Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Family Nurse Practitioner-questions for FNP review Question & Answers 2024, Exams of Nursing

Family Nurse Practitioner-questions for FNP review Question & Answers 2024

Typology: Exams

2023/2024

Available from 05/24/2024

Elayna1
Elayna1 🇺🇸

5

(1)

2.4K documents

Partial preview of the text

Download Family Nurse Practitioner-questions for FNP review Question & Answers 2024 and more Exams Nursing in PDF only on Docsity!

review Question & Answers 2024

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 Answers It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic Infections that affect mostly the labia and vagina except? - Correct Answers Chlamydia trachomatis The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for? a. cholecystitis b. c. inguinal hernia d. gastric ulcer - Correct Answers Acute appendicitis Tx for mild preeclampsia includes all except: - Correct Answers 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

review Question & Answers 2024

d. surgeons - Correct Answers 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 Answers 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 Answers c

review Question & Answers 2024

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 Answers 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 Answers b Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients with emphysema? a. calcium channel blockers b. ACE inhibitors

review Question & Answers 2024

c. beta blockers d. diuretics - Correct Answers 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 Answers a Which of the following findings is most likely in young prima gravidas with pregnancy induced hypertension? a. abdominal cramping and constipation b. edema of the face and upper extremities c. shortness of breath d. dysuria and frequency - Correct Answers b Which of the following symptoms is associated with B12 deficiency anemia? a. spoon-shaped nails and pica b. an abnormal neurological exam

review Question & Answers 2024

c. a vegan diet d. tingling and numbness in both feet - Correct Answers d A second triple screen on a 35 year old primigravida reveals abnormally low levels of the alpha fetoprotein and estriol and high levels of human chorionic gonadatropin. Which of the following interventions is the best choice for this patient? a. order and ultrasound b. order CT scan of abdomen c. order a 24 hour urine for protein clearance d. assess for history of illicit drug or alcohol use. - Correct Answers a All of the following are true statements about diverticula except: a. diverticula are located in the colon b. a low-fiber diet is associated with the condition c. most diverticula in the colon are infected with Gram-negative bacteria d. supplementing with fiber such as psyllium is recommended - Correct Answers c Patients who are diagnosed with gonorrhea should also be treated for which of the following infections? a. chancroid

review Question & Answers 2024

b. chlamydia trachomatis c. herpes genitalis d. PID - Correct Answers b Kyphosis is a late sign of: a. old age b. osteopenia c. osteoporosis d. osteoarthritis - Correct Answers c A 35 year old primigravida who is at 28 weeks gestation is expecting twins. You would expect her alpha fetoprotein values to be? a. normal b. higher than normal c. lower than normal d. none of the above - Correct Answers b Which of the following antihypertensive medications has beneficial effects to an elderly white female with osteoporosis? a. calcium-channel blockers b. ACE inhibitors

review Question & Answers 2024

c. beta blockers d. diuretic - Correct Answers a The Lachman maneuver is used to detect which of the following? a. knee instability b. nerve damage of the knee due to past knee injuries c. integrity of the patellar tendon d. tears on the meniscus of the knee - Correct Answers a When an adolescent male's penis grows more in length than in width, which of the following Tanner stages is he classified at? a. Tanner Stage II b. Tanner Stage III c. Tanner Stage IV d. Tanner Stage V - Correct Answers b Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and intrauterine growth retardation. The acronym TORCH stands for? a. toxoplasmosis gondii, other infections, rubella, cytomegalovirus, and herpes

review Question & Answers 2024

b. toxic shock syndrome, ocular infections, rubella, cytomegalovirus, and herpes zoster c. tetanus, opthalmic infections, roseola, cancer, and head abnormalities d. toxins, other infections, roseola, candidiasis, and head abnormalities - Correct Answers a Human papilloma virus HPV infection of the larynx has been associate with? a. laryngeal neoplasm b. esophageal stricture c. cervical cancer d. metaplasia of esophageal squamous cells - Correct Answers a Mr. Brown is a 65 year old carpenter complaining of morning stiffness and pain in both his hands and right knee upon awakening. He feels some relief after warming up. On exam the nurse notices the presence of Heberden's nodes. Which of the following is most likely? a. osteoporosis b. rheumatoid arthritis c. degenerative joint disease d. Reiter's syndrome - Correct Answers c What does a positive posterior drawer sign in a 10 year old soccer player signify?

