PSI Family Nurse Practitioner (FNP) Practice Exam

These questions are part of the practice quiz. Start practicing

• What is the leading cause of death among adolescents aged 15-24 related to substance use?
• For an 88-year-old male experiencing memory loss, which test is most appropriate for evaluating his memory function?
• What is a common secondary cause of hyperlipidemia that should be evaluated during diagnosis?
• What is the initial treatment for a 19-year-old female with iron deficiency anemia from heavy menstrual bleeding?
• During an employment physical exam, bruising around the areola on a 21-year-old female is noted. Which health history aspect is least relevant?
• Which group is at risk and should be tested with a PPD greater than 10 mm?
• Which laboratory finding is most indicative of a myocardial infarction?
• What is the main characteristic of chronic bronchitis compared to emphysema?
• What condition should be suspected in a 20-year-old male with a 1-month history of a testicular bump and multiple sexual partners?
• What maneuver is part of the carpal tunnel syndrome assessment?
• What dietary change can help manage gastroesophageal reflux disease in infants?
• Which symptom should be monitored specifically when a patient with diabetes is on beta blockers?
• A patient is suspected of having hypertension. What is the primary diagnostic tool to confirm hypertension?
• At what level of prevention would lung cancer screening currently be classified?
• In a case of acute pharyngitis with a sandpaper textured rash, what is the most likely diagnosis?
• What underlying condition might predispose a woman to frequent candidal vaginal infections?
• In which disease might you expect to see decreased thumb movement?
• For a patient with pneumonia who is a non-smoker with no comorbidities, which antibiotic is typically recommended?
• To assess a patient's ability to think abstractly, which question could a nurse practitioner ask?
• What is the best laboratory test to distinguish iron deficiency anemia from other types?
• In which area is the use of lidocaine with epinephrine contraindicated?
• Why should beta-adrenergic blockers be avoided in patients with diabetes?
• A 14-year-old male with bronchitis presents with a fever, right pleuritic chest pain, and green sputum. Which examination result would most likely be found?
• What is an essential health education topic for a male with a history of cryptorchidism?
• What is the most common side effect of the opioid analgesics?
• To assess spinal function at the S1 level, which deep tendon reflex should be tested?
• What is the initial therapy for a 3-week-old infant with symptoms of gastroesophageal reflux disease?
• A 32 year old patient reports a 6-month history of intermittent symmetrical swelling of the wrists and daily morning stiffness lasting 1 hour or more. What is the most likely diagnosis?
• Description of an effective communication strategy with patients typically includes which of the following aspects?
• What is a major complication of untreated chronic emphysema?
• What is a common initial assessment finding in patients with hypothyroidism?
• What skin condition is characterized by the appearance of silver scales?
• At what age do most children start to erupt their first permanent teeth?
• Using the height-weight formula, what is the ideal body weight for a female who is 5 feet 7 inches tall?
• Which organisms are most commonly found in fresh dog bite wounds?
• What is the primary characteristic of subconjunctival hemorrhage?
• A nurse practitioner suspects a pulmonary embolus in a 40-year-old patient. What test should be performed next?
• Which treatment option is recommended to improve longevity in COPD patients?
• Which symptom requires the nurse practitioner to consider the effects of medication on ejaculation in a male patient?
• Which of the following is indicative of a positive finding for protein in the urine during pregnancy?
• What skin condition features a rash and can follow a viral upper respiratory infection?
• What condition may a nurse practitioner consider in an elderly female experiencing sadness and morning waking disruptions?
• Which condition is NOT a known cause of weight loss?
• Koplik's spots are associated with which disease?
• What is an appropriate management approach for someone with daily asthma symptoms?
• Which term describes the test used to identify a meniscal tear?
• Which condition is most likely indicated by an 8-month-old male presenting with hemarthrosis and hematuria with no history of trauma?
• Where are Heberden's nodes typically found?
• Which of the following is a common symptom of pediatric patients with hemophilia?
• Which physical exam finding would indicate a serious infection requiring immediate attention in a patient with potential cystitis?
• What is the most likely diagnosis for a 21-year-old patient exhibiting rebound tenderness at McBurney's point?
• Cranial Nerve VII is primarily responsible for which action?
• A 29-year-old male with a noncomplicated Chlamydia infection is likely to exhibit which symptom?
• The Adduction (Varus) stress test evaluates which ligament?
• A 12-year-old with a family history of thalassemia has a normal CBC. What additional test should be ordered?
• Which cranial nerve is responsible for hearing and balance?
• For a patient presenting with symptoms of pharyngitis, which investigation is appropriate if strep throat is suspected?
