HESI FNP_Test 2 Questions With
Complete Answers
You have a female patient who is suffering from hypothyroidism. Which of the
following characteristics would be associated with this condition?
a. lethargy
b. heat intolerance
c. amenorrhea
d. tachycardia - ANSWER Correct answer:
lethargy
Of the choices given, lethargy is most associated with hypothyroidism. The other
choices are associated with hyperthyroidism.
A 32 year old female patient reports feeling achy and nauseous for three weeks.
She also says her urine is very dark. Her temperature is 100.7F. She has a long-
term history of multiple male sexual partners. This patient should be further
assessed for which of the following?
a. Syphilis.
b. Hepatitis A.
c. Hepatitis B.
d. Hepatitis C. - ANSWER Correct Answer: Hepatitis B
This patient's symptoms are consistent with Hepatitis B. Her sexual history also
puts her at elevated risk for the disease, which is sexually transmitted. Further
testing should be undertaken to confirm the diagnosis.
Which of the following is TRUE regarding the Balanced Budget Act?
a. The Balanced Budget Act is a crucial piece of legislation that allows nurse
practitioners to receive payment for services at 100%.
b. The Balanced Budget Act changed the "incident to" rule, which allows
physicians to bill for a nurse practitioner.
c. The Balanced Budget Act changed the right for a nurse practitioner to work
independently in a hospital.
d. The Balanced Budget Act is a crucial piece of legislation that allows direct
payments to nurse practitioners at 80-85% of the fee schedule. - ANSWER The
Correct answer is:
The Balanced Budget Act is a crucial piece of legislation that allows direct
payments to nurse practitioners at 80-85% of the fee schedule
,The nurse practitioner can receive direct payments at 80% of the lesser of either
the actual charge or 85% of the fee schedule amount of the same service if
provided by a physician. This Act did not change the "incident to" rule and does
not have anything to do with hospital privileges.
All of the following are true in regard to the pharmacological management for a
child with Tourette's syndrome EXCEPT:
a. Consult with a pediatric neurologist.
b. Begin a dose of pimozide 1 mg with gradual increases until symptoms
subside.
c. Begin clonidine which is the most effective drug with the fewest side effects.
d. Begin a dose of haloperidol 0.25 mg to 0.5 mg at bedtime with gradual
increases until symptoms subside. - ANSWER Correct answer:
Begin clonidine which is the most effective drug with the fewest side effects.
This statement is not true. Clonidine may be used because it has fewer side
effects but it is the least effective pharmacological intervention.
A child should be able to hop on one foot at what age?
a. 12 months
b. 18 months
c. 20 months
d. 2 years
e. 4 years - ANSWER Correct answer:
4 years
At about 4 years of age a child can hop on one foot. At about 5 years of age he
should be able to skip
Using Naegele's rule, if a 25-year-old female patient had her last menstrual
period on April 12, 2011, which of the following dates is correct for her expected
date of delivery?
a. February 12, 2012
b. February 10, 2012
c. January 12, 2012
d. January 19, 2012 - ANSWER Correct answer:
January 19, 2012
Naegele's rule assumes a regular 28-30 day menstrual cycle. To calculate the
expected date of delivery, you would subtract 3 months from the month of the
last menstrual period and then add 7 days to the day of the last menstrual
period. In this case subtract 3 months from April (January) and add seven days
to the date (19). January 19, 2012 would be the expected date of delivery.
The FNP is going over the lab results for a low-risk patient who has had a lipid
screening. The results are as follows:
,Total cholesterol: 175 mg/dL
HDL: 30 mg/dL
LDL: 100 mg/dL
Triglycerides: 285 mg/dL
What conclusion would the FNP come to with these results?
a. LDL is normal; all others are not within the reference range.
b. All of the results are not within the reference ranges.
c. Total cholesterol is high; all others are within the reference range.
d. HDL and triglycerides are not within the reference range. - ANSWER Correct
answer:
HDL and triglycerides are not within the reference range.
For this patient HDL and triglycerides are not within the reference range. HDL
should be > 40 mg/dL and triglycerides should be < 150 mg/dL. Total cholesterol
and LDL are within the normal reference range for a low-risk patient.
The FNP has a 35-year-old female patient who suffers from migraine headaches.
The FNP prescribes sumatriptan. The FNP knows that injectable sumatriptan is
indicated for which of the following?
a. patients with a slowly developing headache with minimum GI distress
b. use as an abortive agent for migraine headaches
c. beginning migraine tension-type headaches
d. patients with a rapidly progressing migraine headache accompanied by
significant GI upset - ANSWER Correct Answer:
patients with a rapidly progressing migraine headache accompanied by
significant GI upset
Injectable products such as sumatriptan have a rapid onset of action, usually
within 15 to 30 minutes. These products are best suited for patients with rapidly
progressing migraines accompanied by significant GI upset. Sumatriptan is
available as a self-injector for patient administration.
