PSI FNP Questions and Answers A+
Graded (2025)
A .nurse .practitioner .considering .referral .of .a .frail .elderly .patient .for .hospice .care
.understands .that: .- .CORRECT .ANSWER-documentation .of .limited .life
.expectancy .is .a .prerequisite
Urinary .and .bowel .dysfunction, .saddle .anesthesia, .and .leg .weakness .or .foot
.drop .are .signs .of .- .CORRECT .ANSWER-cauda .equina .syndrome
Which .of .the .following .statements .regarding .depression .in .the .elderly .is
.correct? .- .CORRECT .ANSWER-Depression .can .be .induced .by .prescribed .and
.over-the-counter .medications
A .geriatric .patient .who .has .a .40 .pack-year .smoking .history .complains .of .painful
.cramping .in .the .leg .muscles .that .occurs .after .walking .for .20 .minutes. . After
.taking .a .complete .history .and .performing .a .physical .examination, .a .nurse
.practitioner .decides .that .the .most .likely .diagnosis .is: .- .CORRECT .ANSWER-
intermittent .claudication
Which .of .the .following .conditions .exacerbate .urinary .incontinence? .- .CORRECT
.ANSWER-Impacted .stool .and .atrophic .vaginits
Which .trimester .of .pregnancy .is .a .woman .with .a .fundal .height .measurement .at
.the .umbilicus? .- .CORRECT .ANSWER-Second
The .best .medication .for .a .patient .who .complains .of .irritable .bowel .syndrome
.with .cramping .is: .- .CORRECT .ANSWER-dicyclomine .(Bentyl)
Major .causes .of .chronic .kidney .disease .include? .- .CORRECT .ANSWER-
amyloidosis .and .systemic .lupus .erythematosus
In .a .19-year-old .who .presents .with .a .sore .throat .and .anterior .cervical
.adenopathy, .which .causative .agent .would .be .suspected? .- .CORRECT .ANSWER-
Group .A .beta-hemolytic .Streptococcus
, Which .of .the .following .constellations .of .symptoms, .lasting .more .than .3 .months,
.is .MOST .common .in .fibromyalgia? .- .CORRECT .ANSWER-diffuse .pain, .sleep
.abnormality, .fatigue
The .most .common .skin .cancer .is: .- .CORRECT .ANSWER-basal .cell .carcinoma
Research .studies .indicate .that .erectile .dysfunction .in .geriatric .patients .is .a
.common .complication .in .- .CORRECT .ANSWER-vascular .disease
Acute .otitis .media .has .which .of .the .following .characteristics? .- .CORRECT
.ANSWER-loss .of .ossicular .landmarks .on .the .tympanic . membrane
Which .of .the .following .is .the .MOST .common .risk .factor .for .developing .severe
.hyperbilirubinemia .in .the . newborn? .- .CORRECT .ANSWER-Blood .incompatibility
.with .the .mother
Which .of .the .following .is .a .common .cause .of .acne? .- .CORRECT .ANSWER-
increase .in .androgens
Which .of .the .following .conditions .is .a .risk .factor .for .development .of .DVT .and
.PE? .- .CORRECT .ANSWER-visceral . malignancy
A .pregnant .adult .patient .is .diagnosed .with .a .chlamydial .infection .at .20 .weeks .of
.gestation. .Which .of .the .following .is .the .most .accurate .method .for .confirming
.this .diagnosis? .- .CORRECT .ANSWER-Nucleic .acid .amplification .test .(NAAT) .of
.urine
A .late .adolescent .football .player .presents .to .the .urgent .care .with .an .acute .knee
.injury. .He . heard .a .pop .when .his .knee .buckled. .The .nurse .practitioner .notes .a
.positive .anterior .drawer .test. .The .most .likely .diagnosis .is .injury .to .the .-
.CORRECT .ANSWER-anterior .cruciate .ligament
A .pediatric .patient .presents .with .a .painful .enlarged .parotid .gland. .The .most
.likely .diagnosis .is: .- .CORRECT .ANSWER-mumps
An .older .adult .female .presents .with .severe .pain. .She .reports .malaise, .and
.periodic .itching .and .burning .on . her .chest .wall. .Physical .exam .reveals .a .small
.area .of .hyperesthesia .in .a .linear .fashion. . The .most .likely .diagnosis .is: .-
.CORRECT .ANSWER-herpes .zoster
A .geriatric .patient .presents .with .a .bump .on .the .vulva, .associated .with .pruritis
.and .malodorous .drainage. .Examination .reveals .a .raised, .ulcerated .lesion. .The
.most .likely .diagnosis .is: .- .CORRECT .ANSWER-vulvar .cancer
An .adult .patient .presents .with .a .painless .ulcer .in .the .genital .area .and .enlarged
.lymph .nodes .in .the .groin. .The .nurse .practitioner .suspects: .- .CORRECT
