©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Leik 2024/ExamEdge FNP Review, First
Exam Edge - ANCC prep test Part 1., PSI
FNP Practice Questions and Verified
Answers
A nurse practitioner working in a community health clinic sees a male patient who expresses
concern about starting a homosexual relationship with a new partner. Which of the following is
the best plan to follow during this visit? (Select all that apply.)
Contact the patient's partner to schedule HIV testing
Educate the patient about using barrier devices during sex
Prescribe daily oral PrEP
Draw a blood sample for a combination HIV antigen/antibody test
Schedule a follow-up appointment in 1 month to review test results and discuss options for PrEP
- answer✔Educate the patient about using barrier devices during sex; draw a blood sample for a
combination HIV antigen/antibody test; schedule a follow-up appointment in 1 month to review
test results and discuss options for PrEP
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Education on using barriers during sexual activity (e.g., condom/dental dams) is important. Daily
oral preexposure prophylaxis (PrEP), such as tenofovir emtricitabine, is recommended for
sexually active persons who are at risk for HIV. PrEP is used in HIV-negative persons, so the
nurse practitioner must wait for the test results before prescribing. It is appropriate to schedule a
1-month follow-up to review the test results and discuss PrEP options (if test is negative). It is
not appropriate ethically or legally to contact the partner; however, it would be appropriate for
the patient to encourage his partner to get tested.
An older adult male presents with complaints of sharp flank and back pain. The patient has
difficulty answering questions because of severity of pain. Blood pressure is 90/60 mmHg. The
patient has a 20-pack-year smoking history. Abdomen is distended upon palpitation. Which
diagnosis is most likely?
Congestive heart failure
Infective endocarditis
Dissecting abdominal aortic aneurysm
Acute myocardial infarction - answer✔Dissecting abdominal aortic aneurysm.
Dissecting abdominal aortic aneurysm is a sudden onset of severe, sharp, excruciating pain
located in the abdomen, back, or flank area, accompanied by a distended abdomen and
hypotension. Older male adults with a smoking history and hypertension are at higher risk.
Congestive heart failure symptoms are dyspnea, fatigue, dry cough, and swollen feet and ankles.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Patients with infective endocarditis present with fever, chills, and malaise, along with the
presence of a new murmur. Acute myocardial infarction generally presents with a gradual onset
of intense and heavy chest discomfort that feels like a squeezing, tightness, and heavy pressure in
the chest.
Mrs. Harris a 67-year-old woman who is in the early stages of Alzheimer disease. She suffers
from mild dementia. In this type of Alzheimer dementia which of the following would you use as
the mainstay treatment?
Vitamin E 1000 IU twice daily
cholinesterase inhibitors
NSAIDS
Selgiline 5 mg twice daily - answer✔cholinesterase inhibitors
The mainstay treatment for mild to moderate stage Alzheimer-type dementia is the use of
cholinesterase inhibitors. These include donepezil (Aricept), rivastigmine (Exelon), and
galantamine (Razadyne). They have a clear, although minor and time-limited benefit.
When listening to your 86-year-old patient's heart murmur, you note that it is so loud that it can
be heard with the stethoscope completely off the chest. How do you grade the murmur?
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
IV/VI.
I/VI.
V/VI.
VI/VI. - answer✔VI/VI.
Grading heart murmurs follows this system: I/VI: Heart murmur makes faint sound and may not
be heard when patient changes position. II/VI: Heart murmur is quiet but can be heard as soon as
the stethoscope is placed on the chest. III/VI: Heart murmur is moderately loud. IV/VI: Heart
murmur is loud and accompanied by a palpable thrill. V/VI: Heart murmur is very loud and can
be heard with the stethoscope partially off the chest. VI/VI: Heart murmur is very loud and can
be heard with the stethoscope completely off the patient's chest.
