Hesi Exit Family Nurse Practitioner-questions for FNP review
Latest 2025-2026 Updated
A ||72 ||year ||old ||woman ||has ||been ||on ||hydrochlorthiazide ||12.5 ||mg ||for ||many ||years ||to
||control ||her ||Stage ||II ||hypertension. ||Her ||BP ||at ||this ||visit ||is ||168/96. ||She ||is ||currently
||complaining ||of ||pain ||in ||her ||right ||hip ||and ||both ||knees. ||She ||has ||increased ||her ||dose ||of
||ibuprofen ||from ||400 ||mg ||TID ||to ||800 ||mg ||TID. ||She ||is ||still ||in ||pain ||and ||would ||like
||something ||stronger. ||Best ||explanation ||of ||the ||effects ||of ||ibuprofen ||on ||her ||disease. ||-
||Correct ||answer ||-It ||inhibits ||the ||effect ||of ||renal ||prostaglandins ||and ||blunts ||the
||effectiveness ||of ||the ||diuretic
Infections ||that ||affect ||mostly ||the ||labia ||and ||vagina ||except? ||- ||Correct ||answer ||-Chlamydia
||trachomatis
The ||nurse ||practitioner ||would ||test ||the ||obturator ||and ||iliopsoas ||muscle ||to ||evaluate ||for?
a. cholecystitis
b. Acute ||appendicitis
c. inguinal ||hernia
d. gastric ||ulcer ||- ||Correct ||answer ||-Acute ||appendicitis
Tx ||for ||mild ||preeclampsia ||includes ||all ||except: ||- ||Correct ||answer ||-Prescription ||of
||methyldopa ||to ||control ||BP
All ||of ||the ||following ||services ||are ||covered ||under ||Medicare ||Part ||A ||except:
a. inpatient ||hospitalization
,b. medicines ||administered ||to ||a ||patient ||while
hospitalized ||c | | nursing ||home ||care
||
d. ||surgeons ||- ||Correct ||answer ||-nursing ||home ||care
A ||28 ||year ||old ||student ||is ||seen ||in ||the ||school ||health ||clinic ||with ||complaints ||of ||a ||hacking
||cough ||that ||is ||productive ||of ||small ||amounts ||of ||sputum ||and ||a ||runny ||nose. ||He ||does ||not
||take ||medications, ||denies ||any ||allergies, ||and ||has ||no ||significant ||medical ||history. ||Physical
||exam ||reveals ||low-grade ||temperature ||of ||99.9 ||degrees, ||respirations ||of ||16 ||per ||minute,
||heart ||rate ||of ||90 ||beats ||per ||minute, ||and ||diffuse ||fine ||crackles ||in ||the ||base ||of ||the ||lungs.
||A ||chest ||xray ||shows ||diffuse ||infiltrates ||on ||the ||lower ||lobe ||of ||the ||right ||lung. ||The ||total
||WBC ||is ||10,000. ||What ||is ||the ||most ||likely ||diagnosis?
a. streptococcal ||pneumonia
b. mycoplasma ||pneumonia
c. acute ||bronchitis
d. legionnaire's ||disease ||- ||Correct ||answer ||-b
A ||39 ||year ||old ||migrant ||worker ||presents ||to ||the ||clinic ||2.5 ||days ||after ||a ||PPD ||skin ||test. ||The
||minimum ||size ||of ||induration ||would ||be ||considered ||positive ||in ||this ||patient?
a. 3 ||mm
b. 5 ||mm
c. 10 ||mm
d. 15 ||mm ||- ||Correct ||answer ||-c
All ||of ||the ||following ||are ||correct ||statements ||regarding ||a ||durable ||power ||of ||attorney's ||role
||except?
