PSI FNP Practice Exam – 2026 Questions and
Correct Answers (Verified Complete Set)
A 14yo male with bronchitis is being treated with fluids and expectorants. He
returns to the clinic with a fever of 103F, right pleuritic chest pain, and green
sputum. Which of the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion --CORRECT---A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow").
After closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm --CORRECT---C.
The child quickly begins to use the affected arm.
Which of the following would be an appropriate alternative to erythromycin
therapy in an 18 year old patient (client) with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) --CORRECT---A. Azithromycin
,PSI FNP Practice Exam – 2026 Questions and
Correct Answers (Verified Complete Set)
A 10-month old presents with a rash, runny nose, and cough. Examination reveals
a cluster of tiny white papules with an erythematous base on the buccal mucosa.
What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles --CORRECT---D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient (client) has reversible airway obstruction --CORRECT---D.
Whether a patient (client) has reversible airway obstruction
An 18yr old patient (client) presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial pharmacologic
intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
,PSI FNP Practice Exam – 2026 Questions and
Correct Answers (Verified Complete Set)
C. Levofloxacin (Levaquin)
D. Erythromycin --CORRECT---A. Amoxicillin-Clavulanate (Augmentin)
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---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---B. No remarkable clinical symptoms
To assess a patient (client)'s ability to think abstractly, a nurse practitioner could
ask the patient (client):
A. The meaning of a common proverb
B. What action the patient (client) would take if their was a fire in the house
C. To count backwards from 100 by 7s
, PSI FNP Practice Exam – 2026 Questions and
Correct Answers (Verified Complete Set)
D. To spell a word backward. --CORRECT---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---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---B. Depression, Unresolved grief,
and hypothyroidism
Correct Answers (Verified Complete Set)
A 14yo male with bronchitis is being treated with fluids and expectorants. He
returns to the clinic with a fever of 103F, right pleuritic chest pain, and green
sputum. Which of the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion --CORRECT---A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow").
After closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm --CORRECT---C.
The child quickly begins to use the affected arm.
Which of the following would be an appropriate alternative to erythromycin
therapy in an 18 year old patient (client) with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) --CORRECT---A. Azithromycin
,PSI FNP Practice Exam – 2026 Questions and
Correct Answers (Verified Complete Set)
A 10-month old presents with a rash, runny nose, and cough. Examination reveals
a cluster of tiny white papules with an erythematous base on the buccal mucosa.
What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles --CORRECT---D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient (client) has reversible airway obstruction --CORRECT---D.
Whether a patient (client) has reversible airway obstruction
An 18yr old patient (client) presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial pharmacologic
intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
,PSI FNP Practice Exam – 2026 Questions and
Correct Answers (Verified Complete Set)
C. Levofloxacin (Levaquin)
D. Erythromycin --CORRECT---A. Amoxicillin-Clavulanate (Augmentin)
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---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---B. No remarkable clinical symptoms
To assess a patient (client)'s ability to think abstractly, a nurse practitioner could
ask the patient (client):
A. The meaning of a common proverb
B. What action the patient (client) would take if their was a fire in the house
C. To count backwards from 100 by 7s
, PSI FNP Practice Exam – 2026 Questions and
Correct Answers (Verified Complete Set)
D. To spell a word backward. --CORRECT---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---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---B. Depression, Unresolved grief,
and hypothyroidism
