PSI FNP Practice
, PSI FNP Practice
1. A. Right lower lobe crackles.: A 14yo male with bronchitis is being treated with
fluids and expectorants. He returns to the clinic with a fever of 103F, right pleuritic
chest pain, and green sputum. Which of the following examination results would be
expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
2. C. The child quickly begins to use the affected arm.: 2 year old child is diag-
nosed with radial head subluxation ("nursemaid's elbow"). After closed manipulation,
the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm
3. A. Azithromycin: Which of the following would be an appropriate alternative
to erythromycin therapy in an 18 year old patient with Mycoplasma pneumoniae
infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin)
4. D. Measles: A 10-month old presents with a rash, runny nose, and cough. Exami-
nation reveals a cluster of tiny white papuls with an erythematous base on the buccal
mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
5. D. Whether a patient has reversible airway obstruction: Office Spriometry
performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction
6. A. Amoxicillin-Clavulanate (Augmentin): An 18yr old patient presents with
complaints of maxillary facial pain and yellow nasal discharge for 14 days. What is
the appropriate initial pharmacologic intervention?
, PSI FNP Practice
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
7. D. Lung Cancer: Which of the following is the leading cause of cancer-related
deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer
8. B. No remarkable clinical symptoms: A 29-year old male with noncomplicated
Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer
9. A. The meaning of a common proverb: To assess a patient's ability to think
abstractly, a nurse practitioner could ask the patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
10. B. Start at a low dose than what is commonly prescribed for adults,
and increase the dose slowly.: A common rule to follow when prescribing many
medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time
to adjust to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase
the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70
before starting on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm to
the kidneys.
11. B. Depression, Unresolved grief, and hypothyroidism: A 72 year old female
presents with a medical history unremarkable except for the occasional headache.
She enjoyed emotional health throughout marriage and childrearing, although her
family history is significant for strokes and nervous breakdowns. Since her husband
died a year ago, however, she has been waking every morning at 3am, is reluctant
to go out although she has family member living nearby, and feels a continual urge
, PSI FNP Practice
1. A. Right lower lobe crackles.: A 14yo male with bronchitis is being treated with
fluids and expectorants. He returns to the clinic with a fever of 103F, right pleuritic
chest pain, and green sputum. Which of the following examination results would be
expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
2. C. The child quickly begins to use the affected arm.: 2 year old child is diag-
nosed with radial head subluxation ("nursemaid's elbow"). After closed manipulation,
the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm
3. A. Azithromycin: Which of the following would be an appropriate alternative
to erythromycin therapy in an 18 year old patient with Mycoplasma pneumoniae
infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin)
4. D. Measles: A 10-month old presents with a rash, runny nose, and cough. Exami-
nation reveals a cluster of tiny white papuls with an erythematous base on the buccal
mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
5. D. Whether a patient has reversible airway obstruction: Office Spriometry
performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction
6. A. Amoxicillin-Clavulanate (Augmentin): An 18yr old patient presents with
complaints of maxillary facial pain and yellow nasal discharge for 14 days. What is
the appropriate initial pharmacologic intervention?
, PSI FNP Practice
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
7. D. Lung Cancer: Which of the following is the leading cause of cancer-related
deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer
8. B. No remarkable clinical symptoms: A 29-year old male with noncomplicated
Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer
9. A. The meaning of a common proverb: To assess a patient's ability to think
abstractly, a nurse practitioner could ask the patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
10. B. Start at a low dose than what is commonly prescribed for adults,
and increase the dose slowly.: A common rule to follow when prescribing many
medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time
to adjust to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase
the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70
before starting on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm to
the kidneys.
11. B. Depression, Unresolved grief, and hypothyroidism: A 72 year old female
presents with a medical history unremarkable except for the occasional headache.
She enjoyed emotional health throughout marriage and childrearing, although her
family history is significant for strokes and nervous breakdowns. Since her husband
died a year ago, however, she has been waking every morning at 3am, is reluctant
to go out although she has family member living nearby, and feels a continual urge