• A 40-year-old male has a 2-week history of rectal pain and finding blood on toilet paper. What action should the nurse practitioner take?
• During treatment planning for an 84-year-old with hypothyroidism, which concern should the nurse practitioner be most mindful of?
• A 65-year-old male with heart failure presents with a systolic murmur. What is a common underlying cause?
• Which risk group is particularly advised to be alert for skin lesions indicative of melanoma?
• What is the first line treatment option for a patient diagnosed with bacterial pneumonia?
• Which tests are used to evaluate an Anterior Cruciate Ligament (ACL) injury?
• Which class of antihypertensive agents is contraindicated in patients with bilateral renal artery stenosis?
• Which physical exam finding would NOT be associated with emphysema?
• What additional diagnostic tests are appropriate for a 17-year-old suspected of having polycystic ovary syndrome?
• Finkelstein's test is used to diagnose which condition?
• What prophylactic medication is recommended for individuals under 35 years with a positive PPD?
• What condition is considered an absolute contraindication to breastfeeding?
• What would the Weber test indicate in a patient with cerumen impaction in the left ear?
• What does Cranial Nerve X primarily support in the body?
• What condition is suggested by sudden onset testicular pain with a negative cremasteric reflex?
• An 88-year-old patient presents with right-sided weakness after a fall. What is the most likely diagnosis?
• The primary function of Cranial Nerve V is associated with which of the following?
• Which symptom is primarily associated with trigeminal neuralgia?
• What effect can the development of a fever have on a child diagnosed with seizure disorder?
• Which situation may require supplemental iron for an infant before the age of 4-6 months?
• A 17-year-old female at Tanner stage III of sexual development has never had her menses. What is the most likely diagnosis?
• What is the leading cause of cancer-related deaths among women?
• A patient with acute bronchitis presents with foul-smelling sputum. What should the nurse practitioner prescribe?
• What age group is most affected by motor vehicle accidents related to alcohol?
• What is the long-term prognosis for most children diagnosed with juvenile rheumatoid arthritis (JRA)?
• What function is associated with cranial nerve IX?
• What is the primary role of a nurse practitioner (NP) who provides primary health care according to the ANA?
• In a patient suspected of acute bacterial prostatitis, which specimen collection method is least appropriate?
• Which statement regarding a medication regimen for a 67-year-old with multiple conditions is correct?
• When should TSH levels be checked after starting thyroid hormone replacement therapy?
• Assessment findings that would support a diagnosis of mitral regurgitation typically include:
• What spirometry reading is expected in a patient with chronic emphysema?
• In evaluating an 11-year-old with a target lesion and systemic symptoms, what crucial history detail should be assessed?
• A young male experiences acute abdominal pain with testicular swelling. What is the most likely diagnosis?
• Weight gain in a pregnant woman with urine findings of protein may indicate which of the following conditions?
• A child with fever and productive cough presents with respiratory distress. Which finding is characteristic?
• Which symptom is part of the classic triad of preeclampsia?
• Which activity is NOT classified as an activity of daily living (ADL)?
• The Posterior drawer sign is used to assess which ligament injury?
• The visual fields by confrontation test evaluates which aspect of vision?
• For an 18-year-old patient with a Mycoplasma pneumoniae infection, which alternative treatment is appropriate if erythromycin cannot be used?
• Assessing the posterior drawer sign helps evaluate which aspect of knee stability?
• Which of the following is a normal response when assessing the cremasteric reflex in males?
• What is the most widely accepted recommendation for skin cancer prevention?
• Which wet-mount result confirms a preliminary diagnosis of bacterial vaginosis?
• What is the purpose of the Tinel's sign?
• What is a common rule when prescribing medications for elderly patients?
• What does spirometry performed after an albuterol nebulizer treatment primarily confirm in a patient suspected of asthma?
• What is the risk assessment tool for stroke called?
• Which of the following reflexes is primarily associated with the S1 nerve root?
• In which patient demographic should atenolol be avoided?
• What symptom would most indicate hypoglycemia in a patient taking insulin and a beta blocker?
• Which condition is NOT typically associated with erectile dysfunction?
• What is the threshold for normal PSA levels in adults?
• An 18-year-old patient with facial pain and yellow nasal discharge for 14 days may best be treated with which medication initially?
• What underlying condition is associated with chronic infections and weight loss?
• A college student presents with purulent discharge from her eye. What condition should be suspected?
• What is a key symptom that may suggest progression of hypothyroidism in elderly patients?
• Which of the following interventions is inappropriate for pediatric patients?
• When assessing for appendicitis, which sign indicates pain in the right lower quadrant during left-sided pressure?
