FNP practice test
Study online at https://quizlet.com/_ex6cgf
1. Q. The nurse practitioner auscultates a child's heart and hears a musical
sound, which becomes louder in a supine position. This sound is most con-
sistent with a:
Systolic murmur
Diastolic murmur
Continuous murmur
Still's murmur: Solution: D
Still's murmur.
A Still's murmur is benign, occurs during childhood years, and usually resolves by
adolescence. Also called a functional murmur, it becomes louder in a supine position
or with a fever. There is minimal radiation, with a grade of I or II. Systolic murmurs
occur during S1, are louder than diastolic murmurs, and can radiate to the neck
or axillae. Diastolic murmurs always indicate heart disease, which is not likely in
children. Continuous murmurs occur throughout the complete cardiac cycle.
2. Q. A 7-year-old child seen in the office 8 days ago was prescribed amoxicillin
for strep throat. The mother is worried that the child is not getting better,
stating the child seems really "tired," "has no appetite," and has "dark urine."
A urine dipstick test reveals protein, albumin, and blood in the urine. What
evaluation tool will the nurse practitioner order next?
CT scan of the kidneys
CBC with differential
Fingerstick blood glucose
Full set of vital signs: Solution: D
Full set of vital signs.
The patient is exhibiting signs and symptoms of poststreptococcal glomerulonephri-
tis (PSGN), which follows a group-A beta-hemolytic streptococcus infection. The risk
for PSGN is greatest in children aged 5 to 12 years and adults over 60 years of
age. Hypertension is a common finding with PSGN, so a full set of vitals should be
obtained next. Advanced imaging such as a CT scan is not indicated at this time as it
is not diagnostic for PSGN. A complete blood count would not be a priority test. The
sudden onset of urinary findings would not be consistent with diabetes or impaired
glucose. The priority remains vital signs to assess the cardiovascular system.
3. Q. An infant is seen in the pediatric office for a well visit. After the assess-
ment, the nurse practitioner diagnoses the infant with cheilosis. The most
likely cause of cheilosis in this patient is:
Teeth eruption
Breastfeeding
Pacifier use
1/5
, FNP practice test
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An allergy: Solution: C
Pacifier use.
Cheilosis, or angular cheilitis, in children, is caused by pacifier use, lip licking,
and thumb sucking. Painful skin fissures develop in the corners of the mouth
due to excessive moisture. Rupturing teeth may cause increased drooling but not
maceration and pain around the mouth. Breastfeeding does not cause prolonged or
continuous excessive moisture. There is no clinical evidence that cheilosis is caused
by an allergy.
4. Q. Which injury would be appropriate for the nurse practitioner to suture?
A deep puncture wound to the thigh
A cat bite to the facial cheek
An open abscess that is no longer draining
A laceration to the back that is actively bleeding: Solution: B
A cat bite to the facial cheek.
Due to the risk for infection, animal bites are sutured only when they occur in
cosmetic areas such as the face. Deep puncture wounds also have a greater risk
for infection so sutures should not be placed. Cutaneous abscesses should be kept
open to promote drainage; they heal by secondary intention. A laceration that is
actively bleeding should not be sutured until the bleeding stops due to the risk for
subcutaneous hematoma formation.
5. Q. A patient with a history of low back pain presents with a new, sudden
onset of pain in the right buttocks and leg accompanied by numbness in the
foot. Which diagnostic test will the nurse practitioner order to confirm the
suspected diagnosis?
MRI
Rheumatoid factor
CT scan
Spinal radiograph: Solution: A
MRI.
The patient has signs and symptoms of a herniated lumbar disc. Symptoms of
nerve root involvement, such as sciatica, are common with a herniated disc and
include buttocks pain and numbness that radiates down the leg. MRI is the most
appropriate diagnostic imaging tool due to its ability to provide clearer, more precise
visualization of soft tissue structures (lumbar disc) and assess the extent of nerve
involvement. Rheumatoid factor is a blood test for rheumatoid arthritis. Rheumatoid
arthritis symptoms have a gradual onset and bilateral presentation. A CT scan
2/5
Study online at https://quizlet.com/_ex6cgf
1. Q. The nurse practitioner auscultates a child's heart and hears a musical
sound, which becomes louder in a supine position. This sound is most con-
sistent with a:
Systolic murmur
Diastolic murmur
Continuous murmur
Still's murmur: Solution: D
Still's murmur.
