8/11/25, 8:26 PM PSI FNP Practice
PSI FNP CERTIFICATION PRACTICE EXAM
2025-2026 LATEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED ANSWERS
\VERIFIED ANSWERS
A 6 yo had an acute onset Scarlet fever; treat with antibiotics.
of fever, pharyngitis, and This disease is due to infection with Group A Beta-hemolytic
streptococcus. The rash is thought to be due to a systemic
headache 2 days ago.
reaction to the toxin produced by the microorganism. The rash
Today, he presents with fades with pressure and ultimately desquamates. A deep,
cervical lymphadenopathy nonblanching rash on the flexor surfaces of the skin is referred to
as pastia lines.
and sandpaper textured
rash everywhere except
on his face. A rapid
streptococcal antigen test
is positive. The remainder
of the assessment in
unremarkable. What is
the most likely
diagnosis and the most
appropriate action?
A 72 year old female B. Depression, Unresolved grief, and hypothyroidism
presents with a medical
history unremarkable
except for the occasional
headache. She enjoyed
emotional health throughout
marriage and childrearing,
although her family history
is significant for strokes
and nervous breakdowns.
Since her husband died a
year ago, however, she has
been waking every
/ 1/54
,8/11/25, 8:26 PM PSI FNP Practice
morning at 3am, is
reluctant to go out
although she has family
member living nearby, and
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
The parent of a 13-year old B. Lower the seizure threshold
diagnosed with seizure
disorder calls to report
that the child is exhibiting
symptoms 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
/ 2/54
,8/11/25, 8:26 PM PSI FNP Practice
After a 3-week camping trip, D. Doxycycline
an 11-year old is seen for a
target lesion with central
clearing, located in the
inguinal area. The patient
has had a severe
headache, malaise,
fatigue, and generalized
musculoskeletal pain for
several days.
Pharmacologic management
of this condition includes:
A. trimethoprim-
sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
An 88 year old male A. Folstein Mini-mental state examination
presents with concerns
about memory loss. He
feels good, takes an
aspirin daily, and has no
chronic diseases. He lives
alone, drives his own car,
and manages his financial
affairs. To evaluate his
memory, which of the
following tests should the
nurse practitioner
choose?
A. Folstein Mini-Mental State
examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic
Personality Inventory
Myers-Briggs Test
/ 3/54
, 8/11/25, 8:26 PM PSI FNP Practice
During development of a B. Osteoporosis
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
A 16 year old female in the D. Providing reassurance
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
The management of choice B. Prednisone
for polymyalgia rheumatica
includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex
/ 4/54
PSI FNP CERTIFICATION PRACTICE EXAM
2025-2026 LATEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED ANSWERS
\VERIFIED ANSWERS
A 6 yo had an acute onset Scarlet fever; treat with antibiotics.
of fever, pharyngitis, and This disease is due to infection with Group A Beta-hemolytic
streptococcus. The rash is thought to be due to a systemic
headache 2 days ago.
reaction to the toxin produced by the microorganism. The rash
Today, he presents with fades with pressure and ultimately desquamates. A deep,
cervical lymphadenopathy nonblanching rash on the flexor surfaces of the skin is referred to
as pastia lines.
and sandpaper textured
rash everywhere except
on his face. A rapid
streptococcal antigen test
is positive. The remainder
of the assessment in
unremarkable. What is
the most likely
diagnosis and the most
appropriate action?
A 72 year old female B. Depression, Unresolved grief, and hypothyroidism
presents with a medical
history unremarkable
except for the occasional
headache. She enjoyed
emotional health throughout
marriage and childrearing,
although her family history
is significant for strokes
and nervous breakdowns.
Since her husband died a
year ago, however, she has
been waking every
/ 1/54
,8/11/25, 8:26 PM PSI FNP Practice
morning at 3am, is
reluctant to go out
although she has family
member living nearby, and
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
The parent of a 13-year old B. Lower the seizure threshold
diagnosed with seizure
disorder calls to report
that the child is exhibiting
symptoms 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
/ 2/54
,8/11/25, 8:26 PM PSI FNP Practice
After a 3-week camping trip, D. Doxycycline
an 11-year old is seen for a
target lesion with central
clearing, located in the
inguinal area. The patient
has had a severe
headache, malaise,
fatigue, and generalized
musculoskeletal pain for
several days.
Pharmacologic management
of this condition includes:
A. trimethoprim-
sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
An 88 year old male A. Folstein Mini-mental state examination
presents with concerns
about memory loss. He
feels good, takes an
aspirin daily, and has no
chronic diseases. He lives
alone, drives his own car,
and manages his financial
affairs. To evaluate his
memory, which of the
following tests should the
nurse practitioner
choose?
A. Folstein Mini-Mental State
examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic
Personality Inventory
Myers-Briggs Test
/ 3/54
, 8/11/25, 8:26 PM PSI FNP Practice
During development of a B. Osteoporosis
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
A 16 year old female in the D. Providing reassurance
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
The management of choice B. Prednisone
for polymyalgia rheumatica
includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex
/ 4/54
