FAMILY NURSE PRACTITIONER (FNP) – PSI FINAL
EXAM QUESTIONS WITH VERIFIED AND ACCURATE
ANSWERS GRADED A+ 2024-2025
The best lab test to distinguish iron deficiency anemia from other anemias is:
A. Serum ferritin level
B. Mean corpuscular hemoglobin concentration
C. Mean corpuscular volume
D. Transferrin saturation
A. Serum ferritin level
The follow-up exam of a 12 month old treated 2 weeks ago for bilateral otitis media reveals a normal left
tympanic membrane and a right tympanic membrane with visible serous fluid levels and decreased
mobility. An appropriate plan should include:
A. Consultation with an audiologist
B. Prescription for an oral decongestant
C. Follow-up evaluation of the ears in 2 months
D. Referral to an ENT specialist for surgical consultation
C. Follow-up evaluation of the ears in 2 months.
Which of the following lab test should a nurse practitioner order when the suspected diagnosis is
temporal arteritis?
A. Antinuclear antibody
B. Electrolyte profile
C. Erythrocyte sedimentation rate (ESR)
D. Complete Blood Count (CBC)
,C. Erythrocyte Sedimentation Rate (ESR)
A 47-yo patient presents with complaints of upper abdominal discomfort with nausea and burning after
eating. The patient is not currently taking any medications. The most likely differential diagnoses would
include:
A. colitis and peptic ulcer disease
B. Colitis and small bowel disease
C. Gastritis and Crohn's disease
D. Gastritis and peptic ulcer disease
D. Gastritis and peptic ulcer disease.
To assess spinal function at the S1 level, which deep tendon reflex should be tested?
A. Patellar
B. Cremasteric
C. Achilles
D. Anal wink
C. Achilles
A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth that do
not rub off when wiped with a 4 x 4. The patient should be evaluated for:
A. HIV infection
B. Myelodysplastic syndrome
C. Congenital lymphoproliferative disease
D. non-Hodgkin's lymphoma
A. HIV infection
,A nurse practitioner is suturing a simple laceration on an 11-yo patient. The use of lidocaine with
epinephrine is contraindicated in all of the following areas EXCEPT the:
A. Scalp
B. Nose
C. Fingers
D. Earlobe
A. Scalp
A common rule to follow when prescribing many medications for the elderly is to:
Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:
the meaning of a common proverb
Cremasteric Reflex
a superficial (i.e., close to the skin's surface) reflex observed in human males. This reflex is elicited by
lightly stroking the superior and medial (inner) part of the thigh-regardless of the direction of stroke.
The normal response is an immediate contraction of the cremaster muscle that pulls up the ipsilateral
testis.
Edema from extravascular fluid retention is visible in conditions like
heart failure, nephrotic syndrome and liver failure.
Drugs associated with weight gain include
, Tricyclic antidepressants, insulin and sulfonulurea, contraceptives, glucocorticoids, progestational
steroids, mirtazapine and paroxetine, gabapentin and valproate and propanolol
Causes of weight loss include
GI deases; endocrine disorders (diabetes, hyperthyroidism, adrenal insufficiency); chronic infections,
HIV/AIDS; malignancy; chronic cardiac, pulmonary, or renal failure; depression; and anorexia nervosa or
bulimia;
Appendicitis is a common cause of acute abdominal pain.
Assess for positive McBurney's point tenderness, Rovsing's sign, the psoas sign, and obturator sign.
Rovsing's sign
Pain in the RIGHT lower quadrant during LEFT-sided pressure is a positive Rovsing's sign. Indicates
appendicitis
Psoas Sign
Increased abdominal pain when patient attempts to raise thigh against your hand or when asking the
patient to extend their right leg at the hip. Indicates Appendicits
Oburator Sign
right hypogastric pain constitutes a positive obturator sign. Ask patient to flex right thigh at the hip, with
the knee bent, and rotate the leg internally at the hip.
