,HESI,.EXIT,.Family,.Nurse,.Practitioner,.FINAL,.EXAMS
1. Which,.of,.the,.following,.signs,.would,.indicate,.to,.the,.FNP,.that,.a,.patient,.might,.have,.an,.air
way,.occlusion,.and,.needs,.assistance?
A. Holding,.throat,.with,.both,.hand
s
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,.immobilit
y
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,.erythe
ma,.infectious?
D. Reddened,.exanthema,.on,.hands,.and,.feet,.with,.distinct,.margins,.at,.wrist,.and,.ankle,.joi
nts
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,.highwa
ys
The,.factor,.that,.places,.a,.patient,.at,.greatest,.risk,.for,.skin,.cancer,.is,.exposure,.to,.ultraviolet,.light;,.becau
se,.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,.perito
neal,.irritation?
A. Abdominal,.guardin
g
Peritoneal,.irritation,.would,.lead,.to,.guarding,.and,.possible,.rebound,.tenderness.,.The,.Iliopsoas,.sign,.is,.an,.in
dicator,.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.,.Inc
reased,.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,.month
s
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,.premat
ure,.cardiac,.death.,.He,.is,.non,.symptomatic,.and,.appears,.in,.good,.health.,.The,.FNP,.should,.us
e,.which,.technique,.during,.the,.examination,.to,.help,.determine,.the,.presence,.of,.abnormal,.h
eart,.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,.re
sults.,.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,,.fami
ly,,.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,.up,.steps,,.and,.kneeling,..
11. In,.a,.patient,.with,.Bell’s,.palsy,,.which,.of,.the,.following,.physical,.exam,.findings,.is,.consistent,.with
,.the,.diagnosis?
B. Inability,.to,.puff ,.out,.cheek
In,.Bell’s,.palsy,,.unilateral,.paresis,.or,.paralysis,.of,.the,.facial,.nerve,.occurs.,.Bell’s,.palsy,.symptoms,.inclu
de,.facial,.weakness,.accompanied,.by,.change,.in,.taste,.sensation,,.hyperacusis,,.and,.decreased,.lacrimati
on.
12. Which,.factor,.in,.the,.patient’s,.history,.should,.cause,.the,.FNP,.to,.suspect,.deep,.vein,.thrombosis?, . D.
Oral,.contraceptive,.pill,.use
DVT,.should,.be,.suspected,.in,.the,.following,.circumstances:,.pregnancy,,.smoking,,.oral,.contraceptive,.use
,,.older,.age,,.or,.clotting,.disorders.
, 13. Which,.of,.the,.following,.is,.not,.a,.trait,.found,.in,.a,.person,.suffering,.from,.PTSD?
A. Hypersomnia
The,.DSM,.IV,.identifies,.PTSD,.as,.consisting,.of,.three,.clusters,.of,.symptoms:,.reexperiencing,,.avoidance,,.and
,.hyperarousal.
Hypersomnia,.is,.not,.a,.trait,.of,.PTSD,..
14. Besides,.abdominal,.or,.flank,.pain,,.what,.would,.the,.best,.indicator,.be,.in,.a,.patient,.with,.a,.ki
dney,.stone?
A. Hematuria
Hematuria,.is,.generally,.seen,.in,.all,.patients,.with,.kidney,.stones.
The,.other,.findings,.may,.not,.be,.seen,.in,.all,.patients,.with,.kidney,.stones.
15. Which,.of,.the,.following,.objective,.findings,.is,.pathognomonic,.for,.infectious,.mononucleosis?
D., . , . Lymphadenopathy
The,.localized,.inflammatory,.response,.produces,.the,.lymphadenopathy,.that,.is,.almost,.always,.present,.in
infectious,.mononucleosis.
If,.lymphadenopathy,.is,.not,.present,,.the,.diagnosis,.of,.mononucleosis,.should,.be,.questioned.,.Although
,.usually,.present,.in,.infectious,.mononucleosis,,.the,.rash,,.facial,.edema,,.and,.sore,.throat,.could,.also,.occ
ur,.with,.other,.illnesses,..
16. What,.is,.the,.primary,.difference,.between,.tender,.points,.and,.trigger,.points,.as,.objective,.finding
s,.in,.a,.physical,.examination?
C. Palpation,.of,.trigger,.points,.causes,.radiation,.of,.pain;,.palpation,.of,.tender,.points,.does,.not.
On,.physical,.examination,,.palpation,.of,.trigger,.points,.causes,.radiation,.of,.pain;,.palpation,.of,.tender,.p
oints,.does,.not.,.The,.other,.options,.are,.false.
17. Visual,.acuity,.testing,.of,.a,.young,.man,.hoping,.to,.enter,.the,.military,.indicates,.20/40,.vision.,.The,
.FNP,.interprets,.these,.findings,.to,.the,.man,.correctly,.as:
B. Ability,.to,.see,.from,.20,.feet,.what,.the,.normal,.eye,.sees,.at,.40,.feet
Visual,.acuity,.assessed,.with,.the,.Snellen,.chart,.requires,.measurement,.of,.vision,.from,.a,.distance,.of,.20,.f
eet,.(the,.numerator,.in,.the,.20/40,.finding).,.A,.finding,.of,.20/40,.vision,.indicates,.that,.the,.man,.can,.see,.f
rom,.20,.feet,.what,.the,.normal,.eye,.can,.see,.from,.40,.feet,.away,.from,.the,.chart.
18. In,.assessing,.a,.patient,.suspected,.of,.having,.dementia,,.the,.FNP,.should,.assess,.whether,.the,.pat
ient,.has,.difficulty,.in,.which,.of,.the,.following?
D. Balancing,.the,.checkbook
Difficulty,.getting,.dressed,.or,.walking,.may,.be,.associated,.with,.arthritis,.or,.a,.mobility,.problem.
