FNP practice test 1 (AANPCB)
Study online at https://quizlet.com/_c1ydey
1. Which is contraindicated in influenza vaccine
- asthma
- sickle cell
- <5months
- American Indian heritage:
2. Which of the following associated with thyroid hypofunction
a. Graves
b. Eye disorder
c. Thyroid storm
d. Myxedema: Myxedema
skin changes (thickened)
Tx: High dose of thyroid hormone
3. 14 y/o boy with feeling of being bloated, upset stomach, and loose stools
for months, problems gaining weight and is short for his age. Symptoms
worse after eating crackers. No blood in stool. What condition is most likely
to occur?: Celiac disease
avoid gluten; causes malabsorption
IgA and IgG elevated
4. 67 y/o female with 3-day old cat bite thats swollen, red and painful to
touch. There is Purulent Discharge at site of bite. Which medication do you
prescribe?: Amoxicillin
symptoms assoc.with Pasteurella multocida which is anaerobic gram neg
5. 14 y/o girl with short stature, swollen hands and feet and webbed neck.
Found to be at Tanner stage 1....
What test do you order to confirm: Karyotype to find second chromosome
tanner 1 prepuberty
signs suggest Turner syndrome
6. 67 y/o woman with 30 pack-year history of smoking at annual physical.
Complains of being short of breathe easily and fatigued. Exam reveals di-
minished breath sounds, hyperresonace, and fatigued muscles. CBC results
showed Hct elevated and pulmonary function test showed increased total lung
capacity. What diagnosis is most likely: COPD
(Emphysema and chronic bronchitis)
, FNP practice test 1 (AANPCB)
Study online at https://quizlet.com/_c1ydey
dyspnea, chronic cough, sputum production
Lungs are hyper-inflated, diminished BS
Creates High hct from hypoxia
7. Elderly male at routine exam, shows multiple rough scaly patches on fore-
arm and face and neck and back of ears. What diagnosis is most likely: Senile
actinic keratosis
most common precancerous lesion in small cell carcinoma
develops from years of sun exposure
8. You are assessing a 63 y/o male with history of IV-drug abuse since young
adulthood. Presents with fatigue and nausea. What screening is recommend-
ed?: Hep C
9. You're performing an assessment of 6 month old. What motor skills are
expected ?: Palmar Grasps of object
10. You (NP) are managing a stable-middle aged male with emphysema. What
annual intervention is recommended besides stopping.: (QIV) Quadrivalent
innactive flu vaccine
-O
11. During sports exam, 14 y/o you notice a split of s2 component of the heart
during deep inspiration. Disappears on expiration. HR regular, no murmurs.
what is this likely of: Normal as long as it disappears after expiration
12. Which finding would you find in 13y/o M with Cushing's syndrome: Delayed
puberty
13. Which life-style is associated with secondary polycythemia Vera: Smoking
14. Which test confirms prostate cancer: Tissue biopsy
15. 60 F truck driver with worsening lower back pain over few days. Numbness
in perineal area. Sharp and burning and points to left buttock.
Pain started mid buttock of left leg and went to lateral side toward top of foot.
Ankle and knee jerk reflex is +2 and on affected leg +1
what test do you consider?: Order MRI
16. When assessing a pt using Snellen chart, the NP(you hehe) reports visual
acuity 80/20. What dat mean?: Patient can see at 20 feet what a person can see
at 80
, FNP practice test 1 (AANPCB)
Study online at https://quizlet.com/_c1ydey
top:distance pt can see in ft
bottom: distance that normal vision can read the same line
17. Obese 28y/female at doc seen with Arachne, hirsutism and oligomenor-
rhea. Blood draw shows free androgen index 9.8 with diagnosis of poly cystic
ovarian syndrome which puts patient at risk for what ?: CHD, Type 2 DM,
metabolic syndrome
18. Middle age man with HTN with acute onset of fever, chills and productive
cough and rusty colored sputum. Sharp pain on left side of back and chest
when coughing. Temp 102 pulse is 100 and Bp 130/80
urinalysis show no leukocytes,nitrite, or blood: bacterial pneumonia
Typically comes on quickly sometime with yellow/brown sputum
gold standard Dx: Chest x-ray that shows infiltrates and lobar consolidation deter-
mine bacteria in urine to determine which Abx
19. You palpate URQ while pt talked deep breath what is this test: Murphy sign
20. Elderly fair skinned male with lesion on nose, translucent Paulette with
central ulceration telangiectasis, and rolled borders: Basal cell carcinoma
21. Cauliflower- like growth with fouls smelling discharge of left ear in 8yo m.
Tempanic membrane not visible nor ossicles.
HX: chroninc otitis media: Cholesteatoma
22. An elderly patient presents with new onset of sleepiness, weight gain of
10 pounds in a month,Xeroxis, and anomia.
Lab values: T4-6.3mU/L and score 28 on mini-mental state exam (MME)
what medication does nurse prescribe
-Levothyroxine (synthroid)
- propylthiouracil (PTU)
- memantine (namenda)
- carbidopa-levodopa(sinemet): Synthroid (low dose)
Pt. showing signs of hypothyroidism
T4 is normal : (5-13)
TSH is normal: (0.4-4.0)
mental state exam (25-30)
- Memantine (namenda): for dementia
(namenda sounds like dementia ?)