A Still's murmur is benign, occurs during childhood years, and usually resolves by
adolescence. Also called a functional murmur, it becomes louder in a supine position
or with a fever. There is minimal radiation, with a grade of I or II. Systolic murmurs
occur during S1, are louder than diastolic murmurs, and can radiate to the neck
or axillae. Diastolic murmurs always indicate heart disease, which is not likely in
children. Continuous murmurs occur throughout the complete cardiac cycle.
2. Q. A 7-year-old child seen in the office 8 days ago was prescribed amoxicillin
for strep throat. The mother is worried that the child is not getting better,
stating the child seems really "tired," "has no appetite," and has "dark urine."
A urine dipstick test reveals protein, albumin, and blood in the urine. What
evaluation tool will the nurse practitioner order next?
CT scan of the kidneys
CBC with differential
Fingerstick blood glucose
Full set of vital signs: Solution: D
Full set of vital signs.
The patient is exhibiting signs and symptoms of poststreptococcal glomerulonephri-
tis (PSGN), which follows a group-A beta-hemolytic streptococcus infection. The risk
for PSGN is greatest in children aged 5 to 12 years and adults over 60 years of
age. Hypertension is a common finding with PSGN, so a full set of vitals should be
obtained next. Advanced imaging such as a CT scan is not indicated at this time as it
is not diagnostic for PSGN. A complete blood count would not be a priority test. The
sudden onset of urinary findings would not be consistent with diabetes or impaired
glucose. The priority remains vital signs to assess the cardiovascular system.
3. Q. An infant is seen in the pediatric office for a well visit. After the assess-
ment, the nurse practitioner diagnoses the infant with cheilosis. The most
likely cause of cheilosis in this patient is:
Teeth eruption
Breastfeeding
Pacifier use
1/5
, FNP practice test
Study online at https://quizlet.com/_ex6cgf
An allergy: Solution: C
Pacifier use.
Cheilosis, or angular cheilitis, in children, is caused by pacifier use, lip licking,
and thumb sucking. Painful skin fissures develop in the corners of the mouth
due to excessive moisture. Rupturing teeth may cause increased drooling but not
maceration and pain around the mouth. Breastfeeding does not cause prolonged or
continuous excessive moisture. There is no clinical evidence that cheilosis is caused
by an allergy.
4. Q. Which injury would be appropriate for the nurse practitioner to suture?
A deep puncture wound to the thigh
A cat bite to the facial cheek
An open abscess that is no longer draining
A laceration to the back that is actively bleeding: Solution: B
A cat bite to the facial cheek.
Due to the risk for infection, animal bites are sutured only when they occur in
cosmetic areas such as the face. Deep puncture wounds also have a greater risk
for infection so sutures should not be placed. Cutaneous abscesses should be kept
open to promote drainage; they heal by secondary intention. A laceration that is
actively bleeding should not be sutured until the bleeding stops due to the risk for
subcutaneous hematoma formation.
5. Q. A patient with a history of low back pain presents with a new, sudden
onset of pain in the right buttocks and leg accompanied by numbness in the
foot. Which diagnostic test will the nurse practitioner order to confirm the
suspected diagnosis?
MRI
Rheumatoid factor
CT scan
Spinal radiograph: Solution: A
MRI.
The patient has signs and symptoms of a herniated lumbar disc. Symptoms of
nerve root involvement, such as sciatica, are common with a herniated disc and
include buttocks pain and numbness that radiates down the leg. MRI is the most
appropriate diagnostic imaging tool due to its ability to provide clearer, more precise
visualization of soft tissue structures (lumbar disc) and assess the extent of nerve
involvement. Rheumatoid factor is a blood test for rheumatoid arthritis. Rheumatoid
arthritis symptoms have a gradual onset and bilateral presentation. A CT scan
2/5