Which of the following persons would not be a candidate for the antipneumococcal vaccine?
a 65-year-old healthy female living with her family
a 35-year-old patient with HIV infection
a 58-year-old male resident of a nursing home
a 55-year-old female living alone - answer✔a 55-year-old female living alone
10/11/2024 1:41 PM
Leik 2024/ExamEdge FNP Review, First
Exam Edge - ANCC prep test Part 1., PSI
FNP Practice Questions and Verified
Answers
A nurse practitioner working in a community health clinic sees a male patient who expresses
concern about starting a homosexual relationship with a new partner. Which of the following is
the best plan to follow during this visit? (Select all that apply.)
Contact the patient's partner to schedule HIV testing
Educate the patient about using barrier devices during sex
Prescribe daily oral PrEP
Draw a blood sample for a combination HIV antigen/antibody test
Schedule a follow-up appointment in 1 month to review test results and discuss options for PrEP
- answer✔Educate the patient about using barrier devices during sex; draw a blood sample for a
combination HIV antigen/antibody test; schedule a follow-up appointment in 1 month to review
test results and discuss options for PrEP
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Education on using barriers during sexual activity (e.g., condom/dental dams) is important. Daily
oral preexposure prophylaxis (PrEP), such as tenofovir emtricitabine, is recommended for
sexually active persons who are at risk for HIV. PrEP is used in HIV-negative persons, so the
nurse practitioner must wait for the test results before prescribing. It is appropriate to schedule a
1-month follow-up to review the test results and discuss PrEP options (if test is negative). It is
not appropriate ethically or legally to contact the partner; however, it would be appropriate for
the patient to encourage his partner to get tested.
An older adult male presents with complaints of sharp flank and back pain. The patient has
difficulty answering questions because of severity of pain. Blood pressure is 90/60 mmHg. The
patient has a 20-pack-year smoking history. Abdomen is distended upon palpitation. Which
diagnosis is most likely?
Congestive heart failure
Infective endocarditis
Dissecting abdominal aortic aneurysm
Acute myocardial infarction - answer✔Dissecting abdominal aortic aneurysm.
Dissecting abdominal aortic aneurysm is a sudden onset of severe, sharp, excruciating pain
located in the abdomen, back, or flank area, accompanied by a distended abdomen and
hypotension. Older male adults with a smoking history and hypertension are at higher risk.
Congestive heart failure symptoms are dyspnea, fatigue, dry cough, and swollen feet and ankles.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Patients with infective endocarditis present with fever, chills, and malaise, along with the
presence of a new murmur. Acute myocardial infarction generally presents with a gradual onset
of intense and heavy chest discomfort that feels like a squeezing, tightness, and heavy pressure in
the chest.
Mrs. Harris a 67-year-old woman who is in the early stages of Alzheimer disease. She suffers
from mild dementia. In this type of Alzheimer dementia which of the following would you use as
the mainstay treatment?
Vitamin E 1000 IU twice daily
cholinesterase inhibitors
NSAIDS
Selgiline 5 mg twice daily - answer✔cholinesterase inhibitors
The mainstay treatment for mild to moderate stage Alzheimer-type dementia is the use of
cholinesterase inhibitors. These include donepezil (Aricept), rivastigmine (Exelon), and
galantamine (Razadyne). They have a clear, although minor and time-limited benefit.
When listening to your 86-year-old patient's heart murmur, you note that it is so loud that it can
be heard with the stethoscope completely off the chest. How do you grade the murmur?
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
IV/VI.
I/VI.
V/VI.
VI/VI. - answer✔VI/VI.
Grading heart murmurs follows this system: I/VI: Heart murmur makes faint sound and may not
be heard when patient changes position. II/VI: Heart murmur is quiet but can be heard as soon as
the stethoscope is placed on the chest. III/VI: Heart murmur is moderately loud. IV/VI: Heart
murmur is loud and accompanied by a palpable thrill. V/VI: Heart murmur is very loud and can
be heard with the stethoscope partially off the chest. VI/VI: Heart murmur is very loud and can
be heard with the stethoscope completely off the patient's chest.
Which of the following persons would not be a candidate for the antipneumococcal vaccine?
a 65-year-old healthy female living with her family
a 35-year-old patient with HIV infection
a 58-year-old male resident of a nursing home
a 55-year-old female living alone - answer✔a 55-year-old female living alone
