ESTUDYR
PSI FNP UPDATED EXAM WITH MOST TESTED QUESTIONS AND
ANSWERS | GRADED A+ | ASSURED SUCCESS WITH DETAILED
RATIONALES
1.
A 14-year-old male with bronchitis treated with fluids and expectorants returns with fever
(103°F), right-sided pleuritic chest pain, and green sputum. Which physical exam finding is most
expected?
A. Bilateral wheezing
B. Decreased tactile fremitus
✅C. Right lower lobe crackles
D. Normal percussion note
Rationale: Bacterial pneumonia following bronchitis produces localized crackles, especially in
dependent lobes. Fremitus is increased, not decreased, with consolidation.
2.
A 2-year-old child is treated for radial head subluxation (nursemaid’s elbow). Which finding best
confirms successful reduction?
A. Immediate resolution of swelling
B. Restoration of pulses and sensation
✅C. The child begins using the affected arm spontaneously
D. Audible click during manipulation
Rationale: The gold standard of success is functional recovery, not examiner sensation or
swelling resolution.
3.
Which medication is an appropriate alternative to erythromycin for Mycoplasma pneumoniae
infection in an 18-year-old?
A. Amoxicillin
B. Cephalexin
C. Clindamycin
✅D. Azithromycin
,ESTUDYR
Rationale: Mycoplasma lacks a cell wall. Macrolides (azithromycin) are first-line therapy.
4.
A 10-month-old presents with cough, coryza, conjunctivitis, and tiny white papules on the buccal
mucosa with an erythematous base. This finding indicates:
A. Rubella
B. Scarlet fever
C. Erythema infectiosum
✅D. Measles
Rationale: Koplik spots are pathognomonic for measles.
5.
Spirometry before and after albuterol confirms asthma by demonstrating:
A. Oxygen saturation
B. Carbon dioxide retention
C. Restrictive lung disease
✅D. Reversible airway obstruction
Rationale: Asthma is defined by reversibility of airflow limitation after bronchodilator use.
6.
An 18-year-old presents with 14 days of maxillary pain and purulent nasal discharge. Best initial
treatment?
A. Erythromycin
B. Ceftriaxone
C. Levofloxacin
✅D. Amoxicillin-clavulanate
Rationale: Acute bacterial sinusitis >10 days requires first-line Augmentin.
, ESTUDYR
7.
Leading cause of cancer-related death among women?
A. Cervical cancer
B. Ovarian cancer
C. Breast cancer
✅D. Lung cancer
Rationale: Lung cancer exceeds breast cancer in mortality.
8.
A 29-year-old male with uncomplicated chlamydia most commonly presents with:
A. Urticaria
B. Penile ulcer
C. Green discharge
✅D. No symptoms
Rationale: Chlamydia is often asymptomatic, especially in men.
9.
To assess abstract thinking, which task is most appropriate?
A. Counting backward by 7s
B. Emergency response scenarios
C. Spelling a word backward
✅D. Interpreting a proverb
Rationale: Abstract reasoning is evaluated via proverb interpretation.
10.
When prescribing medications for elderly patients, the best general rule is:
A. Give all meds in the morning
B. Use full adult dosing
PSI FNP UPDATED EXAM WITH MOST TESTED QUESTIONS AND
ANSWERS | GRADED A+ | ASSURED SUCCESS WITH DETAILED
RATIONALES
1.
A 14-year-old male with bronchitis treated with fluids and expectorants returns with fever
(103°F), right-sided pleuritic chest pain, and green sputum. Which physical exam finding is most
expected?
A. Bilateral wheezing
B. Decreased tactile fremitus
✅C. Right lower lobe crackles
D. Normal percussion note
Rationale: Bacterial pneumonia following bronchitis produces localized crackles, especially in
dependent lobes. Fremitus is increased, not decreased, with consolidation.
2.
A 2-year-old child is treated for radial head subluxation (nursemaid’s elbow). Which finding best
confirms successful reduction?
A. Immediate resolution of swelling
B. Restoration of pulses and sensation
✅C. The child begins using the affected arm spontaneously
D. Audible click during manipulation
Rationale: The gold standard of success is functional recovery, not examiner sensation or
swelling resolution.
3.
Which medication is an appropriate alternative to erythromycin for Mycoplasma pneumoniae
infection in an 18-year-old?
A. Amoxicillin
B. Cephalexin
C. Clindamycin
✅D. Azithromycin
,ESTUDYR
Rationale: Mycoplasma lacks a cell wall. Macrolides (azithromycin) are first-line therapy.
4.
A 10-month-old presents with cough, coryza, conjunctivitis, and tiny white papules on the buccal
mucosa with an erythematous base. This finding indicates:
A. Rubella
B. Scarlet fever
C. Erythema infectiosum
✅D. Measles
Rationale: Koplik spots are pathognomonic for measles.
5.
Spirometry before and after albuterol confirms asthma by demonstrating:
A. Oxygen saturation
B. Carbon dioxide retention
C. Restrictive lung disease
✅D. Reversible airway obstruction
Rationale: Asthma is defined by reversibility of airflow limitation after bronchodilator use.
6.
An 18-year-old presents with 14 days of maxillary pain and purulent nasal discharge. Best initial
treatment?
A. Erythromycin
B. Ceftriaxone
C. Levofloxacin
✅D. Amoxicillin-clavulanate
Rationale: Acute bacterial sinusitis >10 days requires first-line Augmentin.
, ESTUDYR
7.
Leading cause of cancer-related death among women?
A. Cervical cancer
B. Ovarian cancer
C. Breast cancer
✅D. Lung cancer
Rationale: Lung cancer exceeds breast cancer in mortality.
8.
A 29-year-old male with uncomplicated chlamydia most commonly presents with:
A. Urticaria
B. Penile ulcer
C. Green discharge
✅D. No symptoms
Rationale: Chlamydia is often asymptomatic, especially in men.
9.
To assess abstract thinking, which task is most appropriate?
A. Counting backward by 7s
B. Emergency response scenarios
C. Spelling a word backward
✅D. Interpreting a proverb
Rationale: Abstract reasoning is evaluated via proverb interpretation.
10.
When prescribing medications for elderly patients, the best general rule is:
A. Give all meds in the morning
B. Use full adult dosing
