HESI EXIT Family Nurse Practitioner FINAL EXAMS
P P P P P P
1. WhichPofPthePfollowingPsignsPwouldPindicatePtoPthePFNPPthatPaPpatientPmightPhavePanPairway
PocclusionPandPneedsPassistance?
A. HoldingPthroatPwithPbothPhands
ThePabilityPtoPcough,Ptalk,PorPcryPindicatesPanPincompletePocclusionPofPthePairway.PH
oldingPthePthroatPwithPbothPhandsPindicatesPaPcompletePocclusionP.
2. ExpectedPobjectivePfindingsPinPacutePotitisPmediaPinclude:
D. TympanicPmembranePimmobility
AnPimmobilePTMPisPthePhallmarkPofPAOM.
ItchingPandPcracklingPinPthePearPisPcommonPinPpatientsPwithPserousPotitis.
ThePbonyPlandmarksPusuallyPappearPprominentPwhenPthePTMPisPretracted,PaPconditionPusuallyPseenPwith
eustachianPtubePdysfunction.PUsuallyPthePnodesPinPthePanteriorPcervicalPchainParePenlargedPandPpainfulP.
3. YoungPadultsPmayPdevelopPwhichPkindPofPrashPwhenPtheyParePinfectedPwithPerythema
Pinfectious?
D. ReddenedPexanthemaPonPhandsPandPfeetPwithPdistinctPmarginsPatPwristPandPanklePjoints
YoungPadultsPmayPhavePpapular-pruriticP“glovesPandPsocks”PsyndromeP.
4. WhichPfactorPinPaPpatient’sPhistoryPplacesPhimPatPhighPriskPforPskinPcancer?
C. WorkPonPaPcrewPthatPpavesPhighways
ThePfactorPthatPplacesPaPpatientPatPgreatestPriskPforPskinPcancerPisPexposurePtoPultravioletPlight;PbecausePof
PsunPexposure,PthePmanPwhoPworksPonPaPhighwayPcrewPwouldPbePatPgreatestPriskP.
5. WhichPofPthePfollowingPphysicalPfindingsPwouldPbePexpectedPinPaPpatientPwithPperitoneal
Pirritation?
A. AbdominalPguarding
PeritonealPirritationPwouldPleadPtoPguardingPandPpossiblePreboundPtenderness.PThePIliopsoasPsignPisPanPindica
torPofPperitonealPirritation.PInPmanyPcases,PbowelPsoundsPwouldPdecreasePinPthePpresencePof
peritonealPirritation
APliverPbelowPthePcostalPmarginPmayPindicatePhepaticPinflammation,PasPseenPinPhepatitis.PIncreas
edPbowelPsoundsPmightPbePseenPinPgastroenteritis.
EngorgedPveinsParoundPthePumbilicusParePseenPwithPascites.
6. AtPwhatPagePwouldPthePFNPPexpectPtoPseePaPchildPusePhisPorPherPpincherPgrasp?
C. 9Pmonths
APchildPnormallyPusesPaPpincherPgraspParoundPthePagePofP9Pmonths.
, 7. AnPadolescentPpresentsPforPaPsport’sPphysicalPexamination.PHePhasPaPfamilyPhistoryPofPpremature
P cardiacPdeath.PHePisPnonPsymptomaticPandPappearsPinPgoodPhealth.PThePFNPPshouldPusePwhichP
techniquePduringPthePexaminationPtoPhelpPdeterminePthePpresencePofPabnormalPheartPsounds?
B. HavePthePpatientPperformPthePValsalvaPmaneuver.
InPhypertrophicPcardiomyopathyPaPmurmurPmayPnotPbePdetected,PbutPperformingPthePValsalvaPmaneuver
willPaccentuatePthePmurmurPifPitPisPpresent.
8. AnPFNPPreviewsPbothPthePpatientPlogPofPaPpatientPwithPtypeP2PdiabetesPandPcurrentPlabPresults.
PWhichPfindingsPindicatePthatPthePtargetPvaluePofPthePparticularPtestPisPbeingPmet?
