FNP Certification Exam | Family Nurse Practitioner Practice Questions & Exam Review

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Cranial II

Assessment of the optic disc is a component of the evaluation of cranial nerve:

I.

II.

III.

.IV




Ans: dyspnea on exertion

You examine a 62-year-old woman with a 20-year history of hypertension. She reports
intermittent use of antihypertensive medications, stating, "I feel better without the
medications." Today she presents for a "check-up."On physical examination, you note
the following: PMI with a downward and lateral shift as well as a Gr II/VI holosystolic
murmur with radiation to the axilla.




This patient's health history is most likely to include a report of:

Syncopal episodes.




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Episodes of chest pain at rest.

Dyspnea with exertion.

Vertigo.




Ans: FEV (force expiratory volume)

Of the following, which should be performed first in assessing a 48-year-old woman who
has a 25-year history of moderate persistent asthma and who now presents with an
acute asthma flare?




Oxygen saturation




Arterial blood gas




FEV1 (forced expiratory volume at 1 second)




Chest x-ray




Ans: Mobile van




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You are setting up a healthcare clinic for migrant farm workers. Which of the following
sites is most desirable?




Community hall of a local church




Local hospital ambulatory care center




Mobile van




Space in a shopping center




Ans: Arrange for additional blood pressure measurements within the next four weeks.

A 58-year-old woman presents for an initial examination in order to become a patient in
your primary care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of
wine per week, and works as an administrative assistant in a law office. She is without
complaint and reports that she is generally in good health. Physical exam reveals
BMI=34 kg/m2 and BP=144/98 mm Hg bilaterally.




The rest of her examination is unremarkable.




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Prescribe a low-dose thiazide diuretic.




Arrange for additional blood pressure measurements within the next four weeks.




Order a serum creatinine, urea nitrogen and urinalysis.




Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of
wine per week.




Ans: Collaborating with the regional public health department on an initiative to combat
obesity through a community-based exercise program

The NP demonstrates fulfillment of the advanced practice nursing leadership role by
participating in which of the following activities?




Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the
importance of self-glucose monitoring




Volunteering to teach a class on contraceptive methods to a group of teen mothers




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