ADULT HEALTH FNP FINAL EXAM REVIEW QUESTIONS WITH
COMPLETE SOLUTIONS
1) Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the
following medications will help to decrease edema in the labyrinth of the ear?
A) Meclizine
B) Diphenhydramine
C) Diamox
D) Promethazine -- Correct Answer ✔✔ C. Diamox
2) Which of the following may trigger migraines?
A) Taking an ibuprofen for muscle pain
B) A cup of coffee with regular sweetener
C) A glass of merlot wine
D) Drinking a cup of green tea -- Correct Answer ✔✔ C. A glass of
merlot wine
3) Which of the following aspects of the patient history is a hallmark of delirium?
A) Patient has chronic kidney disease.
B) Patient has had aphasia for a year.
C) Patient has diabetes mellitus.
D) Patient has been getting lost driving home. -- Correct Answer
✔✔ A. Patient has chronic kidney disease.
,4) Simon presents with alopecia areata with well-circumscribed patches of hair loss
on the crown of his head. How do you respond when he asks you the cause?
A) "You must be under a lot of stress lately."
B) "It is hereditary. Did your father experience this also?"
C) "The cause is unknown, but we suspect it is due to an
immunologic mechanism."
D) "We'll have to do some tests." -- Correct Answer ✔✔ c. "The
cause is unknown, but we suspect it is due to an immunologic
mechanism."
5) IV thrombolytic therapy following an ischemic CVA should be given within how
many hours of symptom onset?
A) 1 hour
B) 3 hours
C) 6 hours
D) 12 hours -- Correct Answer ✔✔ B. 3 hours
6) Francine presents with a total loss of skin color in patchy areas of her body.
What are the potential causes?
A) Zidovudine
B) Chlorpromazine
C) Vitiligo
D) Addison's disease -- Correct Answer ✔✔ C. Vitiligo
7) Gillian presents with a sudden onset of 102°F fever, emesis, tingling in the hands
and feet, fatigue, and weakness. What is the potential diagnosis of this
presentation?
A) Urticaria
B) Toxic shock syndrome
C) Scabies
D) Pediculosis -- Correct Answer ✔✔ B. Toxic shock syndrome
8) Your patient is in her second trimester of pregnancy and has a yeast infection.
Which of the following is the most appropriate treatment?
, A) Terbinafine 250 mg once daily × 12 weeks
B) Noxafil 100 mg oral suspension × 2 daily
C) Griseofulvin 500 mg once daily × 2 to 4 weeks
D) Metronidazole 2% cream 5 g intravaginally × 7 days -- Correct
Answer ✔✔ D. Metronidazole 2% cream 5 g intravaginally × 7
days
9) When looking under the microscope to diagnose an intravaginal infection, you
see a cluster of small and oval-to-round shapes. What do you suspect they are?
A) Spores
B) Leukocytes
C) Pseudohyphae
D) Epithelial cells -- Correct Answer ✔✔ A. Spores
10) When using the microscope for an intravaginal infection, you see something
translucent and colorless. What do you suspect?
A) A piece of hair or a thread
B) Hyphae
C) Leukocytes
D) Spores -- Correct Answer ✔✔ B. Hyphae
11) Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin
reveals crepitus due to gas production by which anaerobic bacteria?
A) Staphylococcus aureus
B) Clostridium perfringens
C) S. pyogenes
D) Streptococcus -- Correct Answer ✔✔ B. Clostridium
perfringens
12) Which patient is most likely to be diagnosed with Guillain-Barré syndrome?
A) A 6-month-old infant
B) A 30-year-old man
C) A 72-year-old woman
D) A 50-year-old man -- Correct Answer ✔✔ C. A 72-year-old
woman
, 13) Which of the following should be started promptly if viral encephalitis is
suspected?
A) Oral amoxicillin
B) IV acyclovir
C) IV ampicillin
D) Oral acyclovir -- Correct Answer ✔✔ B. IV acyclovir
14) A patient has been diagnosed with meningitis caused by a Streptococcus
pneumoniae infection. Which of the following treatments would be appropriate?
A) Cefotaxime
B) Isoniazid
C) Acyclovir
D) Amphotericin -- Correct Answer ✔✔ A. Cefotaxime
15) A patient is presenting with chorea (dance-like movements). Which of the
following diseases might the patient have?
A) Dementia
B) Parkinson's disease
C) Wilson's disease
D) Huntington's disease -- Correct Answer ✔✔ D. Huntington's
disease
16) Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is
distorted, and she is concerned about permanent paralysis and pain. What do you
tell her?
A) "Most patients have complete recovery in 3 to 6 months."
B) "Unfortunately, you'll probably have a small amount of residual
damage."
C) "Don't worry, I'll take care of everything."
D) "You may have a few more episodes over the course of your
lifetime but no permanent damage." -- Correct Answer ✔✔ A.
"Most patients have complete recovery in 3 to 6 months."