B. HSPglucosePlevelsPbetweenP100PandP140Pmg/dL
ThePHSPbloodPglucosePmatchesPaPtargetPlevel.PThePtargetPlevelsPforPtypeP2PdiabetesParePFBSP80PtoP120
mg/dLP.
9. WhichPofPthePfollowingPactionsPbestPdemonstratesPthatPaP31-year-
oldPwomanPhasPachievedPthePappropriatePdevelopmentalPtaskPforPherPagePgroup?
D.P P MarriedPwithPtwoPsonsPandPanPactivePsocialPlife
ThePappropriatePdevelopmentalPtaskPforPthisPagePisPIntimacyPversusPIsolation.PThisPrefersPnotPonlyPtoPphy
sicalPintimacyPbutPalsoPtoPfriendships,PworkPcolleagues,PandPparentingPrelationships.PMarriage,Pfamily,PandP
socialPactivityPisPmostPreflectivePofPthePIntimacyPtaskPbeingPmetP.
10. WhichPofPthePfollowingPcommentsPbyPaPpatientPwithPOsgood-
SchlatterPdiseasePisPconsistentPwithPthePdiagnosis?
B. “MyPkneePhurtsPwhenPIPrunPorPjump.”
OSPisPanPoverusePsyndrome;PthePpainPoccursPwithPrunning,Pjumping,PgoingPupPsteps,PandPkneelingP.
11. InPaPpatientPwithPBell’sPpalsy,PwhichPofPthePfollowingPphysicalPexamPfindingsPisPconsistentPwithPthe
Pdiagnosis?
B. InabilityPtoPpuff PoutPcheek
InPBell’sPpalsy,PunilateralPparesisPorPparalysisPofPthePfacialPnervePoccurs.PBell’sPpalsyPsymptomsPincludePf
acialPweaknessPaccompaniedPbyPchangePinPtastePsensation,Phyperacusis,PandPdecreasedPlacrimation.
12. WhichPfactorPinPthePpatient’sPhistoryPshouldPcausePthePFNPPtoPsuspectPdeepPveinPthrombosis?P D.
OralPcontraceptivePpillPuse
DVTPshouldPbePsuspectedPinPthePfollowingPcircumstances:Ppregnancy,Psmoking,PoralPcontraceptivePuse,Pol
derPage,PorPclottingPdisorders.
, 13. WhichPofPthePfollowingPisPnotPaPtraitPfoundPinPaPpersonPsufferingPfromPPTSD?
A. Hypersomnia
ThePDSMPIVPidentifiesPPTSDPasPconsistingPofPthreePclustersPofPsymptoms:Preexperiencing,Pavoidance,PandPhy
perarousal.
HypersomniaPisPnotPaPtraitPofPPTSDP.
14. BesidesPabdominalPorPflankPpain,PwhatPwouldPthePbestPindicatorPbePinPaPpatientPwithPaPkidney
Pstone?
A. Hematuria
HematuriaPisPgenerallyPseenPinPallPpatientsPwithPkidneyPstones.
ThePotherPfindingsPmayPnotPbePseenPinPallPpatientsPwithPkidneyPstones.
15. WhichPofPthePfollowingPobjectivePfindingsPisPpathognomonicPforPinfectiousPmononucleosis?
D.P P Lymphadenopathy
ThePlocalizedPinflammatoryPresponsePproducesPthePlymphadenopathyPthatPisPalmostPalwaysPpresentPin
infectiousPmononucleosis.
IfPlymphadenopathyPisPnotPpresent,PthePdiagnosisPofPmononucleosisPshouldPbePquestioned.PAlthoughPus
uallyPpresentPinPinfectiousPmononucleosis,PthePrash,PfacialPedema,PandPsorePthroatPcouldPalsoPoccurPwithP
otherPillnessesP.
16. WhatPisPthePprimaryPdifferencePbetweenPtenderPpointsPandPtriggerPpointsPasPobjectivePfindingsPin
PaPphysicalPexamination?
C. PalpationPofPtriggerPpointsPcausesPradiationPofPpain;PpalpationPofPtenderPpointsPdoesPnot.
OnPphysicalPexamination,PpalpationPofPtriggerPpointsPcausesPradiationPofPpain;PpalpationPofPtenderPpoints
PdoesPnot.PThePotherPoptionsParePfalse.
