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FITZGERALD PRACTICE TEST LATEST UPDATED VERSION, Exams of Nursing

Cheyney University of PennsylvaniaNursing

FITZGERALD PRACTICE TEST LATEST UPDATED VERSION

Typology: Exams

2025/2026

Available from 04/13/2026

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FITZGERALD
PRACTICE
TEST LATEST UPDATED VERSION
1. One site for atopic dermatitis usually only noted during infancy is
the:
Face
Antecubital fossa
Buttocks
Hands:
2.
A 75 yo man with symptomatic benign prostatic hyperplasia
should not be prescribed:
Enalapril
Amitryptiline
Atenolol
Furosemide:
3.
A first time father brings in his 1 month old infant for evaluation.
He is concerned that she "throws up all of the time". The child has
an appropriate weight gain since the last office visit at age 1 week
and appears well today. The NP knows that the most common cause
of frequent spit-up and vomiting in a young infant is:
GI tract immaturity allowing
reflux Overfeeding
Pyloric stenosis
Allergy or intolerance to a component of infant formula:
4.
A new patient presents for a check-up. He has no complaints, but
admits that he's been smoking 2 packs a day for 40 years.
Spirometric assessment reveals an FEV1/FVC ratio of 67%. Which
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FITZGERALD PRACTICE TEST LATEST UPDATED VERSION

  1. One site for atopic dermatitis usually only noted during infancy is the: Face Antecubital fossa Buttocks Hands:
  2. A 75 yo man with symptomatic benign prostatic hyperplasia should not be prescribed: Enalapril Amitryptiline Atenolol Furosemide:
  3. A first time father brings in his 1 month old infant for evaluation. He is concerned that she "throws up all of the time". The child has an appropriate weight gain since the last office visit at age 1 week and appears well today. The NP knows that the most common cause of frequent spit-up and vomiting in a young infant is: GI tract immaturity allowing reflux Overfeeding Pyloric stenosis Allergy or intolerance to a component of infant formula:
  4. A new patient presents for a check-up. He has no complaints, but admits that he's been smoking 2 packs a day for 40 years. Spirometric assessment reveals an FEV1/FVC ratio of 67%. Which

2 / 21 additional finding would be consistent with a diagnosis of COPD? Markedly increased chest AP diameter Pleuritic chest pain FEV1/FVC ratio <. FEV1 improving by 50% after SABA treatment:

  1. The process of absorption, distribution, metabolism, and elimination of a drug is known as: Pharmacokinetics Therapeutic transformation Pharmacodynamics Drug interactions study:
  2. A 52 yo female of European ancestry with a BMI=24 is diagnosed with new onset HTN. She has no significant medical history, no concomitant health problems, and takes no medications. Along with therapeutic lifestyle changes, therapy should begin with which of the following classes of drug? Aldosterone antagonist Beta-adrenergic antagonist Calcium channel blocker Thiazide diuretic:
  3. Actinic keratosis can be described as: Hyperpigmented macules on sun exposed areas Vesicular lesions along a dermatomal distribution Ulcerating lesions in groin folds Slightly rough, pink or flesh colored lesions on the face:
  4. Which of the following is an absolute contraindication to post-

4 / 21 use Recent insertion of levonorgesteral-releasing IUD:

  1. Your neighbor asks you to refill her high blood pressure medication as she could not make her last office visit to her provider due to a family emergency. You are aware that she is going through a difficult time personally and agree to call in the prescription. As a result:: A healthcare provider-patient relationship has been formed. The Good Samaritan Act will protect you from liability. You should charge your neighbor for an oflce visit in order to maintain a professional relationship. You realize this action is acceptable as her medication is not a controlled substance.
  2. One week into sertraline therapy, a 34 yo woman c/o recurrent dull frontal HA that is relieved with acetaminophen. You advise her that:: This is a common, transient SE of SSRI therapy Diazepam should be substituted Desipramine should be added She should discontinue the medication
  3. Actinic keratosis can be a precursor to:: Malignant melanoma Acanthosis nigricans Basal cell carcinoma Squamous cell carcinoma
  4. Which of the following is most consistent with the diagnosis of depression?- : Recurrent diarrhea and cramping Diflculty initiating sleep Diminished cognitive ability Consistent early morning wakening
  5. The NP is beginning pharmacologic management of dyslipidemia in a 47 yo male patient whose labs are as follows: Total cholesterol 249 HDL=

