lOMoARcPSD|66458793
FAMILY NURSE PRACTITIONER EXAM
QUESTIONS AND ANSWERS 2024
UPDATED (ACTUAL EXAM) GRADED A+.
Trauma to Kiesselbachs plexus: - Precise answerWill result in an anterior
nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia,
and alpha or beta thalassemia: - Precise answerHemoglobin
om
electrophoresis
Erythromycin "allergy" vs adverse reaction: - Precise answerAdverse
c
reaction-symptoms of nausea or GI upset e.
allergy -hives, angioedema
on
Acute mononucleosis: - Precise answerPt will most likely be a teen
D
presenting w classic triad of sore throat, prolonged fatigue, and enlarged
cervical nodes.
er
w
Alpha thalassemia: - Precise answerMore common among Southeast
ns
Asians such as, Indian, Chinese, or Filipino descent
A
Lupus - Precise answerMalar rash(butterfly rash)Pts need to avoid or to
minimize sunlight exposure(photosensitivity)
Tx polymyalgic rheumatica(PMR) - Precise answer1st line tx for PMR
includes long-term steroids. Long term steroids are commonly used to
control symptoms(pain, stiffness on shoulders, and hip girdle). PMR pts
have higher risk for temporal arteritis.
Gold standard exam for temporal arteritis: - Precise answerBiopsy of the
temporal artery. refer pt to opthalmologist for mgt
Finkelstein's test: - Precise answerPositive in De Quervains tenosynovitis
Downloaded by answer done ()
, lOMoARcPSD|66458793
Anterior Drawer maneuver and Lachman maneuver: - Precise
answerPositive if anterior cruciate ligament (ACL) of knee damaged. The
knee may also be unstable
McMurray's sign: - Precise answerPositive in meniscus injuries of the knee
Damaged Joints: - Precise answerOrder X-ray first, but MRI is the Gold
Standard
Diabetic retinopathy: - Precise answerNeovascularization, hard exudates,
cotton wool spots, and micoaneurysms
Hypertensive retinopathy: - Precise answerAV nicking, silver and or
copper wire arterioles
om
Checking deep tendon reflexes: - Precise answerabsent(0),
c
hypoactive (1) e.
normal(2)
on
hyperactive(3)
clonus(4)
D
Clonus: - Precise answerClonus is typically seen in patients with stroke,
er
multiple sclerosis, spinal cord damage and hepatic encephalopathy.
w
Clonus has also appeared after ingesting potent serotonergic drugs, where
ingestion strongly predicts imminent serotonin toxicity (serotonin
ns
syndrome).
A
Clonus is a series of involuntary, rhythmic, muscular contractions and
relaxations.
Clonus is a sign of certain neurological conditions, particularly associated
with upper motor neuron lesions involving descending motor pathways, and
in many cases is, accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as
fasciculations (usually caused by lower motor neuron pathology), clonus
causes large motions that are usually initiated by a reflex.
A rare but serious adverse effect of ACE inhibitors is: - Precise
answerAngioedema
A common side effect of ACE inhibitors is a - Precise answerDry
cough(10%)
Downloaded by answer done ()
, lOMoARcPSD|66458793
1st line drug to tx htn in DM & pts w mild renal dz bc of their renal
protective properties: - Precise answerACE inhibitors or ARBS
Penicillin: - Precise answerAmoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: - Precise answerErythromycin, azithromycin(Z-Pack), or
clarithromycin(Biaxin)
Cephalosporins: - Precise answer1st generation(Keflex), 2nd
generation(Cefaclor, Ceftin, Cefzil)3rd generation(Rocephin, Suprax,
Omnicef)
Quinolones w gram positive coverage: - Precise
om
answerLevofloxacin(Levaquin), moxifloxacin(Avelox), gatifloxacin(Tequin)
c
Quinolones: - Precise answerCiprofloxacin(Cipro), ofloxacin(Floxin)e.