.ANSWER-syphillis
Graded (2025)
A .nurse .practitioner .considering .referral .of .a .frail .elderly .patient .for .hospice .care
.understands .that: .- .CORRECT .ANSWER-documentation .of .limited .life
.expectancy .is .a .prerequisite
Urinary .and .bowel .dysfunction, .saddle .anesthesia, .and .leg .weakness .or .foot
.drop .are .signs .of .- .CORRECT .ANSWER-cauda .equina .syndrome
Which .of .the .following .statements .regarding .depression .in .the .elderly .is
.correct? .- .CORRECT .ANSWER-Depression .can .be .induced .by .prescribed .and
.over-the-counter .medications
A .geriatric .patient .who .has .a .40 .pack-year .smoking .history .complains .of .painful
.cramping .in .the .leg .muscles .that .occurs .after .walking .for .20 .minutes. . After
.taking .a .complete .history .and .performing .a .physical .examination, .a .nurse
.practitioner .decides .that .the .most .likely .diagnosis .is: .- .CORRECT .ANSWER-
intermittent .claudication
Which .of .the .following .conditions .exacerbate .urinary .incontinence? .- .CORRECT
.ANSWER-Impacted .stool .and .atrophic .vaginits
Which .trimester .of .pregnancy .is .a .woman .with .a .fundal .height .measurement .at
.the .umbilicus? .- .CORRECT .ANSWER-Second
The .best .medication .for .a .patient .who .complains .of .irritable .bowel .syndrome
.with .cramping .is: .- .CORRECT .ANSWER-dicyclomine .(Bentyl)
Major .causes .of .chronic .kidney .disease .include? .- .CORRECT .ANSWER-
amyloidosis .and .systemic .lupus .erythematosus
In .a .19-year-old .who .presents .with .a .sore .throat .and .anterior .cervical
.adenopathy, .which .causative .agent .would .be .suspected? .- .CORRECT .ANSWER-
Group .A .beta-hemolytic .Streptococcus
, Which .of .the .following .constellations .of .symptoms, .lasting .more .than .3 .months,
.is .MOST .common .in .fibromyalgia? .- .CORRECT .ANSWER-diffuse .pain, .sleep
.abnormality, .fatigue
The .most .common .skin .cancer .is: .- .CORRECT .ANSWER-basal .cell .carcinoma
Research .studies .indicate .that .erectile .dysfunction .in .geriatric .patients .is .a
.common .complication .in .- .CORRECT .ANSWER-vascular .disease
Acute .otitis .media .has .which .of .the .following .characteristics? .- .CORRECT
.ANSWER-loss .of .ossicular .landmarks .on .the .tympanic . membrane
Which .of .the .following .is .the .MOST .common .risk .factor .for .developing .severe
.hyperbilirubinemia .in .the . newborn? .- .CORRECT .ANSWER-Blood .incompatibility
.with .the .mother
Which .of .the .following .is .a .common .cause .of .acne? .- .CORRECT .ANSWER-
increase .in .androgens
Which .of .the .following .conditions .is .a .risk .factor .for .development .of .DVT .and
.PE? .- .CORRECT .ANSWER-visceral . malignancy
A .pregnant .adult .patient .is .diagnosed .with .a .chlamydial .infection .at .20 .weeks .of
.gestation. .Which .of .the .following .is .the .most .accurate .method .for .confirming
.this .diagnosis? .- .CORRECT .ANSWER-Nucleic .acid .amplification .test .(NAAT) .of
.urine
A .late .adolescent .football .player .presents .to .the .urgent .care .with .an .acute .knee
.injury. .He . heard .a .pop .when .his .knee .buckled. .The .nurse .practitioner .notes .a
.positive .anterior .drawer .test. .The .most .likely .diagnosis .is .injury .to .the .-
.CORRECT .ANSWER-anterior .cruciate .ligament
A .pediatric .patient .presents .with .a .painful .enlarged .parotid .gland. .The .most
.likely .diagnosis .is: .- .CORRECT .ANSWER-mumps
An .older .adult .female .presents .with .severe .pain. .She .reports .malaise, .and
.periodic .itching .and .burning .on . her .chest .wall. .Physical .exam .reveals .a .small
.area .of .hyperesthesia .in .a .linear .fashion. . The .most .likely .diagnosis .is: .-
.CORRECT .ANSWER-herpes .zoster
A .geriatric .patient .presents .with .a .bump .on .the .vulva, .associated .with .pruritis
.and .malodorous .drainage. .Examination .reveals .a .raised, .ulcerated .lesion. .The
.most .likely .diagnosis .is: .- .CORRECT .ANSWER-vulvar .cancer
An .adult .patient .presents .with .a .painless .ulcer .in .the .genital .area .and .enlarged
.lymph .nodes .in .the .groin. .The .nurse .practitioner .suspects: .- .CORRECT
.ANSWER-syphillis