review Question & Answers 2024

a. an abnormal knee b. instability of the knee c. a large amount of swelling in the knee d. an injury of the meniscus - Correct Answers b A multigravida who is at 28 weeks gestation has a fundal height of 30 cm. Which of the following is the best recommendation for this patient? a. advise the mother that her pregnancy is progressing well b. order an ultrasound of the uterus c. refer her to an obstetrician for an amniocentesis d. recommend bedrest with bathroom privileges - Correct Answers a A multigravida who is 34 weeks gestation wants to know at what level her uterine fundal height should be. The best answer is to advise the mother that her fundus is: a. midway between the umbilicus and the lower ribs b. at the level of the umbilicus c. from 33 to 35 cm d. from 32 to 34 cm - Correct Answers c

review Question & Answers 2024

Which of the following laboratory tests is used in primary care to evaluate renal function? a. electrolyte panel b. creatinine c. alkaline phosphatase d. blood urea nitrogen to creatinine ratio - Correct Answers b All of the following are false statements regarding acute gastritis except? a. chronic intake of non-steroidal anti-inflammatory drugs can cause the disorder b. chronic lack of dietary fiber is the main cause of the disorder c. the screening test for the disorder is the barium swallow test d. the gold standard to evaluate the disorder is the colonoscopy - Correct Answers c Signs and symptoms of depression include all the following except? a. anhedonia and changes in appetite b. decreased energy and irritability c. apathy and low self-esteem d. apraxia and fatigue - Correct Answers d

review Question & Answers 2024

Which of the following is an accurate description of eliciting for Murphy's sign? a. upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen below the costovertebral angle b. bend patient's hips and knees at 90 degrees, then passively rotate hip externally, then internally c. ask the patient to squat, then place the stethoscope on the apical area d. press into the abdomen deeply, then release suddenly - Correct Answers a A 28 year old multipara who is at 32 weeks gestation presents to your office complaining of sudden onset of small amounts of bright red vaginal bleeding. she has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely? a. placenta abruptio b. placenta previa c. acute cervicitis d. molar pregnancy - Correct Answers b Epidemiologic studies show that Hashimoto's disease occurs most commonly in: a. middle-aged to older women b. smokers c. obese individuals d. older men - Correct Answers a

review Question & Answers 2024

A 48 year old woman is told by a physician that she is starting menopause. All of the following are possible findings except? a. hot flashes b. irregular menstrual periods c. severe vaginal atrophic changes d. cyclic mood swings - Correct Answers c A 63 year old patient with a 10 year history of poorly controlled hypertension presents with a cluster of physical findings. Which of the following indicate target organ damage commonly seen in hypertensive patients? a. pedal edema, hepatomegaly, and enlarged kidneys b. hepatomegaly, AV nicking, bibasilar crackles c. renal infection, S3, neuromuscular abnormalities d. glaucoma, jugular vein atrophy, heart failure - Correct Answers b A 30 year old primigravida is diagnosed with a possible threatened abortion. The result of the urine pregnancy test is positive. Which of the following statements is true regarding a threatened abortion? a. vaginal bleeding and cramping are present, but the cervix remains closed b. vaginal bleeding and cramping are present along with a dilated cervix c. the fetus and placenta are all expelled

review Question & Answers 2024

d. the products of conception and the placenta remain inside the uterus along with a dilated cervix - Correct Answers a A 30 year old female who is sexually active complains of a large amount of milk- like vaginal discharge for several weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred marins. There are very few white blood cells seen. The vaginal pH is 6.0. What is most likely? a. trichomonas infection b. bacterial vaginosis c. candidal infection d. a normal finding - Correct Answers b The pap smear result on a 20 year old sexually active student who uses condoms inconsistently shows a large amount of inflammation. Which of the following is the best follow-up action? a. call the patient to return to the clinic so she can get tested for a possible cervical infection b. treat the patient with metronidazole vaginal cream over the phone c. call the patient and tell her she needs to repeat the pap smear in 6 months d. advise her to use a Betadine douche at bed time x 3 days - Correct Answers a While performing a pap smear on a postmenopausal patient, several areas of flat white skin lesions that are irregularly shaped are found on the patient's

review Question & Answers 2024

labia. the patient reports that the lesions are extremely itchy and have been present for several years without much change. Which condition is best described? a. chronic scabies infection b. lichen sclerosus c. chronic candidal vaginitis d. a physiologic variant found in some older women - Correct Answers b The heart sound S2 is caused by? a. closure of the AV valves b. closure of the semilunar valves c. opening of the AV valves d. opening of the semilunar valves - Correct Answers b A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is located at which of the following areas? a. between the umbilicus and the suprapubic bone b. just rising above the suprapubic bone c. between the suprapubic bone and the xyphoid process d. between the umbilicus and the xiphoid process - Correct Answers b

