HESI EXIT FAMILY NURSE PRACTITIONER EXAM WITH VERIFIED
QUESTION AND ANSWERS.
Bell's palsy occurs more often in which of the following populations?
a. infants
b. adolescents
c. young adults
d. men over 60
e. women over 60
f. diabetics
f. diabetics
Bell's palsy afflicts 40,000 Americans each year. It affects men and women equally and can
occur at any age, but it is less common before age 15 or after age 60. It disproportionately attacks
people who have diabetes or upper respiratory ailments.
Before prescribing antihistamines, what should be checked?
a. Assessment.
b. Records.
c. Family interview.
d. Chief complaint.
b. Records.
Medical records will show what drugs have been prescribed to the patient. Since antihistamines
can be dangerous when taken with sedatives, the records should be checked. It is also important
to make sure the drugs have not changed in the interview.
Mary Jane, a 50-year-old female tripped on a curb and fell. She suffered a Colles' fracture. You
understand that a Colles' fracture is associated with a fall on which of the following?
a. finger
b. outstretched hand
c. elbow
d. thumb
b. outstretched hand
Loss in continuity in the substance of a bone is called a fracture. A Colles' fracture is associated
with a fall on an outstretched hand such as when a person tries to break a fall.
A 62-year-old patient with Type II diabetes has been diagnosed with hypertension. Which anti-
hypertensive drug is the recommended choice in this case?
a. ACE inhibitor
b. calcium channel blocker
c. diuretic
d. beta-blocker
,a. ACE inhibitor
These antihypertensive agents, ACE inhibitors, enhance renal function in patients with diabetes.
You are treating a work-related injury in the clinic. What are you required by law to do?
a. Communicate with the patient's employer.
b. Notify the Occupational Safety and Health Administration (OSHA).
c. File a report with the industrial commission related to the injury and the treatment provided.
d. Document thoroughly and properly because of the high probability of legal action.
c. File a report with the industrial commission related to the injury and the treatment provided.
It is required by law that a report be filed with the industrial commission in the state of
occurrence concerning any work-related injury. You do not notify OSHA. Further, proper
documentation is necessary, but it is not required by law.
Gretchen is a 32-year-old sexually active female patient with symptoms of PID. She complains
of right upper quadrant abdominal pain and tenderness on palpation. Liver function tests are
normal. You understand that this is most likely which of the following?
a. Reiter's syndrome
b. Jarisch-Herxheimer reaction
c. Fitz-Hugh-Curtis Syndrome
d. none of the above
c. Fitz-Hugh-Curtis Syndrome
Fitz-Hugh-Curtis Syndrome is a complication of disseminated GC and/or PID. It is an infection
of the liver capsule. It results in extensive scarring between the liver capsule and abdominal
contents.
Your patient brings her 6-year-old female child to you. The child is complaining of abdominal
pain and swelling of her hands and feet. She tells you that the child had a "strep throat" a couple
of weeks ago. She has been running a fever and acts very tired. Which of the following
diseases/disorders is most consistent with these symptoms?
a. systemic lupus
b. acute glomerulonephritis
c. congestive heart failure
d. bacterial endocarditis
b. acute glomerulonephritis
Acute glomerulonephritis is the result of an immune response, usually a streptococcal infection.
It is common in children with the peak ages being 2 - 6 years.
The nurse practitioner has examined a patient who has suffered a bite wound on the chest region
from her boyfriend during an assault. There were numerous lacerations to the patient's forearms
as well. The clinician sutured the lacerations even though this was contraindicated due to the
highly infectious nature of human bite wounds. The patient did not suffer ill effects or
complications from this. How can this be described?
,a. This is malpractice.
b. This is a deviation from standard of care that is appropriate.
c. This is negligence as well as poor judgment.
d. This is only poor judgment.
c. This is negligence as well as poor judgment.
This is not malpractice since no ill effects were sustained. This is, however, negligence and poor
judgment. Negligence occurs when one fails to exercise care that a reasonable person would
exercise and injury does not have to occur with negligence. Human bites have a high probability
of infection and should not be sutured.
The FNP is going over some dietary facts for a person with a risk of heart disease. The American
Heart Association suggests all of the following dietary restrictions EXCEPT:
a. cholesterol: < 100 mg per day
b. total fat: 25-35%
c. saturated fat: < 7%
d. protein: 15%
a. cholesterol: < 100 mg per day
The American Heart Association recommends that a person have less than 200 mg of cholesterol
per day. In addition to the guidelines in the other three choices, the AHA suggests
monounsaturated fat: up to 20%; polyunsaturated fat: up to 10%; and carbohydrates (from
complex carbohydrate foods): 50-60%.
