FNP Final exam(Actual test) 2022
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report reveals
the presence of Barrett's epithelium. Which of the following information should the clinician include in
the explanation of the pathology report? Correct Answer: A) This is a premalignant tissue.
B) This tissue is resistant to gastric acid.
C) This tissue supports healing of the esophagus.
D) All of the above
Answer D
On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache, anorexia,
and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable
drugs, and works as an aide in a day-care center. Which of the following tests would be most helpful in
confirming your diagnosis? Correct Answer: HAV IgM
Which statement about adenocarcinoma of the lung is accurate? Correct Answer: It is the most
prevalent carcinoma of the lung in both sexes and in nonsmokers, representing 35% to 40% of all
tumors.
Marci has a wart on her hand. She says she heard something about "silver duct tape therapy." What do
you tell her about his? Correct Answer: It is a simple treatment that should be tried first.
Which patient is more likely to have a cluster headache? Correct Answer: A 45-year-old male awakened
at night
Tinea unguium is also known as: Correct Answer: Onychomycosis.
Which of the following medications used in the treatment of glaucoma works by constricting the pupils
to open the angle and allow aqueous fluid to escape? Correct Answer: Pilocarpine
George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of 280 mg/dL, has a
systolic blood pressure (BP) of 158, and is being treated for hypertension. You are doing a Framingham
Risk Assessment on him. Which assessment factor would give him the highest number of points on the
scale? Correct Answer: His cholesterol level
Which of the following is "a linear crack extending from the epidermis to the dermis"? Correct Answer:
A fissure
A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which of
the following assessment findings would lead the clinician to a diagnosis of inflammatory bowel disease?
Correct Answer: History of international travel
, Which of the following is associated with celiac disease (celiac sprue)? Correct Answer: Malabsorption
In which of the following situations would referral to a specialist be needed for sinusitis? Correct
Answer: A) Recurrent sinusitis
B) Allergic sinusitis
C) Sinusitis that is refractory to antibiotic therapy
D) All of the above
Answer D
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? Correct Answer: Group A streptococcus
A bulla is: Correct Answer: A vesicle larger than 1 cm in diameter.
An example of ecchymosis is: Correct Answer: A bruise
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane. Correct
Answer: False
A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient
for which risk factors for kidney stones? Correct Answer: Hypertension
Which of the following foods should be limited in a patient with chronic renal failure (CRF)? Correct
Answer: A) Milk
B) Bananas
C) Soy sauce
D) All of the above
Answer D
John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game.
He described twisting his knee and then being unable to extend it completely. John tells the clinician
that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician
suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal
tear? Correct Answer: McMurray circumduction test
Which characteristic of delirium helps to distinguish delirium from dementia? Correct Answer: Abrupt
onset
When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and
oval to round shapes. What do you suspect they are? Correct Answer: spores
Which solution should be used when irrigating lacerated tissue over a wound on the arm? Correct
Answer: Saline irrigation or soapy water
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report reveals
the presence of Barrett's epithelium. Which of the following information should the clinician include in
the explanation of the pathology report? Correct Answer: A) This is a premalignant tissue.
B) This tissue is resistant to gastric acid.
C) This tissue supports healing of the esophagus.
D) All of the above
Answer D
On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache, anorexia,
and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable
drugs, and works as an aide in a day-care center. Which of the following tests would be most helpful in
confirming your diagnosis? Correct Answer: HAV IgM
Which statement about adenocarcinoma of the lung is accurate? Correct Answer: It is the most
prevalent carcinoma of the lung in both sexes and in nonsmokers, representing 35% to 40% of all
tumors.
Marci has a wart on her hand. She says she heard something about "silver duct tape therapy." What do
you tell her about his? Correct Answer: It is a simple treatment that should be tried first.
Which patient is more likely to have a cluster headache? Correct Answer: A 45-year-old male awakened
at night
Tinea unguium is also known as: Correct Answer: Onychomycosis.
Which of the following medications used in the treatment of glaucoma works by constricting the pupils
to open the angle and allow aqueous fluid to escape? Correct Answer: Pilocarpine
George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of 280 mg/dL, has a
systolic blood pressure (BP) of 158, and is being treated for hypertension. You are doing a Framingham
Risk Assessment on him. Which assessment factor would give him the highest number of points on the
scale? Correct Answer: His cholesterol level
Which of the following is "a linear crack extending from the epidermis to the dermis"? Correct Answer:
A fissure
A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which of
the following assessment findings would lead the clinician to a diagnosis of inflammatory bowel disease?
Correct Answer: History of international travel
, Which of the following is associated with celiac disease (celiac sprue)? Correct Answer: Malabsorption
In which of the following situations would referral to a specialist be needed for sinusitis? Correct
Answer: A) Recurrent sinusitis
B) Allergic sinusitis
C) Sinusitis that is refractory to antibiotic therapy
D) All of the above
Answer D
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? Correct Answer: Group A streptococcus
A bulla is: Correct Answer: A vesicle larger than 1 cm in diameter.
An example of ecchymosis is: Correct Answer: A bruise
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane. Correct
Answer: False
A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient
for which risk factors for kidney stones? Correct Answer: Hypertension
Which of the following foods should be limited in a patient with chronic renal failure (CRF)? Correct
Answer: A) Milk
B) Bananas
C) Soy sauce
D) All of the above
Answer D
John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game.
He described twisting his knee and then being unable to extend it completely. John tells the clinician
that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician
suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal
tear? Correct Answer: McMurray circumduction test
Which characteristic of delirium helps to distinguish delirium from dementia? Correct Answer: Abrupt
onset
When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and
oval to round shapes. What do you suspect they are? Correct Answer: spores
Which solution should be used when irrigating lacerated tissue over a wound on the arm? Correct
Answer: Saline irrigation or soapy water
