FNP 2 exam 1 practice questions
30 y.o. c/o pruritic hives over chest/ arms but denies SOB, difficulty swallowing. Reports family hx
allergic rhinitis, & asthma. Which of the following interventions is most appropriate?
A. Perform thorough History
B. Prescribe PO antihistamine such as benadryl 25mg PO QD
C. IM Epinephrine 1:1000 STAT
D. Call 911 - Answer--A. Take a thorough history prior to prescribing medications: find cause of rash. No
airway difficulty/ swallowing so no need for 911
Which of the following is associated with Vitamin B-12 anemia?
A. Spoon shaped nails and Pica
B. An abnormal neuro exam
C. Vegan diet
D. Tingling/ numbness in both feet - Answer--D. Tingling and numbness in both feet: B12 can cause
nerve damage if left untreated, also dementia, memory loss, difficulty walking, mood changes,
depression also
A 70 y.o male c/o bright red spot in his left eye for 2 days. He denies pain, visual changes, or headaches.
New onset cough from recent viral illness. The only med he was on was Bayer Aspirin 1 tablet daily.
Which of the following is most likely?
A. Corneal Abraison
,B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - Answer--D: Subconjunctival hemorrhage: caused by increased
intraocular pressure due to straining, coughing, heavy lifting etc. Self limiting- disappears in 1-3 weeks
RMSF is caused by bite of:
A. Mosquito
B. Tick
C. Insect
D. Flea - Answer--B: Tick with parasite Rickettsia rickettsia
You would advise an 18 y.o. at the student health clinic who just got an MMR booster which of the
following:
A. She may have low grade fever over next 24-48 hrs
B. Not to get pregnant within the next 4 weeks
C. Her arm will be very sore for the next 48 hrs at injection site
D. Her arm will have some induration at IM site for 48 hrs - Answer--B. Women should not get MMR
while pregnant, and need at least 28 days between vaccination and conception, preferrably at least 4
weeks
An NP is giving dietary counseling to an alcoholic male who has been recently diagnosed with folic acid
deficiency anemia. Which of the following foods should the NP recommend?
A. Tomatoes, oranges, bananas
, B. Cheese, yogurt, milk
C. Lettuce, beef, dairy products.
D. Spinach, liver, and whole wheat bread - Answer--D: Spinach liver and whole wheat
67 y.o female presents to the clinic with 50 pk year hx of smoking for physical. C/o being easily short of
breath/ frequent fatigue. Physical reveals diminished breath sounds, hyperresonance and hypertrophied
resp muscles. Her CBC shows that her hematocrit level is slightly elevated. Her pulmonary function test
shows increased total lung capacity. What is most likely DX for this pt?
A. Bronchogenic carcinoma
B. COPD
C. Chronic bronchitis
D. CHF - Answer--B: COPD: results in polycythemia (Increased Hematocrit) due to chronic hypoxia. Also
you may note digital clubbing, dyspnea on exertion, accessory muscle use
4 y.o. female comes in after just starting pre school complaining of burning/ itching in both eyes along
with runny nose. Child's eyes appear injected bilaterally, the throat is red and her inferior nasal
turbinates are swollen. Which is most likely?
A. Herpes Keratitis
B. Corneal Ulcer
C. Viral Conjunctivitis
D. Bacterial conjunctivitis - Answer--C: Viral- no signs of infection but pts often complain of red/ itchy/
swollen eyes
What test would you use on a 7 y.o. to screen for color blindness?
30 y.o. c/o pruritic hives over chest/ arms but denies SOB, difficulty swallowing. Reports family hx
allergic rhinitis, & asthma. Which of the following interventions is most appropriate?
A. Perform thorough History
B. Prescribe PO antihistamine such as benadryl 25mg PO QD
C. IM Epinephrine 1:1000 STAT
D. Call 911 - Answer--A. Take a thorough history prior to prescribing medications: find cause of rash. No
airway difficulty/ swallowing so no need for 911
Which of the following is associated with Vitamin B-12 anemia?
A. Spoon shaped nails and Pica
B. An abnormal neuro exam
C. Vegan diet
D. Tingling/ numbness in both feet - Answer--D. Tingling and numbness in both feet: B12 can cause
nerve damage if left untreated, also dementia, memory loss, difficulty walking, mood changes,
depression also
A 70 y.o male c/o bright red spot in his left eye for 2 days. He denies pain, visual changes, or headaches.
New onset cough from recent viral illness. The only med he was on was Bayer Aspirin 1 tablet daily.
Which of the following is most likely?
A. Corneal Abraison
,B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - Answer--D: Subconjunctival hemorrhage: caused by increased
intraocular pressure due to straining, coughing, heavy lifting etc. Self limiting- disappears in 1-3 weeks
RMSF is caused by bite of:
A. Mosquito
B. Tick
C. Insect
D. Flea - Answer--B: Tick with parasite Rickettsia rickettsia
You would advise an 18 y.o. at the student health clinic who just got an MMR booster which of the
following:
A. She may have low grade fever over next 24-48 hrs
B. Not to get pregnant within the next 4 weeks
C. Her arm will be very sore for the next 48 hrs at injection site
D. Her arm will have some induration at IM site for 48 hrs - Answer--B. Women should not get MMR
while pregnant, and need at least 28 days between vaccination and conception, preferrably at least 4
weeks
An NP is giving dietary counseling to an alcoholic male who has been recently diagnosed with folic acid
deficiency anemia. Which of the following foods should the NP recommend?
A. Tomatoes, oranges, bananas
, B. Cheese, yogurt, milk
C. Lettuce, beef, dairy products.
D. Spinach, liver, and whole wheat bread - Answer--D: Spinach liver and whole wheat
67 y.o female presents to the clinic with 50 pk year hx of smoking for physical. C/o being easily short of
breath/ frequent fatigue. Physical reveals diminished breath sounds, hyperresonance and hypertrophied
resp muscles. Her CBC shows that her hematocrit level is slightly elevated. Her pulmonary function test
shows increased total lung capacity. What is most likely DX for this pt?
A. Bronchogenic carcinoma
B. COPD
C. Chronic bronchitis
D. CHF - Answer--B: COPD: results in polycythemia (Increased Hematocrit) due to chronic hypoxia. Also
you may note digital clubbing, dyspnea on exertion, accessory muscle use
4 y.o. female comes in after just starting pre school complaining of burning/ itching in both eyes along
with runny nose. Child's eyes appear injected bilaterally, the throat is red and her inferior nasal
turbinates are swollen. Which is most likely?
A. Herpes Keratitis
B. Corneal Ulcer
C. Viral Conjunctivitis
D. Bacterial conjunctivitis - Answer--C: Viral- no signs of infection but pts often complain of red/ itchy/
swollen eyes
What test would you use on a 7 y.o. to screen for color blindness?