Study online at https://quizlet.com/_c1ydey
1. Which is contraindicated in influenza vaccine
- asthma
- sickle cell
- <5months
- American Indian heritage:
2. Which of the following associated with thyroid hypofunction
a. Graves
b. Eye disorder
c. Thyroid storm
d. Myxedema: Myxedema
skin changes (thickened)
Tx: High dose of thyroid hormone
3. 14 y/o boy with feeling of being bloated, upset stomach, and loose stools
for months, problems gaining weight and is short for his age. Symptoms
worse after eating crackers. No blood in stool. What condition is most likely
to occur?: Celiac disease
avoid gluten; causes malabsorption
IgA and IgG elevated
4. 67 y/o female with 3-day old cat bite thats swollen, red and painful to
touch. There is Purulent Discharge at site of bite. Which medication do you
prescribe?: Amoxicillin
symptoms assoc.with Pasteurella multocida which is anaerobic gram neg
5. 14 y/o girl with short stature, swollen hands and feet and webbed neck.
Found to be at Tanner stage 1....
What test do you order to confirm: Karyotype to find second chromosome
tanner 1 prepuberty
signs suggest Turner syndrome
6. 67 y/o woman with 30 pack-year history of smoking at annual physical.
Complains of being short of breathe easily and fatigued. Exam reveals di-
minished breath sounds, hyperresonace, and fatigued muscles. CBC results
showed Hct elevated and pulmonary function test showed increased total lung
capacity. What diagnosis is most likely: COPD
(Emphysema and chronic bronchitis)
, FNP practice test 1 (AANPCB)
Study online at https://quizlet.com/_c1ydey
dyspnea, chronic cough, sputum production
Lungs are hyper-inflated, diminished BS
Creates High hct from hypoxia
7. Elderly male at routine exam, shows multiple rough scaly patches on fore-
arm and face and neck and back of ears. What diagnosis is most likely: Senile
actinic keratosis
most common precancerous lesion in small cell carcinoma
develops from years of sun exposure
8. You are assessing a 63 y/o male with history of IV-drug abuse since young
adulthood. Presents with fatigue and nausea. What screening is recommend-
ed?: Hep C
9. You're performing an assessment of 6 month old. What motor skills are
expected ?: Palmar Grasps of object
10. You (NP) are managing a stable-middle aged male with emphysema. What
annual intervention is recommended besides stopping.: (QIV) Quadrivalent
innactive flu vaccine
-O
11. During sports exam, 14 y/o you notice a split of s2 component of the heart
during deep inspiration. Disappears on expiration. HR regular, no murmurs.
what is this likely of: Normal as long as it disappears after expiration
12. Which finding would you find in 13y/o M with Cushing's syndrome: Delayed
puberty
13. Which life-style is associated with secondary polycythemia Vera: Smoking
14. Which test confirms prostate cancer: Tissue biopsy
15. 60 F truck driver with worsening lower back pain over few days. Numbness
in perineal area. Sharp and burning and points to left buttock.
Pain started mid buttock of left leg and went to lateral side toward top of foot.
Ankle and knee jerk reflex is +2 and on affected leg +1
what test do you consider?: Order MRI
16. When assessing a pt using Snellen chart, the NP(you hehe) reports visual
acuity 80/20. What dat mean?: Patient can see at 20 feet what a person can see
at 80
, FNP practice test 1 (AANPCB)
Study online at https://quizlet.com/_c1ydey
top:distance pt can see in ft
bottom: distance that normal vision can read the same line
17. Obese 28y/female at doc seen with Arachne, hirsutism and oligomenor-
rhea. Blood draw shows free androgen index 9.8 with diagnosis of poly cystic
ovarian syndrome which puts patient at risk for what ?: CHD, Type 2 DM,
metabolic syndrome
18. Middle age man with HTN with acute onset of fever, chills and productive
cough and rusty colored sputum. Sharp pain on left side of back and chest
when coughing. Temp 102 pulse is 100 and Bp 130/80
urinalysis show no leukocytes,nitrite, or blood: bacterial pneumonia
Typically comes on quickly sometime with yellow/brown sputum
gold standard Dx: Chest x-ray that shows infiltrates and lobar consolidation deter-
mine bacteria in urine to determine which Abx
19. You palpate URQ while pt talked deep breath what is this test: Murphy sign
20. Elderly fair skinned male with lesion on nose, translucent Paulette with
central ulceration telangiectasis, and rolled borders: Basal cell carcinoma
21. Cauliflower- like growth with fouls smelling discharge of left ear in 8yo m.
Tempanic membrane not visible nor ossicles.
HX: chroninc otitis media: Cholesteatoma
22. An elderly patient presents with new onset of sleepiness, weight gain of
10 pounds in a month,Xeroxis, and anomia.
Lab values: T4-6.3mU/L and score 28 on mini-mental state exam (MME)
what medication does nurse prescribe
-Levothyroxine (synthroid)
- propylthiouracil (PTU)
- memantine (namenda)
- carbidopa-levodopa(sinemet): Synthroid (low dose)
Pt. showing signs of hypothyroidism
T4 is normal : (5-13)
TSH is normal: (0.4-4.0)
mental state exam (25-30)
- Memantine (namenda): for dementia
(namenda sounds like dementia ?)
