NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS[Best Exams]
Page 1
HEENT
A thin patient presents in office with hyperpigmentation and salt cravings. What lab
do
you want to do? ADDISON
• Cortisol
Which diabetic oral medication would you not want to use in a patient with HF?
• ACTOS (Pioglitazone) (THIAZOLIDINEDIONES)
Elderly patient presents with acute eye pain, blurred vision, headache,
and n/v? What would you do?
• Acute angle closure glaucoma, Refer to ED
You perform a fundoscopic exam on a patient and see a swollen optic disc
with blurred edges. What is this indicative of?
• Papilledema, ICP
Geriatric patient with progressive loss of vision and probable open-angle
glaucoma can have notching of optic disc and changes in cup-to-disc ratio.
1. AV nicking = HTN (arterioles pressing on veins, arteries are smaller
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
,NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS[Best Exams]
Page 2
than veins, its hypertensive retinopathy, copper wire arterioles,
flamed shaped hemorrhages.
• Cotton wool spots = diabetes and/or HTN
• Papilledema = ICP/ Meningitis
• Optic disc cupping = IOP/Glaucoma 22 or higher
• ***WILL GET 2 or 4 questions on this**
What are some causes of ICP?
• Bleeding, tumor, abscess
What eye complaint is associated with sudden onset of
floaters and complaints of a curtain closing?
• Retinal detachment, refer to ED
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
,NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS[Best Exams]
Page 3
What sinusitis is dental pain associated with? Maxillary
What is a white, gray patch on the tongue or in the mouth called? What is
it associated with?
• Leukoplakia, HIV and oral cancer
Adolescent presents with a painful, yellow ulcer with red base inside the
mouth. What is it?
• Aphthous stomatitis, (canker sore) self-limiting.
Resolves in 7-10 days. Can use magic mouthwash.
2. College student with single, painful, intra-oral lesion with yellow center
and erythematous base has aphthous ulcer. Aphthous stomatitis
(canker sores): Single ulcers could also be caused by trauma from
biting, braces, tooth, hot food, toothbrush; food intolerance or allergy;
stress; hormone changes; genes; medications; stopping smoking.
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
, NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS[Best Exams]
Page 4
Patient with EBV(Mononucleosis) 3 months ago comes to clinic
requesting clearance for sports. He has no abdominal pain or
organomegaly. Patient may return to sports immediately. Not 100%
positive on this one. Other answers included “in 3 months” and “in 6
months.”
4 weeks until USG show completely resolution. (Codina
pg132) Flash card say immediately
33- A middle-aged man presents with high fever, chills, myalgia, and a
rash on his palms and soles. He was recently hiking (excursionismo)in
Tennessee. What is your leading diagnosis?
• Rocky Mountain Spotted Fever
• Treat with? Doxycycline (Tetracycline)
An elderly patient has an asymmetrical, black, brown, and red lesion
with irregular borders on his back. Based on this description, what do
you think this is? FYI- my question said blue/purple/pink lesion.
• Malignant melanoma
A pediatric patient presents with a bulls-eye rash with myalgias and
fever. He was recently camping with his dad. You diagnose him with
Lyme Disease. What do you call his rash?
Erythema migrans. TTO: in <8 years children- TX azithromycin,
clarithromycin, ceftriaxone, TX with doxycycline or amoxicillin, or
azithromycin
Dx the most frequently used test is the enzyme immunoassay (EIA) or enzyme-
linked immunosorbent assay (ELISA). Confirmatory Western blot testing is
recommended
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
NURSING EXAMS[Best Exams]
Page 1
HEENT
A thin patient presents in office with hyperpigmentation and salt cravings. What lab
do
you want to do? ADDISON
• Cortisol
Which diabetic oral medication would you not want to use in a patient with HF?
• ACTOS (Pioglitazone) (THIAZOLIDINEDIONES)
Elderly patient presents with acute eye pain, blurred vision, headache,
and n/v? What would you do?
• Acute angle closure glaucoma, Refer to ED
You perform a fundoscopic exam on a patient and see a swollen optic disc
with blurred edges. What is this indicative of?
• Papilledema, ICP
Geriatric patient with progressive loss of vision and probable open-angle
glaucoma can have notching of optic disc and changes in cup-to-disc ratio.
1. AV nicking = HTN (arterioles pressing on veins, arteries are smaller
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
,NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS[Best Exams]
Page 2
than veins, its hypertensive retinopathy, copper wire arterioles,
flamed shaped hemorrhages.
• Cotton wool spots = diabetes and/or HTN
• Papilledema = ICP/ Meningitis
• Optic disc cupping = IOP/Glaucoma 22 or higher
• ***WILL GET 2 or 4 questions on this**
What are some causes of ICP?
• Bleeding, tumor, abscess
What eye complaint is associated with sudden onset of
floaters and complaints of a curtain closing?
• Retinal detachment, refer to ED
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
,NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS[Best Exams]
Page 3
What sinusitis is dental pain associated with? Maxillary
What is a white, gray patch on the tongue or in the mouth called? What is
it associated with?
• Leukoplakia, HIV and oral cancer
Adolescent presents with a painful, yellow ulcer with red base inside the
mouth. What is it?
• Aphthous stomatitis, (canker sore) self-limiting.
Resolves in 7-10 days. Can use magic mouthwash.
2. College student with single, painful, intra-oral lesion with yellow center
and erythematous base has aphthous ulcer. Aphthous stomatitis
(canker sores): Single ulcers could also be caused by trauma from
biting, braces, tooth, hot food, toothbrush; food intolerance or allergy;
stress; hormone changes; genes; medications; stopping smoking.
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
, NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS[Best Exams]
Page 4
Patient with EBV(Mononucleosis) 3 months ago comes to clinic
requesting clearance for sports. He has no abdominal pain or
organomegaly. Patient may return to sports immediately. Not 100%
positive on this one. Other answers included “in 3 months” and “in 6
months.”
4 weeks until USG show completely resolution. (Codina
pg132) Flash card say immediately
33- A middle-aged man presents with high fever, chills, myalgia, and a
rash on his palms and soles. He was recently hiking (excursionismo)in
Tennessee. What is your leading diagnosis?
• Rocky Mountain Spotted Fever
• Treat with? Doxycycline (Tetracycline)
An elderly patient has an asymmetrical, black, brown, and red lesion
with irregular borders on his back. Based on this description, what do
you think this is? FYI- my question said blue/purple/pink lesion.
• Malignant melanoma
A pediatric patient presents with a bulls-eye rash with myalgias and
fever. He was recently camping with his dad. You diagnose him with
Lyme Disease. What do you call his rash?
Erythema migrans. TTO: in <8 years children- TX azithromycin,
clarithromycin, ceftriaxone, TX with doxycycline or amoxicillin, or
azithromycin
Dx the most frequently used test is the enzyme immunoassay (EIA) or enzyme-
linked immunosorbent assay (ELISA). Confirmatory Western blot testing is
recommended
NUR 3165>FNP TEST BEST STUDY GUIDE 2023
NURSING EXAMS
