PSI FNP Practice COMPREHENSIVE questions answered, 2025 verifie
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1. A 14yo male with bronchitis is being treated with fluids A. Right lower lobe crack-
and expectorants. He returns to the clinic with a fever les.
of 103F, right pleuritic chest pain, and green sputum.
Which of the following examination results would be
expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
2. 2 year old child is diagnosed with radial head subluxa- C. The child quickly begins
tion ("nursemaid's elbow"). After closed manipulation, to use the affected arm.
the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotat-
ing the arm
3. Which of the following would be an appropriate al- A. Azithromycin
ternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin)
4. A 10-month old presents with a rash, runny nose, D. Measles
and cough. Examination reveals a cluster of tiny white
papuls with an erythematous base on the buccal mu-
cosa. What does this suggest?
A. Scarlet fever
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B. Rubella
C. Erythema infectiosum
D. Measles
5. Office Spriometry performed with an albuterol neb- D. Whether a patient has
ulizer treatment can confirm a diagnosis of asthma reversible airway obstruc-
because it indicates: tion
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fi-
brosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction
6. An 18yr old patient presents with complaints of max- A. Amoxicillin-Clavulanate
illary facial pain and yellow nasal discharge for 14 (Augmentin)
days. What is the appropriate initial pharmacologic
intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
7. Which of the following is the leading cause of can- D. Lung Cancer
cer-related deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer
8. A 29-year old male with noncomplicated Chlamidia B. No remarkable clinical
infection may exhibit: symptoms
A. Urticaria
B. No remarkable clinical symptoms
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C. A green mucoid penile discharge
D. A penile ulcer
9. To assess a patient's ability to think abstractly, a nurse A. The meaning of a com-
practitioner could ask the patient: mon proverb
A. The meaning of a common proverb
B. What action the patient would take if their was a fire
in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
10. A common rule to follow when prescribing many med- B. Start at a low dose than
ications for the elderly is to: what is commonly pre-
A. Give most medications in the morning to allow scribed for adults, and in-
slowed body functions to have time to adjust to the crease the dose slowly.
drug.
B. Start at a lower dose than what is commonly pre-
scribed for adults, and increase the dose slowly.
C. Perform a creatinine clearance test for baseline
data on all person over age 70 before starting on new
medications.
D. Give medication with a full glass of water to pro-
mote absorption and limit harm to the kidneys.
11. A 72 year old female presents with a medical histo- B. Depression, Unresolved
ry unremarkable except for the occasional headache. grief, and hypothyroidism
She enjoyed emotional health throughout marriage
and childrearing, although her family history is sig-
nificant for strokes and nervous breakdowns. Since
her husband died a year ago, however, she has been
waking every morning at 3am, is reluctant to go out
although she has family member living nearby, and
, PSI FNP Practice
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feels a continual urge to sleep. She cannot discuss her
late husband without crying. Differential diagnoses
would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna
12. The parent of a 13-year old diagnosed with seizure dis- B. Lower the seizure
order calls to report that the child is exhibiting symp- threshold
toms of a cold, but has no fever. The nurse practitioner
should advise the parent that development of fever
may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold
13. After a 3-week camping trip, an 11-year old is seen D. Doxycycline
for a target lesion with central clearing, located in
the inguinal area. The patient has had a severe
headache, malaise, fatigue, and generalized muscu-
loskeletal pain for several days. Pharmacologic man-
agement of this condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
14. An 88 year old male presents with concerns about A. Folstein Mini-mental
memory loss. He feels good, takes an aspirin daily, state examination
and has no chronic diseases. He lives alone, drives his
PSI FNP Practice
gradedStudy
A+online
already passed!
at https://quizlet.com/_6z3zyr
1. A 14yo male with bronchitis is being treated with fluids A. Right lower lobe crack-
and expectorants. He returns to the clinic with a fever les.
of 103F, right pleuritic chest pain, and green sputum.
Which of the following examination results would be
expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
2. 2 year old child is diagnosed with radial head subluxa- C. The child quickly begins
tion ("nursemaid's elbow"). After closed manipulation, to use the affected arm.
the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotat-
ing the arm
3. Which of the following would be an appropriate al- A. Azithromycin
ternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin)
4. A 10-month old presents with a rash, runny nose, D. Measles
and cough. Examination reveals a cluster of tiny white
papuls with an erythematous base on the buccal mu-
cosa. What does this suggest?
A. Scarlet fever
, PSI FNP Practice
Study online at https://quizlet.com/_6z3zyr
B. Rubella
C. Erythema infectiosum
D. Measles
5. Office Spriometry performed with an albuterol neb- D. Whether a patient has
ulizer treatment can confirm a diagnosis of asthma reversible airway obstruc-
because it indicates: tion
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fi-
brosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction
6. An 18yr old patient presents with complaints of max- A. Amoxicillin-Clavulanate
illary facial pain and yellow nasal discharge for 14 (Augmentin)
days. What is the appropriate initial pharmacologic
intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
7. Which of the following is the leading cause of can- D. Lung Cancer
cer-related deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer
8. A 29-year old male with noncomplicated Chlamidia B. No remarkable clinical
infection may exhibit: symptoms
A. Urticaria
B. No remarkable clinical symptoms
, PSI FNP Practice
Study online at https://quizlet.com/_6z3zyr
C. A green mucoid penile discharge
D. A penile ulcer
9. To assess a patient's ability to think abstractly, a nurse A. The meaning of a com-
practitioner could ask the patient: mon proverb
A. The meaning of a common proverb
B. What action the patient would take if their was a fire
in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
10. A common rule to follow when prescribing many med- B. Start at a low dose than
ications for the elderly is to: what is commonly pre-
A. Give most medications in the morning to allow scribed for adults, and in-
slowed body functions to have time to adjust to the crease the dose slowly.
drug.
B. Start at a lower dose than what is commonly pre-
scribed for adults, and increase the dose slowly.
C. Perform a creatinine clearance test for baseline
data on all person over age 70 before starting on new
medications.
D. Give medication with a full glass of water to pro-
mote absorption and limit harm to the kidneys.
11. A 72 year old female presents with a medical histo- B. Depression, Unresolved
ry unremarkable except for the occasional headache. grief, and hypothyroidism
She enjoyed emotional health throughout marriage
and childrearing, although her family history is sig-
nificant for strokes and nervous breakdowns. Since
her husband died a year ago, however, she has been
waking every morning at 3am, is reluctant to go out
although she has family member living nearby, and
, PSI FNP Practice
Study online at https://quizlet.com/_6z3zyr
feels a continual urge to sleep. She cannot discuss her
late husband without crying. Differential diagnoses
would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna
12. The parent of a 13-year old diagnosed with seizure dis- B. Lower the seizure
order calls to report that the child is exhibiting symp- threshold
toms of a cold, but has no fever. The nurse practitioner
should advise the parent that development of fever
may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold
13. After a 3-week camping trip, an 11-year old is seen D. Doxycycline
for a target lesion with central clearing, located in
the inguinal area. The patient has had a severe
headache, malaise, fatigue, and generalized muscu-
loskeletal pain for several days. Pharmacologic man-
agement of this condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
14. An 88 year old male presents with concerns about A. Folstein Mini-mental
memory loss. He feels good, takes an aspirin daily, state examination
and has no chronic diseases. He lives alone, drives his
