PSI #1 Questions and Answers Already
Graded A
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
Graded A
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