17. VisualPacuityPtestingPofPaPyoungPmanPhopingPtoPenterPthePmilitaryPindicatesP20/40Pvision.PThePFNP
PinterpretsPthesePfindingsPtoPthePmanPcorrectlyPas:
B. AbilityPtoPseePfromP20PfeetPwhatPthePnormalPeyePseesPatP40Pfeet
VisualPacuityPassessedPwithPthePSnellenPchartPrequiresPmeasurementPofPvisionPfromPaPdistancePofP20PfeetP(
thePnumeratorPinPtheP20/40Pfinding).PAPfindingPofP20/40PvisionPindicatesPthatPthePmanPcanPseePfromP20Pfe
etPwhatPthePnormalPeyePcanPseePfromP40PfeetPawayPfromPthePchart.
18. InPassessingPaPpatientPsuspectedPofPhavingPdementia,PthePFNPPshouldPassessPwhetherPthePpatient
PhasPdifficultyPinPwhichPofPthePfollowing?
D. BalancingPthePcheckbook
DifficultyPgettingPdressedPorPwalkingPmayPbePassociatedPwithParthritisPorPaPmobilityPproblem.
, ReadingPthePnewspaperPmayPbePrelatedPtoPaPvisualPproblem.
InabilityPtoPbalancePthePcheckbookPisPaPsignPofPaPproblemPwithPreasoningPabilityPandPcomplexPcognitivePta
sksP(indicationsPofPdementia).
19. AnPFNPPstudentPseesPaPpatientPandPreportsPfindingPannularPlesionsPofP3Pdays’Pduration.PWhenPyou
PenterPtheProomPwithPthePstudent,PyouPexpectPtoPseePskinPlesionsParrangedPin:
B. CircularPorPringPshape
AnnularPlesionsPareProundPorPringPshaped;PaPpatternPmergingPisPreticular,PwhilePgroupsPofPvesicl
esParePknownPasPclusteredP(orPdermatomal)PifPtheyPfollowPonePdermatome.
APsnake-likePpatternPofPlesionsPisPreferredPtoPasPgyrate.
20. ThePFNPPsuspectsPthatPaP6-year-
oldPchildPhasPbeenPabused.PWhichPfindingPwouldPincreasePthePindexPofPsuspicionPforPthatPdiag
nosis?
D.P P MultiplePbruisesPonParmsPandPfacePrangingPfromPpurplePtoPyellow
BruisingPinPdifferentPstagesPofPhealingPmayPindicatePmultiplePepisodesPofPtraumaPoverPtime—
aPkeyPindicatorPofPchildPabuse.PBruisesPonPthePkneesPandPlowerPlegsParePcommonPinPchildhoodPfromPplay
injuries;PbruisesPonParmsPandPfacePwouldPbePlessPlikelyPtoPbePassociatedPwithPtypicalPinjuryPduringPplaytime
.
21. AtPwhatPagePwouldPthePFNPPexpectPtoPseePaPchildPcopyPaPcircle?
C. 3Pyears
APchildPnormallyPcanPcopyPaPcirclePatP3PyearsP.
22. AfterPintensePrectalPitching,PwhichPofPthePfollowingPsymptomsPisPmostPtypicalPofPpinwormsPin
Pchildren?
B. PerianalPexcoriation
PerianalPexcoriationPisPcommon,PparticularlyPinPchildren.PTheyPscratchPthePperianalPareaPbecausePofPallPtheP
itchingP.
23. WhichPofPthePfollowingPfindingsPinPaP70-year-
oldPmanPwouldPincreasePthePsuspicionPofPprostatePcancer?
D.P P Firm,PdistinctPlesionPpalpable
APfirm,PdistinctPpalpablePlesionPisPdescriptivePofPprostaticPmalignancyPandPshouldPbePreferredPimmediately
24. APpatientPisPbroughtPtoPthePclinicPwithPaPnosebleed.PWhichPofPthePfollowingPobjectivePdescriptions
PisPconsistentPwithPaPposteriorPnosebleed?