Positive Murphy's sign
indicates Acute Cholecystitis. Right upper Quadrant
EXAM QUESTIONS WITH VERIFIED AND ACCURATE
ANSWERS GRADED A+ 2024-2025
The best lab test to distinguish iron deficiency anemia from other anemias is:
A. Serum ferritin level
B. Mean corpuscular hemoglobin concentration
C. Mean corpuscular volume
D. Transferrin saturation
A. Serum ferritin level
The follow-up exam of a 12 month old treated 2 weeks ago for bilateral otitis media reveals a normal left
tympanic membrane and a right tympanic membrane with visible serous fluid levels and decreased
mobility. An appropriate plan should include:
A. Consultation with an audiologist
B. Prescription for an oral decongestant
C. Follow-up evaluation of the ears in 2 months
D. Referral to an ENT specialist for surgical consultation
C. Follow-up evaluation of the ears in 2 months.
Which of the following lab test should a nurse practitioner order when the suspected diagnosis is
temporal arteritis?
A. Antinuclear antibody
B. Electrolyte profile
C. Erythrocyte sedimentation rate (ESR)
D. Complete Blood Count (CBC)
,C. Erythrocyte Sedimentation Rate (ESR)
A 47-yo patient presents with complaints of upper abdominal discomfort with nausea and burning after
eating. The patient is not currently taking any medications. The most likely differential diagnoses would
include:
A. colitis and peptic ulcer disease
B. Colitis and small bowel disease
C. Gastritis and Crohn's disease
D. Gastritis and peptic ulcer disease
D. Gastritis and peptic ulcer disease.
To assess spinal function at the S1 level, which deep tendon reflex should be tested?
A. Patellar
B. Cremasteric
C. Achilles
D. Anal wink
C. Achilles
A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth that do
not rub off when wiped with a 4 x 4. The patient should be evaluated for:
A. HIV infection
B. Myelodysplastic syndrome
C. Congenital lymphoproliferative disease
D. non-Hodgkin's lymphoma
A. HIV infection
,A nurse practitioner is suturing a simple laceration on an 11-yo patient. The use of lidocaine with
epinephrine is contraindicated in all of the following areas EXCEPT the:
A. Scalp
B. Nose
C. Fingers
D. Earlobe
A. Scalp
A common rule to follow when prescribing many medications for the elderly is to:
Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:
the meaning of a common proverb
Cremasteric Reflex
a superficial (i.e., close to the skin's surface) reflex observed in human males. This reflex is elicited by
lightly stroking the superior and medial (inner) part of the thigh-regardless of the direction of stroke.
The normal response is an immediate contraction of the cremaster muscle that pulls up the ipsilateral
testis.
Edema from extravascular fluid retention is visible in conditions like
heart failure, nephrotic syndrome and liver failure.
Drugs associated with weight gain include
, Tricyclic antidepressants, insulin and sulfonulurea, contraceptives, glucocorticoids, progestational
steroids, mirtazapine and paroxetine, gabapentin and valproate and propanolol
Causes of weight loss include
GI deases; endocrine disorders (diabetes, hyperthyroidism, adrenal insufficiency); chronic infections,
HIV/AIDS; malignancy; chronic cardiac, pulmonary, or renal failure; depression; and anorexia nervosa or
bulimia;
Appendicitis is a common cause of acute abdominal pain.
Assess for positive McBurney's point tenderness, Rovsing's sign, the psoas sign, and obturator sign.
Rovsing's sign
Pain in the RIGHT lower quadrant during LEFT-sided pressure is a positive Rovsing's sign. Indicates
appendicitis
Psoas Sign
Increased abdominal pain when patient attempts to raise thigh against your hand or when asking the
patient to extend their right leg at the hip. Indicates Appendicits
Oburator Sign
right hypogastric pain constitutes a positive obturator sign. Ask patient to flex right thigh at the hip, with
the knee bent, and rotate the leg internally at the hip.
Positive Murphy's sign
indicates Acute Cholecystitis. Right upper Quadrant
