Sarah Michelle FNP Practice Test | ACTUAL COMPLETE 260
REAL EXAM QUESTIONS WITH 100% RATED CORRECT
ANSWERS (VERIFIED ANSWERS ) | 2025 LATEST UPDATED |
ALREADY GRADED A+ FNP PRACTICE TEST III
A 25-year-old male patient with schizophrenia comes in for a
routine annual physical. He is a heavy smoker and has a body
mass index (BMI) of 28. The patient has been on olanzapine
(Zyprexa) for 10 years. Which of the following laboratory tests
is recommended for monitoring the adverse effects of atypical
antipsychotics?
A.Fasting blood glucose and fasting lipid profile
B.Urinalysis, serum creatinine, 24-hour urine for protein and
creatinine clearance
C.Liver function tests
D.Complete blood count (CBC) with differential and liver
function tests - ANSWER-Answer: A. Fasting blood glucose
and fasting lipid profile Patients on atypical antipsychotics
commonly gain weight and are at risk for hyperglycemia and
type 2 diabetes. Olanzapine (Zyprexa) will increase lipids
(cholesterol, low-density lipoprotein, and triglycerides).
Therefore, blood sugar levels and lipids should be monitored.
Atypical antipsychotics also increase the risk of death among
,frail elders and older adults living in nursing homes. These
drugs are not known to produce alterations in renal or liver
function, so monitoring organ function for side effects is not
indicated. Additionally, antipsychotics do not alter bone
marrow function or blood cell formation, so routine monitoring
of the CBC is not indicated related to these drugs.
Which hematologic findings on a peripheral smear support a
diagnosis of sickle cell anemia? (Select all that apply.)
A.Burr cells
B.Target cells
C.Schistocytes
D.Howell-Jolly bodies
E.Anisopoikilocyto - ANSWER-B, D) Target cells; Howell-Jolly
bodies
Target cells and Howell-Jolly bodies are found on a peripheral
smear in patients with sickle cell anemia. Burr cells and
schistocytes are cell shapes categorized as poikilocytosis.
Anisopoikilocytosis is associated with beta thalassemia major,
not sickle cell anemia.
A 74-year-old patient diagnosed with streptococcal pharyngitis
was treated with oral penicillin V 500 mg BID x 10 days. During
a follow-up visit, the patient presents with tonsillar exudate and
a low-grade fever. The nurse practitioner will:
A.Prescribe a 5-day course of azithromycin.
,B.Refer the patient to an ear-nose-throat (ENT) specialist.
C.Prescribe another course of penicillin V.
D.Repeat culture and sensitivity (C&S). - ANSWER-Answer: D.
Repeat culture and sensitivity (C&S).
If a patient returns post strep-pharyngitis and has completed a
course of treatment, a throat C&S should be repeated. It is not
necessary to refer the
patient to an ENT specialist. Another round of penicillin V may
not be clinically
appropriate without a repeat C&S first. Once the C&S report is
back, it may or
may not be appropriate to begin a new antibiotic such as
azithromycin.
High-grade squamous intraepithelial lesions (HSILs) were
found in a Pap specimen for a 26-year-old patient. The
nurse practitioner will: A.Test the specimen with a
potassium hydroxide slide.
B.Refer the patient for a loop electrosurgical excision
procedure (LEEP).
C.Refer the patient for colposcopy with cervical biopsy.
D.Administer vaccination for human papillomavirus (HPV). -
ANSWER-Answer:
B. Refer the patient for a loop electrosurgical excision
procedure (LEEP). HSILs are likely to be associated with
, precancer and cancer. If they are found in patients age 25 years
or older, the patient should be referred for immediate excisional
treatment by LEEP or cervical conization surgery. A potassium
hydroxide slide is useful in the diagnosis of fungal infections.
Colposcopy is appropriate for HSIL found in younger women
(age 21 to 24 years). Quadrivalent recombinant vaccination can
prevent HPV, which is associated with cervical cancer, but
once the patient has HSIL, administration of the vaccination
would not be useful.
An elderly male patient is complaining of shortness of breath
on minimal exertion. He has a long history of chronic
obstructive pulmonary disease (COPD) and hypertension.
Respirations are 28 breaths/min. Upon auscultation, lung and
heart sounds are diminished. Which of the following will the
nurse practitioner avoid when treating this patient?
