FNP pre-test Review
1. (2) You are reading an evidence based article published in a refereed journal
and note a confidence interval (CI) related to the following statement:
“Terminally ill bone cancer patient in the final stages of illness have several
episodes of illness have several episodes of nausea every 24 hours.” Which
of the following is true?
a. The smaller the CI, less value deviate from the mean
b. The larger the CI, the more precise the range of values
c. The smaller the CI, the more deviates from the mean
d. The smaller the CI, the more precise the range of values.
*A smaller CI indicates more precise the information. The CI is a specified
probability that includes the parameter being estimated.
2. (5) Brenda, 57, is a mother of three and was diagnosed with Prinzmetal’s
angina. Which medication classification is most indicated for this patient’s
treatment and control?
a. Glycoprotein IIb/IIa inhibitors
b. Angiotensin II converting enzyme inhibitors
c. Beta blockers
d. Calcium channel blockers
*Prinzmetal’s angina is the result of coronary vasospasm, rather than
atherosclerosis. Prinzmetal’s (variant) occurs at various times, including rest.
Levine’s sign—“clenched fist sign” 90% diagnostic for angina. ST elevation on MI
and Prinzmetal’s (p. 315)
3. (20) A caretaker is taking an Alzheimer’s patient for a walk and hands him his
jacket. However, the patient merely looks back at the caretaker and stares, as
though he is confused. What should the caretaker do?
a. Put the jacket on the patient
b. Assume that the patient doesn’t need that coat and continue the walk
c. Cancel the walk and reschedule for another time.
d. Remind the patient by telling him to put his jacket on again.
*Patient seemingly confused state describes a classic example of apraxia, the
inability to perform a previously learned task. Apraxia is a common finding of AD.
, 2
A reminder would not lead the patient to put on the jacket as he has forgotten
how to complete the task at hand.
4. (25) You are examining an infant with red-brown vesiculopapular lesions and
curved burrows on the head, neck, palms and soles. The infant appears to
have sensations of intense itching. Which of the following dermatologic
conditions is the most likely cause of the infant’s findings?
a. Scabies
b. Molluscum contagiosum
c. Atopic dermatitis
d. Varicella zoster
*Unlike scabies in adults, infants patient do not present with lesions on the skin
folds. The presence of curved burrows help to distinguish scabies from varicella
zoster virus. (p. 102) Scabies is highly contagious skin infestation caused by
parasitic mite that burrows into stratum corneum. Spread through the direct or
indirect contact with personal item. S/S: intense itching, irritability in infants, linear
curved burrows.
Infants—red-brown vesiculopapular lesions on head, neck, palms, or soles.
Older children—red papules on skin folds, umbilicus, or abdomen (hand between
fingers).
5. (28) You have been assisting a patient with AIDS over the past year. What
medication does an AIDS patient usually take daily for Pneumocystis jirovecii
pneumonia prophylaxis?
a. Penicillin G
b. Trimethropin-sulfamethoxazole
c. Valacyclovir
d. Azithromycin
*Bactrim for Pneumocystis jirovecii pneumonia prophylaxis (p. 238).
6. (29) Susan, a 47-year-old female, presents with blue sclera, a triangular face,
and complaints of a loss of hearing. Based on these manifestations, which of
the following genetic disorders would you attribute to Susan?
a. Osteogenesis imperfect
b. Valgum syndrome