FNP Exam Questions with Verified
Solutions
You are examining a 9-month-old infant who you suspect has cystic fibrosis. Which of
the following would be inconsistent with a diagnosis of cystic fibrosis in an infant?
abdominal distention
recurrent URI
diarrhea
salty taste when kissed - ANSWER-Correct Answer:
diarrhea
These are all signs consistent with cystic fibrosis in an infant. Other signs include:
chronic cough, and persistent vomiting, especially with cough.
Which of the following statements should the nurse practitioner consider correct
regarding the use of influenza immunizations?
The influenza immunization should not be administered to patients over the age of 70.
Everyone 6 months of age or older should get the influenza immunization yearly.
It is recommended that the influenza immunization not be administered to children
under the age of 5.
The influenza immunization is generally effective against the influenza virus within 2
days of administration. - ANSWER-Correct Answer:
Everyone 6 months of age or older should get the influenza immunization yearly.
The nurse practitioner should know that everyone 6 months of age or older should get
the influenza immunization yearly. The influenza immunization is generally effective
against the influenza virus within 2 weeks of administration.
If the FNP is giving the Mini-mental exam (MME) to an elderly patient, which subject
area is being tested when the FNP asks the patient to spell a word backwards?
attention and calculation
orientation
recall
sentence writing - ANSWER-Correct Answer:
,attention and calculation
The MME is a brief screening exam to assess for dementia. Five subject areas are
tested. The area tested by asking the patient to spell a word backwards is attention and
calculation.
Which of the following should be done for diabetic patients with insulin resistance
requiring more than 200 units per day?
change to less immunogenic pork or human synthetic insulins
administer a higher dosage of insulin
use purified insulin and inject directly into atrophic areas
use amylin analogs instead of insulin - ANSWER-Correct Answer:
change to less immunogenic pork or human synthetic insulins
Insulin resistance requiring more than 200 unites per day is rare and even less common
with increased use of human inclines. The cause is overproduction of insulin binding
immunoglobulins. Treatment is to change to less immunogenic pork or human synthetic
insults. It may require glucocorticoid treatment; consultation required.
What is the Catarrhal stage of Pertussis - ANSWER-Usually 7-10 days; range of 4-21
Characterized by:
Coryza
Low-grade fever
Mild, occasional cough (which gradually becomes more severe)
What is the Paroxysmal stage of Pertussis - ANSWER-Usually lasts 1-6 weeks, but may
persist for up to 10 weeks Characterized by:
Paroxysms of numerous, rapid coughs due to difficulty expelling thick mucus from the
tracheobronchial tree
Long inspiratory effort accompanied by a high-pitched "whoop" at the end of the
paroxysms
Cyanosis
Vomiting and exhaustion
Paroxysmal attacks:
Occur frequently at night, with an average of 15 attacks per 24 hours
Increase in frequency during the first 1-2 weeks, remain at the same frequency for 2-3
weeks, and then gradually decrease
Your follow-up of a patient reveals Jarisch-Herxheimer reaction. This is a reaction that
occurs in approximately 30% of patients treated for which of the following diseases?
hepatitis B
, gonorrhea
herpes simplex
primary syphilis - ANSWER-Correct Answer:
primary syphilis
Jarisch-Herxheimer reaction is a reaction that occurs in approximately 30% of patients
treated for primary syphilis. It occurs in approximately 70% of those treated for
secondary syphilis within 24 hours of treatment.
You have a 59-year-old female patient with osteoporosis. Which of the following would
you NOT expect to find in the radiographic results of this patient?
changes in vertebral body shape
increased radiodensity
fractures
generalized osteopenia - ANSWER-Correct Answer:
increased radiodensity
You would not expect to find increased radiodensity; you would expect to find
decreased radiodensity. Osteoporosis is a systemic skeletal disease characterized by
low bone mass.
The classic signs and symptoms of a migraine with aura would include all but which of
the following?
