FNP Certification Exam Questions
36-12 months-old man with allergies has been treating his asthma with albuterol a couple of
times a week for the last few years. He reviews that for the ultimate month or so he has had
to use it lots greater often—"no longer each day, however almost." The nurse practitioner
ought to don't forget all the following besides:
Administering the Asthma Control Test questionnaire.
Spirometric assessment.
A entire symptom evaluation.
Adding an inhaled long-performing beta2-agonist. - ANS-Ans: Adding an inhaled
long-performing beta2-agonist.
A 12-day-vintage little one who's otherwise properly affords with a 2-day history of
inflammation of both eyes. He changed into born at a local birth middle and obtained
widespread newborn care together with ocular chemoprophylaxis. Examination
well-knownshows bilateral lid swelling, chemosis, and mucoid eye discharge. The most in all
likelihood motive of this circumstance is:
Chemical infection from neonatal ocular chemoprophylaxis.
Chlamydial (inclusion) conjunctivitis.
Gonococcal conjunctivitis.
Neonatal adenovirus contamination. - ANS-Ans: Chlamydial (inclusion) conjunctivitis.
A 12-yr-vintage boy presents with his mother for a nicely-infant go to. What is the maximum
beneficial method to this visit?
Interview and have a look at the kid in the absence of the mother.
Interview the child with the mom, asking her to go away for the exam.
Ask the child if he desires his mother to be there for the interview and exam.
Ask the mother if she needs to be protected inside the interview and examination - ANS-Ans:
Ask the child if he needs his mother to be there for the interview and examination.
A 14-month-antique female is added in for evaluation with the aid of her mother. She reports
that her daughter has been fussy for the past 3 days and tugging at her left ear. Evaluation
,exhibits slight bulging of the tympanic membrane and her temperature is 102.6ºF (39.2ºC).
The child has no stated medicine allergies and has no longer acquired any antimicrobials
within the beyond 3 months. You endorse:
Watchful waiting and follow-up in 3 days.
Amoxicillin (Amoxil®).
Clarithromycin (Biaxin®).
Levofloxacin (Levaquin®). - ANS-Ans: Amoxicillin (Amoxil®).
A 15-week-old infant provides with a fever of 100.5ᵒF (38.1ᵒC) and bilateral erythematous
tympanic membranes. The infant is alert with first-rate pores and skin turgor, no evidence of
difficulty breathing, recognizes her mother's face, and is carrying a wet diaper. Her dad and
mom document that she is vigorously nursing every three hours without vomiting or
immoderate stooling. The appropriate control might be to:
Counsel the mother to study for seventy two hours and return to health facility if there may
be no improvement.
Start topical therapy with otic antibiotic drops.
Initiate a sepsis workup.
Begin a systemic antibiotic routine. - ANS-Ans: Begin a systemic antibiotic routine.
A sixteen-12 months-old younger lady affords to you the day after a "condom destroy." She
is involved that she would possibly end up pregnant and is looking about emergency
contraception. Appropriate counseling approximately the usage of hormonal emergency
contraception (EC) consists of all of the following except:
An installed being pregnant will now not be interrupted.
There is set a 50% discount in being pregnant hazard with nicely-timed use.
There isn't any extended danger of start illness if being pregnant happens.
Ulipristal (ella®) is greater effective than levonorgestrel in days three-5 following unprotected
sex. - ANS-Ans: There is about a 50% reduction in pregnancy threat with properly-timed use.
A 17-12 months-antique woman offers complaining of left decrease abdominal and groin
pain. She admits that she has had a "mild length normal" for nearly 3 weeks. The
presumptive analysis of ectopic being pregnant is supported by using which of the following?
Positive urine hCG
,Negative pelvic ultrasound
Abdominal rebound tenderness
Breast pain - ANS-Ans: Positive urine hCG
A 19-yr-old female comes on your workplace to speak about beginning manipulate. She has
just emerge as sexually active and wants to be responsible. She has heard loads from her
buddies approximately "the tablet" (mixed oral contraception COC) and is looking you for
recommendation. You tell her that:
Premenstrual syndrome symptoms are frequently advanced with COC use.
Long-time period use is discouraged because the frame wishes a COC "relaxation" once in a
while.
The menstrual waft volume is normally elevated with COC use.
There is an boom in the fee of uterine cancer after protracted COC use. - ANS-Ans:
Premenstrual syndrome signs are regularly improved with COC use.
A 19-year-antique woman returns to get hold of her 1/3 dose of the HPV vaccine collection.
Her first two doses had been with the quadrivalent vaccine, but the practice currently best
shares the nine-valent HPV vaccine. The NP considers the exceptional direction of action is
to:
Complete her vaccination series with the nine-valent vaccine.
Defer finishing the vaccination collection till the quadrivalent vaccine is to be had inside the
exercise.
Refer her to a practice in which the quadrivalent vaccine is presently to be had.
