HESI FNP TEST 1 EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
In terms of provider credentialing by an MCO, all of the following may be part of the credentialing
process EXCEPT:
a. collecting data that includes educational, license, malpractice, employment and certification data
on each provider
b. formal issuance of a certification document to the provider
c. making a site visit
d. investigating systems for admitting patients - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
formal issuance of a certification document to the provider
Provider credentialing by an MCO does not include formally certifying the provider. It does include all
of the other choices, however.
The available screening tests for osteoporosis include all but which of the following?
a. dual-energy x-ray absorptiometry
b. ultrasound
c. peripheral quantitative computed tomography
d. Spurling test - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
Spurling test
Available screening tests for osteoporosis include: dual-energy x-ray absorptiometry (DXA),
ultrasound, radiographic absorptiometry, single-energy x-ray, absorptiometry, peripheral DXA and
peripheral quantitative computed tomography. The Spurling test is a very specific, but not sensitive
physical examination maneuver in diagnosing cervical spondylosis or acute cervical (neck)
radiculopathy.
Erythema migrans in Lyme disease has an annular pattern. This is indicated by a pattern in the shape
of which of the following?
a. Christmas tree
,b. horizontal scale
c. ring
d. unformed edges - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
ring
Annular is the term used for the ring pattern of skin lesions. This is typical of the skin condition in
Lyme disease.
A father brings in his teenage son. He is sure that the boy is sick because he is lethargic even though
he is in bed 8 hours a night. The boy says that he is tired. When asked if he is sleeping the full 8 hours,
he says that he does not fall asleep immediately. What is a probable explanation?
a. He has a cold.
b. He is sleep deprived.
c. He is taking drugs.
d. He is faking for attention. - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
He is sleep deprived.
Many teenagers need close to nine hours of sleep a night. Additionally, their natural sleep patterns
are later, and he probably is awake later than his father believes. Sleep deprivation is common among
teenagers.
A young patient is brought in after an injury to the neck. What diagnostic exam is necessary?
a. Pelvic exam.
b. CBC.
c. Sensory exam.
d. Pharyngeal exam. - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
Sensory exam
The sensory exam is included in a neurological assessment. This exam is recommended if there is a
risk of a spinal cord injury.
,Helen comes to the clinic complaining of a skin problem. Your examination reveals silvery-white
scaling papules and plaques that are symmetrical. The patient's nails are pitted. Your diagnosis would
be which of the following?
a. candidiasis
b. erysipelas
c. psoriasis
d. acute cellulitis - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
psoriasis
Psoriasis is a silvery-white scaling that is usually symmetrical. It involves scalp, extensor surfaces, and
areas subject to trauma. It may also involve pitting of the nails.
You use the learning theory that appreciates that learners are unique and learn best when treated
with positive regard. This learning theory is which of the following?
a. cognitive theory
b. behaviorist theory
c. humanistic theory
d. andragogy - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
humanistic theory
The humanistic theory appreciates that learners are unique persons. It recognizes that they learn
optimally when treated with positive regard, when their uniqueness is considered, and when they are
involved in decision making.
A father brings his 14-year-old son into the clinic with complaints of knee pain. The boy plays
basketball and states that it gets worse with jumping. It is important for the nurse practitioner to
consider Osgood's Schlatter's disease and to know that:
a. The pain is the result of microtears of the patellar tendon and overuse of the quadricep muscles of
the knees.
b. This is a condition caused by stress and trauma of the femoral tendon.
c. This condition is more common in girls but boys have it too.
, d. Athletic individuals are not at risk for this condition. - CORRECT ANSWER-✔✔✅The CORRECT
ANSWER is:
The pain is the result of microtears of the patellar tendon and overuse of the quadricep muscles of the
knees
Osgood's Schlatter's disease is more common in boys from ages 10 to 17 years. Repetitive stress and
trauma from excessive traction to the patellar tendon causes overstress or overuse of the quadricep
muscles. Further, this condition is more commonly seen in physically active adolescents.
The FNP is caring for a child with celiac disease. Which of the following foods would NOT be
recommended for this child?
a. beans
b. wheat bread
c. corn
d. dates - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
wheat bread
Celiac disease is an immune-mediated systemic disease due to intestinal intolerance to gluten. Those
with celiac disease should not eat wheat, oats, rye or barley, among other things.
You have a 24-month-old male patient whom you have diagnosed with epiglottitis. Which of the
following would you expect to find in this child upon assessment?
a. barking cough
b. muffled voice
c. insidious onset
d. normal posture - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
muffled voice
Epiglottitis is a rapid development of cellulitis of the epiglottis and surrounding tissues that potentially
results in acute airway obstruction. It typically occurs in children 2 - 6 years of age. It is accompanied
by a muffled voice and fever. Onset is sudden and may be life-threatening.
