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Exam (elaborations)

FNP Exit Exam – Questions With Complete Solutions

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FNP Exit Exam – Questions With Complete Solutions

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FNP Exit Exam – Questions With Complete
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While evaluating a two-year-old male D. Laryngospasm
patient in your clinic for a sick visit,
you auscultate thick rhonchi in the
anterior medial upper left lower lobe.
Have the patient cough, with the
follow-up auscultation revealing the
same breath sounds. His cough is
persistent and he turns bluish during
the coughing fit. Which of the
following would you suspect?
A. Bronchiolitis.
B. Atelectasis.
C. Congestive heart failure.
D. Laryngospasm

,Your patient is a tall, thin, 14-year-old A, spontaneous pneumothorax.
male with a chief complaint of rapid
onset of shortness of breath after a
fall while skateboarding from
standing. Based on this history, which
of the following diagnoses would you
anticipate after examination?
A, spontaneous pneumothorax.
B, complex regional pain syndrome.
C, cardiac tamponade.
D, polymyalgia rheumatica.


Your 39-year-old patient has recently D. Atelectasis.
been hospitalized for an
appendectomy and is being seen in
your clinic for post-operative follow-
up with primary care. On assessment,
the patient complains of some
incisional pain and otherwise
examination is normal, with the
exception of dull percussion sounds
noted on the thorax over lung tissue.
Which of the following diagnoses
would be explained by this finding in
a post-operative patient?
A. Healthy patient with no coexisting
disease.
B. Left-sided heart failure.
C. Chronic bronchitis
D. Atelectasis.


Which one of the following patients B. Lung cancer,
would you most anticipate to
complain of hemoptysis?
A. Acute bronchitis,
B. Lung cancer,
C. Acute laryngitis,
D. Acute asthma.

,Gladys, a 72-year-old patient with a B, cold intolerance,
history of anemia of chronic disease
from kidney failure, diabetes mellitus,
and hypothyroidism, presents today
with concerns that her thyroid
medication is not working well
enough. Her most recent labs reflect
that her TSH is 5.9 with a normal
range of 0.5 to 5 and free T4 is 0.3
with a normal range of 0.8 to 2.8.
Which of the following clinical signs
and or symptoms would you expect a
patient with these findings to present
with?
A, excessive sweating,
B, cold intolerance,
C, weight loss,
D, palpitations.


Which of the following is considered D. Systematic review.
the highest quality of research data?
A. Double-blinded placebo-
controlled studies.
B. Case studies.
C. Expert opinion.
D. Systematic review.


The patient is being evaluated for B. Check anti-thyroperoxidase levels,
Hashimoto's thyroiditis. Which test
would be useful to specifically
evaluate for this as the underlying
pathology of this patient's
hypothyroidism?
A. Ultrasound of the thyroid for cold
nodules,
B. Check anti-thyroperoxidase levels,
C. Antinuclear antibody testing,
D. Ultrasound of the thyroid for hot
nodules.

, Your 51-year-old Caucasian male D. Severe hypothyroidism.
patient has not been seen in primary
care in over 20 years, and he is here
for a history and physical
examination. While examining the
head and face, you see your patient
has non-pitting periorbital edema,
particularly underneath their eyes,
and very dry, thin hair, including the
lateral third of their eyebrows. Which
of the following would you expect to
be causing this finding?
A. Alzheimer's.
B. Graves' disease.
C. Addison's disease.
D. Severe hypothyroidism.


Patients with flu-like symptoms who D. monospot.
present with splenomegaly and
posterior cervical chain adenopathy
should be evaluated with which of
the following tests?
A. Western blot,
B. strep culture,
C. strep swab,
D. monospot.


Your patient has been diagnosed with B, large confluence of corcoidians on the neck,
acanthosis nigricans. Which of the groin, and axillary folds.
following exam findings would be
consistent with the typical
presentation of this?
A, body mass index of 22.
B, large confluence of corcoidians on
the neck, groin, and axillary folds.
C, scaphoidal abdomen,
D, severe malnutrition.

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