1. Which,.of,.the,.following,.signs,.would,.indicate,.to,.the,.FNP,.that,.a,.patient,.might,.have,.an,.air
way,.occlusion,.and,.needs,.assistance?
A. Holding,.throat,.with,.both,.hand
s
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,.immobilit
y
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,.erythe
ma,.infectious?
D. Reddened,.exanthema,.on,.hands,.and,.feet,.with,.distinct,.margins,.at,.wrist,.and,.ankle,.joi
nts
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,.highwa
ys
The,.factor,.that,.places,.a,.patient,.at,.greatest,.risk,.for,.skin,.cancer,.is,.exposure,.to,.ultraviolet,.light;,.becau
se,.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,.perito
neal,.irritation?
A. Abdominal,.guardin
g
Peritoneal,.irritation,.would,.lead,.to,.guarding,.and,.possible,.rebound,.tenderness.,.The,.Iliopsoas,.sign,.is,.an,.in
dicator,.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.,.Inc
reased,.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,.month
s
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,.premat
ure,.cardiac,.death.,.He,.is,.non,.symptomatic,.and,.appears,.in,.good,.health.,.The,.FNP,.should,.us
e,.which,.technique,.during,.the,.examination,.to,.help,.determine,.the,.presence,.of,.abnormal,.h
eart,.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,.re
sults.,.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,,.fami
ly,,.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,.up,.steps,,.and,.kneeling,..
11. In,.a,.patient,.with,.Bell’s,.palsy,,.which,.of,.the,.following,.physical,.exam,.findings,.is,.consistent,.with
,.the,.diagnosis?
B. Inability,.to,.puff ,.out,.cheek
In,.Bell’s,.palsy,,.unilateral,.paresis,.or,.paralysis,.of,.the,.facial,.nerve,.occurs.,.Bell’s,.palsy,.symptoms,.inclu
de,.facial,.weakness,.accompanied,.by,.change,.in,.taste,.sensation,,.hyperacusis,,.and,.decreased,.lacrimati
on.
12. Which,.factor,.in,.the,.patient’s,.history,.should,.cause,.the,.FNP,.to,.suspect,.deep,.vein,.thrombosis?, . D.
Oral,.contraceptive,.pill,.use
DVT,.should,.be,.suspected,.in,.the,.following,.circumstances:,.pregnancy,,.smoking,,.oral,.contraceptive,.use
,,.older,.age,,.or,.clotting,.disorders.
, 13. Which,.of,.the,.following,.is,.not,.a,.trait,.found,.in,.a,.person,.suffering,.from,.PTSD?
A. Hypersomnia
The,.DSM,.IV,.identifies,.PTSD,.as,.consisting,.of,.three,.clusters,.of,.symptoms:,.reexperiencing,,.avoidance,,.and
,.hyperarousal.
Hypersomnia,.is,.not,.a,.trait,.of,.PTSD,..
14. Besides,.abdominal,.or,.flank,.pain,,.what,.would,.the,.best,.indicator,.be,.in,.a,.patient,.with,.a,.ki
dney,.stone?
A. Hematuria
Hematuria,.is,.generally,.seen,.in,.all,.patients,.with,.kidney,.stones.
The,.other,.findings,.may,.not,.be,.seen,.in,.all,.patients,.with,.kidney,.stones.
15. Which,.of,.the,.following,.objective,.findings,.is,.pathognomonic,.for,.infectious,.mononucleosis?
D., . , . Lymphadenopathy
The,.localized,.inflammatory,.response,.produces,.the,.lymphadenopathy,.that,.is,.almost,.always,.present,.in
infectious,.mononucleosis.
If,.lymphadenopathy,.is,.not,.present,,.the,.diagnosis,.of,.mononucleosis,.should,.be,.questioned.,.Although
,.usually,.present,.in,.infectious,.mononucleosis,,.the,.rash,,.facial,.edema,,.and,.sore,.throat,.could,.also,.occ
ur,.with,.other,.illnesses,..
16. What,.is,.the,.primary,.difference,.between,.tender,.points,.and,.trigger,.points,.as,.objective,.finding
s,.in,.a,.physical,.examination?
C. Palpation,.of,.trigger,.points,.causes,.radiation,.of,.pain;,.palpation,.of,.tender,.points,.does,.not.
On,.physical,.examination,,.palpation,.of,.trigger,.points,.causes,.radiation,.of,.pain;,.palpation,.of,.tender,.p
oints,.does,.not.,.The,.other,.options,.are,.false.
17. Visual,.acuity,.testing,.of,.a,.young,.man,.hoping,.to,.enter,.the,.military,.indicates,.20/40,.vision.,.The,
.FNP,.interprets,.these,.findings,.to,.the,.man,.correctly,.as:
B. Ability,.to,.see,.from,.20,.feet,.what,.the,.normal,.eye,.sees,.at,.40,.feet
Visual,.acuity,.assessed,.with,.the,.Snellen,.chart,.requires,.measurement,.of,.vision,.from,.a,.distance,.of,.20,.f
eet,.(the,.numerator,.in,.the,.20/40,.finding).,.A,.finding,.of,.20/40,.vision,.indicates,.that,.the,.man,.can,.see,.f
rom,.20,.feet,.what,.the,.normal,.eye,.can,.see,.from,.40,.feet,.away,.from,.the,.chart.
18. In,.assessing,.a,.patient,.suspected,.of,.having,.dementia,,.the,.FNP,.should,.assess,.whether,.the,.pat
ient,.has,.difficulty,.in,.which,.of,.the,.following?
D. Balancing,.the,.checkbook
Difficulty,.getting,.dressed,.or,.walking,.may,.be,.associated,.with,.arthritis,.or,.a,.mobility,.problem.