A. BloodPseenPinPoropharynx
P P P P P P
1. WhichPofPthePfollowingPsignsPwouldPindicatePtoPthePFNPPthatPaPpatientPmightPhavePanPairway
PocclusionPandPneedsPassistance?
A. HoldingPthroatPwithPbothPhands
ThePabilityPtoPcough,Ptalk,PorPcryPindicatesPanPincompletePocclusionPofPthePairway.PH
oldingPthePthroatPwithPbothPhandsPindicatesPaPcompletePocclusionP.
2. ExpectedPobjectivePfindingsPinPacutePotitisPmediaPinclude:
D. TympanicPmembranePimmobility
AnPimmobilePTMPisPthePhallmarkPofPAOM.
ItchingPandPcracklingPinPthePearPisPcommonPinPpatientsPwithPserousPotitis.
ThePbonyPlandmarksPusuallyPappearPprominentPwhenPthePTMPisPretracted,PaPconditionPusuallyPseenPwith
eustachianPtubePdysfunction.PUsuallyPthePnodesPinPthePanteriorPcervicalPchainParePenlargedPandPpainfulP.
3. YoungPadultsPmayPdevelopPwhichPkindPofPrashPwhenPtheyParePinfectedPwithPerythema
Pinfectious?
D. ReddenedPexanthemaPonPhandsPandPfeetPwithPdistinctPmarginsPatPwristPandPanklePjoints
YoungPadultsPmayPhavePpapular-pruriticP“glovesPandPsocks”PsyndromeP.
4. WhichPfactorPinPaPpatient’sPhistoryPplacesPhimPatPhighPriskPforPskinPcancer?
C. WorkPonPaPcrewPthatPpavesPhighways
ThePfactorPthatPplacesPaPpatientPatPgreatestPriskPforPskinPcancerPisPexposurePtoPultravioletPlight;PbecausePof
PsunPexposure,PthePmanPwhoPworksPonPaPhighwayPcrewPwouldPbePatPgreatestPriskP.
5. WhichPofPthePfollowingPphysicalPfindingsPwouldPbePexpectedPinPaPpatientPwithPperitoneal
Pirritation?
A. AbdominalPguarding
PeritonealPirritationPwouldPleadPtoPguardingPandPpossiblePreboundPtenderness.PThePIliopsoasPsignPisPanPindica
torPofPperitonealPirritation.PInPmanyPcases,PbowelPsoundsPwouldPdecreasePinPthePpresencePof
peritonealPirritation
APliverPbelowPthePcostalPmarginPmayPindicatePhepaticPinflammation,PasPseenPinPhepatitis.PIncreas
edPbowelPsoundsPmightPbePseenPinPgastroenteritis.
EngorgedPveinsParoundPthePumbilicusParePseenPwithPascites.
6. AtPwhatPagePwouldPthePFNPPexpectPtoPseePaPchildPusePhisPorPherPpincherPgrasp?
C. 9Pmonths
APchildPnormallyPusesPaPpincherPgraspParoundPthePagePofP9Pmonths.
, 7. AnPadolescentPpresentsPforPaPsport’sPphysicalPexamination.PHePhasPaPfamilyPhistoryPofPpremature
P cardiacPdeath.PHePisPnonPsymptomaticPandPappearsPinPgoodPhealth.PThePFNPPshouldPusePwhichP
techniquePduringPthePexaminationPtoPhelpPdeterminePthePpresencePofPabnormalPheartPsounds?
B. HavePthePpatientPperformPthePValsalvaPmaneuver.
InPhypertrophicPcardiomyopathyPaPmurmurPmayPnotPbePdetected,PbutPperformingPthePValsalvaPmaneuver
willPaccentuatePthePmurmurPifPitPisPpresent.
8. AnPFNPPreviewsPbothPthePpatientPlogPofPaPpatientPwithPtypeP2PdiabetesPandPcurrentPlabPresults.
PWhichPfindingsPindicatePthatPthePtargetPvaluePofPthePparticularPtestPisPbeingPmet?