• Which of the following criteria can differentiate a Transient Ischemic Attack (TIA) from a stroke?
• What role does education play in managing light-headedness in pregnant women?
• Which medication or medication class does NOT have dizziness or vertigo as potential adverse side effects?
• Which of the following is NOT an indication of preeclampsia?
• Which cranial nerves are responsible for voice and speech?
• Which symptom is considered a moderate sign of heart failure?
• Which population is at a higher risk for developing vitamin D deficiency?
• What is assessed with the Abduction (Valgus) stress test?
• When can symptoms of congenital heart disorders present?
• What condition might be indicated by the presence of white patches in the mouth that do not rub off?
• A 50-year-old male presents with delayed ejaculation while on multiple medications. What is the most likely causative agent?
• Which cranial nerve is primarily involved in controlling tongue movements?
• Which medication is considered a mainstay for managing moderate persistent asthma?
• A patient on warfarin should report all of the following to their healthcare provider EXCEPT?
• In managing asthma in children, which medication class is primarily used as a quick-relief treatment during exacerbations?
• Which lab test is least likely to be monitored in a patient with diabetes and multiple medications?
• A newly diagnosed diabetic patient is taught about blood glucose monitoring. What is the recommended frequency for checking blood glucose for non-insulin-dependent diabetes?
• Which sign should be assessed first when suspecting appendicitis?
• A nurse practitioner orders pulmonary rehabilitation for a 75-year-old patient with COPD. What is an expected outcome that is NOT typically associated with this program?
• What dietary advice should be given to women with fibrocystic breast disease regarding caffeine?
• What pharmacotherapeutic is most important for a patient with a corneal abrasion?
• What is the most urgent complication associated with celiac disease in infants?
• Which sign indicates acute cholecystitis?
• Which test is used to evaluate a meniscal tear?
• Which complication is the most serious outcome of Barrett's esophagus?
• Cranial nerve XI is known as which of the following?
• In managing a target lesion with central clearing and accompanying severe headache, malaise, and muscle pain, which medication is indicated?
• A 28-week pregnant patient reports a single episode of vaginal bleeding. What is the most appropriate diagnostic intervention?
• What symptom may accompany prostate gland abnormalities noted during a DRE?
• Which bacterium is commonly responsible for pneumonia in older adults in the community?
• How can psoriatic lesions in the elderly be best described?
• What is a common rule for prescribing medications to the elderly?
• In a case of radial head subluxation in a 2-year-old, which sign indicates successful treatment after manipulation?
• In the context of routine management, what is a critical factor to monitor in diabetic patients prescribed beta blockers?
• A woman with varicose veins complains of aching legs. What is the best intervention to relieve her symptoms?
• A patient with Type 1 diabetes on NPH and regular insulin experiences early morning high blood glucose. What phenomenon does this exemplify?
• An 85 year old patient experiences sudden loss of vision in the right eye, described as "a curtain came down". What is the most likely diagnosis?
• What is a common finding in patients diagnosed with polymyalgia rheumatica?
• Cranial Nerve I is responsible for which function?
• Which laboratory tests are the most accepted indicators of HIV infection progression?
• In a woman with heavy vaginal bleeding due to multiple uterine leiomyomas, what is the most appropriate next step in her treatment?
• At what age is mammography recommended to start for women?
• What primary symptom characterizes a patient with heart failure?
• A 14-year-old has forearm pain after falling on an outstretched hand. What is the likely diagnosis based on a positive fat pad sign?
• A 37-year-old primigravida at 30 weeks gestation has trace leukocytes and 2+ protein in her urinalysis. What condition is MOST likely indicated?
• What frequent checks are necessary for patients on warfarin to ensure therapeutic levels?
• What is the next step for a 17-year-old female who has never menstruated and is at Tanner stage III?
• What physical examination finding typically accompanies a diagnosis of pneumonia?
• A patient presents with upper abdominal discomfort and nausea after eating. What are the most likely differential diagnoses?
• If a woman has missed two oral contraceptive pills, what should she be advised to do?
• What is the most likely diagnosis for a 12-month-old infant who had a high fever that resolved, followed by a maculopapular rash?
• What are the first permanent teeth to erupt in children around age 6?
• What is an effective first intervention for a 2nd degree burn?
• A patient with macular degeneration has difficulty seeing objects:
• A 4-year-old girl reports inappropriate behavior from her brother. What is the nurse practitioner's responsibility?
• Which condition is known for visible edema from extravascular fluid retention?
• A patient with diverticulosis presents with localized left lower quadrant discomfort and mild leukocytosis. What is the appropriate management option?
• A 65-year-old male exhibits signs of jugular venous distension and cardiomegaly. What is the most likely diagnosis?
