PSI FNP Practice Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient with asthma uses their rescue inhaler more than twice per week. What is the next step
in management?
A. Leukotriene receptor antagonist
B. ✔✔Add a low-dose inhaled corticosteroid
C. Theophylline
D. Long-acting beta-2 agonist alone
Which lung sound is most consistent with asthma exacerbation?
A. ✔✔High-pitched expiratory wheezes
B. Coarse crackles
C. Pleural rub
D. Diminished breath sounds only
Which diagnostic test is most useful for confirming a diagnosis of chronic obstructive pulmonary
disease (COPD)?
1
,A. ✔✔Spirometry with post-bronchodilator testing
B. Peak flow meter
C. Chest X-ray
D. Arterial blood gas
A COPD patient with cor pulmonale will most likely have which additional finding?
A. ✔✔Peripheral edema
B. Inspiratory stridor
C. Tracheal deviation
D. Clubbing of the fingernails only
What is the most common bacterial cause of community-acquired pneumonia?
A. Haemophilus influenzae
B. Mycoplasma pneumoniae
C. ✔✔Streptococcus pneumoniae
D. Chlamydophila pneumoniae
Which physical finding is most consistent with pleural effusion?
2
,A. Hyperresonance to percussion
B. ✔✔Dullness to percussion over affected area
C. Bilateral wheezing
D. Increased tactile fremitus
A 5-year-old with sudden onset of barking cough and inspiratory stridor likely has:
A. Bronchiolitis
B. ✔✔Croup
C. Epiglottitis
D. Asthma
Which chest X-ray finding is classic for tuberculosis?
A. ✔✔Upper lobe cavitary lesions
B. Bilateral pleural effusion
C. Flattened diaphragms
D. Diffuse reticular pattern
Which vaccine reduces the risk of pneumonia in older adults?
3
, A. ✔✔Pneumococcal vaccine
B. Influenza vaccine
C. Hepatitis B vaccine
D. Varicella vaccine
A patient with asthma has persistent symptoms despite low-dose inhaled corticosteroid therapy.
What is the next step?
A. Discontinue inhaled corticosteroid
B. ✔✔Add a long-acting beta-2 agonist
C. Add oral theophylline
D. Switch to leukotriene receptor antagonist only
Which finding is expected in severe asthma exacerbation?
A. ✔✔Pulsus paradoxus
B. Egophony
C. Inspiratory crackles
D. Dullness to percussion
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient with asthma uses their rescue inhaler more than twice per week. What is the next step
in management?
A. Leukotriene receptor antagonist
B. ✔✔Add a low-dose inhaled corticosteroid
C. Theophylline
D. Long-acting beta-2 agonist alone
Which lung sound is most consistent with asthma exacerbation?
A. ✔✔High-pitched expiratory wheezes
B. Coarse crackles
C. Pleural rub
D. Diminished breath sounds only
Which diagnostic test is most useful for confirming a diagnosis of chronic obstructive pulmonary
disease (COPD)?
1
,A. ✔✔Spirometry with post-bronchodilator testing
B. Peak flow meter
C. Chest X-ray
D. Arterial blood gas
A COPD patient with cor pulmonale will most likely have which additional finding?
A. ✔✔Peripheral edema
B. Inspiratory stridor
C. Tracheal deviation
D. Clubbing of the fingernails only
What is the most common bacterial cause of community-acquired pneumonia?
A. Haemophilus influenzae
B. Mycoplasma pneumoniae
C. ✔✔Streptococcus pneumoniae
D. Chlamydophila pneumoniae
Which physical finding is most consistent with pleural effusion?
2
,A. Hyperresonance to percussion
B. ✔✔Dullness to percussion over affected area
C. Bilateral wheezing
D. Increased tactile fremitus
A 5-year-old with sudden onset of barking cough and inspiratory stridor likely has:
A. Bronchiolitis
B. ✔✔Croup
C. Epiglottitis
D. Asthma
Which chest X-ray finding is classic for tuberculosis?
A. ✔✔Upper lobe cavitary lesions
B. Bilateral pleural effusion
C. Flattened diaphragms
D. Diffuse reticular pattern
Which vaccine reduces the risk of pneumonia in older adults?
3
, A. ✔✔Pneumococcal vaccine
B. Influenza vaccine
C. Hepatitis B vaccine
D. Varicella vaccine
A patient with asthma has persistent symptoms despite low-dose inhaled corticosteroid therapy.
What is the next step?
A. Discontinue inhaled corticosteroid
B. ✔✔Add a long-acting beta-2 agonist
C. Add oral theophylline
D. Switch to leukotriene receptor antagonist only
Which finding is expected in severe asthma exacerbation?
A. ✔✔Pulsus paradoxus
B. Egophony
C. Inspiratory crackles
D. Dullness to percussion
4