a. their ||decisions ||are ||legally ||binding
b. it ||can ||be ||used ||in ||other ||areas ||of ||a ||patient's ||life ||such ||as ||financial ||issues
c. they ||can ||decide ||for ||the ||patient ||who ||is ||on ||life ||support ||when ||it ||can ||be ||terminated
, d. the ||patient's ||spouse ||has ||the ||right ||to ||override ||a ||durable ||power ||of ||attorney ||- ||Correct
||answer ||-d
All ||of ||the ||following ||are ||true ||statements ||regarding ||Munchausen ||syndrome ||except:
a. it ||is ||considered ||a ||mental ||illness
b. the ||patient ||has ||a ||medical ||illness ||that ||causes ||an ||anxiety ||reaction ||and ||denial
c. the ||patient ||fakes ||an ||illness ||in ||order ||to ||gain ||attention ||from ||health ||care ||providers
d. the ||patient ||has ||an ||inconsistent ||medical ||history ||along ||with ||a ||past ||history ||of
||frequent ||hospitalizations ||- ||Correct ||answer ||-b
Which ||of ||the ||following ||antihypertensive ||medications ||should ||the ||nurse ||practitioner ||avoid
||when ||treating ||patients ||with ||emphysema?
a. calcium ||channel ||blockers
b. ACE ||inhibitors
c. beta ||blockers
d. diuretics ||- ||Correct ||answer ||-c
A ||30 ||year ||old ||chef ||complains ||of ||pruritic ||hives ||over ||her ||chest ||and ||arms ||but ||denies
||difficulty ||swallowing ||or ||breathing. ||SHe ||reports ||a ||family ||history ||of ||allergic ||rhinitis ||and
||asthma. ||Which ||of ||the ||following ||interventions ||is ||most ||appropriate?
a. perform ||a ||complete ||and ||thorough ||history
b. prescribe ||an ||oral ||antihistamine ||such ||as ||diphenhydramine ||25 ||mg ||PO ||QID
c. give ||an ||injection ||of ||epinephrine ||1:1000 ||IM ||stat
d. call ||911 ||- ||Correct ||answer ||-a
Which ||of ||the ||following ||findings ||is ||most ||likely ||in ||young ||prima ||gravidas ||with ||pregnancy
||induced ||hypertension?
Latest 2025-2026 Updated
A ||72 ||year ||old ||woman ||has ||been ||on ||hydrochlorthiazide ||12.5 ||mg ||for ||many ||years ||to
||control ||her ||Stage ||II ||hypertension. ||Her ||BP ||at ||this ||visit ||is ||168/96. ||She ||is ||currently
||complaining ||of ||pain ||in ||her ||right ||hip ||and ||both ||knees. ||She ||has ||increased ||her ||dose ||of
||ibuprofen ||from ||400 ||mg ||TID ||to ||800 ||mg ||TID. ||She ||is ||still ||in ||pain ||and ||would ||like
||something ||stronger. ||Best ||explanation ||of ||the ||effects ||of ||ibuprofen ||on ||her ||disease. ||-
||Correct ||answer ||-It ||inhibits ||the ||effect ||of ||renal ||prostaglandins ||and ||blunts ||the
||effectiveness ||of ||the ||diuretic
Infections ||that ||affect ||mostly ||the ||labia ||and ||vagina ||except? ||- ||Correct ||answer ||-Chlamydia
||trachomatis
The ||nurse ||practitioner ||would ||test ||the ||obturator ||and ||iliopsoas ||muscle ||to ||evaluate ||for?
a. cholecystitis
b. Acute ||appendicitis
c. inguinal ||hernia
d. gastric ||ulcer ||- ||Correct ||answer ||-Acute ||appendicitis
Tx ||for ||mild ||preeclampsia ||includes ||all ||except: ||- ||Correct ||answer ||-Prescription ||of
||methyldopa ||to ||control ||BP
All ||of ||the ||following ||services ||are ||covered ||under ||Medicare ||Part ||A ||except:
a. inpatient ||hospitalization
,b. medicines ||administered ||to ||a ||patient ||while
hospitalized ||c | | nursing ||home ||care
||
d. ||surgeons ||- ||Correct ||answer ||-nursing ||home ||care
A ||28 ||year ||old ||student ||is ||seen ||in ||the ||school ||health ||clinic ||with ||complaints ||of ||a ||hacking
||cough ||that ||is ||productive ||of ||small ||amounts ||of ||sputum ||and ||a ||runny ||nose. ||He ||does ||not
||take ||medications, ||denies ||any ||allergies, ||and ||has ||no ||significant ||medical ||history. ||Physical
||exam ||reveals ||low-grade ||temperature ||of ||99.9 ||degrees, ||respirations ||of ||16 ||per ||minute,
||heart ||rate ||of ||90 ||beats ||per ||minute, ||and ||diffuse ||fine ||crackles ||in ||the ||base ||of ||the ||lungs.