Which of the following vaccines should be avoided in a person who has had an
anaphylactic reaction to Baker's yeast?
a. hepatitis B
b. influenza nasal spray
c. MMR
d. varicella - ANSWER orrect answer:
hepatitis B
A person who has had an anaphylactic reaction to Baker's yeast should not be
given a hepatitis B vaccination. Hepatitis B vaccine is well-tolerated in most
patients but is contraindicated in these persons.
, There is a greater recognition of the use by patients of complementary and
alternative modalities and medicines (CAM) today than ever before. Which of the
following is an inaccurate statement regarding the practice environment
involving CAM?
a. Research suggests that 40-50% of patients are currently utilizing some form
of complementary or alternative therapy.
b. There is a wealth of evidenced based research that supports CAM.
c. Nurse practitioners, as providers, need to learn about common CAM
treatments and about how some herbal products interact with prescription
medications.
d. The National Center for Complementary and Alternative Medicine is a federal
government's lead agency for scientific research on CAM. - ANSWER The
Correct answer is:
There is a wealth of evidenced based research that supports CAM
There is a dearth of research supporting such treatment modalities.
The scope of practice for a nurse practitioner is influenced by a number of
factors. Which one does not influence the nurse practitioner's scope of
practice?
a. reimbursement rate for visits and procedures
b. code of ethics
c. nurse practice act
d. state and federal laws governing practice - ANSWER The correct answer is:
Reimbursement rate for visits and procedures
The scope of practice for nurse practitioners is established legally, ethically,
and by boards of nursing and professional organizations. Reimbursement, or the
inability to get reimbursement, does not determine a nurse practitioner's scope
of practice, although it may influence the nurse practitioner's ability to practice
and what services are performed.
You suspect that your patient is experiencing an ectopic pregnancy. If this
diagnosis is correct you would expect to find all of the following in an
examination EXCEPT:
a. fever
b. abdominal tenderness
c. hypotension with blood loss
d. tachycardia with blood loss - ANSWER Correct answer:
fever
Hypotension and tachycardia may be evident with blood loss. Fever is not
expected. Abdominal tenderness is present in 80% to 90% of cases.
Which of the following statements about non-genital warts is least accurate?
a. Human papillomavirus types 1, 2, and 4 cause most of them.
Complete Answers
You have a female patient who is suffering from hypothyroidism. Which of the
following characteristics would be associated with this condition?
a. lethargy
b. heat intolerance
c. amenorrhea
d. tachycardia - ANSWER Correct answer:
lethargy
Of the choices given, lethargy is most associated with hypothyroidism. The other
choices are associated with hyperthyroidism.
A 32 year old female patient reports feeling achy and nauseous for three weeks.
She also says her urine is very dark. Her temperature is 100.7F. She has a long-
term history of multiple male sexual partners. This patient should be further
assessed for which of the following?
a. Syphilis.
b. Hepatitis A.
c. Hepatitis B.
d. Hepatitis C. - ANSWER Correct Answer: Hepatitis B
This patient's symptoms are consistent with Hepatitis B. Her sexual history also
puts her at elevated risk for the disease, which is sexually transmitted. Further
testing should be undertaken to confirm the diagnosis.
Which of the following is TRUE regarding the Balanced Budget Act?
a. The Balanced Budget Act is a crucial piece of legislation that allows nurse
practitioners to receive payment for services at 100%.
b. The Balanced Budget Act changed the "incident to" rule, which allows
physicians to bill for a nurse practitioner.
c. The Balanced Budget Act changed the right for a nurse practitioner to work
independently in a hospital.
d. The Balanced Budget Act is a crucial piece of legislation that allows direct
payments to nurse practitioners at 80-85% of the fee schedule. - ANSWER The
Correct answer is:
The Balanced Budget Act is a crucial piece of legislation that allows direct
payments to nurse practitioners at 80-85% of the fee schedule
,The nurse practitioner can receive direct payments at 80% of the lesser of either
the actual charge or 85% of the fee schedule amount of the same service if
provided by a physician. This Act did not change the "incident to" rule and does
not have anything to do with hospital privileges.
All of the following are true in regard to the pharmacological management for a
child with Tourette's syndrome EXCEPT:
a. Consult with a pediatric neurologist.
b. Begin a dose of pimozide 1 mg with gradual increases until symptoms
subside.
c. Begin clonidine which is the most effective drug with the fewest side effects.
d. Begin a dose of haloperidol 0.25 mg to 0.5 mg at bedtime with gradual
increases until symptoms subside. - ANSWER Correct answer:
Begin clonidine which is the most effective drug with the fewest side effects.
