PSI FNP – Questions With Applicable Solutions (A+)
Which of the following is the leading cause of cancer-related deaths in the
majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer Correct Answer - D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer Correct Answer - B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask
the patient:
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. Correct Answer - A. The meaning of a
common proverb
A common rule to follow when prescribing many medications for the elderly
is to:
A. Give most medications in the morning to allow slowed body functions to
have time to adjust to the drug.
B. Start at a lower dose than what is commonly prescribed 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 promote absorption and limit
harm to the kidneys. Correct Answer - B. Start at a low dose than what is
commonly prescribed for adults, and increase the dose slowly.
A 72 year old female 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 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 Correct Answer - B. Depression,
Unresolved grief, and hypothyroidism
The parent of a 13-year old 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 Correct Answer - B. Lower the
seizure threshold
After a 3-week camping trip, 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) Correct Answer - D. Doxycycline
An 88 year old male 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 Correct Answer - A. Folstein Mini-mental state
examination
During development of a 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 Correct Answer - B. Osteoporosis
A 16 year old female in the 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 Correct Answer - D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex Correct Answer - B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further
questioning reveals that his primary concern is delayed ejaculation. He is
currently taking the following medications: atenolol (Tenormin), 50 mg daily;
paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and
hydrochlorthoriazide (HCTZ), 25 mg daily. The most likely cause of the
patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil) Correct Answer - D. Paroxetine (Paxil)
A 3 year old patient presents 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. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test Correct Answer - B. Sputum culture
, A 25-year old presents with 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 Correct Answer - A. Palpate the structures around
the shoulder
A 17 year old femlae has 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 Correct Answer - C. Primary amenorrhea
An 18-month old child 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 Correct Answer - C. Reevaluate the
patient in 10 days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and hands
D. Headaches Correct Answer - B. Glucosuria
Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion?
A. Olopatadine (Patanol)
Which of the following is the leading cause of cancer-related deaths in the
majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer Correct Answer - D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer Correct Answer - B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask
the patient:
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. Correct Answer - A. The meaning of a
common proverb
A common rule to follow when prescribing many medications for the elderly
is to:
A. Give most medications in the morning to allow slowed body functions to
have time to adjust to the drug.
B. Start at a lower dose than what is commonly prescribed 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 promote absorption and limit
harm to the kidneys. Correct Answer - B. Start at a low dose than what is
commonly prescribed for adults, and increase the dose slowly.
A 72 year old female 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 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 Correct Answer - B. Depression,
Unresolved grief, and hypothyroidism
The parent of a 13-year old 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 Correct Answer - B. Lower the
seizure threshold
After a 3-week camping trip, 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) Correct Answer - D. Doxycycline
An 88 year old male 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 Correct Answer - A. Folstein Mini-mental state
examination
During development of a 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 Correct Answer - B. Osteoporosis
A 16 year old female in the 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 Correct Answer - D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex Correct Answer - B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further
questioning reveals that his primary concern is delayed ejaculation. He is
currently taking the following medications: atenolol (Tenormin), 50 mg daily;
paroxetine (Paxil), 20 mg daily; loratadine (Claritin-D), 1 tablet daily; and
hydrochlorthoriazide (HCTZ), 25 mg daily. The most likely cause of the
patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil) Correct Answer - D. Paroxetine (Paxil)
A 3 year old patient presents 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. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test Correct Answer - B. Sputum culture
, A 25-year old presents with 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 Correct Answer - A. Palpate the structures around
the shoulder
A 17 year old femlae has 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 Correct Answer - C. Primary amenorrhea
An 18-month old child 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 Correct Answer - C. Reevaluate the
patient in 10 days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and hands
D. Headaches Correct Answer - B. Glucosuria
Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion?
A. Olopatadine (Patanol)