B. HSPglucosePlevelsPbetweenP100PandP140Pmg/dL
ThePHSPbloodPglucosePmatchesPaPtargetPlevel.PThePtargetPlevelsPforPtypeP2PdiabetesParePFBSP80PtoP120
mg/dLP.
9. WhichPofPthePfollowingPactionsPbestPdemonstratesPthatPaP31-year-
oldPwomanPhasPachievedPthePappropriatePdevelopmentalPtaskPforPherPagePgroup?
D.P P MarriedPwithPtwoPsonsPandPanPactivePsocialPlife
ThePappropriatePdevelopmentalPtaskPforPthisPagePisPIntimacyPversusPIsolation.PThisPrefersPnotPonlyPtoPphy
sicalPintimacyPbutPalsoPtoPfriendships,PworkPcolleagues,PandPparentingPrelationships.PMarriage,Pfamily,PandP
socialPactivityPisPmostPreflectivePofPthePIntimacyPtaskPbeingPmetP.
10. WhichPofPthePfollowingPcommentsPbyPaPpatientPwithPOsgood-
SchlatterPdiseasePisPconsistentPwithPthePdiagnosis?
B. “MyPkneePhurtsPwhenPIPrunPorPjump.”
OSPisPanPoverusePsyndrome;PthePpainPoccursPwithPrunning,Pjumping,PgoingPupPsteps,PandPkneelingP.
11. InPaPpatientPwithPBell’sPpalsy,PwhichPofPthePfollowingPphysicalPexamPfindingsPisPconsistentPwithPthe
Pdiagnosis?
B. InabilityPtoPpuff PoutPcheek
InPBell’sPpalsy,PunilateralPparesisPorPparalysisPofPthePfacialPnervePoccurs.PBell’sPpalsyPsymptomsPincludePf
acialPweaknessPaccompaniedPbyPchangePinPtastePsensation,Phyperacusis,PandPdecreasedPlacrimation.
12. WhichPfactorPinPthePpatient’sPhistoryPshouldPcausePthePFNPPtoPsuspectPdeepPveinPthrombosis?P D.
OralPcontraceptivePpillPuse
DVTPshouldPbePsuspectedPinPthePfollowingPcircumstances:Ppregnancy,Psmoking,PoralPcontraceptivePuse,Pol
derPage,PorPclottingPdisorders.
, 13. WhichPofPthePfollowingPisPnotPaPtraitPfoundPinPaPpersonPsufferingPfromPPTSD?
A. Hypersomnia
ThePDSMPIVPidentifiesPPTSDPasPconsistingPofPthreePclustersPofPsymptoms:Preexperiencing,Pavoidance,PandPhy
perarousal.
HypersomniaPisPnotPaPtraitPofPPTSDP.
14. BesidesPabdominalPorPflankPpain,PwhatPwouldPthePbestPindicatorPbePinPaPpatientPwithPaPkidney
Pstone?
A. Hematuria
HematuriaPisPgenerallyPseenPinPallPpatientsPwithPkidneyPstones.
ThePotherPfindingsPmayPnotPbePseenPinPallPpatientsPwithPkidneyPstones.
15. WhichPofPthePfollowingPobjectivePfindingsPisPpathognomonicPforPinfectiousPmononucleosis?
D.P P Lymphadenopathy
ThePlocalizedPinflammatoryPresponsePproducesPthePlymphadenopathyPthatPisPalmostPalwaysPpresentPin
infectiousPmononucleosis.
IfPlymphadenopathyPisPnotPpresent,PthePdiagnosisPofPmononucleosisPshouldPbePquestioned.PAlthoughPus
uallyPpresentPinPinfectiousPmononucleosis,PthePrash,PfacialPedema,PandPsorePthroatPcouldPalsoPoccurPwithP
otherPillnessesP.
16. WhatPisPthePprimaryPdifferencePbetweenPtenderPpointsPandPtriggerPpointsPasPobjectivePfindingsPin
PaPphysicalPexamination?
C. PalpationPofPtriggerPpointsPcausesPradiationPofPpain;PpalpationPofPtenderPpointsPdoesPnot.
OnPphysicalPexamination,PpalpationPofPtriggerPpointsPcausesPradiationPofPpain;PpalpationPofPtenderPpoints
PdoesPnot.PThePotherPoptionsParePfalse.
