FNP FINAL EXAMS WITH CORRECT
ANSWERS/PRACTICE TEST
Assessment of the optic disc is a component of the evaluation of cranial
nerve:
I.
II.
III.
.IV - ANSWER-Cranial II
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.
Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo. - ANSWER-Ans: dyspnea on exertion
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 - ANSWER-Ans: FEV (force expiratory volume)
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 - ANSWER-Ans: Mobile van
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.
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. - ANSWER-Ans: Arrange for additional blood pressure
measurements within the next four weeks.
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
Discussing barriers to achieving blood pressure control with a 65-year-old
woman with hypertension who "does not want to take any medicine"
Collaborating with the regional public health department on an initiative to
combat obesity through a community-based exercise program - ANSWER-
Ans: Collaborating with the regional public health department on an initiative
to combat obesity through a community-based exercise program
You are asked to speak to a group of healthcare executives on the NP role.
Which of the following provides the strongest support for NP practice?
Number of academic credits earned during the NP program
, Evidence of NP practice outcomes
The quantity of clinical hours and type of clinical rotations in the NP program
The professional experience of the person prior to entering the NP program -
ANSWER-Ans: Evidence of NP practice outcomes
Rank the following from highest (1) to lowest (4) level of research design.
__Case reports
__Meta-analysis
__Randomized controlled trials
__Expert opinion
1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert
opinion
2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert
opinion
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert
opinion
4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert
opinion - ANSWER-Ans:
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert
opinion
ANSWERS/PRACTICE TEST
Assessment of the optic disc is a component of the evaluation of cranial
nerve:
I.
II.
III.
.IV - ANSWER-Cranial II
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.
Episodes of chest pain at rest.
Dyspnea with exertion.
Vertigo. - ANSWER-Ans: dyspnea on exertion
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 - ANSWER-Ans: FEV (force expiratory volume)
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 - ANSWER-Ans: Mobile van
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.
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. - ANSWER-Ans: Arrange for additional blood pressure
measurements within the next four weeks.
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
Discussing barriers to achieving blood pressure control with a 65-year-old
woman with hypertension who "does not want to take any medicine"
Collaborating with the regional public health department on an initiative to
combat obesity through a community-based exercise program - ANSWER-
Ans: Collaborating with the regional public health department on an initiative
to combat obesity through a community-based exercise program
You are asked to speak to a group of healthcare executives on the NP role.
Which of the following provides the strongest support for NP practice?
Number of academic credits earned during the NP program
, Evidence of NP practice outcomes
The quantity of clinical hours and type of clinical rotations in the NP program
The professional experience of the person prior to entering the NP program -
ANSWER-Ans: Evidence of NP practice outcomes
Rank the following from highest (1) to lowest (4) level of research design.
__Case reports
__Meta-analysis
__Randomized controlled trials
__Expert opinion
1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert
opinion
2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert
opinion
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert
opinion
4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert
opinion - ANSWER-Ans:
3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert
opinion
