FNP EXAM WITH CORRECT ANSWERS /ACTUAL
EXAMS
A young adult patient presents to the clinic with concerns about a skin
infection. The patient reports no tenderness or drainage and states the rash
started after participating in a wrestling tournament.
Upon examination, the nurse practitioner finds plaques with crusting on the
right lower leg.
A culture is done and shows a Staphylococcus aureus infection.
Which bacterial skin infection does the nurse practitioner suspect?
a) impetigo
b) folliculitis
c) Herpes gladiatorum
d) Hidradenitis suppurativa - ANSWER-Impetigo
- Nonbullous impetigo, an S. aureus infection, occurs in a localized area that
initially begins as papules and progresses to vesicles, pustules, and then
honey-colored plaques.
In performing a neurological exam and assessing the patient's cranial nerves,
the nurse practitioner notes fasciculations across the tongue's surface.
Which nerve is affected?
a) CN VI (abducens)
b) CN XII (hypoglossal)
c) CN XI (accessory)
d) CN X (vagus) - ANSWER-Cranial nerve XII (hypoglossal)
,- Cranial nerve XII is the hypoglossal nerve and allows motor movement of
the tongue muscles. This nerve is tested by asking the patient to stick out
the tongue and observing for atrophy, fasciculations, and tongue deviation to
one side.
A 34-week pregnant patient presents to the emergency room with sudden
onset of abdominal pain and vaginal bleeding.
Which condition is most likely?
a) placental abruption
b) ectopic pregnancy
c) Miscarriage
d) Placenta previa - ANSWER-Placental abruption
- Placental abruption is the early separation of the placenta from the lining of
the uterus.
It is a rare but serious complication of the second half of pregnancy.
Placental abruption is an emergency situation that places the well-being of
the mother and fetus at risk.
Which is a common causative organism of pelvic inflammatory disease?
a) Neisseria gonorrhoeae
b) Trichomonas vaginalis
c) Treponema pallidum
d) Mycoplasma genitalium - ANSWER-Neisseria gonorrhoeae
- Gonorrhea and chlamydia are the most common organisms causing pelvic
inflammatory disease.
,A middle-aged patient presents to the clinic for evaluation of new-onset
hypertension and occasional flank pain.
There is a family history of a maternal grandmother deceased with "some
kind of kidney problem", and an in-office urinalysis is positive for 3 plus
protein.
In addition to addressing hypertension, which is the next appropriate step in
the management of this patient?
a) refer for genetic testing
b) restrict all protein in diet
c) repeat urinalysis in 3 months
d) order a renal US - ANSWER-Order a renal ultrasound
- This patient has a positive family history of renal disease, flank pain, and
proteinuria, all of which are indicators of polycystic kidney disease. The
hypertension should be treated and a renal ultrasound ordered. An
ultrasound of the kidneys is the preferred diagnostic test.
An older adult patient with hypertension, depression, and diabetes mellitus
type 2 is experiencing periods of intermittent confusion. A cognitive
assessment does not demonstrate impairment.
Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor),
metformin (Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as
needed for sleep and acetaminophen (Tylenol) as needed for pain.
Which is the best action?
a) discontinue sertraline (zoloft)
b) Increase sertraline
c) prescribe donepezil (aricept)
, d) discontinue diphenhydramine (Benadryl) - ANSWER-Discontinue
diphenhydramine (Benadryl)
- Diphenhydramine (Benadryl) is a first-generation antihistamine for allergic
reactions, cold symptoms, and insomnia. Because of its potent
anticholinergic properties, adverse effects are common and include
disorientation, blurry vision, constipation, and urinary retention.
Anticholinergic medications can cause significant adverse effects in older
adults.
An adult patient who is a farmer presents to the clinic after being bitten by a
pig. Which antibiotic is the best for prophylaxis?
a) amoxicillin-clavulanate (Augmentin)
b) Levofloxacin (Levaquin)
c) Ceftriaxone (Rocephin)
d) Clindamycin (Cleocin) - ANSWER-Amoxicillin-clavulanate (Augmentin)
*Bitten Give Augmentin
- Amoxicillin-clavulanate (Augmentin) is the preferred agent after an animal
bite because of its broad coverage.