review Question & Answers 2024

All the following are covered under Medicare Part B except? a. persons age 65 years or older b. durable medical equipment c. mammograms annually starting at age 50 d. anesthesiologist's services - Correct Answers d All of the following patients are at higher risk for suicide except? a. a 66 year old white male whose wife of 40 years recently died b. a high school student with a history of bipolar disorder c. a depressed 45 year old female with a family history of suicide d. a 17 year old teen who has only one close friend at school - Correct Answers d A 70 year old patient complains of bright red spot in his left eye for 2 days. He denies eye pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper respiratory infection. The only medicine he is on is Bayer aspirin one tablet a day. Which of the following is most likely? a. corneal abrasion b. acute bacterial conjunctivitis c. acute uveitis d. subconjunctival hemorrhage - Correct Answers d

review Question & Answers 2024

Which of the following is appropriate follow-up for this 70 year old patient? a. referral to an optometrist b. referral to an opthalmologist c. advise the patient it is a benign condition and will resolve spontaneously d. prescribe an opthalmic antibiotic solution - Correct Answers c Jason, a 9 year old with type I diabetes, is being seen for a 3 day history of frequency and nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood and nitrites but is positive for a large amount of leukocytes and ketones. He has a trace amount of protein. Which of the following is the best test to order initially? a. urine for culture and sensitivity b. 24 hour urine for proteine and creatinine clearance c. 24 hour urine for microalbumin d. an intravenous pyelogram - Correct Answers a All of the following are not recommended for the outpatient treatment of mild preeclampsia except: a. severe sodium restriction b. restrict fluid intake to less than 1 liter in 24 hours c. Aldomet 250 PO BID

review Question & Answers 2024

d. bedrest on the left side with bathroom privileges - Correct Answers d The best test for diagnosing congenital glaucoma is which of the following? a. fluorescein staining b. tonometry c. Snellen vision exam d. the refractive index - Correct Answers b Rocky Mountain spotted fever is caused by the bite of the? a. mosquito b. tick c. insect d. flea - Correct Answers b All of the following are false statements about the atopic dermatitis except? a. contact with cold objects may exacerbate the condition b. it does not have a linear distribution c. it is associated with bullae d. the lesions have vesicles that are full of serous exudate - Correct Answers b

review Question & Answers 2024

A mother brings in her 4 year old daughter who just started attending preschool. She tells the nurse practitioner that her child is complaining of burning and itching in both eyes along with a runny nose. During the physical exam, the child's eyes appear injected bilaterally. The throat is red and her inferior nasal turbinates are swollen. Which of the following is most likely? a. herpes keratitis b. corneal ulcer c. viral conjunctivitis d. bacterial conjunctivitis - Correct Answers c A sexually active woman is complaining of amenorrhea and vaginal spotting. On exam her left adnexa is tender and cervical motion tenderness is positive. Which test should the nurse order initially? a. flat plate of abdomen b. CBC with diff c. urine pregnancy test d. pelvic ultrasound - Correct Answers c A toddler with congenital heart disease is seen for a 1 week history of facial and lower extremity edema accompanied by shortness of breath. The child's mother reports that the child's appetite has been poor. The chest xray reveals that the child has congestive heart failure. Which of the following heart sounds are found in these patients?

review Question & Answers 2024

a. S1 and S b. S1, S2, and S c. S1, S2, and S d. Still's murmur and S4 - Correct Answers b A 53 year old crossing guard complains of twisting his right knee while working that morning. The knee is swollen and tender to palpation. The NP diagnoses a Grade II sprain. The initial treatment plan includes which of the following? a. application of cold packs the first 24 hours followed by application of low heat at bedtime b. elevation of the affected limb and intermittent application of cold packs for the next 48 hours c. rechecking the knee in 24 hours and isometric exercises d. the application of an ACE bandage to the affected knee - Correct Answers b Erythromycin 200 mg with sulfisoxazole 600 mg suspension (Pediazole) is contraindicated in which of the following conditions? a. G6PD deficiency anemia b. lead poisoning c. beta thalassemia minor d. B12 deficiency anemia - Correct Answers a

