FITZGERALD EXAM WITH 100%
CORRECT ANSWERS 2025
Which of the following is not an expected finding for a patient
with Meniere's disease?
A positive Romberg test
An abnormal Rinne test
Lateralization during the Weber test
Hearing loss correct answers >> An abnormal Rinne test
An abnormal Rinne test. The Weber and Rinne tests are physical
examination techniques to assess for the presence of a
conductive and/or sensorineural hearing loss and findings can be
suggestive of Meniere's disease. In Meniere's disease, the Weber
test shows lateralization to the unaffected ear. The Rinne test is
usually normal (i.e., air conductance exceeds bone conductance).
The Romberg test is positive, with the patient showing difficulty
staying balanced when standing with eyes closed.
The nurse practitioner is performing Weber and Rinne tests on an
80-year-old woman who reports a progressive worsening of her
hearing in both ears. The NP removes a large amount of cerumen
from the patient's ears with stated resolution of her hearing
problem. Her hearing loss was likely of what nature?
Sensory
Sensorineural
,Conductive
Neural correct answers >> Conductive
Conductive. In this situation, the hearing loss was due to
obstruction with cerumen in the external ear canal. Another
common reason for conductive hearing loss includes middle ear
effusion. Sensorineural loss is the most common form of
progressive, high-frequency hearing loss due to presbycusis or
aging. Sensorineural hearing loss can have many causes and
results in the gradual loss of sound receptors and nerve endings.
Conductive hearing loss is usually temporary while sensorineural
hearing loss is permanent.
A 57-year-old man with a history of myocardial infarction is taking
dual antiplatelet therapy with low-dose aspirin and clopidogrel. He
complains about intermittent headaches and says his friend
mentioned about the use of feverfew. You caution the patient that
feverfew can be associated with:
Hypertension.
Increased bleeding risk.
QTc prolongation.
Ventricular arrhythmia. correct answers >> Increased
bleeding risk.
Increased bleeding risk. Feverfew is an herb belonging to the
chrysanthemum family and the supplement is derived from the
leaves of the plant. Feverfew is used for migraine and other types
of headaches, as well as dizziness, rheumatoid arthritis, fever,
and abdominal pain, among other conditions. Its mechanisms of
action include inhibiting platelet aggregation, exhibiting anti-
,prostaglandin effects, and decreasing serotonin release. Due to
its antiplatelet effect, there is an increased risk of bleeding with
use of feverfew and should be used with caution or avoided
altogether with concomitant antiplatelet therapy, such as aspirin
and/or clopidogrel.
The most important component of the initial assessment of an
asthma exacerbation includes a(n):
SaO2.
Objective measurement of lung function.
Chest X-ray.
Arterial blood gases. correct answers >> Objective
measurement of lung function.
Objective measurement of lung function. Asthma exacerbations,
characterized by a decrease in peak expiratory flow, are identified
by spirometric assessment, which is the most important and
immediate indicator. After the exacerbation is managed, a
comprehensive health history will contribute to the holistic
chronic management. Arterial blood gases and SaO2 can be
indicated later in the assessment if the patient continues to
deteriorate despite initial interventions. A chest radiograph is
usually unchanged in an asthma exacerbation and is not part of
the initial assessment.
Which of the following statements about migraine headache is
most accurate?
The pain is described as pulsating.
, Migraines are more common in men than women.
Migraine with aura is more common than without aura.
The pain is typically bilateral. correct answers >> The pain is
described as pulsating.
The pain is described as pulsating. Migraine headache is one of
the three most common primary headache syndromes, and may
occur with or without aura; migraine without aura is the more
common type. Migraine is most common in women of
childbearing age. The pain is typically described as unilateral and
pulsating.
Risk factors for urinary tract infection in a 62-year-old woman can
include each of the following except:
Uterine prolapse.
Renal stones.
Diabetes mellitus.
Well-controlled hypertension. correct answers >> Well-
controlled hypertension.
Well-controlled hypertension. UTIs occur more frequently in
women than men and the frequency increases with age. UTI rates
are higher in postmenopausal women due to decreased estrogen
that can impact the vaginal flora, as well as the presence of
uterine prolapse that can cause incomplete bladder emptying.
Comorbid chronic medical conditions, such as diabetes, can also
increase UTI risk. The presence of renal or kidney stones can also
increase risk of infection. Well-controlled hypertension is not a
substantial risk factor for UTI.
CORRECT ANSWERS 2025
Which of the following is not an expected finding for a patient
with Meniere's disease?
A positive Romberg test
An abnormal Rinne test
Lateralization during the Weber test
Hearing loss correct answers >> An abnormal Rinne test
An abnormal Rinne test. The Weber and Rinne tests are physical
examination techniques to assess for the presence of a
conductive and/or sensorineural hearing loss and findings can be
suggestive of Meniere's disease. In Meniere's disease, the Weber
test shows lateralization to the unaffected ear. The Rinne test is
usually normal (i.e., air conductance exceeds bone conductance).
The Romberg test is positive, with the patient showing difficulty
staying balanced when standing with eyes closed.
The nurse practitioner is performing Weber and Rinne tests on an
80-year-old woman who reports a progressive worsening of her
hearing in both ears. The NP removes a large amount of cerumen
from the patient's ears with stated resolution of her hearing
problem. Her hearing loss was likely of what nature?
Sensory
Sensorineural
,Conductive
Neural correct answers >> Conductive
Conductive. In this situation, the hearing loss was due to
obstruction with cerumen in the external ear canal. Another
common reason for conductive hearing loss includes middle ear
effusion. Sensorineural loss is the most common form of
progressive, high-frequency hearing loss due to presbycusis or
aging. Sensorineural hearing loss can have many causes and
results in the gradual loss of sound receptors and nerve endings.
Conductive hearing loss is usually temporary while sensorineural
hearing loss is permanent.
A 57-year-old man with a history of myocardial infarction is taking
dual antiplatelet therapy with low-dose aspirin and clopidogrel. He
complains about intermittent headaches and says his friend
mentioned about the use of feverfew. You caution the patient that
feverfew can be associated with:
Hypertension.
Increased bleeding risk.
QTc prolongation.
Ventricular arrhythmia. correct answers >> Increased
bleeding risk.
Increased bleeding risk. Feverfew is an herb belonging to the
chrysanthemum family and the supplement is derived from the
leaves of the plant. Feverfew is used for migraine and other types
of headaches, as well as dizziness, rheumatoid arthritis, fever,
and abdominal pain, among other conditions. Its mechanisms of
action include inhibiting platelet aggregation, exhibiting anti-
,prostaglandin effects, and decreasing serotonin release. Due to
its antiplatelet effect, there is an increased risk of bleeding with
use of feverfew and should be used with caution or avoided
altogether with concomitant antiplatelet therapy, such as aspirin
and/or clopidogrel.
The most important component of the initial assessment of an
asthma exacerbation includes a(n):
SaO2.
Objective measurement of lung function.
Chest X-ray.
Arterial blood gases. correct answers >> Objective
measurement of lung function.
Objective measurement of lung function. Asthma exacerbations,
characterized by a decrease in peak expiratory flow, are identified
by spirometric assessment, which is the most important and
immediate indicator. After the exacerbation is managed, a
comprehensive health history will contribute to the holistic
chronic management. Arterial blood gases and SaO2 can be
indicated later in the assessment if the patient continues to
deteriorate despite initial interventions. A chest radiograph is
usually unchanged in an asthma exacerbation and is not part of
the initial assessment.
Which of the following statements about migraine headache is
most accurate?
The pain is described as pulsating.
, Migraines are more common in men than women.
Migraine with aura is more common than without aura.
The pain is typically bilateral. correct answers >> The pain is
described as pulsating.
The pain is described as pulsating. Migraine headache is one of
the three most common primary headache syndromes, and may
occur with or without aura; migraine without aura is the more
common type. Migraine is most common in women of
childbearing age. The pain is typically described as unilateral and
pulsating.
Risk factors for urinary tract infection in a 62-year-old woman can
include each of the following except:
Uterine prolapse.
Renal stones.
Diabetes mellitus.
Well-controlled hypertension. correct answers >> Well-
controlled hypertension.
Well-controlled hypertension. UTIs occur more frequently in
women than men and the frequency increases with age. UTI rates
are higher in postmenopausal women due to decreased estrogen
that can impact the vaginal flora, as well as the presence of
uterine prolapse that can cause incomplete bladder emptying.
Comorbid chronic medical conditions, such as diabetes, can also
increase UTI risk. The presence of renal or kidney stones can also
increase risk of infection. Well-controlled hypertension is not a
substantial risk factor for UTI.