Nausea/vomiting
Weight loss
Halos
Photophobia - ANSWER-Correct Answer:
Weight loss
The classic signs and symptoms of a migraine with aura would include:
Nausea/vomiting
Halos
Photophobia
Throbbing pain behind one eye
Phonophobia
Scotoma
Scintillating lights
The Centers for Medicare and Medicaid Services encourages the use of which of the
following to reduce adverse effects of medication in the frail elderly?
, Tinetti Performance-Oriented Mobility Assessment
Beers criteria
Morse Fall Scale
MMSE - ANSWER-Correct Answer:
Beers criteria
The Centers for Medicare and Medicaid Services encourages the use of the Beers
criteria, which list medication and medication classes that should be avoided in older
persons, as part of an older patient's medication assessment to reduce adverse effects.
Polypharmacy, which is the use of multiple medications or the administration of more
medications than clinically indicated, is common in older persons. Among older adults,
30 percent of hospital admissions and many preventable problems, such as falls and
confusion, are believed to be related to adverse drug effects.
Which of the following diagnostic tests would not typically be done for a patient with
primary hypertension in stage 1?
potassium
hematocrit
glucose tolerance
creatinine - ANSWER-Correct Answer:
glucose tolerance
This is not a test typically done for a patient with stage 1 hypertension. In stage 1, a
thiazide diuretic is indicated for most individuals with uncomplicated hypertension.
You are examining a 65-year-old male who complains of having pain after eating. The
pain is located in the lower left quadrant of the abdomen. Which of the following might
you find that would support a diagnosis of diverticulitis?
hemorrhoids
low blood pressure
high fasting glucose
tarry stools - ANSWER-Correct Answer:
hemorrhoids
Hemorrhoids are something you might find in a patient with diverticulitis. Other findings
may include: depressed bowel sound (or increased if there is an obstruction); tender,
firm palpable mass present in the left iliac fossa; and tender rectum upon examination.
A patient's nutritional health falls under which section of the health history?
Solutions
You are examining a 9-month-old infant who you suspect has cystic fibrosis. Which of
the following would be inconsistent with a diagnosis of cystic fibrosis in an infant?
abdominal distention
recurrent URI
diarrhea
salty taste when kissed - ANSWER-Correct Answer:
diarrhea
These are all signs consistent with cystic fibrosis in an infant. Other signs include:
chronic cough, and persistent vomiting, especially with cough.
Which of the following statements should the nurse practitioner consider correct
regarding the use of influenza immunizations?
The influenza immunization should not be administered to patients over the age of 70.
Everyone 6 months of age or older should get the influenza immunization yearly.
It is recommended that the influenza immunization not be administered to children
under the age of 5.
The influenza immunization is generally effective against the influenza virus within 2
days of administration. - ANSWER-Correct Answer:
Everyone 6 months of age or older should get the influenza immunization yearly.
The nurse practitioner should know that everyone 6 months of age or older should get
the influenza immunization yearly. The influenza immunization is generally effective
against the influenza virus within 2 weeks of administration.
If the FNP is giving the Mini-mental exam (MME) to an elderly patient, which subject
area is being tested when the FNP asks the patient to spell a word backwards?
attention and calculation
orientation
recall
sentence writing - ANSWER-Correct Answer:
,attention and calculation
The MME is a brief screening exam to assess for dementia. Five subject areas are
tested. The area tested by asking the patient to spell a word backwards is attention and
calculation.
Which of the following should be done for diabetic patients with insulin resistance
requiring more than 200 units per day?
change to less immunogenic pork or human synthetic insulins
administer a higher dosage of insulin
use purified insulin and inject directly into atrophic areas
use amylin analogs instead of insulin - ANSWER-Correct Answer:
change to less immunogenic pork or human synthetic insulins
Insulin resistance requiring more than 200 unites per day is rare and even less common
with increased use of human inclines. The cause is overproduction of insulin binding
immunoglobulins. Treatment is to change to less immunogenic pork or human synthetic
insults. It may require glucocorticoid treatment; consultation required.
