FNP/MSN Primary Exam 1 Questions With Complete
Solutions
"There are 1,185,000 cases of HIV/AIDS in the United States" is
an example of the morbidity rate. Correct Answer True
A 21-year-old student presents with complaints of fatigue,
headache, anorexia, and a runny nose, all of which began about
2 weeks ago. She started taking vitamins and over-the-counter
cold preparations but feels worse. The smell of food makes her
nauseated. Her boyfriend had mononucleosis about a month ago,
and she wonders if she might have it also. Examination reveals
cervical adenopathy and an enlarged liver and spleen. Which of
the following labs would be most helpful in the differential
diagnosis at this point? Correct Answer Antihepatitis D virus
A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis? Correct
Answer Very early
A 25-year-old accountant is seen in the clinic complaining of
crampy abdominal pain after meals. She is often constipated and
takes laxatives, which are followed by a couple of days of
diarrhea. She temporarily feels better after a bowel movement.
She states she is embarrassed by flatulence and has abdominal
distension. She has had no weight loss or blood in her stool. This
problem has gone on for about 6 months. What should the next
step be? Correct Answer Obtain a complete history.
A 28-year-old patient is seen in the clinic with colicky
abdominal pain particular with meals. She has frequent
,constipation, flatulence, and abdominal distension. Which of the
data make a diagnosis of diverticulitis unlikely? Correct
Answer Her age
A 28-year-old patient is seen with complaints of diarrhea. Which
of the following responses to the history questions would help
the primary care physician (PCP) establish the diagnosis of
irritable bowel syndrome? Correct Answer All of the above:
Feels relief after a bowel movement, Sometimes is constipated,
Does not defecate in the middle of the night
A 29-year-old Englishman is seen in the office with complaints
of pain in his chest and belly. He has been suffering the pain for
2 weeks and gets temporary relief from Alka-Seltzer®. The
burning pain wakes him at night and radiates up to his chest.
Which factor favors a diagnosis of gastric ulcer? Correct
Answer His use of Alka-Seltzer
A 35-year-old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in
the history and physical examination? Correct Answer All of
the above: Digital rectal exam, Pelvic exam, Sexual history
A 45-year-old patient presents with a chief complaint of
generalized abdominal pain. Her physical examination is
remarkable for left lower quadrant tenderness. At this time,
which of the following should be considered in the differential
diagnosis? Correct Answer All of the above: Endometriosis,
Colon cancer, Diverticulitis
, A 46-year-old patient is seen in the clinic with abdominal pain.
Which of the following tests is essential for this patient?
Correct Answer Urine human chorionic gonadotropin
A 65-year-old man presents to the clinician with complaints of
increasing bilateral peripheral vision loss, poor night vision, and
frequent prescription changes that started 6 months previously.
Recently, he has also been seeing halos around lights. The
clinician suspects chronic open-angle glaucoma. Which of the
following statements is true concerning the diagnosis of chronic
open-angle glaucoma? Correct Answer Physical diagnosis
relies on gonioscopic evaluation of the angle by an
ophthalmologist.
A blood pressure (BP) of 150/90 is considered: Correct Answer
Normal in healthy older adults
A Delta wave on the ECG may be present in which condition?
Correct Answer Wolff-Parkinson-White syndrome
A pandemic affects many communities in a short period of time.
Correct Answer True
A patient comes to the office complaining of constipation. The
patient lists all of the following medications. Which drug could
be responsible for the constipation? Correct Answer Pepto-
Bismol®
A patient has acute pancreatitis with seven of the diagnostic
criteria from Ranson's criteria. In order to plan care, the NP must
Solutions
"There are 1,185,000 cases of HIV/AIDS in the United States" is
an example of the morbidity rate. Correct Answer True
A 21-year-old student presents with complaints of fatigue,
headache, anorexia, and a runny nose, all of which began about
2 weeks ago. She started taking vitamins and over-the-counter
cold preparations but feels worse. The smell of food makes her
nauseated. Her boyfriend had mononucleosis about a month ago,
and she wonders if she might have it also. Examination reveals
cervical adenopathy and an enlarged liver and spleen. Which of
the following labs would be most helpful in the differential
diagnosis at this point? Correct Answer Antihepatitis D virus
A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis? Correct
Answer Very early
A 25-year-old accountant is seen in the clinic complaining of
crampy abdominal pain after meals. She is often constipated and
takes laxatives, which are followed by a couple of days of
diarrhea. She temporarily feels better after a bowel movement.
She states she is embarrassed by flatulence and has abdominal
distension. She has had no weight loss or blood in her stool. This
problem has gone on for about 6 months. What should the next
step be? Correct Answer Obtain a complete history.
A 28-year-old patient is seen in the clinic with colicky
abdominal pain particular with meals. She has frequent
,constipation, flatulence, and abdominal distension. Which of the
data make a diagnosis of diverticulitis unlikely? Correct
Answer Her age
A 28-year-old patient is seen with complaints of diarrhea. Which
of the following responses to the history questions would help
the primary care physician (PCP) establish the diagnosis of
irritable bowel syndrome? Correct Answer All of the above:
Feels relief after a bowel movement, Sometimes is constipated,
Does not defecate in the middle of the night
A 29-year-old Englishman is seen in the office with complaints
of pain in his chest and belly. He has been suffering the pain for
2 weeks and gets temporary relief from Alka-Seltzer®. The
burning pain wakes him at night and radiates up to his chest.
Which factor favors a diagnosis of gastric ulcer? Correct
Answer His use of Alka-Seltzer
A 35-year-old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in
the history and physical examination? Correct Answer All of
the above: Digital rectal exam, Pelvic exam, Sexual history
A 45-year-old patient presents with a chief complaint of
generalized abdominal pain. Her physical examination is
remarkable for left lower quadrant tenderness. At this time,
which of the following should be considered in the differential
diagnosis? Correct Answer All of the above: Endometriosis,
Colon cancer, Diverticulitis
, A 46-year-old patient is seen in the clinic with abdominal pain.
Which of the following tests is essential for this patient?
Correct Answer Urine human chorionic gonadotropin
A 65-year-old man presents to the clinician with complaints of
increasing bilateral peripheral vision loss, poor night vision, and
frequent prescription changes that started 6 months previously.
Recently, he has also been seeing halos around lights. The
clinician suspects chronic open-angle glaucoma. Which of the
following statements is true concerning the diagnosis of chronic
open-angle glaucoma? Correct Answer Physical diagnosis
relies on gonioscopic evaluation of the angle by an
ophthalmologist.
A blood pressure (BP) of 150/90 is considered: Correct Answer
Normal in healthy older adults
A Delta wave on the ECG may be present in which condition?
Correct Answer Wolff-Parkinson-White syndrome
A pandemic affects many communities in a short period of time.
Correct Answer True
A patient comes to the office complaining of constipation. The
patient lists all of the following medications. Which drug could
be responsible for the constipation? Correct Answer Pepto-
Bismol®
A patient has acute pancreatitis with seven of the diagnostic
criteria from Ranson's criteria. In order to plan care, the NP must
