NUR 3165>FNP TEST BEST STUDY GUIDE 2023 NURSING EXAMS[Best Exams]

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