PSI FNP CERTIFICATION PAPER 2026 FULL
SOLUTION GRADED A+
● 2 year old child is diagnosed 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.
Answer: C. The child quickly begins to use the affected arm.
● 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). Answer: A. Azithromycin
● A 10-month old presents with a rash, runny nose, and cough.
Examination 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. Answer: D. Measles
● 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. Answer: D.
Whether a patient has reversible airway obstruction
● 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?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin. Answer: A. Amoxicillin-Clavulanate (Augmentin)
● 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. Answer: D. Lung Cancer
● 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. Answer: B. No remarkable clinical symptoms
● 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.. Answer: A. The meaning of a common
proverb
● 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.. Answer: B. Start at a low dose than what is
commonly prescribed for adults, and increase the dose slowly.
● 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 to sleep. She cannot discuss her late husband
without crying. Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna. Answer: B. Depression, Unresolved
grief, and hypothyroidism
● The parent of a 13-year old diagnosed with seizure disorder calls to
report that the child is exhibiting symptoms of a cold, but has no fever.
SOLUTION GRADED A+
● 2 year old child is diagnosed 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.
Answer: C. The child quickly begins to use the affected arm.
● 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). Answer: A. Azithromycin
● A 10-month old presents with a rash, runny nose, and cough.
Examination 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. Answer: D. Measles
● 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. Answer: D.
Whether a patient has reversible airway obstruction
● 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?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin. Answer: A. Amoxicillin-Clavulanate (Augmentin)
● 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. Answer: D. Lung Cancer
● 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. Answer: B. No remarkable clinical symptoms
● 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.. Answer: A. The meaning of a common
proverb
● 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.. Answer: B. Start at a low dose than what is
commonly prescribed for adults, and increase the dose slowly.
● 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 to sleep. She cannot discuss her late husband
without crying. Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna. Answer: B. Depression, Unresolved
grief, and hypothyroidism
● The parent of a 13-year old diagnosed with seizure disorder calls to
report that the child is exhibiting symptoms of a cold, but has no fever.