This statement is not true. Clonidine may be used because it has fewer side
effects but it is the least effective pharmacological intervention.
A child should be able to hop on one foot at what age?
a. 12 months
b. 18 months
c. 20 months
d. 2 years
e. 4 years - ANSWER Correct answer:
4 years
At about 4 years of age a child can hop on one foot. At about 5 years of age he
should be able to skip
Using Naegele's rule, if a 25-year-old female patient had her last menstrual
period on April 12, 2011, which of the following dates is correct for her expected
date of delivery?
a. February 12, 2012
b. February 10, 2012
c. January 12, 2012
d. January 19, 2012 - ANSWER Correct answer:
January 19, 2012
Naegele's rule assumes a regular 28-30 day menstrual cycle. To calculate the
expected date of delivery, you would subtract 3 months from the month of the
last menstrual period and then add 7 days to the day of the last menstrual
period. In this case subtract 3 months from April (January) and add seven days
to the date (19). January 19, 2012 would be the expected date of delivery.
The FNP is going over the lab results for a low-risk patient who has had a lipid
screening. The results are as follows:
,Total cholesterol: 175 mg/dL
HDL: 30 mg/dL
LDL: 100 mg/dL
Triglycerides: 285 mg/dL
What conclusion would the FNP come to with these results?
a. LDL is normal; all others are not within the reference range.
b. All of the results are not within the reference ranges.
c. Total cholesterol is high; all others are within the reference range.
d. HDL and triglycerides are not within the reference range. - ANSWER Correct
answer:
HDL and triglycerides are not within the reference range.
For this patient HDL and triglycerides are not within the reference range. HDL
should be > 40 mg/dL and triglycerides should be < 150 mg/dL. Total cholesterol
and LDL are within the normal reference range for a low-risk patient.
The FNP has a 35-year-old female patient who suffers from migraine headaches.
The FNP prescribes sumatriptan. The FNP knows that injectable sumatriptan is
indicated for which of the following?
a. patients with a slowly developing headache with minimum GI distress
b. use as an abortive agent for migraine headaches
c. beginning migraine tension-type headaches
d. patients with a rapidly progressing migraine headache accompanied by
significant GI upset - ANSWER Correct Answer:
patients with a rapidly progressing migraine headache accompanied by
significant GI upset
Injectable products such as sumatriptan have a rapid onset of action, usually
within 15 to 30 minutes. These products are best suited for patients with rapidly
progressing migraines accompanied by significant GI upset. Sumatriptan is
available as a self-injector for patient administration.
Which of the following vaccines should be avoided in a person who has had an
anaphylactic reaction to Baker's yeast?
a. hepatitis B
b. influenza nasal spray
c. MMR
d. varicella - ANSWER orrect answer:
hepatitis B
A person who has had an anaphylactic reaction to Baker's yeast should not be
given a hepatitis B vaccination. Hepatitis B vaccine is well-tolerated in most
patients but is contraindicated in these persons.
, There is a greater recognition of the use by patients of complementary and
alternative modalities and medicines (CAM) today than ever before. Which of the
following is an inaccurate statement regarding the practice environment
involving CAM?
a. Research suggests that 40-50% of patients are currently utilizing some form
of complementary or alternative therapy.
b. There is a wealth of evidenced based research that supports CAM.
c. Nurse practitioners, as providers, need to learn about common CAM
treatments and about how some herbal products interact with prescription
medications.
d. The National Center for Complementary and Alternative Medicine is a federal
government's lead agency for scientific research on CAM. - ANSWER The
Correct answer is:
There is a wealth of evidenced based research that supports CAM
There is a dearth of research supporting such treatment modalities.
The scope of practice for a nurse practitioner is influenced by a number of
factors. Which one does not influence the nurse practitioner's scope of
practice?
a. reimbursement rate for visits and procedures
b. code of ethics
c. nurse practice act
d. state and federal laws governing practice - ANSWER The correct answer is:
Reimbursement rate for visits and procedures
The scope of practice for nurse practitioners is established legally, ethically,
and by boards of nursing and professional organizations. Reimbursement, or the
inability to get reimbursement, does not determine a nurse practitioner's scope
of practice, although it may influence the nurse practitioner's ability to practice
and what services are performed.
You suspect that your patient is experiencing an ectopic pregnancy. If this
diagnosis is correct you would expect to find all of the following in an
examination EXCEPT:
a. fever
b. abdominal tenderness
c. hypotension with blood loss
d. tachycardia with blood loss - ANSWER Correct answer:
fever
Hypotension and tachycardia may be evident with blood loss. Fever is not
expected. Abdominal tenderness is present in 80% to 90% of cases.
Which of the following statements about non-genital warts is least accurate?
a. Human papillomavirus types 1, 2, and 4 cause most of them.