17) About 90% of all headaches are:
COMPLETE SOLUTIONS
1) Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the
following medications will help to decrease edema in the labyrinth of the ear?
A) Meclizine
B) Diphenhydramine
C) Diamox
D) Promethazine -- Correct Answer ✔✔ C. Diamox
2) Which of the following may trigger migraines?
A) Taking an ibuprofen for muscle pain
B) A cup of coffee with regular sweetener
C) A glass of merlot wine
D) Drinking a cup of green tea -- Correct Answer ✔✔ C. A glass of
merlot wine
3) Which of the following aspects of the patient history is a hallmark of delirium?
A) Patient has chronic kidney disease.
B) Patient has had aphasia for a year.
C) Patient has diabetes mellitus.
D) Patient has been getting lost driving home. -- Correct Answer
✔✔ A. Patient has chronic kidney disease.
,4) Simon presents with alopecia areata with well-circumscribed patches of hair loss
on the crown of his head. How do you respond when he asks you the cause?
A) "You must be under a lot of stress lately."
B) "It is hereditary. Did your father experience this also?"
C) "The cause is unknown, but we suspect it is due to an
immunologic mechanism."
D) "We'll have to do some tests." -- Correct Answer ✔✔ c. "The
cause is unknown, but we suspect it is due to an immunologic
mechanism."
5) IV thrombolytic therapy following an ischemic CVA should be given within how
many hours of symptom onset?
A) 1 hour
B) 3 hours
C) 6 hours
D) 12 hours -- Correct Answer ✔✔ B. 3 hours
6) Francine presents with a total loss of skin color in patchy areas of her body.
What are the potential causes?
A) Zidovudine
B) Chlorpromazine
C) Vitiligo
D) Addison's disease -- Correct Answer ✔✔ C. Vitiligo
7) Gillian presents with a sudden onset of 102°F fever, emesis, tingling in the hands
and feet, fatigue, and weakness. What is the potential diagnosis of this
presentation?
A) Urticaria
B) Toxic shock syndrome
C) Scabies
D) Pediculosis -- Correct Answer ✔✔ B. Toxic shock syndrome
8) Your patient is in her second trimester of pregnancy and has a yeast infection.
Which of the following is the most appropriate treatment?
, A) Terbinafine 250 mg once daily × 12 weeks
B) Noxafil 100 mg oral suspension × 2 daily
C) Griseofulvin 500 mg once daily × 2 to 4 weeks
D) Metronidazole 2% cream 5 g intravaginally × 7 days -- Correct
Answer ✔✔ D. Metronidazole 2% cream 5 g intravaginally × 7
days
9) When looking under the microscope to diagnose an intravaginal infection, you
see a cluster of small and oval-to-round shapes. What do you suspect they are?
A) Spores
B) Leukocytes
C) Pseudohyphae
D) Epithelial cells -- Correct Answer ✔✔ A. Spores
10) When using the microscope for an intravaginal infection, you see something
translucent and colorless. What do you suspect?
A) A piece of hair or a thread
B) Hyphae
C) Leukocytes
D) Spores -- Correct Answer ✔✔ B. Hyphae
11) Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin
reveals crepitus due to gas production by which anaerobic bacteria?
A) Staphylococcus aureus
B) Clostridium perfringens
C) S. pyogenes
D) Streptococcus -- Correct Answer ✔✔ B. Clostridium
perfringens
12) Which patient is most likely to be diagnosed with Guillain-Barré syndrome?
A) A 6-month-old infant
B) A 30-year-old man
C) A 72-year-old woman
D) A 50-year-old man -- Correct Answer ✔✔ C. A 72-year-old
woman
, 13) Which of the following should be started promptly if viral encephalitis is
suspected?
A) Oral amoxicillin
B) IV acyclovir
C) IV ampicillin
D) Oral acyclovir -- Correct Answer ✔✔ B. IV acyclovir
14) A patient has been diagnosed with meningitis caused by a Streptococcus
pneumoniae infection. Which of the following treatments would be appropriate?
A) Cefotaxime
B) Isoniazid
C) Acyclovir
D) Amphotericin -- Correct Answer ✔✔ A. Cefotaxime
15) A patient is presenting with chorea (dance-like movements). Which of the
following diseases might the patient have?
A) Dementia
B) Parkinson's disease
C) Wilson's disease
D) Huntington's disease -- Correct Answer ✔✔ D. Huntington's
disease
16) Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is
distorted, and she is concerned about permanent paralysis and pain. What do you
tell her?
A) "Most patients have complete recovery in 3 to 6 months."
B) "Unfortunately, you'll probably have a small amount of residual
damage."
C) "Don't worry, I'll take care of everything."
D) "You may have a few more episodes over the course of your
lifetime but no permanent damage." -- Correct Answer ✔✔ A.
"Most patients have complete recovery in 3 to 6 months."
17) About 90% of all headaches are:
