ADULT FNP Questions with Correct Solutions
Question:
1. A provider is examining a patient with temporomandibular joint disease (TMJ). Which of
the following results would the provider expect from the exam?
Answer:
The mandible deviates to the left side.
Question:
2. A patient reports shortness of breath with activity and exhibits increased work of breathing
with prolonged expirations. Which diagnostic test will the provider order to confirm a
diagnosis in this patient?
Answer:
Spirometry
Question:
3. Which of these patients is at a higher risk for developing deep vein thrombosis?
Answer:
Samantha, a 45-year-old female undergoing a hysterectomy
Question:
4. Your patient with permanent atrial fibrillation asks what other options he has to warfarin.
You tell him?
Answer:
-Apixaban is an alternative medication because it does not necessitate dose titration
Question:
5. A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves
after sitting for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
Answer:
-Cauda equina syndrome
Question:
6. Which of the following doses of statins decrease LDL by up to 50% on average?
Answer:
Atorvastatin 80 mg
,Question:
7. Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral
neuropathy, you consider ordering which of the following drugs prophilactically?
Answer:
Pyroxidine
Question:
8. Which of the following is the proper way to take a blood pressure measurement?
Answer:
-Patient is in a sitting position, cuff size has a bladder length of 80% and a width of 40% of
arm circumference, patient has rested for 5 minutes before measurement
Question:
9. Sam, age 78, presents to the clinic with respiratory symptoms. His pulmonary function
tests are as follows: a normal total lung capacity, a decreased PaO2, and an increased PaCO2.
On assessment, you auscultate coarse crackles and forced expiratory wheezes. What is your
diagnosis?
Answer:
chronic bronchitis
Question:
10. Which of the following is a possible consequence of sleep apnea?
Answer:
insulin resistance
Question:
11. A patient who has been diagnosed with heart failure for over a year reports being
comfortable while at rest and experiences palpitaitons and dyspnea when walking tothe
bathroom. Which classification of heart failure is appropriate based on these symptoms?
Answer:
class II
Question:
12. A patient is diagnosed with peripheral arterial disease (PAD) and elects not to have
angioplasty after an angiogram reveals partial obstruction in lower extremity arteries. What
will the provider recommend to help manage this patient's symptoms?
Answer:
walk to point of pain
,Question:
13. Which is characteristic of obstructive bronchitis and not emphysema?
Answer:
mild alteration in lung tissue compliance
Question:
14. A patient with type 2 diabetes has a low-density lipoprotein (LDL) level of 110 gm/dL.
What is recommended to manage this patient?
Answer:
moderate to high intensity statin
Question:
15. A patient diagnosed with asthma calls the provider to report having a peak flow measure
of 75%, shortness of breath, wheezing, and cough, and tells the provider that the symptoms
have not improved significantly after a dose of albuterol. The patient uses an inhaled
corticosteroid medication twice daily. What will the provider recommend?
Answer:
two more doses of albuterol
Question:
16. A patient with a smoking history of 35 pack years reports having a chronic cough with
recent symptoms of pink, frothy blood on a tissue. The chest radiograph shows a possible
nodule in the right upper lobe. Which diagnostic test is indicated?
Answer:
Computed tomography (CT)
Question:
17. Which patient meets the criteria for statin therapy to help prevent atherosclerotic
cardiovascular disease? (Select all that apply.)
Answer:
-A 70-year old nondiabetic with a 10-year risk score of
7.5% with an LDL-C of 80 mg/dL -An otherwise healthy 25-year old with a low-density
lipoprotein (LDL-C) level of 196 mg/dL -A 45-year old diabetic with an LDL-C of 150 mg/dL -A
60-year old with a history of myocardial infarction
Question:
18. A child with a history of asthma is brought to the clinic with a rapid heart rate. A cardiac
monitor shows a heart rate of 225 beats per minute. The provider notifies transport to take
the child to the emergency department. What initial intervention may be attempted in the
clinic?
, Answer:
carotid massage
Question:
19. A young adult patient is diagnosed with a mitral valve prolapse. During a routine 3-year
health maintenance exam, the provider notes an apical systolic murmur and a mid-systolic
click on auscultation. The patient denies chest pain, syncope, or palpitations. What action will
the provider take?
Answer:
consult cardiologist, determine appropriate diagnostic tests
Question:
20. A patient reports recurrent chest pain that occurs regardless of activity and is not
relieved by rest. The provider administers a nitroglycerin tablet which does not relieve the
discomfort. What is the next action?
Answer:
beta blocker medication
Question:
21. Which are factors that can cause a heart murmur? (Select all that apply.)
Answer:
-Backward flow through a septal defect -Forward flow into a dilated vessel -High rates of flow
through a normal valve
Question:
22. A patient reports sustained, irregular heart palpitations. What is the most likely cause of
these symptoms?
Answer:
Atrial fibrillation
Question:
23. An adult develops chronic cough with episodes of wheezing and shortness of breath. The
provider performs chest radiography and other tests and rules out infection, upper
respiratory, and gastroesophageal causes. Which test will the provider order initially to
evaluate the possibility of asthma as the cause of these symptoms?
Answer:
spirometry
Question:
1. A provider is examining a patient with temporomandibular joint disease (TMJ). Which of
the following results would the provider expect from the exam?
Answer:
The mandible deviates to the left side.
Question:
2. A patient reports shortness of breath with activity and exhibits increased work of breathing
with prolonged expirations. Which diagnostic test will the provider order to confirm a
diagnosis in this patient?
Answer:
Spirometry
Question:
3. Which of these patients is at a higher risk for developing deep vein thrombosis?
Answer:
Samantha, a 45-year-old female undergoing a hysterectomy
Question:
4. Your patient with permanent atrial fibrillation asks what other options he has to warfarin.
You tell him?
Answer:
-Apixaban is an alternative medication because it does not necessitate dose titration
Question:
5. A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves
after sitting for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
Answer:
-Cauda equina syndrome
Question:
6. Which of the following doses of statins decrease LDL by up to 50% on average?
Answer:
Atorvastatin 80 mg
,Question:
7. Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral
neuropathy, you consider ordering which of the following drugs prophilactically?
Answer:
Pyroxidine
Question:
8. Which of the following is the proper way to take a blood pressure measurement?
Answer:
-Patient is in a sitting position, cuff size has a bladder length of 80% and a width of 40% of
arm circumference, patient has rested for 5 minutes before measurement
Question:
9. Sam, age 78, presents to the clinic with respiratory symptoms. His pulmonary function
tests are as follows: a normal total lung capacity, a decreased PaO2, and an increased PaCO2.
On assessment, you auscultate coarse crackles and forced expiratory wheezes. What is your
diagnosis?
Answer:
chronic bronchitis
Question:
10. Which of the following is a possible consequence of sleep apnea?
Answer:
insulin resistance
Question:
11. A patient who has been diagnosed with heart failure for over a year reports being
comfortable while at rest and experiences palpitaitons and dyspnea when walking tothe
bathroom. Which classification of heart failure is appropriate based on these symptoms?
Answer:
class II
Question:
12. A patient is diagnosed with peripheral arterial disease (PAD) and elects not to have
angioplasty after an angiogram reveals partial obstruction in lower extremity arteries. What
will the provider recommend to help manage this patient's symptoms?
Answer:
walk to point of pain
,Question:
13. Which is characteristic of obstructive bronchitis and not emphysema?
Answer:
mild alteration in lung tissue compliance
Question:
14. A patient with type 2 diabetes has a low-density lipoprotein (LDL) level of 110 gm/dL.
What is recommended to manage this patient?
Answer:
moderate to high intensity statin
Question:
15. A patient diagnosed with asthma calls the provider to report having a peak flow measure
of 75%, shortness of breath, wheezing, and cough, and tells the provider that the symptoms
have not improved significantly after a dose of albuterol. The patient uses an inhaled
corticosteroid medication twice daily. What will the provider recommend?
Answer:
two more doses of albuterol
Question:
16. A patient with a smoking history of 35 pack years reports having a chronic cough with
recent symptoms of pink, frothy blood on a tissue. The chest radiograph shows a possible
nodule in the right upper lobe. Which diagnostic test is indicated?
Answer:
Computed tomography (CT)
Question:
17. Which patient meets the criteria for statin therapy to help prevent atherosclerotic
cardiovascular disease? (Select all that apply.)
Answer:
-A 70-year old nondiabetic with a 10-year risk score of
7.5% with an LDL-C of 80 mg/dL -An otherwise healthy 25-year old with a low-density
lipoprotein (LDL-C) level of 196 mg/dL -A 45-year old diabetic with an LDL-C of 150 mg/dL -A
60-year old with a history of myocardial infarction
Question:
18. A child with a history of asthma is brought to the clinic with a rapid heart rate. A cardiac
monitor shows a heart rate of 225 beats per minute. The provider notifies transport to take
the child to the emergency department. What initial intervention may be attempted in the
clinic?
, Answer:
carotid massage
Question:
19. A young adult patient is diagnosed with a mitral valve prolapse. During a routine 3-year
health maintenance exam, the provider notes an apical systolic murmur and a mid-systolic
click on auscultation. The patient denies chest pain, syncope, or palpitations. What action will
the provider take?
Answer:
consult cardiologist, determine appropriate diagnostic tests
Question:
20. A patient reports recurrent chest pain that occurs regardless of activity and is not
relieved by rest. The provider administers a nitroglycerin tablet which does not relieve the
discomfort. What is the next action?
Answer:
beta blocker medication
Question:
21. Which are factors that can cause a heart murmur? (Select all that apply.)
Answer:
-Backward flow through a septal defect -Forward flow into a dilated vessel -High rates of flow
through a normal valve
Question:
22. A patient reports sustained, irregular heart palpitations. What is the most likely cause of
these symptoms?
Answer:
Atrial fibrillation
Question:
23. An adult develops chronic cough with episodes of wheezing and shortness of breath. The
provider performs chest radiography and other tests and rules out infection, upper
respiratory, and gastroesophageal causes. Which test will the provider order initially to
evaluate the possibility of asthma as the cause of these symptoms?
Answer:
spirometry
