PSI FNP EXAM REVIEW WITH QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
RATIONALES RATED A+
During development of a treatment plan for an 84 year old
patient with hypothyroidism, the nurse practitioner has to
keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia
B. Osteoporosis
Thyroid hormone affects the rate of bone replacement. Too much
thyroid hormone (i.e. thyroxine) in your body speeds the rate at
which bone is lost. If this happens too fast the osteoblasts may
not be able to replace the bone loss quickly enough. If the
thyroxine level in your body stays too high for a long period or the
thyroid-stimulating hormone (TSH) level in your body stays too
low for a long period then there is a higher risk of developing
osteoporosis. There is also some evidence that people with low
TSH levels may lose bone at a faster rate than those with normal
TSH levels.
A 16 year old female in the first month of taking Ortho-Novum
7/7/7 complains of midcycle spotting. She hasn't missed any
doses and uses no other medication. Which of the following
,is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance
D. Providing reassurance
Breakthrough bleeding and spotting are sometimes encountered
in patients on oral contraceptives, especially during the first three
months of use.
The management of choice for polymyalgia rheumatica
includes:
A. whirlpool
B. Prednisone
C. Analgesics
D. Celebrex
B. Prednisone
Polymyalgia rheumatica is usually treated with a low dose of an
oral corticosteroid, such as prednisone (Rayos). You'll likely
start to feel relief from pain and stiffness within the first two or
three days
A 50 year old male presents with a chief complaint of
malaise. Further questioning reveals that his primary
concern is delayed ejaculation. He is currently taking the
following medications: atenolol (Tenormin), 50 mg daily;
paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet
daily; and hydrochlorthoriazide (HCTZ), 25 mg daily. The
,most likely cause of the patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil)
D. Paroxetine (Paxil)
A study of nearly 100 men with PE showed that when Paxil was
taken both daily and as-needed three to four hours before sex, it
lead to an increased ejaculation latency time.
A 3 year old patient presents at an inner-city clinic with fever,
cough, malaise, and loss of appetite. The patient lives with
several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be
most appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
B. Sputum culture
A sputum culture is most often used to: Find and diagnose
bacteria or fungi that may be causing an infection in the
lungs or airways. See if a chronic illness of the lungs has
worsened. See if treatment for an infection is working.
A 25-year old presents with the chief complaint of decreased
mobility and pain of the right shoulder exacerbated with
movement. The patient reports that he participated in
, extensive house painting 24 hours prior to the onset of pain.
He denies any trauma. Passive ROM is intact. No redness or
ecchymosis is present. What is the next step that should be
taken in order to make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG
A. Palpate the structures around the shoulder
A 17 year old femlae has never had her menses. She is at
Tanner stage III of sexual development. Her physical exam in
completely normal, and her weight is appropriate for her age
and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea
C. Primary amenorrhea
Height increases at peak rate: 8 cm/year (age 12.5)
Breast Elevation of Breast contour; areolae enlarge Age 11.9
years (9.9-13.9 years)
Pubic Hair Dark, coarse, curly hair spreads over mons pubis Age
11.9 years (9.6-14.1 years)
Other changes (Adrenarche)Axillary hair develops (13.1
years)Acne Vulgaris develops (13.2 years)Body odor
An 18-month old child presents with a bulging, immobile
tympanic membrane; T-103F(39.4C). Assessment also
AND CORRECT ANSWERS WITH DETAILED
RATIONALES RATED A+
During development of a treatment plan for an 84 year old
patient with hypothyroidism, the nurse practitioner has to
keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia
B. Osteoporosis
Thyroid hormone affects the rate of bone replacement. Too much
thyroid hormone (i.e. thyroxine) in your body speeds the rate at
which bone is lost. If this happens too fast the osteoblasts may
not be able to replace the bone loss quickly enough. If the
thyroxine level in your body stays too high for a long period or the
thyroid-stimulating hormone (TSH) level in your body stays too
low for a long period then there is a higher risk of developing
osteoporosis. There is also some evidence that people with low
TSH levels may lose bone at a faster rate than those with normal
TSH levels.
A 16 year old female in the first month of taking Ortho-Novum
7/7/7 complains of midcycle spotting. She hasn't missed any
doses and uses no other medication. Which of the following
,is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance
D. Providing reassurance
Breakthrough bleeding and spotting are sometimes encountered
in patients on oral contraceptives, especially during the first three
months of use.
The management of choice for polymyalgia rheumatica
includes:
A. whirlpool
B. Prednisone
C. Analgesics
D. Celebrex
B. Prednisone
Polymyalgia rheumatica is usually treated with a low dose of an
oral corticosteroid, such as prednisone (Rayos). You'll likely
start to feel relief from pain and stiffness within the first two or
three days
A 50 year old male presents with a chief complaint of
malaise. Further questioning reveals that his primary
concern is delayed ejaculation. He is currently taking the
following medications: atenolol (Tenormin), 50 mg daily;
paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet
daily; and hydrochlorthoriazide (HCTZ), 25 mg daily. The
,most likely cause of the patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil)
D. Paroxetine (Paxil)
A study of nearly 100 men with PE showed that when Paxil was
taken both daily and as-needed three to four hours before sex, it
lead to an increased ejaculation latency time.
A 3 year old patient presents at an inner-city clinic with fever,
cough, malaise, and loss of appetite. The patient lives with
several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be
most appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
B. Sputum culture
A sputum culture is most often used to: Find and diagnose
bacteria or fungi that may be causing an infection in the
lungs or airways. See if a chronic illness of the lungs has
worsened. See if treatment for an infection is working.
A 25-year old presents with the chief complaint of decreased
mobility and pain of the right shoulder exacerbated with
movement. The patient reports that he participated in
, extensive house painting 24 hours prior to the onset of pain.
He denies any trauma. Passive ROM is intact. No redness or
ecchymosis is present. What is the next step that should be
taken in order to make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG
A. Palpate the structures around the shoulder
A 17 year old femlae has never had her menses. She is at
Tanner stage III of sexual development. Her physical exam in
completely normal, and her weight is appropriate for her age
and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea
C. Primary amenorrhea
Height increases at peak rate: 8 cm/year (age 12.5)
Breast Elevation of Breast contour; areolae enlarge Age 11.9
years (9.9-13.9 years)
Pubic Hair Dark, coarse, curly hair spreads over mons pubis Age
11.9 years (9.6-14.1 years)
Other changes (Adrenarche)Axillary hair develops (13.1
years)Acne Vulgaris develops (13.2 years)Body odor
An 18-month old child presents with a bulging, immobile
tympanic membrane; T-103F(39.4C). Assessment also
