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FNP Study PSI 2 Exam with questions with Complete Solutions
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FNP Study PSI 2 Exam with questions withComplete Solutions
A nurse practitioner is evaluating an infant for possible colic. Which of the following could
indicate the need for a more extensive evaluation? - ✔3-oz (85 g) weight gain over the past
2 weeks
A 26-year-old female presents with abdominal distention, bloating, and intermittent crampy
abdominal pain relieved by defecation. She has four to six loose stools a day when stressed.
Between bouts of diarrhea, she often has constipation. Physical examination results are
normal. The CBC was normal. The most likely diagnosis is: - ✔irritable bowel syndrome.
An 87-year-old patient presents with round, pruritic plaques and small vesicles on the lower
legs. The most likely diagnosis is: - ✔nummular eczema.
The optimal treatment for latent tuberculosis is: - ✔isoniazid (Nydrazid) for 9 months.
A 46-year-old female found a lump in her breast this morning. History includes: no prior breast
disease; G2P2 (first birth, age 22); maternal aunt diagnosed with breast cancer at age 72; last
menstrual period was 2.5 weeks ago. On examination, a nurse practitioner palpates a 2-cm
, round, soft, mobile, tender lesion in the upper outer quadrant of the right breast.
Mammogram is negative. Which of the following actions is most appropriate? - ✔Schedule a
right-breast ultrasound
A 19-year-old patient who has used oral contraceptives for 3 years plans to discontinue the
pill at the end of her current cycle to become pregnant. Which of the following daily
supplements would receive the highest priority? - ✔Folic acid
In a 6-year-old child, which of the following is the preferred drug for stage 1 Lyme disease? -
✔Cefuroxime (Ceftin)
A 70-year-old patient presents to the clinic complaining of dyspnea, palpitations, and fatigue.
The patient reports a 2-week history of blackened stools, which the patient attributes to
drinking berry juice. Assessment reveals vital signs of BP = 110/60, P = 100, R = 24; Hgb = 4.5
g/dL; Hct = 16%. What is the most appropriate immediate intervention? - ✔Send to
the emergency room.
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is
fine, but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The
neighbor is concerned that the patient often has no money to buy food, despite income from
social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the
following is the nurse practitioner obligated to do next? - ✔Report the case to the proper
authorities.
A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool daily
at a local church day care program. The day before her diagnosis, she ate lunch with her mother
at a local restaurant. For which contact(s) would chemoprophylaxis with rifampin be
recommended? - ✔Preschool contacts in the past 7 days
During a well-child examination of an 18-month-old, premature tooth decay and inflamed
gums, particularly of the maxillary incisors, are noted. The approach to this problem includes:
- ✔referring the child to a dentist, assessing for bottle feeding and fluoride in local water.
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