• What is a characteristic of the obturator sign?
• Which heart condition does the 'C' in CHADS2 represent?
• What is a classic sign of acute appendicitis?
• What is considered a positive PPD test at 5 millimeters for which population?
• To evaluate a patient's ability to think abstractly, which question could a nurse practitioner ask?
• A 25-year-old with shoulder pain after house painting has intact passive ROM with no trauma noted. What should the next step be to reach a diagnosis?
• Which lab test should a nurse practitioner order when the suspected diagnosis is temporal arteritis?
• A patient with a history of hyperlipidemia is found to have elevated triglycerides. Which dietary change is most beneficial?
• What condition is often linked to an increased risk of testicular cancer?
• When should full-term infants begin oral iron supplementation?
• Which herbal remedy is commonly used for migraines and menstrual cramps?
• Which of the following is the most common type of skin malignancy?
• A 70-year-old male shows parathesia of the lower extremities and decreased vibratory sense. What is the most likely diagnosis?
• A teenage girl complains of burning on urination after treatment for trichomonas vaginitis. What diagnostic test should be done immediately?
• What is the recommended treatment duration for chronic bacterial prostatitis?
• A 25-year-old woman presents with scant nipple discharge and no palpable mass. What is the most likely diagnosis?
• What gastrointestinal change is associated with normal aging?
• Which activity is unlikely to be characteristic of preschool children?
• What population is immediately considered for further assessment if a PPD test measures at 15 mm or more?
• Cranial Nerve II is associated with which sensory function?
• Which symptoms are commonly associated with headaches due to an intracranial tumor?
• A patient with suspected gonococcal conjunctivitis requires which immediate action?
• What is the first-line treatment for polymyalgia rheumatica?
• Which condition is characterized by painful intercourse and atrophic squamous epithelial cells?
• What type of intervention is most effective for managing pain in pediatric patients?
• Which diagnostic imaging is typically unnecessary when diagnosing uncomplicated migraine headaches?
• Which of the following symptoms could be related to diabetes?
• What type of cancer is several times more common than squamous cell cancer?
• A 70-year-old male with a bright red spot in his left eye for 2 days, denies pain and visual changes. What is the most likely condition?
• For patients with hyperlipidemia, which test should be performed to rule out hypothyroidism?
• What is the most common cause of Cushing's syndrome?
• Which of the following best describes the nature of fibrocystic breast disease?
• Which laboratory test is most useful for diagnosing spontaneous abortion?
• A 10-month-old child shows a cluster of tiny white papules on the buccal mucosa. What condition might this indicate?
• Cranial Nerves III, IV, and VI are primarily involved in which function?
• What does a negative nitrite result on a urinalysis indicate?
• Which reflex is associated with nerve roots C5 and C6?
• What is a common physiological change during pregnancy that may cause light-headedness upon standing?
• What test is used to evaluate for peripheral arterial disease (PAD)?
• Which statement is true regarding dizziness and vertigo in relation to medications?
• When caring for burns, which of the following is important to remember about oil application?
• A woman has dyspareunia, atrophic squamous epithelial cells, and a vaginal pH of 4.0. What is the most likely diagnosis?
• A 66-year-old patient has bilateral otitis media with effusion and white patches in the mouth. What should the patient be evaluated for?
• For a patient presenting with unexplained weight loss and fatigue, which lab test is critical to rule out malignancy?
• A 68-year-old female's headache with sudden visual spots is likely due to which condition?
• A 2-month-old infant presents for an examination with a diffusely erythematous macular rash in the diaper area. What is the most likely cause of this rash?
• Which diagnostic test is most appropriate for a 3-year-old presenting with fever and cough in a family setting where relatives also have similar symptoms?
• Which of the following is NOT true regarding the S3 heart sound?
• What is the most appropriate initial test for a patient suspected of having acute prostatitis?
• What is the primary risk factor to evaluate for in a patient experiencing chest pain consistent with myocardial infarction?
• An 18-month-old child presents with a bulging tympanic membrane and fever. After treating for otitis media, what is the next appropriate intervention?
• What is considered an early sign of heart failure in elderly patients?
• In a sudden case of maculopapular rash following high fever in an infant, which cause is least likely?
• Which condition should education targeted toward the adolescent age group first focus on?
• A 16-year-old female on Ortho-Novum 7/7/7 experiences midcycle spotting. What is the appropriate management?
• What type of drugs are commonly associated with weight gain?
• According to the American Diabetes Association, the standard fasting plasma sugar level for diagnosing diabetes mellitus is:
• In managing diabetes, which hormone should be balanced to maintain blood glucose levels?