- PSI FNP Practice | Latest Update 2026 | 2027 Exam Questions & Answers – Verified Solutions Rated A+

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, 14 year old patient who fell on a outstretched hand complains of proximal forearm pain. X-
ray reveals a positive fat pad sign, and the patient is unable to fully extend the elbow. No
definitive bony changes are seen on xray. The most likely working diagnosis is:

A. upper arm sprain

B. lateral epicondylitis

C. Radial head fracture

D. Olecranon bursitis -

Answers✅

C. Radial head fracture.




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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 -

Answers✅

C. The child quickly begins to use the affected arm.




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A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster
of tiny white papuls with an erythematous base on the buccal mucosa. What does this
suggest?

A. Scarlet fever

B. Rubella

C. Erythema infectiosum

D. Measles -



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, Answers✅

D. Measles




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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 -

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A. Right lower lobe crackles.




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A 15 year old patients returns for contraceptive services 2 weeks after a diagnosis of
trichomonas vaginitis and treatment with 2gm of metronidazole (Flagyl). She reports that
discharge and itching are gone, but she is urinating frequently, accompanied with alot of
burning. The patient has not resumed sexual activity and has menstrated since her last visit.
Examination reveals mild suprapubic tenderness, no leukorrhea, and a normal wet mount.
Gonococcal culture and chlamydia tests are negative. Which diagnostic test should be
performed immediately?

A. Urine pregnancy test

B. Microscopic exam of urine

C. Herpes simplex virus culture

D. Repeat chlamydia test. -

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B. Microscopic exam of urine.




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, Quiz_________________?

A 15 yo malue has a history of cryptorchidism which was surgically repaired. Because of this
information, it is essential for the nurse practitioner to teach him about: -

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testicular self-examination.

Cryptorchidism, even with surgical repair, is associated with increased risk for testicular
cancer.




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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 -

Answers✅

D. Providing reassurance




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A 17 year old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be:

A. BUN, creatinine, electrolytes, and dehydroepiandrosterone(DHEA)

B. CBC, BUN, creatinine, and estrone

C. Fasting blood sugar (FBS), complete blood count (CBC), BUN, and sex hormone binding
globulin

D. Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), prolactin, and thyroid-
stimulating hormone (TSH) -


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