PSI FNP EXAM 2
Predictor
, PSI 2
1. A statin drug: A 65-year-old woman presents for a follow-up examination after a
new patient visit. She has not seen a healthcare provider for several years. She is
a smoker and her hypertension is now adequately controlled with medication. Her
mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol
= 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
2. ibuprofen (advil): The most commonly prescribed medication for mild systemic
lupus erythematosus (SLE) is:
1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan).
3. postcoital bleeding: The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum.
4. discontinue amitriptyline and begin gabapentin (neurontin): The nurse prac-
titioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary
to diabetes mellitus. On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
, PSI 2
1.
discontinue amitriptyline and begin ibuprofen (Motrin).
2.
refer to physical therapy.
3.
start methocarbamol (Robaxin).
4.
discontinue amitriptyline and begin gabapentin (Neurontin).
5. associated with the omeprazole: A 17-year-old male with rheumatoid arthritis
is being treated with an NSAID and omeprazole (Prilosec). The patient complains of
headache, abdominal pain, and gas. These symptoms are most likely:
1.
associated with the omeprazole.
2.
related to the underlying condition.
3.
the result of the NSAID.
4.
caused by viral gastroenteritis.
6. ibuprofen: The medication of choice for the initial treatment of juvenile rheuma-
toid arthritis is:
1.
acetaminophen.
2.
prednisone.
3.
aspirin.
4.
ibuprofen.
7. hemoglobin levels: A 12-year-old with sickle cell anemia has recently experi-
enced a sickle cell crisis and presents for a follow-up examination after a recent
hospitalization. It is most important to continue monitoring growth, development,
and:
1.
white blood cell levels.
Predictor
, PSI 2
1. A statin drug: A 65-year-old woman presents for a follow-up examination after a
new patient visit. She has not seen a healthcare provider for several years. She is
a smoker and her hypertension is now adequately controlled with medication. Her
mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol
= 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
2. ibuprofen (advil): The most commonly prescribed medication for mild systemic
lupus erythematosus (SLE) is:
1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan).
3. postcoital bleeding: The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum.
4. discontinue amitriptyline and begin gabapentin (neurontin): The nurse prac-
titioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary
to diabetes mellitus. On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
, PSI 2
1.
discontinue amitriptyline and begin ibuprofen (Motrin).
2.
refer to physical therapy.
3.
start methocarbamol (Robaxin).
4.
discontinue amitriptyline and begin gabapentin (Neurontin).
5. associated with the omeprazole: A 17-year-old male with rheumatoid arthritis
is being treated with an NSAID and omeprazole (Prilosec). The patient complains of
headache, abdominal pain, and gas. These symptoms are most likely:
1.
associated with the omeprazole.
2.
related to the underlying condition.
3.
the result of the NSAID.
4.
caused by viral gastroenteritis.
6. ibuprofen: The medication of choice for the initial treatment of juvenile rheuma-
toid arthritis is:
1.
acetaminophen.
2.
prednisone.
3.
aspirin.
4.
ibuprofen.
7. hemoglobin levels: A 12-year-old with sickle cell anemia has recently experi-
enced a sickle cell crisis and presents for a follow-up examination after a recent
hospitalization. It is most important to continue monitoring growth, development,
and:
1.
white blood cell levels.