5 / 21

TG=

LDL=

The appropriate class of agent is:: Omega 3 fatty acid Fibric acid derivative Cholesterol absorption inhibitor HMG-CoA reductase inhibitor

  1. Your patient has been on oral contraceptives for 4 years and is now ready to start a family. She asks how long she should wait after stopping her pills. You advise her that it is safe to conceive:: Immediately After 1-2 months After 3-4 months After 2 normal menstrual cycles
  2. COC use is not advise (category 4) in which of the following?: An otherwise well woman over 35 yo a 19 yo cigarette smoker A 32 yo with hepatic adenoma a 35 yo with well controlled HTN
  3. You see a 14 yo girl at Tanner stage 2-3 with c/o being the shortest in her class. You advise:: Referral to the endocrinologist. That she is likely near her adult height. That her growth spurt will start soon. That bone age be determined.
  4. While reviewing the records of a 3 yo patient who is new to your practice, you learn that she has a Still's murmur. As a result you anticipate which of the following findings?: An audible systolic murmur auscultated at the base of the heart. Height and weight in the bottom 25% of the growth chart. A hyperdynamic PMI.

7 / 21

ALT

ALP

GG

T

  1. A 61 yo woman see you in FU after being d/c form the hospital. She recently had an inferior wall MI and is asking about supervised cardiac rehab. She is shocked that she had a heart attack and says she never knew that her cholesterol was so high. She has not seen a provider in 27 years. Tertiary prevention strategies for this patient include:: Referral for mammogram Lipid lowering therapy with a statin Influenze and pneumococcal vaccination Screening for diabetes
  2. CPT is an acronym for:: clinical practice template current procedureal terminology current practice terms clinical procedure testing
  3. T2DM is best described as:: A hereditary autoimmune process A consequence of obesity A condition largely dictated by environmental factors A disorder of IR with eventual insulin deficiency
  4. Which of the following is most consistent with the diagnosis of herpes zoster?: Papules in a dermatomal distrubition Low grade fever and malaise prior to eruption Presence of pustules and honey crusted lesion a 1-2 day prodrome of pain prior to lesions erupting
  5. An 18 yo male presents with profound scrotal pain Which of the following findings supports the diagnosis of testicular torsion?:

8 / 21 Positive Prehns sign High fever Profound neutrophilia Loss of cremasteric reflex

  1. The primary complaint of a patient with BV is usually:: Copious discharge Painful intercourse Intense pruritis Profound vaginal odor
  2. The NP is evaluating a 34 you man who reports a 3 month hx of epigastric pain that he describes as intermittent, burning, and occurring 2-3 hours after meals. The leading differential dx is:: Cholecystitis Gastritis GERD Duodenal ulcer
  3. A newly diagnosed T2DM patient who has an A1C=8.2 will most likely begin with a medication from which of the following drug classes?: Alpha glucosidase inhibitor Meglitinide TZD Biguanide
  4. A 15 week old infant presents with fever=100.5 and bilateral erythematous TMs. The infant is alert with excellent skin turgor, no difficulty breathing, ac-knowledges her mothers face and has a wet diaper. Her parents report she is nursing q 3hrs without vomiting or diarrhea. Appropriate management would be:: Counsel mother to observe for 72 hours and RTC if no improvement. Start topical therapy with otic abx drops. Initiate sepsis workup. Begin a systemic abx regimen.
  5. Which of the following is most consistent with the diagnosis of depression?-

10 / 21 Dimished cognitive ability Consistent early morning awakeniing

  1. A 20 yo man c/o being very fatigued for the past week. The PE is significant for anterior and posterior cervical adenopathy and R and L UQ abdominal tenderness. A WBC differential is significant for lymphocytosis with reactive forms. Which of following additional findings does the NP anticipate?: Pharyngitis with exudate Supraclavicular lymphadenopathy Dittuse maculopapular rash Marked sinus tenderness
  2. A 27 yo woman presents with c/o of L lower abdominal and groin pain. She admits she has had a light period everyday for nearly 3 weeks. The presumptive diagnosis of ectopic pregnancy is supported by which of the following?: Positive urine HCG Negative US Rebound tenderness Breast pain
  3. A 29 yo well woman of Mediterannean ancestry presents for her first health-care visit in many years. She relocated to North America from Italy after marrying a member of the armed forces. A routine CBC is significant for the following: HG=9. HCT= 0 MCV= 6 RDW= 2 RBC=5.9 These findings are most consistent with:: Acute blood loss IDA

