FHEA PRACTICE EXAM VERSION 2 - COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: The nurse practitioner has diagnosed acute bacterial
rhinosinusitis (ABRS) and is considering antibiotic choices. He
recognizes that the most common causative pathogen is:
A. H. influenzae.
B. S. aureus.
C. S. pneumoniae.
D. M. catarrhalis.
Answer:
S. pneumoniae.
Question 2: The nurse practitioner is beginning pharmacologic
management of dyslipidemia in a 47-year-old male patient whose
lipid panel is as follows: -Total cholesterol=249 mg/dL (6.45
mmol/L) -HDL-C=39 mg/dL (1.01 mmol/L) -TG=279 mg/dL (3.15
mmol/L) -LDL-C=191 mg/dL (4.94 mmol/L) The appropriate class of
agent is a(n):
A. Omega-3 fatty acid such as fish oil.
B. Fibric acid derivative such as fenofibrate.
C. Cholesterol absorption inhibitor such as ezetimibe.
D. HMG-CoA reductase inhibitor such as simvastatin.
Answer:
HMG-CoA reductase inhibitor such as simvastatin.
Question 3: The nurse practitioner is counseling a patient who is
new to insulin therapy. The patient is advised that when injecting a
,short-acting, rapid-onset formulation such as insulin aspart, the
greatest risk time for hypoglycemia is:
A. 15-30 minutes after injection.
B. 1-3 hours after injection.
C. 3-4 hours after injection.
D. 4-5 hours after injection.
Answer:
1-3 hours after injection.
Question 4: The nurse practitioner is seeing a patient who is
starting on a statin. Laboratory assessment should include a
baseline measurement of:
A. LDH.
B. ALT.
C. ALP.
D. GGT.
Answer:
ALT.
Question 5: The nurse practitioner knows that all patients with an
acute eye complaint should have:
A. Dilated pupil examination.
B. Assessment of visual acuity.
C. Everted lid examination.
D. Fluorescein staining.
Answer:
Assessment of visual acuity.
,Question 6: One of the preferred pharmacologic options of
persistent cough in an otherwise well 25-year-old woman with
acute uncomplicated bronchitis would most likely include:
A. Antibiotic therapy to cover atypical pathogens.
B. An inhaled short-acting muscarinic antagonist.
C. An inhaled corticosteroid.
D. A dextromethorphan-based cough suppressant
Answer:
An inhaled short-acting muscarinic antagonist.
Question 7: The primary complaint of a patient with bacterial
vaginosis is usually:
A. Copious discharge.
B. Painful intercourse.
C. Intense pruritus.
D. Profound vaginal odor.
Answer:
Profound vaginal odor.
Question 8: The most important option for the primary prevention
of shingles is the use of:
A. Varicella zoster immune globulin.
B. Zoster vaccine.
C. High-dose acyclovir at the onset of an outbreak.
D. A tricyclic antidepressant post zoster episode.
Answer:
Zoster vaccine.
, Question 9: When counseling patients to promote hepatitis C
prevention, the nurse practitioner realizes the most important
measure from the list below is:
A. Safe sex practices.
B. Using single-use injection drug equipment.
C. Strict handwashing.
D. Avoidance of raw seafood ingestion.
Answer:
Using single-use injection drug equipment.
Question 10: A 66-year-old man presents for a "check-up." He has
no complaints and admits he's been smoking 2 packs a day for 40
years. Which additional finding would be consistent with a
diagnosis of chronic obstructive pulmonary disease?
A. Markedly increased chest AP diameter
B. Pleuritic chest pain
C. FEV1:FVC ratio <0.70 post SABA use
D. FEV1 improving by 50% with use of SAMA
Answer:
FEV1:FVC ratio <0.70 post SABA use
Question 11: A 63-year-old patient presents for evaluation of fever.
She reports that 3 days ago she went to the urgent care and was
diagnosed with acute bacterial rhinosinusitis (ABRS). She was
given a prescription for antibiotics which she is taking as ordered,
but is concerned because she has a fever today. Which of the
following findings suggests a serious complication of ABRS?
