PSI exam #1 Questions and Answers
Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis? - ✅Erythrocyte sedimentation rate (ESR)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ✅follicle-
stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating
hormone (TSH).
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient: - ✅the meaning of a common proverb.
To assess spinal function at the S1 level, which deep tendon reflex should be tested? -
✅Achilles
Which of the following signs/symptoms are often associated with headaches due to an
intracranial tumor? - ✅Pain worse in supine position; focal neurological signs
Which of the following laboratory tests are most widely accepted as indicators of the
progression of HIV infection? - ✅CD4 count and viral load
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? - ✅Sputum culture
Which of the following best describes psoriatic lesions in an elderly patient? - ✅Red,
sharply defined plaques with silvery scales
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step that
should be taken in order to make a diagnosis? - ✅Palpate structures around the
shoulder.
A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History
indicates normal prenatal progress to date, and the patient denies pain, vaginal itching,
or discharge. Which of the following is the most appropriate intervention to aid in the
diagnosis of this case? - ✅Ultrasound
A 29-year-old male with noncomplicated Chlamydia infection may exhibit: - ✅no
remarkable clinical symptoms.
, An 88-year-old patient presents with right-sided weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with a hypertension medication regimen. What is the most likely
diagnosis? - ✅Left-sided stroke
A patient with macular degeneration has difficulty seeing objects: - ✅in the center of the
visual field.
Which of the following is the leading cause of cancer-related deaths in the majority of
women? - ✅Lung Cancer
Which of the following would be most appropriate to perform in the initial evaluation of a
patient with symptoms of acute prostatitis? - ✅Urinalysis and urine culture
Which of the following gastrointestinal changes is associated with normal aging? -
✅Decreased production of gastric acid
Which of the following is NOT an indication of preeclampsia? - ✅Gluosuria
Assessment findings that would support a diagnosis of mitral regurgitation include: -
✅loud, high-pitched pansystolic murmur.
An 18-year-old college student presents for an athletic physical. When asked about
current medications, she mentions that she takes "some herb" she bought at a health
food store for migraines and menstrual cramps. Which of the following herbal remedies
has been commonly used for these conditions? - ✅Feverfew
An 88-year-old patient has had a gradual onset of hearing loss in the left ear.
Examination shows a large accumulation of cerumen in the external auditory canal.
Assuming there is no neural loss, the nurse practitioner would expect the Weber test to:
- ✅lateralize to the left
During an employment physical examination of a 21-year-old female, bruising around
the areolae on the breasts is noted. An appropriate health history for these findings
should include all of the following EXCEPT: - ✅socioeconomic status
Which of the following findings is typically a sign of acute appendicitis? - ✅Rebound
tenderness at McBurney's point
The best laboratory test to distinguish iron deficiency anemia from other anemias is: -
✅serum ferritin level
A patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary
artery disease. The patient is on both insulin and a beta blocker. Assuming that the
patient will continue the beta blocker, it will be important to educate the patient on the
Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis? - ✅Erythrocyte sedimentation rate (ESR)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ✅follicle-
stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating
hormone (TSH).
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient: - ✅the meaning of a common proverb.
To assess spinal function at the S1 level, which deep tendon reflex should be tested? -
✅Achilles
Which of the following signs/symptoms are often associated with headaches due to an
intracranial tumor? - ✅Pain worse in supine position; focal neurological signs
Which of the following laboratory tests are most widely accepted as indicators of the
progression of HIV infection? - ✅CD4 count and viral load
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? - ✅Sputum culture
Which of the following best describes psoriatic lesions in an elderly patient? - ✅Red,
sharply defined plaques with silvery scales
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step that
should be taken in order to make a diagnosis? - ✅Palpate structures around the
shoulder.
A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History
indicates normal prenatal progress to date, and the patient denies pain, vaginal itching,
or discharge. Which of the following is the most appropriate intervention to aid in the
diagnosis of this case? - ✅Ultrasound
A 29-year-old male with noncomplicated Chlamydia infection may exhibit: - ✅no
remarkable clinical symptoms.
, An 88-year-old patient presents with right-sided weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with a hypertension medication regimen. What is the most likely
diagnosis? - ✅Left-sided stroke
A patient with macular degeneration has difficulty seeing objects: - ✅in the center of the
visual field.
Which of the following is the leading cause of cancer-related deaths in the majority of
women? - ✅Lung Cancer
Which of the following would be most appropriate to perform in the initial evaluation of a
patient with symptoms of acute prostatitis? - ✅Urinalysis and urine culture
Which of the following gastrointestinal changes is associated with normal aging? -
✅Decreased production of gastric acid
Which of the following is NOT an indication of preeclampsia? - ✅Gluosuria
Assessment findings that would support a diagnosis of mitral regurgitation include: -
✅loud, high-pitched pansystolic murmur.
An 18-year-old college student presents for an athletic physical. When asked about
current medications, she mentions that she takes "some herb" she bought at a health
food store for migraines and menstrual cramps. Which of the following herbal remedies
has been commonly used for these conditions? - ✅Feverfew
An 88-year-old patient has had a gradual onset of hearing loss in the left ear.
Examination shows a large accumulation of cerumen in the external auditory canal.
Assuming there is no neural loss, the nurse practitioner would expect the Weber test to:
- ✅lateralize to the left
During an employment physical examination of a 21-year-old female, bruising around
the areolae on the breasts is noted. An appropriate health history for these findings
should include all of the following EXCEPT: - ✅socioeconomic status
Which of the following findings is typically a sign of acute appendicitis? - ✅Rebound
tenderness at McBurney's point
The best laboratory test to distinguish iron deficiency anemia from other anemias is: -
✅serum ferritin level
A patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary
artery disease. The patient is on both insulin and a beta blocker. Assuming that the
patient will continue the beta blocker, it will be important to educate the patient on the