11 / 21 COoleys anemia Beta thalassemia minor

  1. The notation of impaired glucose tolerance will produce which lab abnormal-ity?: FBG of 109 1 hour PPG of 98

13 / 21 by: isolated lymphocytosis elevated amylase and lipase RUQ abdominal US abdominal planin films

14 / 21

  1. The ethical principle of veracity mandates that the healthcare provider:: allo-cate resources so that the best is done for the rgreatest number of people treat all people in the same fair manner be trughtful and avoid deception is faithful to commitments made to self and others
  2. Normal physical findings in an elderly woman include all of the following excetp: puckering of the skin over breast tissue reduced saliva production decreased DTRs corneal arcus
  3. A new patient presents for a check up. He has no complaints:
  4. A 75 yo man with symptomatic BPH should not be prescribed:: Enalapril Amitryptyline Atenolol Furosemide
  5. A prostate cancer lesion detectable by DRE will likely by described as:: A hard, immobile induration A bilateral enlargement A painful flocculent lesion A rubbery gland with central depression
  6. Which diagnosis should be considered when there is a report of a "cold spot on a thyroid scan?: Malignancy Autoimmune disease Iodine deficiency Necrosis
  7. All of the following are examples of primary prevention strategies for a 65 yo man with COPD except:: Annual influenza vaccine Ensuring adequate illumination at home Using a condom with new sex partners DRE
  8. Prophylactic treatment options for migraine include:: Ergotamine Sumatriptan

16 / 21

  1. Sulfonylureas and meglitinides are characterized by their impact on:: Insulin release Insulin receptor site activity

17 / 21 Hepatic glucose production Renal glucose excretion

  1. Which of the following is true for tension type HA?: The pain is typically describes as nonpulsating in quality Photophobia is seldom reported The HA is usually unilateral Rhinorrhea and lacrimation are commonly reported during the HA
  2. During a 12 month WCC, the NP notices that the child is not walking inde-pendently. The mother is very concerned and insists that her other 3 children were all walking by age 1. The most appropriate action would be to:: Tell the mother that while on average children are walking by 1 yo, many children do so later; schedule a FU in 1-2 months to assess progress. Reassure the mother that children with older siblings often do not start walking until later in life; schedule the next routine WCC in 3 months. Counsel the mother that while there is no need to panic, this does represent a developmental delay and the child should be seen by a pediatric orthopedic specialist. Request a radiographic assessment of the spinal cord, pelvis, and femurs to rule out structural bony anomalies that frequently delay walking.
  3. The preferred therapeutic option in Graves disease is:: Non- cardioselective BB Surgical resection of hyperfunctioning nodule Radioactive ablation of overactive thyroid tissue Levothyroxine suppression therapy
  4. While reviewing the records of a 3 yo patient who is new to your practice, you learn that she has a Still's murmur. As a result you anticipate which of the following?: An audible systolic murmur auscultated at the base of the heart Height and weight in the bottom 25% of the growth chart A hyperdynamic PMI Joint laxity and hyperextension
  5. The preferred pharmacologic management of persistent cough

19 / 21 An inhaled corticosteroid A dextromethorphan based cough suppressant

  1. Which of the following medications provides the best relief from acute nasal congestion?: Anticholinergic nasal spray Decongestant nasal spray Corticosteroid nasal spray Saline nasal spray
  2. A 76 yo woman is treated for OA diagnosed by DEXA scan. When counseling the patient about proper use of bisphosphonate therapy, the NP advises that:- : The medication should be taken at bedtime. A parental form of the medication is the preferred, first line agent. Oral medication must be taken with at least 8 oz of water The use of the medication can produce a metallic taste
  3. To reduce the incidence of flushing when starting a patient on niacin, the NP should advise pretreatment with:: ASA Hormone therapy An ACEI Exercise
  4. The mechanism of action of nasal cromolyn is:: Anti-IgE antibody Vasoconstrictor Mast cell stabilizer Leukotriene inhibitor
  5. The murmur of mitral valve insufficiency is best described as:: Mid-late systole with a snap Diastolic and generalized across the precordium Diastolic with radiation to the neck Systolic with radiation to the axillae

20 / 21

  1. Which of the following medication used to treat depression can be most dangerous when taken inappropriately?: Fluoxetine Nortryptillin e Bupropion Escitalopra m