WITH COMPLETE SOLUTIONS
In terms of provider credentialing by an MCO, all of the following may be part of the credentialing
process EXCEPT:
a. collecting data that includes educational, license, malpractice, employment and certification data
on each provider
b. formal issuance of a certification document to the provider
c. making a site visit
d. investigating systems for admitting patients - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
formal issuance of a certification document to the provider
Provider credentialing by an MCO does not include formally certifying the provider. It does include all
of the other choices, however.
The available screening tests for osteoporosis include all but which of the following?
a. dual-energy x-ray absorptiometry
b. ultrasound
c. peripheral quantitative computed tomography
d. Spurling test - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
Spurling test
Available screening tests for osteoporosis include: dual-energy x-ray absorptiometry (DXA),
ultrasound, radiographic absorptiometry, single-energy x-ray, absorptiometry, peripheral DXA and
peripheral quantitative computed tomography. The Spurling test is a very specific, but not sensitive
physical examination maneuver in diagnosing cervical spondylosis or acute cervical (neck)
radiculopathy.
Erythema migrans in Lyme disease has an annular pattern. This is indicated by a pattern in the shape
of which of the following?
a. Christmas tree
,b. horizontal scale
c. ring
d. unformed edges - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
ring
Annular is the term used for the ring pattern of skin lesions. This is typical of the skin condition in
Lyme disease.
A father brings in his teenage son. He is sure that the boy is sick because he is lethargic even though
he is in bed 8 hours a night. The boy says that he is tired. When asked if he is sleeping the full 8 hours,
he says that he does not fall asleep immediately. What is a probable explanation?
a. He has a cold.
b. He is sleep deprived.
c. He is taking drugs.
d. He is faking for attention. - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
He is sleep deprived.
Many teenagers need close to nine hours of sleep a night. Additionally, their natural sleep patterns
are later, and he probably is awake later than his father believes. Sleep deprivation is common among
teenagers.
A young patient is brought in after an injury to the neck. What diagnostic exam is necessary?
a. Pelvic exam.
b. CBC.
c. Sensory exam.
d. Pharyngeal exam. - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
Sensory exam
The sensory exam is included in a neurological assessment. This exam is recommended if there is a
risk of a spinal cord injury.
,Helen comes to the clinic complaining of a skin problem. Your examination reveals silvery-white
scaling papules and plaques that are symmetrical. The patient's nails are pitted. Your diagnosis would
be which of the following?
a. candidiasis
b. erysipelas
c. psoriasis
d. acute cellulitis - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
psoriasis
Psoriasis is a silvery-white scaling that is usually symmetrical. It involves scalp, extensor surfaces, and
areas subject to trauma. It may also involve pitting of the nails.
You use the learning theory that appreciates that learners are unique and learn best when treated
with positive regard. This learning theory is which of the following?
a. cognitive theory
b. behaviorist theory
c. humanistic theory
d. andragogy - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
humanistic theory
The humanistic theory appreciates that learners are unique persons. It recognizes that they learn
optimally when treated with positive regard, when their uniqueness is considered, and when they are
involved in decision making.
A father brings his 14-year-old son into the clinic with complaints of knee pain. The boy plays
basketball and states that it gets worse with jumping. It is important for the nurse practitioner to
consider Osgood's Schlatter's disease and to know that:
a. The pain is the result of microtears of the patellar tendon and overuse of the quadricep muscles of
the knees.
b. This is a condition caused by stress and trauma of the femoral tendon.
c. This condition is more common in girls but boys have it too.
, d. Athletic individuals are not at risk for this condition. - CORRECT ANSWER-✔✔✅The CORRECT
ANSWER is:
The pain is the result of microtears of the patellar tendon and overuse of the quadricep muscles of the
knees
Osgood's Schlatter's disease is more common in boys from ages 10 to 17 years. Repetitive stress and
trauma from excessive traction to the patellar tendon causes overstress or overuse of the quadricep
muscles. Further, this condition is more commonly seen in physically active adolescents.
The FNP is caring for a child with celiac disease. Which of the following foods would NOT be
recommended for this child?
a. beans
b. wheat bread
c. corn
d. dates - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
wheat bread
Celiac disease is an immune-mediated systemic disease due to intestinal intolerance to gluten. Those
with celiac disease should not eat wheat, oats, rye or barley, among other things.
You have a 24-month-old male patient whom you have diagnosed with epiglottitis. Which of the
following would you expect to find in this child upon assessment?
a. barking cough
b. muffled voice
c. insidious onset
d. normal posture - CORRECT ANSWER-✔✔✅CORRECT ANSWER:
muffled voice
Epiglottitis is a rapid development of cellulitis of the epiglottis and surrounding tissues that potentially
results in acute airway obstruction. It typically occurs in children 2 - 6 years of age. It is accompanied
by a muffled voice and fever. Onset is sudden and may be life-threatening.