Which skin disease is Auspitz sign used to differentiate from other skin
disorders
a) contact dermatitis
b) tinea corporis
c) psoriasis
d) scabies - ANSWER-Psoriasis
EXAMS
A young adult patient presents to the clinic with concerns about a skin
infection. The patient reports no tenderness or drainage and states the rash
started after participating in a wrestling tournament.
Upon examination, the nurse practitioner finds plaques with crusting on the
right lower leg.
A culture is done and shows a Staphylococcus aureus infection.
Which bacterial skin infection does the nurse practitioner suspect?
a) impetigo
b) folliculitis
c) Herpes gladiatorum
d) Hidradenitis suppurativa - ANSWER-Impetigo
- Nonbullous impetigo, an S. aureus infection, occurs in a localized area that
initially begins as papules and progresses to vesicles, pustules, and then
honey-colored plaques.
In performing a neurological exam and assessing the patient's cranial nerves,
the nurse practitioner notes fasciculations across the tongue's surface.
Which nerve is affected?
a) CN VI (abducens)
b) CN XII (hypoglossal)
c) CN XI (accessory)
d) CN X (vagus) - ANSWER-Cranial nerve XII (hypoglossal)
,- Cranial nerve XII is the hypoglossal nerve and allows motor movement of
the tongue muscles. This nerve is tested by asking the patient to stick out
the tongue and observing for atrophy, fasciculations, and tongue deviation to
one side.
A 34-week pregnant patient presents to the emergency room with sudden
onset of abdominal pain and vaginal bleeding.
Which condition is most likely?
a) placental abruption
b) ectopic pregnancy
c) Miscarriage
d) Placenta previa - ANSWER-Placental abruption
- Placental abruption is the early separation of the placenta from the lining of
the uterus.
It is a rare but serious complication of the second half of pregnancy.
Placental abruption is an emergency situation that places the well-being of
the mother and fetus at risk.
Which is a common causative organism of pelvic inflammatory disease?
a) Neisseria gonorrhoeae
b) Trichomonas vaginalis
c) Treponema pallidum
d) Mycoplasma genitalium - ANSWER-Neisseria gonorrhoeae
- Gonorrhea and chlamydia are the most common organisms causing pelvic
inflammatory disease.
,A middle-aged patient presents to the clinic for evaluation of new-onset
hypertension and occasional flank pain.
There is a family history of a maternal grandmother deceased with "some
kind of kidney problem", and an in-office urinalysis is positive for 3 plus
protein.
In addition to addressing hypertension, which is the next appropriate step in
the management of this patient?
a) refer for genetic testing
b) restrict all protein in diet
c) repeat urinalysis in 3 months
d) order a renal US - ANSWER-Order a renal ultrasound
- This patient has a positive family history of renal disease, flank pain, and
proteinuria, all of which are indicators of polycystic kidney disease. The
hypertension should be treated and a renal ultrasound ordered. An
ultrasound of the kidneys is the preferred diagnostic test.
An older adult patient with hypertension, depression, and diabetes mellitus
type 2 is experiencing periods of intermittent confusion. A cognitive
assessment does not demonstrate impairment.
Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor),
metformin (Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as
needed for sleep and acetaminophen (Tylenol) as needed for pain.
Which is the best action?
a) discontinue sertraline (zoloft)
b) Increase sertraline
c) prescribe donepezil (aricept)
, d) discontinue diphenhydramine (Benadryl) - ANSWER-Discontinue
diphenhydramine (Benadryl)
- Diphenhydramine (Benadryl) is a first-generation antihistamine for allergic
reactions, cold symptoms, and insomnia. Because of its potent
anticholinergic properties, adverse effects are common and include
disorientation, blurry vision, constipation, and urinary retention.
Anticholinergic medications can cause significant adverse effects in older
adults.
An adult patient who is a farmer presents to the clinic after being bitten by a
pig. Which antibiotic is the best for prophylaxis?
a) amoxicillin-clavulanate (Augmentin)
b) Levofloxacin (Levaquin)
c) Ceftriaxone (Rocephin)
d) Clindamycin (Cleocin) - ANSWER-Amoxicillin-clavulanate (Augmentin)
*Bitten Give Augmentin
- Amoxicillin-clavulanate (Augmentin) is the preferred agent after an animal
bite because of its broad coverage.
Which skin disease is Auspitz sign used to differentiate from other skin
disorders
a) contact dermatitis
b) tinea corporis
c) psoriasis
d) scabies - ANSWER-Psoriasis