on
Sulfa: - Precise answerTrimethoprim/sulfamethazole(Bactrim, Septra),
nitrofurantoin(Macrobid),
D
Tetracyclines: - Precise answerTetracycline, doxycycline,
er
minocycline(Minocin)
w
NSAID: - Precise answerIbuprofen, naproxen(aleve, Anaprox)
ns
A
Cox-2 inhibitors: - Precise answerCelecoxib (celebrex)
Antitussives: - Precise answerDextromorphan(Robitussin),
benzonate(Tessalon Perles)
Drugs allowed for pregnant or lactating women: - Precise answerCategory
B
Pregnancy in pain: - Precise answerTylenol instead of Ibuprofen
Avoid nitrofurantoin & sulfa drugs during 3rd trimester: - Precise
answerIncrease the risk of hyperbilirubinemia
Downloaded by answer done ()
, lOMoARcPSD|66458793
Best way method of spreading viruses or bacteria: - Precise
answerMaking them airborne or nebulized
Tx cutaneous anthrax: - Precise answerCiprofloxacin 500mg orally BID for
60 days or 8 weeks. If pt allergic to ciprofloxacin , use doxycycline 100mg
BID
Good communication rules: - Precise answerAsk open ended questions,
do not reassure patients, avoid angering the patient, and respect the
patients culture.
Primary vs secondary: - Precise answer"Will performing this action
prevent the disease or the social condition from happening? If it does, then
it is considered as primary prevention(if it doesn, then it is secondary)
om
Breast self exam and genital self exam: - Precise answerConsidered
c
secondary prevention e.
on
Tertiary prevention: - Precise answerInvolves not only rehabilitation, but
also includes actiivities that will help to prevent complications from disease
D
treatment, such as patient education about medication side effects or the
proper use of equipment such as cane. Support groups for a disease
er
/condition are all considered as part of a tertiary prevention activity.
w
Primary prevention: - Precise answer(Prevent disease.injury/condition)-
ns
youth violence prevention, bullying prevention, presonal safety promotion,
A
disease prevention-immunization, using suncreen, healthy lifestyle
promotion, promotion of OSHA lawas-workplace safety, EPA laws-clean
water, anipollution laws
Secondary prevention: - Precise answer(Detect disease.condition as Early
as Possible)
any lab test to screen disease, US preventive Services Task Force-
screening rec-mammograms, PSA, PPD, screening for high risk behaviour-
suicide, depression, personal action to detect cancer
Tertiary prevention: - Precise answer(Limiting Further harm and disability)
All types of rehabilitation-cardiac, pt/ot, speech therapy, addition/drug
rehab, support groups, exercise for an obese person
Downloaded by answer done ()
FAMILY NURSE PRACTITIONER EXAM
QUESTIONS AND ANSWERS 2024
UPDATED (ACTUAL EXAM) GRADED A+.
Trauma to Kiesselbachs plexus: - Precise answerWill result in an anterior
nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia,
and alpha or beta thalassemia: - Precise answerHemoglobin
om
electrophoresis
Erythromycin "allergy" vs adverse reaction: - Precise answerAdverse
c
reaction-symptoms of nausea or GI upset e.
allergy -hives, angioedema
on
Acute mononucleosis: - Precise answerPt will most likely be a teen
D
presenting w classic triad of sore throat, prolonged fatigue, and enlarged
cervical nodes.
er
w
Alpha thalassemia: - Precise answerMore common among Southeast
ns
Asians such as, Indian, Chinese, or Filipino descent
A
Lupus - Precise answerMalar rash(butterfly rash)Pts need to avoid or to
minimize sunlight exposure(photosensitivity)
Tx polymyalgic rheumatica(PMR) - Precise answer1st line tx for PMR
includes long-term steroids. Long term steroids are commonly used to
control symptoms(pain, stiffness on shoulders, and hip girdle). PMR pts
have higher risk for temporal arteritis.
Gold standard exam for temporal arteritis: - Precise answerBiopsy of the
temporal artery. refer pt to opthalmologist for mgt
Finkelstein's test: - Precise answerPositive in De Quervains tenosynovitis
Downloaded by answer done ()
, lOMoARcPSD|66458793
Anterior Drawer maneuver and Lachman maneuver: - Precise
answerPositive if anterior cruciate ligament (ACL) of knee damaged. The
knee may also be unstable
McMurray's sign: - Precise answerPositive in meniscus injuries of the knee
Damaged Joints: - Precise answerOrder X-ray first, but MRI is the Gold
Standard
Diabetic retinopathy: - Precise answerNeovascularization, hard exudates,
cotton wool spots, and micoaneurysms
Hypertensive retinopathy: - Precise answerAV nicking, silver and or
copper wire arterioles
om
Checking deep tendon reflexes: - Precise answerabsent(0),
c
hypoactive (1) e.
normal(2)
on
hyperactive(3)
clonus(4)
D
Clonus: - Precise answerClonus is typically seen in patients with stroke,
er
multiple sclerosis, spinal cord damage and hepatic encephalopathy.
w
Clonus has also appeared after ingesting potent serotonergic drugs, where
ingestion strongly predicts imminent serotonin toxicity (serotonin
ns
syndrome).
