Page 1 of 189
✓ QUESTIONS AND ANSWERS LATEST
✓ EXAM BUNDLE
✓ MULTIPLE CHOICES
PSI FNP ACTUAL EXAM A
An adult patient presents with complaints of nausea, fatigue, and myalgia. The patient reports a
history of untreated hepatitis B 30 years ago. Which hepatitis B serology testing results would
indicate that the patient has chronic hepatitis?
1.HBsAg = negative, anti-HBc = positive
2.HBsAg = positive, IgM anti-HBc = negative
3.HBsAg = positive, IgM anti-HBc = positive
4.HBsAg = negative, anti-HBs = positive - ANSWER-2. HBsAg = positive, IgM anti-HBc = negative
Rational: HBsAg means infected
1
, Page 2 of 189
IgM anti-HBc means immune
A confused elderly female presents for the first time accompanies by her daughter. The patient
is taking glipizide-metformin (Metaglip), lisinopril (Zestril), glargine (Lantus), aspirin, and a
multivitamin. Which of the following is the MOST likely cause of the patient's symptoms?
1.Hypoglycemia
2.Hypocalcemia
3.Hyponatremia
4.Hypokalemia - ANSWER-1. Hypoglycemia
Rational: He is take metformin and glargine. These are two anti diabetic medications. Confusion
is an early sing of hypoglycemia for geriatrics
An adult female presents at 7 weeks of gestation with bleeding and lower abdominal cramping.
2
, Page 3 of 189
The nurse practitioner suspects imminent spontaneous abortion. The patient is Rh negative.
When should RhoGAM be administered?
1.Within 6 hours
2.Within 72 hours
3.After the abortion
4.Only when needed - ANSWER-2. Within 72 hours
Rational: 6 hours too short, after abortion is not effective, and always give if patient is Rh
negative.
A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of gestation.
Which of the following is the most accurate method for confirming this diagnosis?
1.Enzyme-linked immunosorbent assay (ELISA)
3
, Page 4 of 189
2.Serology for antibody titers
3.Nucleic acid amplification test (NAAT) of urine
4.Gram-staining of cervical secretions - ANSWER-3. Nucleic acid amplification test (NAAT) of
urine
Rational: ELISA is to test for HIV and Lyme disease. Antibody titers would not be beneficial to
test. NAAT is the gold standard for confining chlamydial.
The best medication for a patient who complains of irritable bowel syndrome with cramping is:
1.lactulose (Kristalose).
2.dicyclomine (Bentyl).
3.bismuth subsalicylate (Pepto-Bismol).
4
✓ QUESTIONS AND ANSWERS LATEST
✓ EXAM BUNDLE
✓ MULTIPLE CHOICES
PSI FNP ACTUAL EXAM A
An adult patient presents with complaints of nausea, fatigue, and myalgia. The patient reports a
history of untreated hepatitis B 30 years ago. Which hepatitis B serology testing results would
indicate that the patient has chronic hepatitis?
1.HBsAg = negative, anti-HBc = positive
2.HBsAg = positive, IgM anti-HBc = negative
3.HBsAg = positive, IgM anti-HBc = positive
4.HBsAg = negative, anti-HBs = positive - ANSWER-2. HBsAg = positive, IgM anti-HBc = negative
Rational: HBsAg means infected
1
, Page 2 of 189
IgM anti-HBc means immune
A confused elderly female presents for the first time accompanies by her daughter. The patient
is taking glipizide-metformin (Metaglip), lisinopril (Zestril), glargine (Lantus), aspirin, and a
multivitamin. Which of the following is the MOST likely cause of the patient's symptoms?
1.Hypoglycemia
2.Hypocalcemia
3.Hyponatremia
4.Hypokalemia - ANSWER-1. Hypoglycemia
Rational: He is take metformin and glargine. These are two anti diabetic medications. Confusion
is an early sing of hypoglycemia for geriatrics
An adult female presents at 7 weeks of gestation with bleeding and lower abdominal cramping.
2
, Page 3 of 189
The nurse practitioner suspects imminent spontaneous abortion. The patient is Rh negative.
When should RhoGAM be administered?
1.Within 6 hours
2.Within 72 hours
3.After the abortion
4.Only when needed - ANSWER-2. Within 72 hours
Rational: 6 hours too short, after abortion is not effective, and always give if patient is Rh
negative.
A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of gestation.
Which of the following is the most accurate method for confirming this diagnosis?
1.Enzyme-linked immunosorbent assay (ELISA)
3
, Page 4 of 189
2.Serology for antibody titers
3.Nucleic acid amplification test (NAAT) of urine
4.Gram-staining of cervical secretions - ANSWER-3. Nucleic acid amplification test (NAAT) of
urine
Rational: ELISA is to test for HIV and Lyme disease. Antibody titers would not be beneficial to
test. NAAT is the gold standard for confining chlamydial.
The best medication for a patient who complains of irritable bowel syndrome with cramping is:
1.lactulose (Kristalose).
2.dicyclomine (Bentyl).
3.bismuth subsalicylate (Pepto-Bismol).
4
