8/11/25, 8:30 PM PSI FNP
PSI FNP CERTIFICATION PRACTICE EXAM A & B 2025-2026
LATEST VERSION WITH COMPLETE QUESTIONS AND ACCURATE
DETAILED ANSWERS \VERIFIED ANSWERS
A 3 year old patient presents B. Sputum culture
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. throatculture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
/ 1/58
,8/11/25, 8:30 PM PSI FNP
A 25-year old presents with A. Palpate the structures around the shoulder
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 17 year old femlae has C. Primary amenorrhea
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
/ 2/58
,8/11/25, 8:30 PM PSI FNP
An 18-month old child C. Reevaluate the patient in 10 days
presents with a
bulging, immobile tympanic
membrane; T- 103F(39.4C).
Assessment also reveals a
grade II/VI systolic murmur at
the left
sternal border. After
initiation of treatment for
otitis media, the most
appropriate
intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
C. Reevaluate the patient in 10
days
D. Refer the patient to a
cardiologist
Which of the following is B. Glucosuria
NOT an indication of
preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and
hands
D. Headaches
Which of the following D. Gentamycin Opthalmic (Genoptic)
pharmacotherapeutics would
be most
important to administer to a
patient who has a corneal
abrasion?
A. Olopatadine (Patanol)
B. Cromolyn opthalmic
(Crolom)
C. Timolol (Timoptic)
D. Gentamycin Opthalmic
(Genoptic)
/ 3/58
, 8/11/25, 8:30 PM PSI FNP
An 88 year old patient C. Left-sided Stroke
presents with right- sided
weakness after being unable
to rise unassisted following a
fall to the bathroom floor.
History includes aphasia
and
noncompliance with
hypertension
medication regimen. What is
the most likely diagnosis?
A. Seizure
B. Right-sided Stroke
C. Left-sided stroke
D. Trans ischemic attack
A nurse pracitioner is D. Helical CT pulmonary angiography
evaluating a 40 year old
patient suspected of
having a
pulmonary embolus. The
patient complains of anxiety
and cough. A stat chest x-
ray is normal. Which of the
following tests should the
nurse practitioner perform
next?
A. Spirometry
B. MRI
C. Contrast venography
D. Helical CT pulmonary
angiography
/ 4/58
PSI FNP CERTIFICATION PRACTICE EXAM A & B 2025-2026
LATEST VERSION WITH COMPLETE QUESTIONS AND ACCURATE
DETAILED ANSWERS \VERIFIED ANSWERS
A 3 year old patient presents B. Sputum culture
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. throatculture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
/ 1/58
,8/11/25, 8:30 PM PSI FNP
A 25-year old presents with A. Palpate the structures around the shoulder
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 17 year old femlae has C. Primary amenorrhea
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
/ 2/58
,8/11/25, 8:30 PM PSI FNP
An 18-month old child C. Reevaluate the patient in 10 days
presents with a
bulging, immobile tympanic
membrane; T- 103F(39.4C).
Assessment also reveals a
grade II/VI systolic murmur at
the left
sternal border. After
initiation of treatment for
otitis media, the most
appropriate
intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
C. Reevaluate the patient in 10
days
D. Refer the patient to a
cardiologist
Which of the following is B. Glucosuria
NOT an indication of
preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and
hands
D. Headaches
Which of the following D. Gentamycin Opthalmic (Genoptic)
pharmacotherapeutics would
be most
important to administer to a
patient who has a corneal
abrasion?
A. Olopatadine (Patanol)
B. Cromolyn opthalmic
(Crolom)
C. Timolol (Timoptic)
D. Gentamycin Opthalmic
(Genoptic)
/ 3/58
, 8/11/25, 8:30 PM PSI FNP
An 88 year old patient C. Left-sided Stroke
presents with right- sided
weakness after being unable
to rise unassisted following a
fall to the bathroom floor.
History includes aphasia
and
noncompliance with
hypertension
medication regimen. What is
the most likely diagnosis?
A. Seizure
B. Right-sided Stroke
C. Left-sided stroke
D. Trans ischemic attack
A nurse pracitioner is D. Helical CT pulmonary angiography
evaluating a 40 year old
patient suspected of
having a
pulmonary embolus. The
patient complains of anxiety
and cough. A stat chest x-
ray is normal. Which of the
following tests should the
nurse practitioner perform
next?
A. Spirometry
B. MRI
C. Contrast venography
D. Helical CT pulmonary
angiography
/ 4/58
