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PSI FNP Exam with questions with Complete Solutions
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PSI FNP Exam with questions with CompleteSolutions
A geriatric male, who is a 30-packs a year smoker, presents with wheezing and dyspnea. His
chest X-ray shows a flattened diaphragm and an increased retrosternal chest space. There
are decreased vascular markings. The most likely diagnosis is: - ✔COPD
Smoking marijuana leads to which of the following? - ✔increased heart rate
For a late adolescent with acquired hypothyroidism who has been stable, a follow-up
evaluation should be performed every: - ✔6-12 months
An adult male with a BMI of 19 and continued GERD presents for a follow-up visit after using
over the counter famotidine (Pepcid) for six weeks. Which of the following is the best NEXT
treatment option for this patient? - ✔Prescribe a proton pump inhibitor
A confused elderly female presents for the first time accompanied by her daughter. The
patient is taking glipizide-metformin, lisinopril, glargine, aspirin, and a multivitamin. Which of
the following is the MOST likely cause of the patient's symptoms? - ✔hypoglycemia
A geriatric male presents late in the day. The nurse practitioner suspects bacterial pneumonia,
prescribes antibiotics, and sends the patient home. The next day, the patient returns, but has
not improved. Which of the following findings would be an indication for hospital admission? -
✔confused mental status
, A nurse practitioner is assessing a 4-day-old newborn. The parents brought the patient into
the clinic the day before for concerns regarding breastfeeding. The newborn was assessed as
jaundiced with a bilirubin level of 12 mg/dL (elevated). The parents were instructed to increase
breastfeeding and to return to the clinic today. Today's assessment shows the newborn
continues with jaundice and the bilirubin level is now 15.2 mg/dL. The nurse practitioner
should: - ✔prescribe phototherapy for the infant
An elderly patient with type 2 diabetes mellitus has been well-controlled on glipizide and
recently developed stage 1 hypertension. After 3 months of lifestyle therapy, the patient is
still not at goal blood pressure. Which drug class would be the BEST choice? - ✔ACE inhibitor
A geriatric male patient is being followed for type 2 diabetes mellitus and hypertension. He also has
a diagnosis of polycythemia vera and has regular phlebotomies to control this. Which of the
following statements about this patient is true? - ✔He should avoid dietary iron supplements
An adult patient reports increasingly frequent migraines, especially upon rising in the
morning. The headaches have been successfully managed in the past with acetaminophen
(Tylenol) and isometheptene mucate (Midrin) PRN, and a neurological etiology has been ruled
out. Which drug would be recommended for prophylactic migraine management in this case?
- ✔Propranolol HCl (Inderal), 40 mg BID
Long-term management of a patient with stable COPD includes: - ✔annual
influenza vaccination
A child with refractory retentive encopresis has been treated with a laxative protocol. What
is the next step in this patient's treatment plan? - ✔referral to a gastroenterologist
A mother brings her 8-week-old to the clinic who has been inconsolably crying for the last 3
days. After completing a thorough physical exam with normal findings, which of the
following diagnostic tests should the nurse practitioner order next? - ✔urine culture
In a mass casualty situation with presumed anthrax exposure, the drug of choice for
prophylaxis is: - ✔doxycycline (Doryx)
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