A.Anticholinergics
B.Short-acting beta2-agonists
C.Influenza vaccination
D.Pneumococcal vaccination - ANSWER-Answer: B. Short-
acting beta2agonists
Short-acting beta2-agonists should be avoided in patients who
have a history of hypertension and/or hyperthyroidism, as they
may cause adverse cardiac side effects such as tachycardia
and palpitations. Anticholinergics should be avoided in
REAL EXAM QUESTIONS WITH 100% RATED CORRECT
ANSWERS (VERIFIED ANSWERS ) | 2025 LATEST UPDATED |
ALREADY GRADED A+ FNP PRACTICE TEST III
A 25-year-old male patient with schizophrenia comes in for a
routine annual physical. He is a heavy smoker and has a body
mass index (BMI) of 28. The patient has been on olanzapine
(Zyprexa) for 10 years. Which of the following laboratory tests
is recommended for monitoring the adverse effects of atypical
antipsychotics?
A.Fasting blood glucose and fasting lipid profile
B.Urinalysis, serum creatinine, 24-hour urine for protein and
creatinine clearance
C.Liver function tests
D.Complete blood count (CBC) with differential and liver
function tests - ANSWER-Answer: A. Fasting blood glucose
and fasting lipid profile Patients on atypical antipsychotics
commonly gain weight and are at risk for hyperglycemia and
type 2 diabetes. Olanzapine (Zyprexa) will increase lipids
(cholesterol, low-density lipoprotein, and triglycerides).
Therefore, blood sugar levels and lipids should be monitored.
Atypical antipsychotics also increase the risk of death among
,frail elders and older adults living in nursing homes. These
drugs are not known to produce alterations in renal or liver
function, so monitoring organ function for side effects is not
indicated. Additionally, antipsychotics do not alter bone
marrow function or blood cell formation, so routine monitoring
of the CBC is not indicated related to these drugs.
Which hematologic findings on a peripheral smear support a
diagnosis of sickle cell anemia? (Select all that apply.)
A.Burr cells
B.Target cells
C.Schistocytes
D.Howell-Jolly bodies
E.Anisopoikilocyto - ANSWER-B, D) Target cells; Howell-Jolly
bodies
Target cells and Howell-Jolly bodies are found on a peripheral
smear in patients with sickle cell anemia. Burr cells and
schistocytes are cell shapes categorized as poikilocytosis.
Anisopoikilocytosis is associated with beta thalassemia major,
not sickle cell anemia.
A 74-year-old patient diagnosed with streptococcal pharyngitis
was treated with oral penicillin V 500 mg BID x 10 days. During
a follow-up visit, the patient presents with tonsillar exudate and
a low-grade fever. The nurse practitioner will:
A.Prescribe a 5-day course of azithromycin.
,B.Refer the patient to an ear-nose-throat (ENT) specialist.
C.Prescribe another course of penicillin V.
D.Repeat culture and sensitivity (C&S). - ANSWER-Answer: D.
Repeat culture and sensitivity (C&S).
If a patient returns post strep-pharyngitis and has completed a
course of treatment, a throat C&S should be repeated. It is not
necessary to refer the
patient to an ENT specialist. Another round of penicillin V may
not be clinically
appropriate without a repeat C&S first. Once the C&S report is
back, it may or
may not be appropriate to begin a new antibiotic such as
azithromycin.
High-grade squamous intraepithelial lesions (HSILs) were
found in a Pap specimen for a 26-year-old patient. The
nurse practitioner will: A.Test the specimen with a
potassium hydroxide slide.
B.Refer the patient for a loop electrosurgical excision
procedure (LEEP).
C.Refer the patient for colposcopy with cervical biopsy.
D.Administer vaccination for human papillomavirus (HPV). -
ANSWER-Answer:
B. Refer the patient for a loop electrosurgical excision
procedure (LEEP). HSILs are likely to be associated with
, precancer and cancer. If they are found in patients age 25 years
or older, the patient should be referred for immediate excisional
treatment by LEEP or cervical conization surgery. A potassium
hydroxide slide is useful in the diagnosis of fungal infections.
Colposcopy is appropriate for HSIL found in younger women
(age 21 to 24 years). Quadrivalent recombinant vaccination can
prevent HPV, which is associated with cervical cancer, but
once the patient has HSIL, administration of the vaccination
would not be useful.
An elderly male patient is complaining of shortness of breath
on minimal exertion. He has a long history of chronic
obstructive pulmonary disease (COPD) and hypertension.
Respirations are 28 breaths/min. Upon auscultation, lung and
heart sounds are diminished. Which of the following will the
nurse practitioner avoid when treating this patient?
A.Anticholinergics
B.Short-acting beta2-agonists
C.Influenza vaccination
D.Pneumococcal vaccination - ANSWER-Answer: B. Short-
acting beta2agonists
Short-acting beta2-agonists should be avoided in patients who
have a history of hypertension and/or hyperthyroidism, as they
may cause adverse cardiac side effects such as tachycardia
and palpitations. Anticholinergics should be avoided in