A patient who has an elevated diastolic blood pressure between 120 and 160 mm Hg without
symptoms or acute retinopathy has which of the following?
a. primary hypertension
b. malignant hypertension
c. urgent hypertension
d. isolated hypertension
c. urgent hypertension
Urgent hypertension is an elevated diastolic blood pressure between 120 and 160 mmHg without
symptoms or acute retinopathy. Other hypertensive conditions include: primary, severe,
accelerated, or malignant, and isolated.
Which of the following changes are you least likely to see in a menopausal woman?
a. larger nipples that protrude more
b. atrophy of the vulva
c. sleep disorder
d. increased incidence of cystocele and rectocele
a. larger nipples that protrude more
You are not likely to see that a menopausal woman's nipples enlarge and protrude more. Changes
related to the breast include nipples that become flatter and smaller. Also there is size and shape
change in the breasts and atrophy of glandular tissue.
, You have a patient who has a fibroid tumor. Which of the following factors is most likely to
support this diagnosis?
a. multiparity
b. black ethnicity
c. younger than 35 years of age
d. smoker
b. black ethnicity
There are many factors that increase the susceptibility to fibroids (leiomyomas). Being of black
ethnicity is one of them. Others include sedentary lifestyle; obesity; nulliparity; nonsmoker; age
older than 35 years; family history; history of infertility; oral contraceptive use; and intrauterine
device use.
Your patient, Mr. Calabrese is having an acute attack of gout. Which of the following drugs
would you NOT prescribe for his acute attack of gout?
a. naproxen
b. prednisone
c. Depo-Medrol
d. allopurinol
d. allopurinol
Allopurinol is a maintenance drug. It is a urate-lowering therapy that blocks renal absorption of
uric acid.
A patient who comes to you displaying rapid speech and frequent change of topic, restlessness
and selective inattention is suffering from which of the following?
a. mild anxiety
b. panic anxiety
c. moderate anxiety
d. severe anxiety
c. moderate anxiety
Moderate anxiety involves a narrowed focus of perception. The patient would show selective
inattention and hesitation; diminished problem solving; rapid speech with frequent change of
topic; and muscle tension and restlessness.
You have a patient with possible pancreatic cancer. You will order an abdominal CT scan to
identify the cancer. You have rejected an abdominal ultrasound because it is limited by which of
the following?
a. advanced age
b. technician's skill
c. the presence of intestinal gas
d. size of the tumor
c. the presence of intestinal gas
QUESTION AND ANSWERS.
Bell's palsy occurs more often in which of the following populations?
a. infants
b. adolescents
c. young adults
d. men over 60
e. women over 60
f. diabetics
f. diabetics
Bell's palsy afflicts 40,000 Americans each year. It affects men and women equally and can
occur at any age, but it is less common before age 15 or after age 60. It disproportionately attacks
people who have diabetes or upper respiratory ailments.
Before prescribing antihistamines, what should be checked?
a. Assessment.
b. Records.
c. Family interview.
d. Chief complaint.
b. Records.
Medical records will show what drugs have been prescribed to the patient. Since antihistamines
can be dangerous when taken with sedatives, the records should be checked. It is also important
to make sure the drugs have not changed in the interview.
Mary Jane, a 50-year-old female tripped on a curb and fell. She suffered a Colles' fracture. You
understand that a Colles' fracture is associated with a fall on which of the following?
a. finger
b. outstretched hand
c. elbow
d. thumb
b. outstretched hand
Loss in continuity in the substance of a bone is called a fracture. A Colles' fracture is associated
with a fall on an outstretched hand such as when a person tries to break a fall.
A 62-year-old patient with Type II diabetes has been diagnosed with hypertension. Which anti-
hypertensive drug is the recommended choice in this case?
a. ACE inhibitor
b. calcium channel blocker
c. diuretic
d. beta-blocker
,a. ACE inhibitor
These antihypertensive agents, ACE inhibitors, enhance renal function in patients with diabetes.
You are treating a work-related injury in the clinic. What are you required by law to do?
a. Communicate with the patient's employer.
b. Notify the Occupational Safety and Health Administration (OSHA).
c. File a report with the industrial commission related to the injury and the treatment provided.
d. Document thoroughly and properly because of the high probability of legal action.
c. File a report with the industrial commission related to the injury and the treatment provided.
It is required by law that a report be filed with the industrial commission in the state of
occurrence concerning any work-related injury. You do not notify OSHA. Further, proper
documentation is necessary, but it is not required by law.