17. VisualPacuityPtestingPofPaPyoungPmanPhopingPtoPenterPthePmilitaryPindicatesP20/40Pvision.PThePFNP
PinterpretsPthesePfindingsPtoPthePmanPcorrectlyPas:
B. AbilityPtoPseePfromP20PfeetPwhatPthePnormalPeyePseesPatP40Pfeet
VisualPacuityPassessedPwithPthePSnellenPchartPrequiresPmeasurementPofPvisionPfromPaPdistancePofP20PfeetP(
thePnumeratorPinPtheP20/40Pfinding).PAPfindingPofP20/40PvisionPindicatesPthatPthePmanPcanPseePfromP20Pfe
etPwhatPthePnormalPeyePcanPseePfromP40PfeetPawayPfromPthePchart.
18. InPassessingPaPpatientPsuspectedPofPhavingPdementia,PthePFNPPshouldPassessPwhetherPthePpatient
PhasPdifficultyPinPwhichPofPthePfollowing?
D. BalancingPthePcheckbook
DifficultyPgettingPdressedPorPwalkingPmayPbePassociatedPwithParthritisPorPaPmobilityPproblem.
, ReadingPthePnewspaperPmayPbePrelatedPtoPaPvisualPproblem.
InabilityPtoPbalancePthePcheckbookPisPaPsignPofPaPproblemPwithPreasoningPabilityPandPcomplexPcognitivePta
sksP(indicationsPofPdementia).
19. AnPFNPPstudentPseesPaPpatientPandPreportsPfindingPannularPlesionsPofP3Pdays’Pduration.PWhenPyou
PenterPtheProomPwithPthePstudent,PyouPexpectPtoPseePskinPlesionsParrangedPin:
B. CircularPorPringPshape
AnnularPlesionsPareProundPorPringPshaped;PaPpatternPmergingPisPreticular,PwhilePgroupsPofPvesicl
esParePknownPasPclusteredP(orPdermatomal)PifPtheyPfollowPonePdermatome.
APsnake-likePpatternPofPlesionsPisPreferredPtoPasPgyrate.
20. ThePFNPPsuspectsPthatPaP6-year-
oldPchildPhasPbeenPabused.PWhichPfindingPwouldPincreasePthePindexPofPsuspicionPforPthatPdiag
nosis?
D.P P MultiplePbruisesPonParmsPandPfacePrangingPfromPpurplePtoPyellow
BruisingPinPdifferentPstagesPofPhealingPmayPindicatePmultiplePepisodesPofPtraumaPoverPtime—
aPkeyPindicatorPofPchildPabuse.PBruisesPonPthePkneesPandPlowerPlegsParePcommonPinPchildhoodPfromPplay
injuries;PbruisesPonParmsPandPfacePwouldPbePlessPlikelyPtoPbePassociatedPwithPtypicalPinjuryPduringPplaytime
.
21. AtPwhatPagePwouldPthePFNPPexpectPtoPseePaPchildPcopyPaPcircle?
C. 3Pyears
APchildPnormallyPcanPcopyPaPcirclePatP3PyearsP.
22. AfterPintensePrectalPitching,PwhichPofPthePfollowingPsymptomsPisPmostPtypicalPofPpinwormsPin
Pchildren?
B. PerianalPexcoriation
PerianalPexcoriationPisPcommon,PparticularlyPinPchildren.PTheyPscratchPthePperianalPareaPbecausePofPallPtheP
itchingP.
23. WhichPofPthePfollowingPfindingsPinPaP70-year-
oldPmanPwouldPincreasePthePsuspicionPofPprostatePcancer?
D.P P Firm,PdistinctPlesionPpalpable
APfirm,PdistinctPpalpablePlesionPisPdescriptivePofPprostaticPmalignancyPandPshouldPbePreferredPimmediately
24. APpatientPisPbroughtPtoPthePclinicPwithPaPnosebleed.PWhichPofPthePfollowingPobjectivePdescriptions
PisPconsistentPwithPaPposteriorPnosebleed?
A. BloodPseenPinPoropharynx
