PSI FNP Practice Exam Questions And 100%
Correct Answers
A 17 year old female is suspected of having polycystic ovary syndrome. Aside from
testosterone, the most appropriate diagnostic tests to order would be:
A. BUN, creatinine, electrolytes, and dehydroepiandrosterone(DHEA)
B. CBC, BUN, creatinine, and estrone
C. FBS, CBC, BUN, and sex hormone binding globulin
D. FSH, LH, prolactin, and TSH - Answer D. FSH, LH, TSH
Which of the following wet-mount findings supports a tentative diagnosis of bacterial
vaginosis?
A. Squamous epithelial cells with stippling appearance and indistinct borders; no
lactobacillus rods; many WBC
B. Squamous epithelial cells with clear cytoplasm and distinct borders; many
lactobacillus rods; occasional WBC
C. Organisms about the size of WBCs with undulating flagellum; occasional lactobacillus
rods; many WBC
D. Hyphae and spores, few lactobacillus rods, and occasional WBC - Answer Squamous
epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods
and many white cells.
A patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary
artery disease. The patient is currently taking insulin and a beta blocker. Assuming the
beta blocker is to be continued, it will be important to teach the patient to recognize
hypoglycemia. Which symptom would be most indicative of hypoglycemia in this
patient?
A. edema
B. Tachycardia
C. Palpitations
,D. Sweating - Answer D. Sweating
A 67-year old with type 2 diabetes mellitus, congestive heart failure, and mild coronary
artery disease is currently taking the following medications: Digoxin, 0.25mg daily;
HCTZ, 25mg daily; Metformin 500mg daily; glipizide 10mg daily; and Atorvastatin
(Lipitor) 20mg HS. Which of the following is a correct statement regarding the regimen?
A. The glipizide will increase the risk of potassium depletion.
B. The digoxin will increase the risk of hypoglycemia
C. The HCTZ will predispose the patient to Digoxin toxicity
D. The atorvastatin will worsen the diabetes. - Answer C. The HCTZ will predispose the
patient to Digoxin toxicity
The initial therapy for a 3 week old infant with uncomplicated symptoms of
gastroesophageal reflux disease includes of the following positions and change in diet?
A. Prone position and rotate formulas in order to find one that causes less reflux
B. Less volume, more frequent feedings and burp in upright position
C. Semisupine position and offer more ounces of formula less frequently
D. Lateral position and start small amounts of solid food with formula - Answer Smaller,
more frequent feedings while holding infant.
Which of the following best describes psoriatic lesions in an elderly patient?
A. Shiny, purple, smooth lesions
B. Localized erythematous vesicles
C. Erythematous plagues with central clearing
D. Red, sharply defined plaques with silvery scaling. ANSWER D. Red, sharply defined
plaques with silvery scaling.
A 68-yr-old female presents with a new onset of left-sided throbbing headache. She has
noticed some spots in her visual fields that come and go. She is being treated with an
NSAID for arthritis. Sedimentation rate is elevated, but all other lab values are WNL. The
headache is most likely due to:
,A. TIA
B. NSAID induced headache
C. Temporal arteritis
D. Glaucoma - Answer C. Temporal arteritis
A patient with Type 1 diabetes mellitus on NPH and regular insulin split-dosing
complains of early morning rise in fingerstick blood glucose. Review of an at-home
glucose test reveals increased morning levels. After an increase in the evening insulin
dose, the problem worsens. This is most likely an example of:
A. Insulin resistance
B. Cortisol deficiency
C. the Somogyi effect
D. pawn phenomenon - Answer C. the Somogyi effect
An 18 yo college student presents for an athletic physical. When asked about current
medications, she mentions that she takes "some hearb" she bought at a health food
store for migrains and menstrual cramps. Which of the following herbal remedies has
been commonly used for these conditions?
A. Ephedra
B. Echinacea
C. Feverfew
D. Ginko Biloba - Answer C. Feverfew
Which of the following GI changes in associated with normal aging?
A. Decreased production of gastric acid
B. Decreased incidence of gallstones
C. Increased salivation
D. Increased esophageal emptying - Answer A. Decreased production of gastric acid.
, A 32-year-old patient complains of a 6-month history of intermittent symmetrical
swelling of the wrists and daily morning stiffness lasting 1 hour or more in and around
other joints. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gouty arthritis
D. Reiter's syndrome Answer A. Rheumatoid Arthritis
An 85-year-old patient reported that while on the way to an annual physical examination,
he suffered a sudden loss of vision in the right eye described as a "bunch of lights" and
a sensation that "a curtain came down." The most likely diagnosis is:
A. Vitreal hemorrhage
B. Optic nerve lesion
C. Central retinal nerve occlusion
D. Retinal Detachment - Answer D. Retinal detachment
Assessment findings that would support the diagnosis of mitral regurgitation would
include the following:
A. Atrial fibrillation with summation gallop
B. Loud, high-pitched pansystolic murmur
C. Diastolic murmur with split S1
D. Early diastolic murmur with an S3 wave. -Answer B. Loud, high-pitched pansystolic
murmur
During an employment physical exam of a 21-year old female, bruising around the areola
on the breasts is noted. An appropriate health history for these findings should include
all of the following EXCEPT:
A. Current social relatonships
B. History of present or past traumas
C. Mental health status
Correct Answers
A 17 year old female is suspected of having polycystic ovary syndrome. Aside from
testosterone, the most appropriate diagnostic tests to order would be:
A. BUN, creatinine, electrolytes, and dehydroepiandrosterone(DHEA)
B. CBC, BUN, creatinine, and estrone
C. FBS, CBC, BUN, and sex hormone binding globulin
D. FSH, LH, prolactin, and TSH - Answer D. FSH, LH, TSH
Which of the following wet-mount findings supports a tentative diagnosis of bacterial
vaginosis?
