PSI FNP Practice Exam 2026 Questions
and Answers
A 14yo male with bronchitis is being treated with fluids and expectorants. He
returns to the clinic with a fever of 103F, right pleuritic chest pain, and green
sputum. Which of the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - Correct answer-A. Right lower lobe crackles.
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
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,D. A click is felt while the child is extending and rotating the arm - Correct 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) - Correct 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 - Correct answer-D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
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,A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - Correct 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 - Correct 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
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, D. Lung Cancer - Correct 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 - Correct 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. - Correct 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.
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and Answers
A 14yo male with bronchitis is being treated with fluids and expectorants. He
returns to the clinic with a fever of 103F, right pleuritic chest pain, and green
sputum. Which of the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - Correct answer-A. Right lower lobe crackles.
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
©COPYRIGHT 2025 ALL RIGHTS RESERVED 1
,D. A click is felt while the child is extending and rotating the arm - Correct 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) - Correct 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 - Correct answer-D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
©COPYRIGHT 2025 ALL RIGHTS RESERVED 2
,A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - Correct 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 - Correct 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
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, D. Lung Cancer - Correct 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 - Correct 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. - Correct 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.
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