of the pinna as well as when applying
pressure over the tragus. These findings are classic signs of which condition? - Correct
Answer - Otitis externa
Otitis media is considered chronic when: - Correct Answer - Inflammation persists more
than 3 months with intermittent or persistent optic discharge.
The most significant precipitating event leading to otitis media with effusion is: - Correct
Answer - Viral upper respiratory infection (URI)
Patients with acute otitis media should be referred to a specialist in which of the
following situations? - Correct Answer - D. all of the above: Concurrent vertigo or ataxia,
Failed closure of a ruptured tympanic membrane, if symptoms worsen after 3 or 4 days
of treatment
Sinusitis is considered chronic when there are episodes of prolonged inflammation with
repeated or inadequately treated acute infection lasting greater than: - Correct Answer -
12 weeks
Which of the following antibiotics provides the best coverage in acute or chronic
sinusitis when gram-negative organisms are suspected? - Correct Answer -
Levofloxacin
Which of the following medications used in the treatment of glaucoma works by
constricting the pupils to open the angle and allow aqueous fluid to escape? - Correct
Answer - Pilocarpine
pg. 1
,Which of the following would be considered the research design for Level I evidence?
a. Single, well-designed randomized clinical trial
b. Systematic review of randomized clinical trial studies
c. Well-designed controlled trials without randomization
d. Systematic reviews of descriptive or qualitative studies - Correct Answer - Systematic
review of randomized clinical trial studies
Which of the following would be considered the research design for Level II evidence?
a. Single descriptive or qualitative study
b. Well-designed case control or cohort studies
c. Single, well-designed, randomized clinical trial
d. Systematic review of randomized clinical trial studies - Correct Answer - Single, well-
designed, randomized clinical trial
Which of the following would be considered the research design for Level III evidence?
a. Well-designed controlled trials without randomization
b. Systematic reviews of descriptive or qualitative studies
c. Systematic review of randomized clinical trial studies
d. Opinion of authorities and expert committees - Correct Answer - Well-designed
controlled trials without randomization
In which of the following situations would referral to a specialist be needed for sinusitis?
- Correct Answer - D. All of the above: Recurrent sinusitis, Allergic sinusitis, Sinusitis
that is refractory to antibiotic therapy
Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? -
Correct Answer - Vincent's stomatitis
The presence of hairy leukoplakia in a person with no other symptoms of immune
suppression is strongly suggestive of which type of infection? - Correct Answer - HIV
pg. 2
, Heart valve damage resulting from acute rheumatic fever is a long-term sequela
resulting from infection with which of the following pathogens? - Correct Answer - Group
A streptococcus, Rheumatic fever
A patient presents with the following signs and symptoms: gradual onset of low-grade
fever, marked fatigue, severe sore throat, and posterior cervical lymphadenopathy.
Based on the signs and symptoms alone, which of the following conditions is most likely
the cause? - Correct Answer - Mononucleosis
A patient presents to the clinician with a sore throat, fever of 100.7F, and tender anterior
cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid
strep test that is negative. What would the next step be? - Correct Answer - c. A throat
culture should be performed to confirm the results of the rapid strep test.
Which of the following would be considered the research design for Level IV evidence?
a. Single descriptive or qualitative study
b. Opinion of authorities and expert committees
c. Systematic review of randomized clinical trial studies
d. Well-designed controlled trials without randomization - Correct Answer - Well-
designed controlled trials without randomization
Which of the following would be considered the research design for Level V evidence?
a. Systematic review of randomized clinical trial studies
b. Well-designed controlled trials without randomization
c. Systematic reviews of descriptive or qualitative studies
d. Single descriptive or qualitative study - Correct Answer - Systematic reviews of
descriptive or qualitative studies
Which of the following would be considered the research design for Level VI evidence?
a. Systematic reviews of descriptive or qualitative studies
b. Opinion of authorities and expert committees
pg. 3
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