ESTUDYR
FNP STUDY PSI 2 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS
WITH DETAILED RATIONALES
1. Cardiovascular risk reduction in a geriatric female
A geriatric female with long-standing, well-controlled hypertension has increased
weight and waist circumference. According to AHA guidelines, which goal is most
appropriate?
A. Resistance training twice weekly
B. Low-fat diet only
C. ⬛Moderate-intensity physical activity ≥30 minutes, ≥5 days/week
D. Weight loss of 20% body weight
Correct Answer: ⬛C
Rationale:
The AHA recommends at least 150 minutes/week of moderate aerobic activity
to reduce cardiovascular risk, especially in older adults.
2. Most common cause of cellulitis in diabetic patients
A. Streptococcus pyogenes
B. Pseudomonas aeruginosa
C. Escherichia coli
D. ⬛Staphylococcus aureus
Correct Answer: ⬛D
Rationale:
Staphylococcus aureus (including MRSA) is the most common pathogen causing
cellulitis in diabetics.
,ESTUDYR
3. Constipation in the frail elderly
Which age-related physiologic change most contributes to constipation?
A. Reduced fiber intake
B. Slowed gastric emptying
C. ⬛Decreased bowel muscle tone
D. Increased water absorption
Correct Answer: ⬛C
Rationale:
Aging causes reduced colonic smooth muscle tone and motility, leading to
constipation.
4. Most common sign of cervical cancer
A. Dysmenorrhea
B. Pelvic pain
C. Leukorrhea
D. ⬛Postcoital bleeding
Correct Answer: ⬛D
Rationale:
Postcoital bleeding is the most common early symptom of cervical cancer.
5. Diagnosing pinworm infestation
A child has nocturnal anal itching. Which test confirms the diagnosis?
A. Stool ova and parasite exam
B. Rectal culture
C. CBC with differential
D. ⬛Transparent tape test of perianal skin
Correct Answer: ⬛D
, ESTUDYR
Rationale:
Pinworms lay eggs on perianal skin at night; the tape test is diagnostic.
6. Congenital dysplasia of the hip is most common in:
A. Premature infants
B. Males
C. Firstborn males
D. ⬛Females
Correct Answer: ⬛D
Rationale:
Female infants are affected 4–5 times more often, related to ligament laxity.
7. Restarting warfarin postoperatively
After perioperative bridging with enoxaparin, warfarin should be restarted based
on:
A. Postoperative platelet count
B. Serum creatinine
C. ⬛Baseline PT and INR values
D. Time since surgery
Correct Answer: ⬛C
Rationale:
Warfarin dosing is guided by baseline and target INR, not by time alone.
8. Painful thyroid with low TSH
A patient with thyroid tenderness and TSH 0.3 µU/mL. What labs should be
ordered next?
FNP STUDY PSI 2 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS
WITH DETAILED RATIONALES
1. Cardiovascular risk reduction in a geriatric female
A geriatric female with long-standing, well-controlled hypertension has increased
weight and waist circumference. According to AHA guidelines, which goal is most
appropriate?
A. Resistance training twice weekly
B. Low-fat diet only
C. ⬛Moderate-intensity physical activity ≥30 minutes, ≥5 days/week
D. Weight loss of 20% body weight
Correct Answer: ⬛C
Rationale:
The AHA recommends at least 150 minutes/week of moderate aerobic activity
to reduce cardiovascular risk, especially in older adults.
2. Most common cause of cellulitis in diabetic patients
A. Streptococcus pyogenes
B. Pseudomonas aeruginosa
C. Escherichia coli
D. ⬛Staphylococcus aureus
Correct Answer: ⬛D
Rationale:
Staphylococcus aureus (including MRSA) is the most common pathogen causing
cellulitis in diabetics.
,ESTUDYR
3. Constipation in the frail elderly
Which age-related physiologic change most contributes to constipation?
A. Reduced fiber intake
B. Slowed gastric emptying
C. ⬛Decreased bowel muscle tone
D. Increased water absorption
Correct Answer: ⬛C
Rationale:
Aging causes reduced colonic smooth muscle tone and motility, leading to
constipation.
4. Most common sign of cervical cancer
A. Dysmenorrhea
B. Pelvic pain
C. Leukorrhea
D. ⬛Postcoital bleeding
Correct Answer: ⬛D
Rationale:
Postcoital bleeding is the most common early symptom of cervical cancer.
5. Diagnosing pinworm infestation
A child has nocturnal anal itching. Which test confirms the diagnosis?
A. Stool ova and parasite exam
B. Rectal culture
C. CBC with differential
D. ⬛Transparent tape test of perianal skin
Correct Answer: ⬛D
, ESTUDYR
Rationale:
Pinworms lay eggs on perianal skin at night; the tape test is diagnostic.
6. Congenital dysplasia of the hip is most common in:
A. Premature infants
B. Males
C. Firstborn males
D. ⬛Females
Correct Answer: ⬛D
Rationale:
Female infants are affected 4–5 times more often, related to ligament laxity.
7. Restarting warfarin postoperatively
After perioperative bridging with enoxaparin, warfarin should be restarted based
on:
A. Postoperative platelet count
B. Serum creatinine
C. ⬛Baseline PT and INR values
D. Time since surgery
Correct Answer: ⬛C
Rationale:
Warfarin dosing is guided by baseline and target INR, not by time alone.
8. Painful thyroid with low TSH
A patient with thyroid tenderness and TSH 0.3 µU/mL. What labs should be
ordered next?