What is the Catarrhal stage of Pertussis - ANSWER-Usually 7-10 days; range of 4-21
Characterized by:
Coryza
Low-grade fever
Mild, occasional cough (which gradually becomes more severe)
What is the Paroxysmal stage of Pertussis - ANSWER-Usually lasts 1-6 weeks, but may
persist for up to 10 weeks Characterized by:
Paroxysms of numerous, rapid coughs due to difficulty expelling thick mucus from the
tracheobronchial tree
Long inspiratory effort accompanied by a high-pitched "whoop" at the end of the
paroxysms
Cyanosis
Vomiting and exhaustion
Paroxysmal attacks:
Occur frequently at night, with an average of 15 attacks per 24 hours
Increase in frequency during the first 1-2 weeks, remain at the same frequency for 2-3
weeks, and then gradually decrease
Your follow-up of a patient reveals Jarisch-Herxheimer reaction. This is a reaction that
occurs in approximately 30% of patients treated for which of the following diseases?
hepatitis B
, gonorrhea
herpes simplex
primary syphilis - ANSWER-Correct Answer:
primary syphilis
Jarisch-Herxheimer reaction is a reaction that occurs in approximately 30% of patients
treated for primary syphilis. It occurs in approximately 70% of those treated for
secondary syphilis within 24 hours of treatment.
You have a 59-year-old female patient with osteoporosis. Which of the following would
you NOT expect to find in the radiographic results of this patient?
changes in vertebral body shape
increased radiodensity
fractures
generalized osteopenia - ANSWER-Correct Answer:
increased radiodensity
You would not expect to find increased radiodensity; you would expect to find
decreased radiodensity. Osteoporosis is a systemic skeletal disease characterized by
low bone mass.
The classic signs and symptoms of a migraine with aura would include all but which of
the following?
Nausea/vomiting
Weight loss
Halos
Photophobia - ANSWER-Correct Answer:
Weight loss
The classic signs and symptoms of a migraine with aura would include:
Nausea/vomiting
Halos
Photophobia
Throbbing pain behind one eye
Phonophobia
Scotoma
Scintillating lights
The Centers for Medicare and Medicaid Services encourages the use of which of the
following to reduce adverse effects of medication in the frail elderly?
, Tinetti Performance-Oriented Mobility Assessment
Beers criteria
Morse Fall Scale
MMSE - ANSWER-Correct Answer:
Beers criteria
The Centers for Medicare and Medicaid Services encourages the use of the Beers
criteria, which list medication and medication classes that should be avoided in older
persons, as part of an older patient's medication assessment to reduce adverse effects.
Polypharmacy, which is the use of multiple medications or the administration of more
medications than clinically indicated, is common in older persons. Among older adults,
30 percent of hospital admissions and many preventable problems, such as falls and
confusion, are believed to be related to adverse drug effects.
Which of the following diagnostic tests would not typically be done for a patient with
primary hypertension in stage 1?
potassium
hematocrit
glucose tolerance
creatinine - ANSWER-Correct Answer:
glucose tolerance
This is not a test typically done for a patient with stage 1 hypertension. In stage 1, a
thiazide diuretic is indicated for most individuals with uncomplicated hypertension.
You are examining a 65-year-old male who complains of having pain after eating. The
pain is located in the lower left quadrant of the abdomen. Which of the following might
you find that would support a diagnosis of diverticulitis?
hemorrhoids
low blood pressure
high fasting glucose
tarry stools - ANSWER-Correct Answer:
hemorrhoids
Hemorrhoids are something you might find in a patient with diverticulitis. Other findings
may include: depressed bowel sound (or increased if there is an obstruction); tender,
firm palpable mass present in the left iliac fossa; and tender rectum upon examination.
A patient's nutritional health falls under which section of the health history?