review Question & Answers 2024

The mother of an 11 year old boy with sickle cell anemia calls on the phone complaining her son woke up because of a painful penile erection that will not go away. The NPs most appropriate intervention is? a. Insert foley catheter and measure child's intake and output for next 24 hours b. insert foley catheter and obtain a specimen for a urinalysis and urine C&S c. redommend an increase in the child's fluid intake d. recommend immediate referral to the ER - Correct Answers d A positive Coombs test in an Rh-negative pregnant woman means? a. the mother has autoantibodies against Rh positive RBCs b. the fetus has autoantibodies against the maternal RBCs c. the mother does not have Rh factor against fetal RBCs d. the fetus does not have RBC autoantibodies - Correct Answers a Folic acid supplementation is recommended for women who are planning pregnancy in order to? a. prevent renal agenesis b. prevent anencephaly c. prevent kidney defects d. prevent heart defects - Correct Answers b

review Question & Answers 2024

All the following are possible causes for secondary hypertension except? a. acute pyelonephritis b. pheochromocytoma c. renovascular stenosis d. coarctation of the aorta - Correct Answers a Fitz-Hugh-Curtis syndrome is associated with the following infection? a. syphilis b. chlamydia trachomatis c. herpes genitalis d. lymphogranuloma venereum - Correct Answers b A nursing home resident reports to his physician that his previous roommate was recently started on tuberculosis treatment. A Mantoux test and chest xray are ordered for the patient. What is the minimum size of induration considered positive for this patient? a. 3 mm b. 5 mm c. 10 mm d. 15 mm - ?>c

review Question & Answers 2024

In small children with acquired immunodeficiency syndrome (AIDs), which of the following vaccines is contraindicated? a. diphtheria and tetanus b. hepatitis B and mumps c. varicella d. Td and oral polio - Correct Answers c A 44 year old female who is undergoing treatment for infertility complains of not having a menstrual period for a few months. The night before, she started spotting and is now having cramp-type pains in her pelvic area. Her blood pressure is 160/80, the pulse rate is 110, and she is afebrile. Her labs reveal a mild anemia with mild leukocytosis. On pelvic exam, the uterine fundus is found above the symphysis pubis. The cervical os is dilated to 3 cm. Which of the following is more likely? a. inevitable abortion b. threatened abortion c. incomplete abortion d. acute pelvic inflammatory disease - Correct Answers a A 14 year old female who is sexually active is brought in by her mother for an immunization update. According to the mother, her daughter had one dose of Hepatitis B vaccine. Which of the following vaccines would you administer at this visit?

review Question & Answers 2024

a. Td and Hepatitis B b. DTaP and Hepatitis B c. Hepatitis B only d. MMR and Td - Correct Answers a An Rh-negative pregnant woman with negative rubella titers should be vaccinated at what time period in pregnancy? a. she can be vaccinated at any time in her pregnancy b. during the second trimester c. during the third trimester d. during the postpartum period - Correct Answers d Medicare Part B will pay for all of the following services except? a. outpatient physician visits that are medically necessary b. durable medical equipment c. outpatient lab and radiology tests d. eyeglasses and routine dental care - Correct Answers d Which of the following is used to screen for color blindness in a 7 year old boy? a. Snellen chart

review Question & Answers 2024

b. Ishihara chart c. cover/uncover test d. red reflex - Correct Answers b A 67 year old retired clerk presents with complaints of shortness of breath, and weight gain over a 2 week period. A non productive cough accompanies her symptoms. The lung exam is positive for fine crackles in the lower lobes with no wheezing. The exam is positive for egophony. Which of the following conditions is most likely? a. acute exacerbation of asthma b. left-heart failure c. right-heart failure d. chronic obstructive pulmonary disease - Correct Answers b Which of the following drugs is most likely to relieve the patient's symptoms? a. atenolol b. trimethoprim/sulfamethoxazole c. furosemide d. hydrocodone/guaifenesin - Correct Answers c A patient has recently been diagnosed with migraine headache with aura. She wants advice on what she should eliminate from her diet to reduce her risk of headaches. The best response is to advise this patient to avoid?

review Question & Answers 2024

a. foods with aspartame because they can trigger migraines b. foods with monosodium glutamate because they promote diuresis c. foods with garlic because they promote hypertension d. foods with nitrates because they do not induce flushing - Correct Answers a A patient with a history of mitral valve prolapse is requesting prophylaxis before her dental surgery. Which of the following would you prescribe for this patient? a. amoxicillin a half hour before and 2 hours after the procedure b. amoxicillin 1 hour before the procedure c. amoxicillin 1 hour before and 3 hours after the procedure d. prophylaxis is not recommended for this patient - Correct Answers d Koplik's spots are associated with? a. pox-virus infections b. measles c. Kawasaki disease d. Reye's syndrome - Correct Answers b Stella, a new mother, complains to you that she has been feeling irritable and jittery almost daily for the past few months. She complains of frequent