A. Tender preauricular lymph nodes
B. Foul-tasting post nasal drip
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: The nurse practitioner has diagnosed acute bacterial
rhinosinusitis (ABRS) and is considering antibiotic choices. He
recognizes that the most common causative pathogen is:
A. H. influenzae.
B. S. aureus.
C. S. pneumoniae.
D. M. catarrhalis.
Answer:
S. pneumoniae.
Question 2: The nurse practitioner is beginning pharmacologic
management of dyslipidemia in a 47-year-old male patient whose
lipid panel is as follows: -Total cholesterol=249 mg/dL (6.45
mmol/L) -HDL-C=39 mg/dL (1.01 mmol/L) -TG=279 mg/dL (3.15
mmol/L) -LDL-C=191 mg/dL (4.94 mmol/L) The appropriate class of
agent is a(n):
A. Omega-3 fatty acid such as fish oil.
B. Fibric acid derivative such as fenofibrate.
C. Cholesterol absorption inhibitor such as ezetimibe.
D. HMG-CoA reductase inhibitor such as simvastatin.
Answer:
HMG-CoA reductase inhibitor such as simvastatin.
Question 3: The nurse practitioner is counseling a patient who is
new to insulin therapy. The patient is advised that when injecting a
,short-acting, rapid-onset formulation such as insulin aspart, the
greatest risk time for hypoglycemia is:
A. 15-30 minutes after injection.
B. 1-3 hours after injection.
C. 3-4 hours after injection.
D. 4-5 hours after injection.
Answer:
1-3 hours after injection.
Question 4: The nurse practitioner is seeing a patient who is
starting on a statin. Laboratory assessment should include a
baseline measurement of:
A. LDH.
B. ALT.
C. ALP.
D. GGT.
Answer:
ALT.
Question 5: The nurse practitioner knows that all patients with an
acute eye complaint should have:
A. Dilated pupil examination.
B. Assessment of visual acuity.
C. Everted lid examination.
D. Fluorescein staining.
Answer:
Assessment of visual acuity.
,Question 6: One of the preferred pharmacologic options of
persistent cough in an otherwise well 25-year-old woman with
acute uncomplicated bronchitis would most likely include:
A. Antibiotic therapy to cover atypical pathogens.
B. An inhaled short-acting muscarinic antagonist.
C. An inhaled corticosteroid.
D. A dextromethorphan-based cough suppressant
Answer:
An inhaled short-acting muscarinic antagonist.
Question 7: The primary complaint of a patient with bacterial
vaginosis is usually:
A. Copious discharge.
B. Painful intercourse.
C. Intense pruritus.
D. Profound vaginal odor.
Answer:
Profound vaginal odor.
Question 8: The most important option for the primary prevention
of shingles is the use of:
A. Varicella zoster immune globulin.
B. Zoster vaccine.
C. High-dose acyclovir at the onset of an outbreak.
D. A tricyclic antidepressant post zoster episode.
Answer:
Zoster vaccine.
, Question 9: When counseling patients to promote hepatitis C
prevention, the nurse practitioner realizes the most important
measure from the list below is:
A. Safe sex practices.
B. Using single-use injection drug equipment.
C. Strict handwashing.
D. Avoidance of raw seafood ingestion.
Answer:
Using single-use injection drug equipment.
Question 10: A 66-year-old man presents for a "check-up." He has
no complaints and admits he's been smoking 2 packs a day for 40
years. Which additional finding would be consistent with a
diagnosis of chronic obstructive pulmonary disease?
A. Markedly increased chest AP diameter
B. Pleuritic chest pain
C. FEV1:FVC ratio <0.70 post SABA use
D. FEV1 improving by 50% with use of SAMA
Answer:
FEV1:FVC ratio <0.70 post SABA use
Question 11: A 63-year-old patient presents for evaluation of fever.
She reports that 3 days ago she went to the urgent care and was
diagnosed with acute bacterial rhinosinusitis (ABRS). She was
given a prescription for antibiotics which she is taking as ordered,
but is concerned because she has a fever today. Which of the
following findings suggests a serious complication of ABRS?
A. Tender preauricular lymph nodes
B. Foul-tasting post nasal drip