Restart the series with the 9-valent vaccine and agenda her subsequent two doses inside 6
months. - ANS-Ans: Complete her vaccination collection with the nine-valent vaccine.
A 2-week-old boy is offered by means of his mom for assessment. The boy became born at
39 weeks' gestation and looks healthful. The mother expresses challenge about a place of
abnormal increase under his left ear. She states that he turned into born with a pinkish
"blotch" within the vicinity however has noticed a significant trade during the last few days.
Upon exam, you note a crimson slightly-protruding spongy mass about 0.5 cm in diameter.
For the little one defined above, the best initial treatment choice could be:
Corticosteroid injection.
Oral propranolol.
, Mohs surgical operation.
Laser remedy. - ANS-Ans: Oral propranolol.
A 20-yr-vintage male complains of being fatigued for the past week. The bodily exam is
full-size for anterior and posterior cervical lymphadenopathy and proper and left higher
quadrant stomach tenderness. A white blood cellular differential is enormous for
lymphocytosis with reactive bureaucracy. Which of the following additional findings does the
nurse practitioner assume?
Pharyngitis with exudate
Supraclavicular lymphadenopathy
Diffuse maculopapular rash
Marked sinus tenderness - ANS-Ans: Pharyngitis with exudate
A 20-yr-antique lady requests information approximately emergency contraception the usage
of high-dose progestin after having unprotected sexual intercourse about 18 hours in the
past. Today is day 12 of her usually 27-29 day menstrual cycle. You respond that:
The use of this sort of emergency contraception reduces the threat of pregnancy by using
about 33% if taken at this factor.
All sorts of emergency contraception have to be used within 18 hours of unprotected sex to
be effective.
The probability of being pregnant is minimum and emergency contraception isn't always
indicated.
Progestin-based totally emergency contraceptive is probably helpful in reducing being
pregnant chance when used as long as 120 hours publish sex. - ANS-Ans:
Progestin-primarily based emergency contraceptive is probable useful in reducing pregnancy
danger while used so long as one hundred twenty hours publish intercourse.
A 21 year antique girl with everyday BMI previous to being pregnant is now 38-weeks
pregnant. Her weight gain up to 28 weeks turned into 12 lbs (5.Forty five kg) and she has
gained 2 lbs (zero.9 kg) from 29 weeks to 38 weeks. Her weight advantage pattern is
maximum likely to affect her baby's:
Birth weight.
Head circumference.
Birth period.
Apgar ratings. - ANS-Ans: Birth weight
36-12 months-old man with allergies has been treating his asthma with albuterol a couple of
times a week for the last few years. He reviews that for the ultimate month or so he has had
to use it lots greater often—"no longer each day, however almost." The nurse practitioner
ought to don't forget all the following besides:
Administering the Asthma Control Test questionnaire.
Spirometric assessment.
A entire symptom evaluation.
Adding an inhaled long-performing beta2-agonist. - ANS-Ans: Adding an inhaled
long-performing beta2-agonist.
A 12-day-vintage little one who's otherwise properly affords with a 2-day history of
inflammation of both eyes. He changed into born at a local birth middle and obtained
widespread newborn care together with ocular chemoprophylaxis. Examination
well-knownshows bilateral lid swelling, chemosis, and mucoid eye discharge. The most in all
likelihood motive of this circumstance is:
Chemical infection from neonatal ocular chemoprophylaxis.
Chlamydial (inclusion) conjunctivitis.
Gonococcal conjunctivitis.
Neonatal adenovirus contamination. - ANS-Ans: Chlamydial (inclusion) conjunctivitis.
A 12-yr-vintage boy presents with his mother for a nicely-infant go to. What is the maximum
beneficial method to this visit?
Interview and have a look at the kid in the absence of the mother.
Interview the child with the mom, asking her to go away for the exam.
Ask the child if he desires his mother to be there for the interview and exam.
Ask the mother if she needs to be protected inside the interview and examination - ANS-Ans:
Ask the child if he needs his mother to be there for the interview and examination.
A 14-month-antique female is added in for evaluation with the aid of her mother. She reports
that her daughter has been fussy for the past 3 days and tugging at her left ear. Evaluation
,exhibits slight bulging of the tympanic membrane and her temperature is 102.6ºF (39.2ºC).
The child has no stated medicine allergies and has no longer acquired any antimicrobials
within the beyond 3 months. You endorse:
Watchful waiting and follow-up in 3 days.
Amoxicillin (Amoxil®).
Clarithromycin (Biaxin®).
Levofloxacin (Levaquin®). - ANS-Ans: Amoxicillin (Amoxil®).
A 15-week-old infant provides with a fever of 100.5ᵒF (38.1ᵒC) and bilateral erythematous
tympanic membranes. The infant is alert with first-rate pores and skin turgor, no evidence of
difficulty breathing, recognizes her mother's face, and is carrying a wet diaper. Her dad and
mom document that she is vigorously nursing every three hours without vomiting or
immoderate stooling. The appropriate control might be to:
Counsel the mother to study for seventy two hours and return to health facility if there may
be no improvement.