A
Clonus is a series of involuntary, rhythmic, muscular contractions and
relaxations.
Clonus is a sign of certain neurological conditions, particularly associated
with upper motor neuron lesions involving descending motor pathways, and
in many cases is, accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as
fasciculations (usually caused by lower motor neuron pathology), clonus
causes large motions that are usually initiated by a reflex.
A rare but serious adverse effect of ACE inhibitors is: - Precise
answerAngioedema
A common side effect of ACE inhibitors is a - Precise answerDry
cough(10%)
Downloaded by answer done ()
, lOMoARcPSD|66458793
1st line drug to tx htn in DM & pts w mild renal dz bc of their renal
protective properties: - Precise answerACE inhibitors or ARBS
Penicillin: - Precise answerAmoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: - Precise answerErythromycin, azithromycin(Z-Pack), or
clarithromycin(Biaxin)
Cephalosporins: - Precise answer1st generation(Keflex), 2nd
generation(Cefaclor, Ceftin, Cefzil)3rd generation(Rocephin, Suprax,
Omnicef)
Quinolones w gram positive coverage: - Precise
om
answerLevofloxacin(Levaquin), moxifloxacin(Avelox), gatifloxacin(Tequin)
c
Quinolones: - Precise answerCiprofloxacin(Cipro), ofloxacin(Floxin)e.
on
Sulfa: - Precise answerTrimethoprim/sulfamethazole(Bactrim, Septra),
nitrofurantoin(Macrobid),
D
Tetracyclines: - Precise answerTetracycline, doxycycline,
er
minocycline(Minocin)
w
NSAID: - Precise answerIbuprofen, naproxen(aleve, Anaprox)
ns
A
Cox-2 inhibitors: - Precise answerCelecoxib (celebrex)
Antitussives: - Precise answerDextromorphan(Robitussin),
benzonate(Tessalon Perles)
Drugs allowed for pregnant or lactating women: - Precise answerCategory
B
Pregnancy in pain: - Precise answerTylenol instead of Ibuprofen
Avoid nitrofurantoin & sulfa drugs during 3rd trimester: - Precise
answerIncrease the risk of hyperbilirubinemia
Downloaded by answer done ()
, lOMoARcPSD|66458793
Best way method of spreading viruses or bacteria: - Precise
answerMaking them airborne or nebulized
Tx cutaneous anthrax: - Precise answerCiprofloxacin 500mg orally BID for
60 days or 8 weeks. If pt allergic to ciprofloxacin , use doxycycline 100mg
BID
Good communication rules: - Precise answerAsk open ended questions,
do not reassure patients, avoid angering the patient, and respect the
patients culture.
Primary vs secondary: - Precise answer"Will performing this action
prevent the disease or the social condition from happening? If it does, then
it is considered as primary prevention(if it doesn, then it is secondary)
om
Breast self exam and genital self exam: - Precise answerConsidered
c
secondary prevention e.
on
Tertiary prevention: - Precise answerInvolves not only rehabilitation, but
also includes actiivities that will help to prevent complications from disease
D
treatment, such as patient education about medication side effects or the
proper use of equipment such as cane. Support groups for a disease
er
/condition are all considered as part of a tertiary prevention activity.
w
Primary prevention: - Precise answer(Prevent disease.injury/condition)-
ns
youth violence prevention, bullying prevention, presonal safety promotion,
A
disease prevention-immunization, using suncreen, healthy lifestyle
promotion, promotion of OSHA lawas-workplace safety, EPA laws-clean
water, anipollution laws
Secondary prevention: - Precise answer(Detect disease.condition as Early
as Possible)
any lab test to screen disease, US preventive Services Task Force-
screening rec-mammograms, PSA, PPD, screening for high risk behaviour-
suicide, depression, personal action to detect cancer
Tertiary prevention: - Precise answer(Limiting Further harm and disability)
All types of rehabilitation-cardiac, pt/ot, speech therapy, addition/drug
rehab, support groups, exercise for an obese person
Downloaded by answer done ()