A. Squamous epithelial cells with stippling appearance and indistinct borders; no
lactobacillus rods; many WBC
B. Squamous epithelial cells with clear cytoplasm and distinct borders; many
lactobacillus rods; occasional WBC
C. Organisms about the size of WBCs with undulating flagellum; occasional lactobacillus
rods; many WBC
D. Hyphae and spores, few lactobacillus rods, and occasional WBC - Answer Squamous
epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods
and many white cells.
A patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary
artery disease. The patient is currently taking insulin and a beta blocker. Assuming the
beta blocker is to be continued, it will be important to teach the patient to recognize
hypoglycemia. Which symptom would be most indicative of hypoglycemia in this
patient?
A. edema
B. Tachycardia
C. Palpitations
,D. Sweating - Answer D. Sweating
A 67-year old with type 2 diabetes mellitus, congestive heart failure, and mild coronary
artery disease is currently taking the following medications: Digoxin, 0.25mg daily;
HCTZ, 25mg daily; Metformin 500mg daily; glipizide 10mg daily; and Atorvastatin
(Lipitor) 20mg HS. Which of the following is a correct statement regarding the regimen?
A. The glipizide will increase the risk of potassium depletion.
B. The digoxin will increase the risk of hypoglycemia
C. The HCTZ will predispose the patient to Digoxin toxicity
D. The atorvastatin will worsen the diabetes. - Answer C. The HCTZ will predispose the
patient to Digoxin toxicity
The initial therapy for a 3 week old infant with uncomplicated symptoms of
gastroesophageal reflux disease includes of the following positions and change in diet?
A. Prone position and rotate formulas in order to find one that causes less reflux
B. Less volume, more frequent feedings and burp in upright position
C. Semisupine position and offer more ounces of formula less frequently
D. Lateral position and start small amounts of solid food with formula - Answer Smaller,
more frequent feedings while holding infant.
Which of the following best describes psoriatic lesions in an elderly patient?
A. Shiny, purple, smooth lesions
B. Localized erythematous vesicles
C. Erythematous plagues with central clearing
D. Red, sharply defined plaques with silvery scaling. ANSWER D. Red, sharply defined
plaques with silvery scaling.
A 68-yr-old female presents with a new onset of left-sided throbbing headache. She has
noticed some spots in her visual fields that come and go. She is being treated with an
NSAID for arthritis. Sedimentation rate is elevated, but all other lab values are WNL. The
headache is most likely due to:
,A. TIA
B. NSAID induced headache
C. Temporal arteritis
D. Glaucoma - Answer C. Temporal arteritis
A patient with Type 1 diabetes mellitus on NPH and regular insulin split-dosing
complains of early morning rise in fingerstick blood glucose. Review of an at-home
glucose test reveals increased morning levels. After an increase in the evening insulin
dose, the problem worsens. This is most likely an example of:
A. Insulin resistance
B. Cortisol deficiency
C. the Somogyi effect
D. pawn phenomenon - Answer C. the Somogyi effect
An 18 yo college student presents for an athletic physical. When asked about current
medications, she mentions that she takes "some hearb" she bought at a health food
store for migrains and menstrual cramps. Which of the following herbal remedies has
been commonly used for these conditions?
A. Ephedra
B. Echinacea
C. Feverfew
D. Ginko Biloba - Answer C. Feverfew
Which of the following GI changes in associated with normal aging?
A. Decreased production of gastric acid
B. Decreased incidence of gallstones
C. Increased salivation
D. Increased esophageal emptying - Answer A. Decreased production of gastric acid.
, A 32-year-old patient complains of a 6-month history of intermittent symmetrical
swelling of the wrists and daily morning stiffness lasting 1 hour or more in and around
other joints. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gouty arthritis
D. Reiter's syndrome Answer A. Rheumatoid Arthritis
An 85-year-old patient reported that while on the way to an annual physical examination,
he suffered a sudden loss of vision in the right eye described as a "bunch of lights" and
a sensation that "a curtain came down." The most likely diagnosis is:
A. Vitreal hemorrhage
B. Optic nerve lesion
C. Central retinal nerve occlusion
D. Retinal Detachment - Answer D. Retinal detachment
Assessment findings that would support the diagnosis of mitral regurgitation would
include the following:
A. Atrial fibrillation with summation gallop
B. Loud, high-pitched pansystolic murmur
C. Diastolic murmur with split S1
D. Early diastolic murmur with an S3 wave. -Answer B. Loud, high-pitched pansystolic
murmur
During an employment physical exam of a 21-year old female, bruising around the areola
on the breasts is noted. An appropriate health history for these findings should include
all of the following EXCEPT:
A. Current social relatonships
B. History of present or past traumas
C. Mental health status
