FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 36-year-old man with asthma has been treating his asthma with albuterol once or twice a week for the last few years. He reports that for the last month or so he has had to use it much more often—"not every day, but almost." The nurse practitioner should consider all of the following except: Administering the Asthma Control Test questionnaire. Spirometric assessment. A complete symptom assessment. Adding an inhaled long-acting beta2-agonist. - ANSWER Ans: Adding an inhaled long-acting beta2-agonist. A 12-day-old infant who is otherwise well presents with a 2-day history of irritation of both eyes. He was born at a local birth center and received standard newborn care including ocular chemoprophylaxis. Examination reveals bilateral lid swelling, chemosis, and mucoid eye discharge. The most likely cause of this condition is: Chemical irritation from neonatal ocular chemoprophylaxis. Chlamydial (inclusion) conjunctivitis. Gonococcal conjunctivitis. Neonatal adenovirus infection. - ANSWER Ans: Chlamydial (inclusion) conjunctivitis. A 12-year-old boy presents with his mother for a well-child visit. What is the most helpful approach to this visit? Interview and examine the child in the absence of the mother. Interview the child with the mother, asking her to leave for the examination. Ask the child if he wishes his mother to be there for the interview and examination. Ask the mother if she wishes to be included in the interview and examination - ANSWER Ans: Ask the child if he wishes his mother to be there for the interview and examination. A 14-month-old girl is brought in for evaluation by her mother. She reports that her daughter has been fussy for the past 3 days and tugging at her left ear. Evaluation reveals moderate bulging of the tympanic membrane and her temperature is 102.6ºF (39.2ºC). The child has no reported medication allergies and has not received any antimicrobials in the past 3 months. You recommend: Watchful waiting and follow-up in 3 days. Amoxicillin (Amoxil®). Clarithromycin (Biaxin®). Levofloxacin (Levaquin®). - ANSWER Ans: Amoxicillin (Amoxil®). A 15-week-old infant presents with a fever of 100.5ᵒF (38.1ᵒC) and bilateral erythematous tympanic membranes. The infant is alert with excellent skin turgor, no evidence of difficulty breathing, acknowledges her mother's face, and is wearing a wet diaper. Her parents report that she is vigorously nursing every 3 hours without vomiting or excessive stooling. The appropriate management would be to: Counsel the mother to observe for 72 hours and return to clinic if there is no improvement. Start topical therapy with otic antibiotic drops. Initiate a sepsis workup. Begin a systemic antibiotic regimen. - ANSWER Ans: Begin a systemic antibiotic regimen. A 16-year-old young woman presents to you the day after a "condom break." She is concerned that she might become pregnant and is asking about emergency contraception. Appropriate counseling about the use of hormonal emergency contraception (EC) includes all of the following except: An established pregnancy will not be interrupted. There is about a 50% reduction in pregnancy risk with properly-timed use. There is no increased risk of birth defect if pregnancy occurs. Ulipristal (ella®) is more effective than levonorgestrel in days 3-5 following unprotected intercourse. - ANSWER Ans: There is about a 50% reduction in pregnancy risk with properly-timed use. A 17-year-old woman presents complaining of left lower abdominal and groin pain. She admits that she has had a "light period everyday" for nearly 3 weeks. The presumptive diagnosis of ectopic pregnancy is supported by which of the following?