PSI FNP Practice
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to the clinic with a
fever of 103F, right pleuritic chest pain, and green sputum. Which of the following examination results
would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion Correct Answer: A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After closed
manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm Correct Answer: C. The child quickly
begins to use the affected arm.
Which of the following would be an appropriate alternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) Correct Answer: A. Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny white
papuls with an erythematous base on the buccal mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles Correct Answer: D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction Correct Answer: D. Whether a patient has
reversible airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal discharge for 14
days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin Correct Answer: A. Amoxicillin-Clavulanate (Augmentin)
,Which of the following is the leading cause of cancer-related deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer Correct Answer: D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer Correct Answer: B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward. Correct Answer: A. The meaning of a common proverb
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to adjust to the
drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70 before starting on new
medications.
D. Give medication with a full glass of water to promote absorption and limit harm to the kidneys.
Correct Answer: B. Start at a low dose than what is commonly prescribed for adults, and increase the
dose slowly.
A 72 year old female presents with a medical history unremarkable except for the occasional headache.
She enjoyed emotional health throughout marriage and childrearing, although her family history is
significant for strokes and nervous breakdowns. Since her husband died a year ago, however, she has
been waking every morning at 3am, is reluctant to go out although she has family member living nearby,
and feels a continual urge to sleep. She cannot discuss her late husband without crying. Differential
diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna Correct Answer: B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that the child is exhibiting
symptoms of a cold, but has no fever. The nurse practitioner should advise the parent that development
of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold Correct Answer: B. Lower the seizure threshold
, After a 3-week camping trip, an 11-year old is seen for a target lesion with central clearing, located in
the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized
musculoskeletal pain for several days. Pharmacologic management of this condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx) Correct Answer: D. Doxycycline
An 88 year old male presents with concerns about memory loss. He feels good, takes an aspirin daily,
and has no chronic diseases. He lives alone, drives his own car, and manages his financial affairs. To
evaluate his memory, which of the following tests should the nurse practitioner choose?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test Correct Answer: A. Folstein Mini-mental state examination
During development of a treatment plan for an 84 year old patient with hypothyroidism, the nurse
practitioner has to keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia Correct Answer: B. Osteoporosis
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting.
She hasn't missed any doses and uses no other medication. Which of the following is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance Correct Answer: D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex Correct Answer: B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further questioning reveals that his
primary concern is delayed ejaculation. He is currently taking the following medications: atenolol
(Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and
hydrochlorthoriazide (HCTZ), 25 mg daily. The most likely cause of the patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil) Correct Answer: D. Paroxetine (Paxil)
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss of appetite. The
patient lives with several relatives, including a grandmother who also has a cough. Which of the
following diagnostic tests would be most appropriate for the patient?
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to the clinic with a
fever of 103F, right pleuritic chest pain, and green sputum. Which of the following examination results
would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion Correct Answer: A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After closed
manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm Correct Answer: C. The child quickly
begins to use the affected arm.
Which of the following would be an appropriate alternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) Correct Answer: A. Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny white
papuls with an erythematous base on the buccal mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles Correct Answer: D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction Correct Answer: D. Whether a patient has
reversible airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal discharge for 14
days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin Correct Answer: A. Amoxicillin-Clavulanate (Augmentin)
,Which of the following is the leading cause of cancer-related deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer Correct Answer: D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer Correct Answer: B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward. Correct Answer: A. The meaning of a common proverb
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to adjust to the
drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70 before starting on new
medications.
D. Give medication with a full glass of water to promote absorption and limit harm to the kidneys.
Correct Answer: B. Start at a low dose than what is commonly prescribed for adults, and increase the
dose slowly.
A 72 year old female presents with a medical history unremarkable except for the occasional headache.
She enjoyed emotional health throughout marriage and childrearing, although her family history is
significant for strokes and nervous breakdowns. Since her husband died a year ago, however, she has
been waking every morning at 3am, is reluctant to go out although she has family member living nearby,
and feels a continual urge to sleep. She cannot discuss her late husband without crying. Differential
diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna Correct Answer: B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that the child is exhibiting
symptoms of a cold, but has no fever. The nurse practitioner should advise the parent that development
of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold Correct Answer: B. Lower the seizure threshold
, After a 3-week camping trip, an 11-year old is seen for a target lesion with central clearing, located in
the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized
musculoskeletal pain for several days. Pharmacologic management of this condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx) Correct Answer: D. Doxycycline
An 88 year old male presents with concerns about memory loss. He feels good, takes an aspirin daily,
and has no chronic diseases. He lives alone, drives his own car, and manages his financial affairs. To
evaluate his memory, which of the following tests should the nurse practitioner choose?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test Correct Answer: A. Folstein Mini-mental state examination
During development of a treatment plan for an 84 year old patient with hypothyroidism, the nurse
practitioner has to keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia Correct Answer: B. Osteoporosis
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting.
She hasn't missed any doses and uses no other medication. Which of the following is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance Correct Answer: D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex Correct Answer: B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further questioning reveals that his
primary concern is delayed ejaculation. He is currently taking the following medications: atenolol
(Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and
hydrochlorthoriazide (HCTZ), 25 mg daily. The most likely cause of the patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil) Correct Answer: D. Paroxetine (Paxil)
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss of appetite. The
patient lives with several relatives, including a grandmother who also has a cough. Which of the
following diagnostic tests would be most appropriate for the patient?