||A ||chest ||xray ||shows ||diffuse ||infiltrates ||on ||the ||lower ||lobe ||of ||the ||right ||lung. ||The ||total
||WBC ||is ||10,000. ||What ||is ||the ||most ||likely ||diagnosis?
a. streptococcal ||pneumonia
b. mycoplasma ||pneumonia
c. acute ||bronchitis
d. legionnaire's ||disease ||- ||Correct ||answer ||-b
A ||39 ||year ||old ||migrant ||worker ||presents ||to ||the ||clinic ||2.5 ||days ||after ||a ||PPD ||skin ||test. ||The
||minimum ||size ||of ||induration ||would ||be ||considered ||positive ||in ||this ||patient?
a. 3 ||mm
b. 5 ||mm
c. 10 ||mm
d. 15 ||mm ||- ||Correct ||answer ||-c
All ||of ||the ||following ||are ||correct ||statements ||regarding ||a ||durable ||power ||of ||attorney's ||role
||except?
a. their ||decisions ||are ||legally ||binding
b. it ||can ||be ||used ||in ||other ||areas ||of ||a ||patient's ||life ||such ||as ||financial ||issues
c. they ||can ||decide ||for ||the ||patient ||who ||is ||on ||life ||support ||when ||it ||can ||be ||terminated
, d. the ||patient's ||spouse ||has ||the ||right ||to ||override ||a ||durable ||power ||of ||attorney ||- ||Correct
||answer ||-d
All ||of ||the ||following ||are ||true ||statements ||regarding ||Munchausen ||syndrome ||except:
a. it ||is ||considered ||a ||mental ||illness
b. the ||patient ||has ||a ||medical ||illness ||that ||causes ||an ||anxiety ||reaction ||and ||denial
c. the ||patient ||fakes ||an ||illness ||in ||order ||to ||gain ||attention ||from ||health ||care ||providers
d. the ||patient ||has ||an ||inconsistent ||medical ||history ||along ||with ||a ||past ||history ||of
||frequent ||hospitalizations ||- ||Correct ||answer ||-b
Which ||of ||the ||following ||antihypertensive ||medications ||should ||the ||nurse ||practitioner ||avoid
||when ||treating ||patients ||with ||emphysema?
a. calcium ||channel ||blockers
b. ACE ||inhibitors
c. beta ||blockers
d. diuretics ||- ||Correct ||answer ||-c
A ||30 ||year ||old ||chef ||complains ||of ||pruritic ||hives ||over ||her ||chest ||and ||arms ||but ||denies
||difficulty ||swallowing ||or ||breathing. ||SHe ||reports ||a ||family ||history ||of ||allergic ||rhinitis ||and
||asthma. ||Which ||of ||the ||following ||interventions ||is ||most ||appropriate?
a. perform ||a ||complete ||and ||thorough ||history
b. prescribe ||an ||oral ||antihistamine ||such ||as ||diphenhydramine ||25 ||mg ||PO ||QID
c. give ||an ||injection ||of ||epinephrine ||1:1000 ||IM ||stat
d. call ||911 ||- ||Correct ||answer ||-a
Which ||of ||the ||following ||findings ||is ||most ||likely ||in ||young ||prima ||gravidas ||with ||pregnancy
||induced ||hypertension?
