HESI EXIT Family Nurse Practitioner FINAL EXAMS

HESI EXIT Family Nurse Practitioner FINAL EXAMS 1. Which of the following signs would indicate to the FNP that a patient might have an airway occlusion and needs assistance? A. Holding throat with both hands The ability to cough, talk, or cry indicates an incomplete occlusion of the airway. Holding the throat with both hands indicates a complete occlusion . 2. Expected objective findings in acute otitis media include: D. Tympanic membrane immobility An immobile TM is the hallmark of AOM. Itching and crackling in the ear is common in patients with serous otitis. The bony landmarks usually appear prominent when the TM is retracted, a condition usually seen with eustachian tube dysfunction. Usually the nodes in the anterior cervical chain are enlarged and painful . 3. Young adults may develop which kind of rash when they are infected with erythema infectious? D. Reddened exanthema on hands and feet with distinct margins at wrist and ankle joints Young adults may have papular-pruritic “gloves and socks” syndrome . 4. Which factor in a patient’s history places him at high risk for skin cancer? C. Work on a crew that paves highways The factor that places a patient at greatest risk for skin cancer is exposure to ultraviolet light; because of sun exposure, the man who works on a highway crew would be at greatest risk . 5. Which of the following physical findings would be expected in a patient with peritoneal irritation? A. Abdominal guarding Peritoneal irritation would lead to guarding and possible rebound tenderness. The Iliopsoas sign is an indicator of peritoneal irritation. In many cases, bowel sounds would decrease in the presence of peritoneal irritation A liver below the costal margin may indicate hepatic inflammation, as seen in hepatitis. Increased bowel sounds might be seen in gastroenteritis. Engorged veins around the umbilicus are seen with ascites. 6. At what age would the FNP expect to see a child use his or her pincher grasp? C. 9 months A child normally uses a pincher grasp around the age of 9 months. 7. An adolescent presents for a sport’s physical examination. He has a family history of premature cardiac death. He is non symptomatic and appears in good health. The FNP should use which technique during the examination to help determine the presence of abnormal heart sounds? B. Have the patient perform the Valsalva maneuver. In hypertrophic cardiomyopathy a murmur may not be detected, but performing the Valsalva maneuver will accentuate the murmur if it is present. 8. An FNP reviews both the patient log of a patient with type 2 diabetes and current lab results. Which findings indicate that the target value of the particular test is being met? B. HS glucose levels between 100 and 140 mg/dL The HS blood glucose matches a target level. The target levels for type 2 diabetes are FBS 80 to 120 mg/dL . 9. Which of the following actions best demonstrates that a 31-year-old woman has achieved the appropriate developmental task for her age group? D. Married with two sons and an active social life The appropriate developmental task for this age is Intimacy versus Isolation. This refers not only to physical intimacy but also to friendships, work colleagues, and parenting relationships. Marriage, family, and social activity is most reflective of the Intimacy task being met . 10. Which of the following comments by a patient with Osgood-Schlatter disease is consistent with the diagnosis? B. “My knee hurts when I run or jump.” OS is an overuse syndrome; the pain occurs with running, jumping, going.........