Start topical therapy with otic antibiotic drops.
Initiate a sepsis workup.
Begin a systemic antibiotic routine. - ANS-Ans: Begin a systemic antibiotic routine.
A sixteen-12 months-old younger lady affords to you the day after a "condom destroy." She
is involved that she would possibly end up pregnant and is looking about emergency
contraception. Appropriate counseling approximately the usage of hormonal emergency
contraception (EC) consists of all of the following except:
An installed being pregnant will now not be interrupted.
There is set a 50% discount in being pregnant hazard with nicely-timed use.
There isn't any extended danger of start illness if being pregnant happens.
Ulipristal (ella®) is greater effective than levonorgestrel in days three-5 following unprotected
sex. - ANS-Ans: There is about a 50% reduction in pregnancy threat with properly-timed use.
A 17-12 months-antique woman offers complaining of left decrease abdominal and groin
pain. She admits that she has had a "mild length normal" for nearly 3 weeks. The
presumptive analysis of ectopic being pregnant is supported by using which of the following?
Positive urine hCG
,Negative pelvic ultrasound
Abdominal rebound tenderness
Breast pain - ANS-Ans: Positive urine hCG
A 19-yr-old female comes on your workplace to speak about beginning manipulate. She has
just emerge as sexually active and wants to be responsible. She has heard loads from her
buddies approximately "the tablet" (mixed oral contraception COC) and is looking you for
recommendation. You tell her that:
Premenstrual syndrome symptoms are frequently advanced with COC use.
Long-time period use is discouraged because the frame wishes a COC "relaxation" once in a
while.
The menstrual waft volume is normally elevated with COC use.
There is an boom in the fee of uterine cancer after protracted COC use. - ANS-Ans:
Premenstrual syndrome signs are regularly improved with COC use.
A 19-year-antique woman returns to get hold of her 1/3 dose of the HPV vaccine collection.
Her first two doses had been with the quadrivalent vaccine, but the practice currently best
shares the nine-valent HPV vaccine. The NP considers the exceptional direction of action is
to:
Complete her vaccination series with the nine-valent vaccine.
Defer finishing the vaccination collection till the quadrivalent vaccine is to be had inside the
exercise.
Refer her to a practice in which the quadrivalent vaccine is presently to be had.
Restart the series with the 9-valent vaccine and agenda her subsequent two doses inside 6
months. - ANS-Ans: Complete her vaccination collection with the nine-valent vaccine.
A 2-week-old boy is offered by means of his mom for assessment. The boy became born at
39 weeks' gestation and looks healthful. The mother expresses challenge about a place of
abnormal increase under his left ear. She states that he turned into born with a pinkish
"blotch" within the vicinity however has noticed a significant trade during the last few days.
Upon exam, you note a crimson slightly-protruding spongy mass about 0.5 cm in diameter.
For the little one defined above, the best initial treatment choice could be:
Corticosteroid injection.
Oral propranolol.
, Mohs surgical operation.
Laser remedy. - ANS-Ans: Oral propranolol.
A 20-yr-vintage male complains of being fatigued for the past week. The bodily exam is
full-size for anterior and posterior cervical lymphadenopathy and proper and left higher
quadrant stomach tenderness. A white blood cellular differential is enormous for
lymphocytosis with reactive bureaucracy. Which of the following additional findings does the
nurse practitioner assume?
Pharyngitis with exudate
Supraclavicular lymphadenopathy
Diffuse maculopapular rash
Marked sinus tenderness - ANS-Ans: Pharyngitis with exudate
A 20-yr-antique lady requests information approximately emergency contraception the usage
of high-dose progestin after having unprotected sexual intercourse about 18 hours in the
past. Today is day 12 of her usually 27-29 day menstrual cycle. You respond that:
The use of this sort of emergency contraception reduces the threat of pregnancy by using
about 33% if taken at this factor.
All sorts of emergency contraception have to be used within 18 hours of unprotected sex to
be effective.
The probability of being pregnant is minimum and emergency contraception isn't always
indicated.
Progestin-based totally emergency contraceptive is probably helpful in reducing being
pregnant chance when used as long as 120 hours publish sex. - ANS-Ans:
Progestin-primarily based emergency contraceptive is probable useful in reducing pregnancy
danger while used so long as one hundred twenty hours publish intercourse.
A 21 year antique girl with everyday BMI previous to being pregnant is now 38-weeks
pregnant. Her weight gain up to 28 weeks turned into 12 lbs (5.Forty five kg) and she has
gained 2 lbs (zero.9 kg) from 29 weeks to 38 weeks. Her weight advantage pattern is
maximum likely to affect her baby's:
Birth weight.
Head circumference.
Birth period.
Apgar ratings. - ANS-Ans: Birth weight