Gretchen is a 32-year-old sexually active female patient with symptoms of PID. She complains
of right upper quadrant abdominal pain and tenderness on palpation. Liver function tests are
normal. You understand that this is most likely which of the following?
a. Reiter's syndrome
b. Jarisch-Herxheimer reaction
c. Fitz-Hugh-Curtis Syndrome
d. none of the above
c. Fitz-Hugh-Curtis Syndrome
Fitz-Hugh-Curtis Syndrome is a complication of disseminated GC and/or PID. It is an infection
of the liver capsule. It results in extensive scarring between the liver capsule and abdominal
contents.
Your patient brings her 6-year-old female child to you. The child is complaining of abdominal
pain and swelling of her hands and feet. She tells you that the child had a "strep throat" a couple
of weeks ago. She has been running a fever and acts very tired. Which of the following
diseases/disorders is most consistent with these symptoms?
a. systemic lupus
b. acute glomerulonephritis
c. congestive heart failure
d. bacterial endocarditis
b. acute glomerulonephritis
Acute glomerulonephritis is the result of an immune response, usually a streptococcal infection.
It is common in children with the peak ages being 2 - 6 years.
The nurse practitioner has examined a patient who has suffered a bite wound on the chest region
from her boyfriend during an assault. There were numerous lacerations to the patient's forearms
as well. The clinician sutured the lacerations even though this was contraindicated due to the
highly infectious nature of human bite wounds. The patient did not suffer ill effects or
complications from this. How can this be described?
,a. This is malpractice.
b. This is a deviation from standard of care that is appropriate.
c. This is negligence as well as poor judgment.
d. This is only poor judgment.
c. This is negligence as well as poor judgment.
This is not malpractice since no ill effects were sustained. This is, however, negligence and poor
judgment. Negligence occurs when one fails to exercise care that a reasonable person would
exercise and injury does not have to occur with negligence. Human bites have a high probability
of infection and should not be sutured.
The FNP is going over some dietary facts for a person with a risk of heart disease. The American
Heart Association suggests all of the following dietary restrictions EXCEPT:
a. cholesterol: < 100 mg per day
b. total fat: 25-35%
c. saturated fat: < 7%
d. protein: 15%
a. cholesterol: < 100 mg per day
The American Heart Association recommends that a person have less than 200 mg of cholesterol
per day. In addition to the guidelines in the other three choices, the AHA suggests
monounsaturated fat: up to 20%; polyunsaturated fat: up to 10%; and carbohydrates (from
complex carbohydrate foods): 50-60%.
A patient who has an elevated diastolic blood pressure between 120 and 160 mm Hg without
symptoms or acute retinopathy has which of the following?
a. primary hypertension
b. malignant hypertension
c. urgent hypertension
d. isolated hypertension
c. urgent hypertension
Urgent hypertension is an elevated diastolic blood pressure between 120 and 160 mmHg without
symptoms or acute retinopathy. Other hypertensive conditions include: primary, severe,
accelerated, or malignant, and isolated.
Which of the following changes are you least likely to see in a menopausal woman?
a. larger nipples that protrude more
b. atrophy of the vulva
c. sleep disorder
d. increased incidence of cystocele and rectocele
a. larger nipples that protrude more
You are not likely to see that a menopausal woman's nipples enlarge and protrude more. Changes
related to the breast include nipples that become flatter and smaller. Also there is size and shape
change in the breasts and atrophy of glandular tissue.
, You have a patient who has a fibroid tumor. Which of the following factors is most likely to
support this diagnosis?
a. multiparity
b. black ethnicity
c. younger than 35 years of age
d. smoker
b. black ethnicity
There are many factors that increase the susceptibility to fibroids (leiomyomas). Being of black
ethnicity is one of them. Others include sedentary lifestyle; obesity; nulliparity; nonsmoker; age
older than 35 years; family history; history of infertility; oral contraceptive use; and intrauterine
device use.
Your patient, Mr. Calabrese is having an acute attack of gout. Which of the following drugs
would you NOT prescribe for his acute attack of gout?
a. naproxen
b. prednisone
c. Depo-Medrol
d. allopurinol
d. allopurinol
Allopurinol is a maintenance drug. It is a urate-lowering therapy that blocks renal absorption of
uric acid.
A patient who comes to you displaying rapid speech and frequent change of topic, restlessness
and selective inattention is suffering from which of the following?
a. mild anxiety
b. panic anxiety
c. moderate anxiety
d. severe anxiety
c. moderate anxiety
Moderate anxiety involves a narrowed focus of perception. The patient would show selective
inattention and hesitation; diminished problem solving; rapid speech with frequent change of
topic; and muscle tension and restlessness.
You have a patient with possible pancreatic cancer. You will order an abdominal CT scan to
identify the cancer. You have rejected an abdominal ultrasound because it is limited by which of
the following?
a. advanced age
b. technician's skill
c. the presence of intestinal gas
d. size of the tumor
c. the presence of intestinal gas
