PSI FNP FAMILY NURSE PRACTITIONER LATEST
EXAM REVIEW
1.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 answers)A. Right lower lobe crackles.
2.A 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 answers)C. The child quickly begins to use the affected arm.
3.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 answers)A. Azithromycin
4.A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny
white papules with an erythematous base on the buccal mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
(correct answers)D. Measles
5.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 answers)D. Whether a patient has reversible airway obstruction
,6.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 answers)A. Amoxicillin-Clavulanate (Augmentin)
7.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 answers)D. Lung Cancer
8.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 answers)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 answers)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 answers)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:
EXAM REVIEW
1.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 answers)A. Right lower lobe crackles.
2.A 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 answers)C. The child quickly begins to use the affected arm.
3.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 answers)A. Azithromycin
4.A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny
white papules with an erythematous base on the buccal mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
(correct answers)D. Measles
5.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 answers)D. Whether a patient has reversible airway obstruction
,6.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 answers)A. Amoxicillin-Clavulanate (Augmentin)
7.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 answers)D. Lung Cancer
8.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 answers)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 answers)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 answers)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:
