PSI FNP EXAM PREDICTOR TEST BANK
ACCURATE RESPONSES 2026
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for
many years to control her Stage II hypertension. Her blood pressure
(BP) at this visit is 168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in
pain and would like something stronger. Which of the following
statements is the best explanation of the effects of ibuprofen (Motrin) on
her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true. Answer: B) It inhibits the effect of
renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins,
which predisposes the kidney to ischemia. NSAIDs and diuretics can
cause acute prerenal failure by decreasing renal blood flow.
◉ 2. All of the following are infections that affect mostly the labia and
vagina except:
,A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis. Answer: D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
◉ The nurse practitioner would test the obturator and iliopsoas muscle
to evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer. Answer: B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
,extension of the thigh while the patient is lying on his/her side with
knees extended, or when pain occurs with active flexion of his/her thigh
at the hip.
◉ Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood pressure.
Answer: D) A prescription of methyldopa (Aldomet) to control blood
pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
closely following urine protein and serum protein, creatinine, and
platelet counts. Oral medications are not used as first-line treatment.
◉ All of the following services are covered under Medicare Part A
except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
, C) Nursing home care
D) Surgeons. Answer: C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care
given in a certified skilled nursing facility. Most nursing home care is
custodial care (help with bathing, dressing, using a bathroom, and
eating). This care is not covered by Medicare A.
◉ 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 any medications, denies any
allergies, and has no significant medical history. Physical examination
reveals a low-grade temperature of 99.9 degrees Fahrenheit, respirations
of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles in the
base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on
the lower lobe of the right lung. The total white blood cell count is
10,500/uL. What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease. Answer: B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in
children and young adults. It is easily spread from droplets, from
ACCURATE RESPONSES 2026
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for
many years to control her Stage II hypertension. Her blood pressure
(BP) at this visit is 168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in
pain and would like something stronger. Which of the following
statements is the best explanation of the effects of ibuprofen (Motrin) on
her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true. Answer: B) It inhibits the effect of
renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins,
which predisposes the kidney to ischemia. NSAIDs and diuretics can
cause acute prerenal failure by decreasing renal blood flow.
◉ 2. All of the following are infections that affect mostly the labia and
vagina except:
,A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis. Answer: D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
◉ The nurse practitioner would test the obturator and iliopsoas muscle
to evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer. Answer: B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
,extension of the thigh while the patient is lying on his/her side with
knees extended, or when pain occurs with active flexion of his/her thigh
at the hip.
◉ Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood pressure.
Answer: D) A prescription of methyldopa (Aldomet) to control blood
pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
closely following urine protein and serum protein, creatinine, and
platelet counts. Oral medications are not used as first-line treatment.
◉ All of the following services are covered under Medicare Part A
except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
, C) Nursing home care
D) Surgeons. Answer: C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care
given in a certified skilled nursing facility. Most nursing home care is
custodial care (help with bathing, dressing, using a bathroom, and
eating). This care is not covered by Medicare A.
◉ 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 any medications, denies any
allergies, and has no significant medical history. Physical examination
reveals a low-grade temperature of 99.9 degrees Fahrenheit, respirations
of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles in the
base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on
the lower lobe of the right lung. The total white blood cell count is
10,500/uL. What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease. Answer: B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in
children and young adults. It is easily spread from droplets, from
